Identities/MBR-012249
Gold, golden identity

Shirley Gutierrez

4 source records from 2 feeds.

MBR-012249Verified4 recordsOpen steward case

Golden record

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

First nameENR
Shirley
Middle name—
—
Last nameENR
Gutierrez
Date of birthENR
1958-08-13
GenderENR
M
Member IDENR
UHC-95109-52
SSNENR
•••-••-8381
PhoneENR
3608963553
EmailENR
shirley.gutierrez@aol.com
AddressENR
2473 Willow Ct
CityENR
San Antonio
StateENR
TX
ZIPENR
78276
GroupENR
GRP-0163
PlanENR
MEDICARE-ADV-B
Min confidence
1.00
Sources
CLM ×2ENR ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.00CLMCLM-419388CLMCLM-419387ENRENR-125535ENRENR-125534IDMBR-012249
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-419388CLM2026-02-11Shirley Gutierrezflagged1958-08-13——2473 Willow Ct, San Antonio, TXScored1.00—
CLM-419387CLM2026-02-21Shirley Gutierrezflagged1958-08-13UHC-95109-52—2473 Willow Ct, San Antonio, TXScored1.00—
ENR-125535ENR2026-05-26Shirley Gutierrezflagged1958-08-13UHC-95109-5236089635532473 Willow Ct, San Antonio, TXScored1.00—
ENR-125534ENR2026-06-27Shirley Gutierrezflagged1958-08-13UHC-95109-5236089635532473 Willow Ct, San Antonio, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-419388CLMCLM-419387CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-419388CLMENR-125534ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-419388CLMENR-125535ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-419387CLMENR-125534ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-125535ENRENR-125534ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-419387CLMENR-125535ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-419388 → UHC-95109-52 (Shirley Gutierrez)
    ACT-004130, Claims processor
  • Duplicate member record retiredExecuted
    Shirley Gutierrez: 2 enrollment records collapsed into UHC-95109-52
    ACT-023562, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyfe2558868b
    scoring_agent, ENR-125534, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419388, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4b48a10933
    scoring_agent, ENR-125535, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419388, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf11b4a0ada
    scoring_agent, CLM-419387, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419388, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8b8af79d79
    scoring_agent, CLM-419388, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419387, policy version 1
  • 2026-10-19 19:52:09Record linked automatically59d5f16682
    scoring_agent, ENR-125534, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419388, policy version 1
  • 2026-10-19 19:52:09Record linked automatically66d4fe5319
    scoring_agent, ENR-125535, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419388, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyaa72dd0655
    scoring_agent, CLM-419387, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419388, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf8b62ce5f9
    scoring_agent, CLM-419388, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419387, policy version 1
  • 2026-10-19 19:45:42Record linked automatically377228ea4c
    scoring_agent, ENR-125534, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419388, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya79e11d1ca
    scoring_agent, ENR-125535, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419388, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3ff56a50b8
    scoring_agent, CLM-419387, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419388, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya56eff31a8
    scoring_agent, CLM-419388, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419387, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallycfc0840f63
    scoring_agent, ENR-125534, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419388, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4d3aaf3d06
    scoring_agent, ENR-125535, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419388, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyff840596d0
    scoring_agent, CLM-419387, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419388, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0da10ff361
    scoring_agent, CLM-419388, identity id MBR-012249, confidence 1, method probabilistic, matched record CLM-419387, policy version 1
  • 2026-10-19 19:31:28Record linked automatically83cee9d136
    matching_agent, ENR-125535, identity id MBR-038918, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419465
  • 2026-10-19 19:31:28Record linked automatically5c73ca12a5
    scoring_agent, CLM-419388, identity id MBR-021180, confidence 1, method probabilistic, matched record CLM-419389, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6c5f747bcc
    scoring_agent, CLM-419387, identity id MBR-003218, confidence 1, method probabilistic, matched record CLM-419386, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0130432026-01-27Heritage Family Practice
in network
70553$3,161.00—Needs reviewNeeds review
CLM-2026-0106752026-02-04Mesa Medical Group
in network
99215, 93000$354.00$199.48ApprovedApproved