Identities/MBR-018472

Gold, golden identity

Kelly I Gutierrez

6 source records from 4 feeds.

MBR-018472Verified6 records

Golden record

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

First nameENR: Kelly
Middle nameENR: I
Last nameENR: Gutierrez
Date of birthENR: 1990-10-16
GenderENR: F
Member IDENR: UHC-76846-41
SSNENR: •••-••-8097
PhoneENR: 8907917505
Email—: —
AddressENR: 6693 Maple Ave
CityENR: Las Vegas
StateENR: NV
ZIPENR: 89123
GroupENR: GRP-0927
PlanENR: CORE-HMO

Min confidence

1.00

Sources

CLM ×3ENR ×1TPA ×1PRV ×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-432154	CLM	2026-03-09	Kelly Gutierrezflagged	1990-10-16	—	—	6693 Maple Ave, Las Vegas, NV	Scored	1.00	—
CLM-432156	CLM	2026-05-23	Kelly Gutierrezflagged	1990-10-16	—	8907917505	6693 Maple Ave, Las Vegas, NV	Scored	1.00	—
CLM-432155	CLM	2026-06-29	Kelly Gutierrezflagged	1990-10-16	—	8907917505	—	Scored	1.00	—
ENR-142243	ENR	2026-07-28	Kelly Gutierrezflagged	1990-10-16	UHC-76846-41	8907917505	6693 Maple Ave, Las Vegas, NV	Scored	1.00	—
TPA-64203	TPA	2026-08-09	Kelly Gutierrezflagged	1990-10-16	—	—	6693 Maple Ave, Las Vegas, NV	Scored	1.00	—
PRV-29407	PRV	2026-08-15	Kelly Gutierrezflagged	1990-10-16	UHC-76846-41	8907917505	6693 Maple Ave, Las Vegas, NV	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-432156CLMCLM-432155CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-432154CLMENR-142243ENR1.00Scoredweighted 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-432154CLMPRV-29407PRV1.00Scoredweighted 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-432155CLMPRV-29407PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-64203TPAPRV-29407PRV1.00Scoredweighted 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-432154CLMTPA-64203TPA1.00Scoredweighted 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

▶ENR-142243ENRTPA-64203TPA1.00Scoredweighted 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

▶ENR-142243ENRPRV-29407PRV0.99RuleD1 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-432155CLMENR-142243ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-432156CLMENR-142243ENR0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-432156CLMPRV-29407PRV0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-432154CLMCLM-432156CLM0.93Scoredweighted 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-432156CLMTPA-64203TPA0.93Scoredweighted 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-432154CLMCLM-432155CLM0.83Scoredweighted 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-432155CLMTPA-64203TPA0.83Scoredweighted 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-432154 → UHC-76846-41 (Kelly Gutierrez)
ACT-002795, Claims processor
Orphan claim re-pointedExecuted
CLM-432156 → UHC-76846-41 (Kelly Gutierrez)
ACT-006055, Claims processor
Orphan claim re-pointedExecuted
CLM-432155 → UHC-76846-41 (Kelly Gutierrez)
ACT-007492, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallycbac508cc0
scoring_agent, PRV-29407, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432154, policy version 1
2026-10-19 19:54:38Record linked automatically9716461160
scoring_agent, TPA-64203, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432154, policy version 1
2026-10-19 19:54:38Record linked automaticallyf6014032d3
scoring_agent, ENR-142243, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432154, policy version 1
2026-10-19 19:54:38Record linked automatically9a5c411610
scoring_agent, CLM-432155, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432156, policy version 1
2026-10-19 19:54:38Record linked automatically47b22b8d1e
scoring_agent, CLM-432156, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432155, policy version 1
2026-10-19 19:54:38Record linked automatically88e50637bd
scoring_agent, CLM-432154, identity id MBR-018472, confidence 1, method probabilistic, matched record ENR-142243, policy version 1
2026-10-19 19:52:09Record linked automatically94b7872d87
scoring_agent, PRV-29407, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432154, policy version 1
2026-10-19 19:52:09Record linked automatically4eb9101401
scoring_agent, TPA-64203, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432154, policy version 1
2026-10-19 19:52:09Record linked automatically8a1693cece
scoring_agent, ENR-142243, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432154, policy version 1
2026-10-19 19:52:09Record linked automatically9ffd36c796
scoring_agent, CLM-432155, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432156, policy version 1
2026-10-19 19:52:09Record linked automaticallye62a53dea6
scoring_agent, CLM-432156, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432155, policy version 1
2026-10-19 19:52:09Record linked automatically7e1b3c713a
scoring_agent, CLM-432154, identity id MBR-018472, confidence 1, method probabilistic, matched record ENR-142243, policy version 1
2026-10-19 19:45:42Record linked automatically362357eef1
scoring_agent, PRV-29407, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432154, policy version 1
2026-10-19 19:45:42Record linked automaticallybbdcd8b8da
scoring_agent, TPA-64203, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432154, policy version 1
2026-10-19 19:45:42Record linked automatically4361bfdf6d
scoring_agent, ENR-142243, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432154, policy version 1
2026-10-19 19:45:42Record linked automatically5c44894492
scoring_agent, CLM-432155, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432156, policy version 1
2026-10-19 19:45:42Record linked automatically07e92612e0
scoring_agent, CLM-432156, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432155, policy version 1
2026-10-19 19:45:42Record linked automaticallybc2e284bb1
scoring_agent, CLM-432154, identity id MBR-018472, confidence 1, method probabilistic, matched record ENR-142243, policy version 1
2026-10-19 19:32:31Record linked automaticallyfbb9bb41c8
scoring_agent, PRV-29407, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432154, policy version 1
2026-10-19 19:32:31Record linked automatically87b08ab08d
scoring_agent, TPA-64203, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432154, policy version 1
2026-10-19 19:32:31Record linked automatically4fb63b9607
scoring_agent, ENR-142243, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432154, policy version 1
2026-10-19 19:32:31Record linked automatically4bb90ddd18
scoring_agent, CLM-432155, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432156, policy version 1
2026-10-19 19:32:31Record linked automatically89db87fbec
scoring_agent, CLM-432156, identity id MBR-018472, confidence 1, method probabilistic, matched record CLM-432155, policy version 1
2026-10-19 19:32:31Record linked automaticallye48790fcda
scoring_agent, CLM-432154, identity id MBR-018472, confidence 1, method probabilistic, matched record ENR-142243, policy version 1
2026-10-19 19:31:28Record linked automatically9c76779406
scoring_agent, ENR-142243, identity id MBR-036140, confidence 1, method probabilistic, matched record CLM-432007, policy version 1
2026-10-19 19:31:28Record linked automaticallyafecf692cf
scoring_agent, CLM-432156, identity id MBR-027891, confidence 1, method probabilistic, matched record PRV-29367, policy version 1
2026-10-19 19:31:28Record linked automatically8114b27200
matching_agent, CLM-432154, identity id MBR-020814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142395
2026-10-19 19:31:28Record linked automaticallydd6b2f491f
scoring_agent, PRV-29407, identity id MBR-017313, confidence 1, method probabilistic, matched record TPA-64118, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-023302	2026-06-02	Meadow Medical Group in network	99214, 36415	$295.00	$152.90	Approved	Approved
CLM-2026-017752	2026-05-07	Northgate Orthopedic Specialists in network	29881	$5,767.00	$2,245.52	Approved	Approved
CLM-2026-005528	2026-01-27	Summit Regional Medical Center in network	99284, 99285	$3,723.00	$1,797.65	Approved	Approved