Identities/MBR-011893

Gold, golden identity

Michelle R Gutierrez

5 source records from 3 feeds.

MBR-011893Verified5 records

Golden record

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

First namePRV: Michelle
Middle nameCLM: R
Last namePRV: Gutierrez
Date of birthPRV: 1998-01-28
GenderPRV: F
Member IDPRV: UHC-25707-51
SSNTPA: •••-••-7674
PhonePRV: 6387680342
EmailCLM: michelle.gutierrez58@gmail.com
AddressPRV: 6253 Grand Ave
CityPRV: Orlando
StatePRV: FL
ZIPPRV: 32870
Group—: —
PlanPRV: MEDICARE-ADV-B

Min confidence

0.99

Sources

PRV ×2TPA ×1CLM ×2

Updated

2026-10-22 12:43:43

run-mvjj6udb

Identity graph

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

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

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
PRV-27295	PRV	2026-02-10	Michelle Gutierrezflagged	1998-01-28	UHC-25707-51	6387680342	6253 Grand Ave, Orlando, FL	Scored	1.00	—
TPA-60950	TPA	2026-03-20	Michelle Gutierrezflagged	1998-01-28	—	—	6253 Grand Ave, Orlando, FL	Scored	1.00	—
CLM-424846	CLM	2026-04-23	Michelle Gutierrezflagged	1998-01-28	—	—	6253 Grand Ave, Orlando, FL	Scored	1.00	—
PRV-27294	PRV	2026-05-01	Micelle Gutierrezflagged	1998-01-28	—	—	6253 Grand Ave, Orlando, FL	Scored	1.00	—
CLM-424847	CLM	2026-06-17	Michelle Gutierrezflagged	1998-01-28	UHC-25707-51	6387680342	—	Rule	0.99	D1 member id + dob exact

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-27295PRVCLM-424846CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-60950TPACLM-424846CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-27295PRVTPA-60950TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-27295PRVPRV-27294PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-60950TPAPRV-27294PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-424846CLMPRV-27294PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-27295PRVCLM-424847CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-60950TPACLM-424847CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-424846CLMCLM-424847CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶PRV-27294PRVCLM-424847CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-424846 → UHC-25707-51 (Michelle Gutierrez)
ACT-004107, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyef506d87ac
matching_agent, CLM-424847, identity id MBR-011893, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27295
2026-10-22 12:43:54Record linked automatically3ba54788fa
scoring_agent, PRV-27294, identity id MBR-011893, confidence 1.00, method probabilistic, matched record PRV-27295, policy version 1
2026-10-22 12:43:54Record linked automatically0285666e84
scoring_agent, CLM-424846, identity id MBR-011893, confidence 1, method probabilistic, matched record PRV-27295, policy version 1
2026-10-22 12:43:54Record linked automaticallyc29b4eef92
scoring_agent, TPA-60950, identity id MBR-011893, confidence 1, method probabilistic, matched record PRV-27295, policy version 1
2026-10-22 12:43:54Record linked automatically0ccaf4d5d9
scoring_agent, PRV-27295, identity id MBR-011893, confidence 1, method probabilistic, matched record TPA-60950, policy version 1
2026-10-19 19:54:38Record linked automaticallyc62f34ad09
matching_agent, CLM-424847, identity id MBR-011893, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27295
2026-10-19 19:54:38Record linked automatically781c22a88f
scoring_agent, PRV-27294, identity id MBR-011893, confidence 1.00, method probabilistic, matched record PRV-27295, policy version 1
2026-10-19 19:54:38Record linked automatically604856f978
scoring_agent, CLM-424846, identity id MBR-011893, confidence 1, method probabilistic, matched record PRV-27295, policy version 1
2026-10-19 19:54:38Record linked automatically0716af0094
scoring_agent, TPA-60950, identity id MBR-011893, confidence 1, method probabilistic, matched record PRV-27295, policy version 1
2026-10-19 19:54:38Record linked automatically525235bdf3
scoring_agent, PRV-27295, identity id MBR-011893, confidence 1, method probabilistic, matched record TPA-60950, policy version 1
2026-10-19 19:52:09Record linked automatically86342a438b
matching_agent, CLM-424847, identity id MBR-011893, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27295
2026-10-19 19:52:09Record linked automatically2d4be538fb
scoring_agent, PRV-27294, identity id MBR-011893, confidence 1.00, method probabilistic, matched record PRV-27295, policy version 1
2026-10-19 19:52:09Record linked automatically11a24f67a8
scoring_agent, CLM-424846, identity id MBR-011893, confidence 1, method probabilistic, matched record PRV-27295, policy version 1
2026-10-19 19:52:09Record linked automatically6ca1e3778a
scoring_agent, TPA-60950, identity id MBR-011893, confidence 1, method probabilistic, matched record PRV-27295, policy version 1
2026-10-19 19:52:09Record linked automatically5716cd12ad
scoring_agent, PRV-27295, identity id MBR-011893, confidence 1, method probabilistic, matched record TPA-60950, policy version 1
2026-10-19 19:45:42Record linked automaticallyfd42b47f80
matching_agent, CLM-424847, identity id MBR-011893, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27295
2026-10-19 19:45:42Record linked automaticallyb5fab49986
scoring_agent, PRV-27294, identity id MBR-011893, confidence 1.00, method probabilistic, matched record PRV-27295, policy version 1
2026-10-19 19:45:42Record linked automatically968e1b1a4c
scoring_agent, CLM-424846, identity id MBR-011893, confidence 1, method probabilistic, matched record PRV-27295, policy version 1
2026-10-19 19:45:42Record linked automatically3c3f9e95b6
scoring_agent, TPA-60950, identity id MBR-011893, confidence 1, method probabilistic, matched record PRV-27295, policy version 1
2026-10-19 19:45:42Record linked automatically8e867ae468
scoring_agent, PRV-27295, identity id MBR-011893, confidence 1, method probabilistic, matched record TPA-60950, policy version 1
2026-10-19 19:32:31Record linked automatically9836e9687d
matching_agent, CLM-424847, identity id MBR-011893, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27295
2026-10-19 19:32:31Record linked automaticallyd610d1e9ad
scoring_agent, PRV-27294, identity id MBR-011893, confidence 1.00, method probabilistic, matched record PRV-27295, policy version 1
2026-10-19 19:32:31Record linked automaticallyd1ff6a3f3a
scoring_agent, CLM-424846, identity id MBR-011893, confidence 1, method probabilistic, matched record PRV-27295, policy version 1
2026-10-19 19:32:31Record linked automaticallyfd646d1e4d
scoring_agent, TPA-60950, identity id MBR-011893, confidence 1, method probabilistic, matched record PRV-27295, policy version 1
2026-10-19 19:32:31Record linked automaticallyb987a8723f
scoring_agent, PRV-27295, identity id MBR-011893, confidence 1, method probabilistic, matched record TPA-60950, policy version 1
2026-10-19 19:31:28Record linked automatically166f9a6f34
scoring_agent, PRV-27295, identity id MBR-017719, confidence 0.87, method probabilistic, matched record CLM-424748, policy version 1
2026-10-19 19:31:28Record linked automatically7e02b3530a
scoring_agent, CLM-424847, identity id MBR-007710, confidence 1, method probabilistic, matched record TPA-60937, policy version 1
2026-10-19 19:31:28Record linked automatically41d0895d5a
scoring_agent, CLM-424846, identity id MBR-007710, confidence 1, method probabilistic, matched record TPA-60937, policy version 1
2026-10-19 19:31:28Record linked automaticallyc8a9aa39f7
matching_agent, PRV-27294, identity id MBR-004125, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132555
2026-10-19 19:31:28Record linked automaticallyef7aeadaa6
scoring_agent, TPA-60950, identity id MBR-001318, confidence 1, method probabilistic, matched record PRV-27340, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-005216	2026-05-20	Sunrise Physical Therapy in network	97110	$207.00	$88.34	Approved	Approved
CLM-2026-010583	2026-04-12	Heritage Community Hospital in network	99284	$1,187.00	$502.85	Approved	Approved