Identities/MBR-013241

Gold, golden identity

Andrea O Guzman

4 source records from 2 feeds.

MBR-013241Verified4 records

Golden record

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

First nameCLM: Andrea
Middle nameCLM: O
Last nameCLM: Guzman
Date of birthCLM: 1992-05-15
GenderCLM: F
Member IDCLM: UHC-33667-52
SSN—: —
PhoneCLM: 4386722012
Email—: —
AddressCLM: 4778 Sage Ct
CityCLM: Tucson
StateCLM: AZ
ZIPCLM: 85773
GroupTPA: GRP-6054
PlanCLM: CORE-HMO

Min confidence

0.93

Sources

CLM ×2TPA ×2

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-423828	CLM	2026-02-15	Andrea Guzmanflagged	1992-05-15	UHC-33667-52	4386722012	4778 Sage Ct # 798, Tucson, AZ	Scored	1.00	—
TPA-60479	TPA	2026-03-27	Andrea Guzmanflagged	1992-05-15	—	—	4778 Sage Ct # 158, Tucson, AZ	Scored	0.93	—
CLM-423827	CLM	2026-06-17	Andrea Guzmanflagged	1992-05-15	—	—	4778 Sage Ct, Tucson, AZ	Scored	1.00	—
TPA-60478	TPA	2026-09-30	Andrea Guzmanflagged	1992-05-15	UHC-33667-52	4386722012	4778 Sage Ct, Tucson, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-423828CLMCLM-423827CLM1.00Scoredweighted 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

▶CLM-423827CLMTPA-60478TPA1.00Scoredweighted 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

▶CLM-423828CLMTPA-60478TPA0.99RuleD1 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

▶TPA-60479TPACLM-423827CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-60479TPATPA-60478TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-423828CLMTPA-60479TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-423827 → UHC-33667-52 (Andrea Guzman)
ACT-009495, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically19623fd899
scoring_agent, TPA-60478, identity id MBR-013241, confidence 1, method probabilistic, matched record CLM-423827, policy version 1
2026-10-19 19:54:38Record linked automatically939f4fc6c4
scoring_agent, CLM-423827, identity id MBR-013241, confidence 1, method probabilistic, matched record CLM-423828, policy version 1
2026-10-19 19:54:38Record linked automaticallyea10d2a9ec
scoring_agent, TPA-60479, identity id MBR-013241, confidence 0.93, method probabilistic, matched record CLM-423828, policy version 1
2026-10-19 19:54:38Record linked automaticallya2a6c84991
scoring_agent, CLM-423828, identity id MBR-013241, confidence 1, method probabilistic, matched record CLM-423827, policy version 1
2026-10-19 19:52:09Record linked automatically630d273459
scoring_agent, TPA-60478, identity id MBR-013241, confidence 1, method probabilistic, matched record CLM-423827, policy version 1
2026-10-19 19:52:09Record linked automaticallyfa87f2cdaf
scoring_agent, CLM-423827, identity id MBR-013241, confidence 1, method probabilistic, matched record CLM-423828, policy version 1
2026-10-19 19:52:09Record linked automatically4798a52d9b
scoring_agent, TPA-60479, identity id MBR-013241, confidence 0.93, method probabilistic, matched record CLM-423828, policy version 1
2026-10-19 19:52:09Record linked automaticallyf346dda800
scoring_agent, CLM-423828, identity id MBR-013241, confidence 1, method probabilistic, matched record CLM-423827, policy version 1
2026-10-19 19:45:42Record linked automaticallydc27aa5710
scoring_agent, TPA-60478, identity id MBR-013241, confidence 1, method probabilistic, matched record CLM-423827, policy version 1
2026-10-19 19:45:42Record linked automatically2b6dd1c58e
scoring_agent, CLM-423827, identity id MBR-013241, confidence 1, method probabilistic, matched record CLM-423828, policy version 1
2026-10-19 19:45:42Record linked automatically5c822fecdf
scoring_agent, TPA-60479, identity id MBR-013241, confidence 0.93, method probabilistic, matched record CLM-423828, policy version 1
2026-10-19 19:45:42Record linked automatically0d0c3cbb21
scoring_agent, CLM-423828, identity id MBR-013241, confidence 1, method probabilistic, matched record CLM-423827, policy version 1
2026-10-19 19:32:31Record linked automatically47c556e420
scoring_agent, TPA-60478, identity id MBR-013241, confidence 1, method probabilistic, matched record CLM-423827, policy version 1
2026-10-19 19:32:31Record linked automatically806b03baeb
scoring_agent, CLM-423827, identity id MBR-013241, confidence 1, method probabilistic, matched record CLM-423828, policy version 1
2026-10-19 19:32:31Record linked automatically59b154a35f
scoring_agent, TPA-60479, identity id MBR-013241, confidence 0.93, method probabilistic, matched record CLM-423828, policy version 1
2026-10-19 19:32:31Record linked automaticallye1484982ad
scoring_agent, CLM-423828, identity id MBR-013241, confidence 1, method probabilistic, matched record CLM-423827, policy version 1
2026-10-19 19:31:28Record linked automatically8537016443
matching_agent, TPA-60479, identity id MBR-034226, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131342
2026-10-19 19:31:28Record linked automatically4135ded7c3
scoring_agent, TPA-60478, identity id MBR-017501, confidence 1, method probabilistic, matched record ENR-131341, policy version 1
2026-10-19 19:31:28Record linked automatically5e202f24dc
scoring_agent, CLM-423828, identity id MBR-011026, confidence 1, method probabilistic, matched record ENR-131367, policy version 1
2026-10-19 19:31:28Record linked automatically47ba81208a
scoring_agent, CLM-423827, identity id MBR-002373, confidence 1, method probabilistic, matched record ENR-131364, 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-2026-031129	2026-06-15	Harbor Rehabilitation Center in network	97110, 97014	$194.00	—	Denied	Denied
CLM-2026-017500	2026-01-09	Cornerstone Diabetes Center in network	95251, 99214, 83036	$473.00	$253.26	Approved	Approved