Identities/MBR-012434

Gold, golden identity

Arthur Guzman

5 source records from 2 feeds.

MBR-012434Verified5 records

Golden record

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

First nameENR: Arthur
Middle name—: —
Last nameENR: Guzman
Date of birthENR: 1951-01-13
GenderENR: F
Member IDENR: UHC-72382-09
SSNENR: •••-••-9038
PhoneENR: 2469255618
EmailENR: arthur.guzman43@outlook.com
AddressENR: 3798 Willow Ct
CityENR: Fresno
StateENR: CA
ZIPENR: 93717
GroupENR: GRP-5673
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

CLM ×4ENR ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
CLM-416482	CLM	2026-02-12	Arthur Guzmanflagged	1951-01-13	—	2469255618	3798 Willow Ct, Fresno, CA	Scored	1.00	—
CLM-416483	CLM	2026-02-12	Arthur Guzmanflagged	1951-01-13	—	2469255618	3798 Willow Ct, Fresno, CA	Scored	1.00	—
CLM-416484	CLM	2026-02-22	Arthur Guzmanflagged	1951-01-13	UHC-72382-09	2469255618	3798 Willow Ct, Fresno, CA	Scored	1.00	—
CLM-416481	CLM	2026-05-09	Arthur Guzmanflagged	1951-01-13	UHC-72382-09	2469255618	3798 Willow Ct, Fresno, CA	Scored	1.00	—
ENR-121645	ENR	2026-10-16	Arthur Guzmanflagged	1951-01-13	UHC-72382-09	2469255618	3798 Willow Ct, Fresno, CA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-416482CLMCLM-416481CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416483CLMCLM-416481CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416482CLMCLM-416483CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416482CLMCLM-416484CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416483CLMCLM-416484CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416482CLMENR-121645ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416483CLMENR-121645ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416484CLMCLM-416481CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-416484CLMENR-121645ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-416481CLMENR-121645ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Arthur Guzman: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
ACT-000560, Eligibility engine
Orphan claim re-pointedExecuted
CLM-416482 → UHC-72382-09 (Arthur Guzman)
ACT-005623, Claims processor
Orphan claim re-pointedExecuted
CLM-416483 → UHC-72382-09 (Arthur Guzman)
ACT-007620, Claims processor
Care coordination outreachProposed
Arthur Guzman: 4 claims, no attributed provider
ACT-018684, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically65b9401ac3
scoring_agent, ENR-121645, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:54:38Record linked automaticallyd1214b9a7b
scoring_agent, CLM-416481, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:54:38Record linked automatically3a0c5ec018
scoring_agent, CLM-416484, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:54:38Record linked automaticallyf319205ff0
scoring_agent, CLM-416483, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:54:38Record linked automatically44c08debdd
scoring_agent, CLM-416482, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416483, policy version 1
2026-10-19 19:52:09Record linked automaticallye0f69f99dd
scoring_agent, ENR-121645, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:52:09Record linked automatically276c86dcb1
scoring_agent, CLM-416481, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:52:09Record linked automatically3fdafc3dbf
scoring_agent, CLM-416484, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:52:09Record linked automatically32526e3db4
scoring_agent, CLM-416483, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:52:09Record linked automatically0d6a83fdf3
scoring_agent, CLM-416482, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416483, policy version 1
2026-10-19 19:45:42Record linked automaticallydcf4becc50
scoring_agent, ENR-121645, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:45:42Record linked automaticallyb471532ed4
scoring_agent, CLM-416481, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:45:42Record linked automaticallyfb8eb71fc2
scoring_agent, CLM-416484, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:45:42Record linked automatically9691091c80
scoring_agent, CLM-416483, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:45:42Record linked automatically9d3611549f
scoring_agent, CLM-416482, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416483, policy version 1
2026-10-19 19:32:31Record linked automaticallya5e9d6a4af
scoring_agent, ENR-121645, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:32:31Record linked automaticallyf304246ad7
scoring_agent, CLM-416481, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:32:31Record linked automatically34f45dc2d8
scoring_agent, CLM-416484, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:32:31Record linked automaticallyae805326e6
scoring_agent, CLM-416483, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416482, policy version 1
2026-10-19 19:32:31Record linked automaticallyee48c86f45
scoring_agent, CLM-416482, identity id MBR-012434, confidence 1, method probabilistic, matched record CLM-416483, policy version 1
2026-10-19 19:31:28Record linked automatically053941d7db
matching_agent, CLM-416481, identity id MBR-044956, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121585
2026-10-19 19:31:28Record linked automatically5f11127622
scoring_agent, CLM-416482, identity id MBR-019556, confidence 1, method probabilistic, matched record ENR-121586, policy version 1
2026-10-19 19:31:28Record linked automaticallya23cc0b954
matching_agent, CLM-416483, identity id MBR-002928, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121588
2026-10-19 19:31:28Record linked automaticallyf8efa04e06
scoring_agent, CLM-416484, identity id MBR-002928, confidence 1, method probabilistic, matched record ENR-121588, 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-2026-002704	2026-04-19	Northgate Clinical Laboratories in network	87086, 80053	$110.00	$0.00	Approved	Approved
CLM-2026-010598	2026-01-08	Sunrise Medical Group in network	36415, 99395	$336.00	$193.44	Approved	Approved
CLM-2026-016217	2026-01-24	Harbor Medical Group out of network	99215	$378.00	—	Denied	Denied
CLM-2026-023826	2026-01-22	Unity Primary Care Associates out of network	99395, 99214	$510.00	$209.50	Approved	Approved
CLM-2026-016216	2026-01-24	Harbor Medical Group out of network	99215	$378.00	$150.10	Approved	Approved