Identities/MBR-013674
Gold, golden identity

Ronald L Guzman

4 source records from 2 feeds.

MBR-013674Verified4 records

Golden record

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

First nameENR
Ronald
Middle nameENR
L
Last nameENR
Guzman
Date of birthENR
2008-01-21
GenderCLM
F
Member IDENR
UHC-49979-38
SSNENR
•••-••-9844
PhoneENR
3499943771
EmailENR
ronald.guzman65@outlook.com
AddressCLM
3336 Church St
CityENR
Tampa
StateENR
FL
ZIPENR
33693
GroupENR
GRP-8769
PlanENR
CORE-HMO
Min confidence
0.99
Sources
ENR ×1CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.991.001.00ENRENR-140056CLMCLM-430520CLMCLM-430519CLMCLM-430521IDMBR-013674
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
ENR-140056ENR2026-02-17Ronald Guzmanflagged2008-01-21UHC-49979-3834999437713336 Church St # 892, Tampa, FLRule0.99D1 member id + dob exact
CLM-430520CLM2026-04-12Ronald Guzmanflagged2008-01-21UHC-49979-38—3336 Church St, Tampa, FLRule0.99D1 member id + dob exact
CLM-430519CLM2026-09-05Ronald Guzmanflagged2008-01-21UHC-49979-3834999437713336 Church St, Tampa, FLScored1.00—
CLM-430521CLM2026-10-06Ronald Guzmanflagged2008-01-21——3336 Church St, Tampa, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-430519CLMCLM-430521CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-140056ENRCLM-430519CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-430520CLMCLM-430519CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-140056ENRCLM-430520CLM0.99RuleD1 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-140056ENRCLM-430521CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-430520CLMCLM-430521CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-430521 → UHC-49979-38 (Ronald Guzman)
    ACT-005673, Claims processor
  • Outreach address correctedProposed
    Ronald Guzman: 3336 Church St # 892, Tampa → 3336 Church St, Tampa
    ACT-011737, Outreach
  • Care coordination outreachProposed
    Ronald Guzman: 3 claims, no attributed provider
    ACT-018753, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically59f7b12b06
    scoring_agent, CLM-430521, identity id MBR-013674, confidence 1, method probabilistic, matched record CLM-430519, policy version 1
  • 2026-10-22 12:43:54Record linked automatically550bdfce06
    scoring_agent, CLM-430519, identity id MBR-013674, confidence 1, method probabilistic, matched record CLM-430521, policy version 1
  • 2026-10-22 12:43:54Record linked automatically20639636c8
    matching_agent, CLM-430520, identity id MBR-013674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140056
  • 2026-10-22 12:43:54Record linked automaticallya27183b554
    matching_agent, ENR-140056, identity id MBR-013674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430520
  • 2026-10-19 19:54:38Record linked automatically14b827132d
    scoring_agent, CLM-430521, identity id MBR-013674, confidence 1, method probabilistic, matched record CLM-430519, policy version 1
  • 2026-10-19 19:54:38Record linked automatically2c78fff4dc
    scoring_agent, CLM-430519, identity id MBR-013674, confidence 1, method probabilistic, matched record CLM-430521, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4bfae016f3
    matching_agent, CLM-430520, identity id MBR-013674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140056
  • 2026-10-19 19:54:38Record linked automatically215cf64d82
    matching_agent, ENR-140056, identity id MBR-013674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430520
  • 2026-10-19 19:52:09Record linked automaticallyd676fa6586
    scoring_agent, CLM-430521, identity id MBR-013674, confidence 1, method probabilistic, matched record CLM-430519, policy version 1
  • 2026-10-19 19:52:09Record linked automatically55f5b53029
    scoring_agent, CLM-430519, identity id MBR-013674, confidence 1, method probabilistic, matched record CLM-430521, policy version 1
  • 2026-10-19 19:52:09Record linked automatically691adf4358
    matching_agent, CLM-430520, identity id MBR-013674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140056
  • 2026-10-19 19:52:09Record linked automatically4ea5447925
    matching_agent, ENR-140056, identity id MBR-013674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430520
  • 2026-10-19 19:45:42Record linked automaticallya3ba887929
    scoring_agent, CLM-430521, identity id MBR-013674, confidence 1, method probabilistic, matched record CLM-430519, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf534993725
    scoring_agent, CLM-430519, identity id MBR-013674, confidence 1, method probabilistic, matched record CLM-430521, policy version 1
  • 2026-10-19 19:45:42Record linked automatically65b18671e0
    matching_agent, CLM-430520, identity id MBR-013674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140056
  • 2026-10-19 19:45:42Record linked automaticallya072abf185
    matching_agent, ENR-140056, identity id MBR-013674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430520
  • 2026-10-19 19:32:31Record linked automatically9a55effbe1
    scoring_agent, CLM-430521, identity id MBR-013674, confidence 1, method probabilistic, matched record CLM-430519, policy version 1
  • 2026-10-19 19:32:31Record linked automatically65f4a123e1
    scoring_agent, CLM-430519, identity id MBR-013674, confidence 1, method probabilistic, matched record CLM-430521, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyab2f53dece
    matching_agent, CLM-430520, identity id MBR-013674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140056
  • 2026-10-19 19:32:31Record linked automatically45596675e1
    matching_agent, ENR-140056, identity id MBR-013674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430520
  • 2026-10-19 19:31:28Record linked automaticallyaf6b33a150
    scoring_agent, CLM-430519, identity id MBR-026394, confidence 1, method probabilistic, matched record ENR-140265, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb74e485a81
    matching_agent, CLM-430521, identity id MBR-023440, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140270
  • 2026-10-19 19:31:28Record linked automaticallyb1602581f3
    matching_agent, ENR-140056, identity id MBR-018949, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430369
  • 2026-10-19 19:31:28Record linked automaticallybc6969a6dd
    matching_agent, CLM-430520, identity id MBR-008152, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140267

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0163782026-08-24Harbor Digestive Health Center
in network
99214$279.00$122.98ApprovedApproved
CLM-2026-0232632026-09-03Sunrise Counseling Center
in network
99214$210.00$80.20ApprovedApproved
CLM-2026-0189812026-03-03Sunrise Dermatology Clinic
in network
99213, 17110, 11102$663.00$361.06ApprovedApproved