Identities/MBR-011772
Gold, golden identity

Amber Guerrero

4 source records from 1 feed.

MBR-011772Verified4 records

Golden record

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

First nameCLM
Amber
Middle name—
—
Last nameCLM
Guerrero
Date of birthCLM
1956-05-07
GenderCLM
M
Member IDCLM
UHC-95217-49
SSNCLM
•••-••-1560
PhoneCLM
7755403052
EmailCLM
amber.guerrero41@outlook.com
AddressCLM
5676 Jefferson Ave
CityCLM
Phoenix
StateCLM
AZ
ZIPCLM
85053
GroupCLM
GRP-2717
PlanCLM
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×4
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.000.99CLMCLM-427935CLMCLM-427937CLMCLM-427938CLMCLM-427936IDMBR-011772
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-427935CLM2026-02-09Amber Guerreroflagged1956-05-07—77554030525676 Jefferson Ave, Phoenix, AZScored1.00—
CLM-427937CLM2026-03-20Amber Guerreroflagged1956-05-07—77554030525676 Jefferson Ave, Phoenix, AZScored1.00—
CLM-427938CLM2026-04-26Amber Guerreroflagged1956-05-07UHC-95217-49—5676 Jefferson Ave, Phoenix, AZScored1.00—
CLM-427936CLM2026-07-30Amber Guererroflagged1956-05-07UHC-95217-49——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-427935CLMCLM-427938 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427937CLMCLM-427938 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427938 CLMCLM-427936CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427935CLMCLM-427937CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-427935CLMCLM-427936CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-427937CLMCLM-427936CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-427937 → UHC-95217-49 (Amber Guerrero)
    ACT-004262, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-427935 → UHC-95217-49 (Amber Guerrero)
    ACT-005323, Claims processor
  • Care coordination outreachProposed
    Amber Guerrero: 4 claims, no attributed provider
    ACT-018641, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyc9c5be62d7
    matching_agent, CLM-427936, identity id MBR-011772, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427938
  • 2026-10-19 19:54:38Record linked automatically7d9966ed6f
    scoring_agent, CLM-427938, identity id MBR-011772, confidence 1, method probabilistic, matched record CLM-427935, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7f7eb2dd8b
    scoring_agent, CLM-427937, identity id MBR-011772, confidence 1, method probabilistic, matched record CLM-427938, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5a4363318d
    scoring_agent, CLM-427935, identity id MBR-011772, confidence 1, method probabilistic, matched record CLM-427938, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5335c1a7f7
    matching_agent, CLM-427936, identity id MBR-011772, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427938
  • 2026-10-19 19:52:09Record linked automatically0405b424af
    scoring_agent, CLM-427938, identity id MBR-011772, confidence 1, method probabilistic, matched record CLM-427935, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyde25ebd2de
    scoring_agent, CLM-427937, identity id MBR-011772, confidence 1, method probabilistic, matched record CLM-427938, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb17a92e7b5
    scoring_agent, CLM-427935, identity id MBR-011772, confidence 1, method probabilistic, matched record CLM-427938, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb1e60e68ff
    matching_agent, CLM-427936, identity id MBR-011772, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427938
  • 2026-10-19 19:45:42Record linked automatically9c8bddc70a
    scoring_agent, CLM-427938, identity id MBR-011772, confidence 1, method probabilistic, matched record CLM-427935, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc770bf7bd7
    scoring_agent, CLM-427937, identity id MBR-011772, confidence 1, method probabilistic, matched record CLM-427938, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallycba3c20473
    scoring_agent, CLM-427935, identity id MBR-011772, confidence 1, method probabilistic, matched record CLM-427938, policy version 1
  • 2026-10-19 19:32:31Record linked automatically38a4c4848c
    matching_agent, CLM-427936, identity id MBR-011772, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427938
  • 2026-10-19 19:32:31Record linked automatically7f2c2c63ee
    scoring_agent, CLM-427938, identity id MBR-011772, confidence 1, method probabilistic, matched record CLM-427935, policy version 1
  • 2026-10-19 19:32:31Record linked automatically459607ae16
    scoring_agent, CLM-427937, identity id MBR-011772, confidence 1, method probabilistic, matched record CLM-427938, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8ce0462dba
    scoring_agent, CLM-427935, identity id MBR-011772, confidence 1, method probabilistic, matched record CLM-427938, policy version 1
  • 2026-10-19 19:31:28Record linked automatically3d7d88366e
    matching_agent, CLM-427938, identity id MBR-043006, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-28196
  • 2026-10-19 19:31:28Record linked automaticallyb8d5ff903d
    scoring_agent, CLM-427936, identity id MBR-001383, confidence 1, method probabilistic, matched record CLM-427937, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc05bc2cd64
    matching_agent, CLM-427935, identity id MBR-001383, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427937
  • 2026-10-19 19:31:28Record linked automatically8611858b2c
    scoring_agent, CLM-427937, identity id MBR-001383, confidence 1, method probabilistic, matched record TPA-62282, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0311672026-06-23Pinecrest Bone and Joint Center
in network
27447$38,652.00—Needs reviewNeeds review
CLM-2026-0193352026-03-17Lakeside Orthopedic Specialists
in network
27447$50,230.00—Needs reviewNeeds review
CLM-2026-0111692026-02-08Harbor Medical Group
in network
99213$195.00$95.90ApprovedApproved
CLM-2026-0151042026-01-30Evergreen Primary Care Associates
in network
99203, 99214$448.00$252.76ApprovedApproved