Identities/MBR-009187
Gold, golden identity

Juan G Guerrero

5 source records from 3 feeds.

MBR-009187Verified5 records

Golden record

Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip

First nameCLM
Juan
Middle nameCLM
G
Last nameENR
Guerrero
Date of birthENR
1963-05-04
GenderENR
F
Member IDENR
UHC-70320-01
SSNENR
•••-••-9953
PhoneENR
9588018924
EmailENR
juan.guerrero@outlook.com
AddressENR
7648 Broadway
CityENR
Atlanta
StateENR
GA
ZIP—
—
GroupENR
GRP-5227
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
CLM ×3TPA ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

Source records linked to this identity and the confidence of each link

1.001.000.990.990.99CLMCLM-413020TPATPA-55725CLMCLM-413019ENRENR-117079CLMCLM-413018IDMBR-009187
Golden identityEnrollmentClaimsProvider networkThird-party administratorAuto link (at or above 0.85)Below thresholdSteward link

Linked source records

Silver values for each record in the cluster, and how it was attached

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
CLM-413020CLM2026-01-31Juan Guerreroflagged1963-05-04——7648 Broadway, Atlanta, GAScored1.00—
TPA-55725TPA2026-05-08Juan Guerreroflagged1963-05-04UHC-70320-01—7648 Broadway, Atlanta, GAScored1.00—
CLM-413019CLM2026-07-20Juuan Guerreroflagged1963-05-04——7648 Broadway, Atlanta, GAScored0.99—
ENR-117079ENR2026-08-01Juna Guerreroflagged1963-05-04UHC-70320-0195880189247648 Broadway, Atlanta, GARule0.99D1 member id + dob exact
CLM-413018CLM2026-08-10Juan Guerreroflagged1963-05-04UHC-70320-0195880189247648 Broadway, Atlanta, GARule0.99D1 member id + dob exact

Evidence

10 scored pairs among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-413020CLMTPA-55725TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413020CLMCLM-413019CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55725TPACLM-413019CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55725TPACLM-413018CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-117079ENRCLM-413018CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶TPA-55725TPAENR-117079ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413019CLMENR-117079ENR0.97Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.933
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413020CLMENR-117079ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413020CLMCLM-413018CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413019CLMCLM-413018CLM0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-413019 → UHC-70320-01 (Juan Guerrero)
    ACT-007337, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-413020 → UHC-70320-01 (Juan Guerrero)
    ACT-008707, Claims processor
  • Care coordination outreachProposed
    Juan Guerrero: 3 claims, no attributed provider
    ACT-018489, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically611a1d008f
    matching_agent, CLM-413018, identity id MBR-009187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55725
  • 2026-10-22 12:43:54Record linked automatically95e54ce1d6
    matching_agent, ENR-117079, identity id MBR-009187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55725
  • 2026-10-22 12:43:54Record linked automaticallyf679cf2438
    scoring_agent, CLM-413019, identity id MBR-009187, confidence 0.99, method probabilistic, matched record CLM-413020, policy version 1
  • 2026-10-22 12:43:54Record linked automatically140f025161
    scoring_agent, TPA-55725, identity id MBR-009187, confidence 1, method probabilistic, matched record CLM-413020, policy version 1
  • 2026-10-22 12:43:54Record linked automatically7ce260f40b
    scoring_agent, CLM-413020, identity id MBR-009187, confidence 1, method probabilistic, matched record TPA-55725, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyaa61b3cab3
    matching_agent, CLM-413018, identity id MBR-009187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55725
  • 2026-10-19 19:54:38Record linked automatically3499fad71b
    matching_agent, ENR-117079, identity id MBR-009187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55725
  • 2026-10-19 19:54:38Record linked automatically9cf274b0c4
    scoring_agent, CLM-413019, identity id MBR-009187, confidence 0.99, method probabilistic, matched record CLM-413020, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye4c34b39b1
    scoring_agent, TPA-55725, identity id MBR-009187, confidence 1, method probabilistic, matched record CLM-413020, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3c4b643e1c
    scoring_agent, CLM-413020, identity id MBR-009187, confidence 1, method probabilistic, matched record TPA-55725, policy version 1
  • 2026-10-19 19:52:09Record linked automatically12b305cad6
    matching_agent, CLM-413018, identity id MBR-009187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55725
  • 2026-10-19 19:52:09Record linked automaticallye0e563029a
    matching_agent, ENR-117079, identity id MBR-009187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55725
  • 2026-10-19 19:52:09Record linked automaticallyda87e0e089
    scoring_agent, CLM-413019, identity id MBR-009187, confidence 0.99, method probabilistic, matched record CLM-413020, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4c885e7919
    scoring_agent, TPA-55725, identity id MBR-009187, confidence 1, method probabilistic, matched record CLM-413020, policy version 1
  • 2026-10-19 19:52:09Record linked automatically68fa3ca894
    scoring_agent, CLM-413020, identity id MBR-009187, confidence 1, method probabilistic, matched record TPA-55725, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7dd1e89e24
    matching_agent, CLM-413018, identity id MBR-009187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55725
  • 2026-10-19 19:45:42Record linked automatically52ce3f79a1
    matching_agent, ENR-117079, identity id MBR-009187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55725
  • 2026-10-19 19:45:42Record linked automaticallyb92ecbee22
    scoring_agent, CLM-413019, identity id MBR-009187, confidence 0.99, method probabilistic, matched record CLM-413020, policy version 1
  • 2026-10-19 19:45:42Record linked automatically762c568d49
    scoring_agent, TPA-55725, identity id MBR-009187, confidence 1, method probabilistic, matched record CLM-413020, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3b41986963
    scoring_agent, CLM-413020, identity id MBR-009187, confidence 1, method probabilistic, matched record TPA-55725, policy version 1
  • 2026-10-19 19:32:31Record linked automatically539ad58c29
    matching_agent, CLM-413018, identity id MBR-009187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55725
  • 2026-10-19 19:32:31Record linked automatically06eb617c00
    matching_agent, ENR-117079, identity id MBR-009187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55725
  • 2026-10-19 19:32:31Record linked automatically8d229b385c
    scoring_agent, CLM-413019, identity id MBR-009187, confidence 0.99, method probabilistic, matched record CLM-413020, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybcdbf11a94
    scoring_agent, TPA-55725, identity id MBR-009187, confidence 1, method probabilistic, matched record CLM-413020, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf30fa4faaa
    scoring_agent, CLM-413020, identity id MBR-009187, confidence 1, method probabilistic, matched record TPA-55725, policy version 1
  • 2026-10-19 19:31:28Record linked automatically04f8160e95
    matching_agent, ENR-117079, identity id MBR-043669, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-412925
  • 2026-10-19 19:31:28Record linked automaticallyb508c714d0
    matching_agent, CLM-413020, identity id MBR-007976, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413021
  • 2026-10-19 19:31:28Record linked automaticallyf324277c77
    matching_agent, CLM-413018, identity id MBR-003898, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413019
  • 2026-10-19 19:31:28Record linked automaticallyd8adb13435
    matching_agent, CLM-413019, identity id MBR-003898, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413018

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0066082026-07-17Unity Diagnostic Imaging
in network
70553, 71046$3,291.00—DeniedDenied
CLM-2026-0226792026-07-02Harbor Family Practice
in network
99214, 90471$238.00$117.56ApprovedApproved
CLM-2026-0279272026-01-19Canyon Regional Medical Center
in network
99283$606.00$183.30ApprovedApproved