Identities/MBR-019403
Gold, golden identity

Sandra Guzman

2 source records from 2 feeds.

MBR-019403Verified2 records

Golden record

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

First nameCLM
Sandra
Middle name—
—
Last nameCLM
Guzman
Date of birthCLM
1945-08-09
GenderCLM
M
Member IDCLM
UHC-12290-92
SSN—
—
PhoneCLM
5187332117
Email—
—
AddressCLM
3250 Indian School Rd
CityCLM
Miami
StateCLM
FL
ZIPCLM
33177
GroupCLM
GRP-6503
PlanCLM
NAVIGATE-HMO
Min confidence
1.00
Sources
CLM ×1TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.00CLMCLM-432525TPATPA-64343IDMBR-019403
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-432525CLM2026-03-13Sandra Guzmanflagged1945-08-09UHC-12290-9251873321173250 Indian School Rd, Miami, FLScored1.00—
TPA-64343TPA2026-10-14Sandra Guzmanflagged1945-08-09——3250 Indian School Rd, Miami, FLScored1.00—

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-432525CLMTPA-64343TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet
Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyf5a6f669c4
    scoring_agent, TPA-64343, identity id MBR-019403, confidence 1, method probabilistic, matched record CLM-432525, policy version 1
  • 2026-10-22 12:43:54Record linked automatically7bf1bab0e2
    scoring_agent, CLM-432525, identity id MBR-019403, confidence 1, method probabilistic, matched record TPA-64343, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3a521abf17
    scoring_agent, TPA-64343, identity id MBR-019403, confidence 1, method probabilistic, matched record CLM-432525, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf039fdd50d
    scoring_agent, CLM-432525, identity id MBR-019403, confidence 1, method probabilistic, matched record TPA-64343, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9dff6a69ef
    scoring_agent, TPA-64343, identity id MBR-019403, confidence 1, method probabilistic, matched record CLM-432525, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9fab48298f
    scoring_agent, CLM-432525, identity id MBR-019403, confidence 1, method probabilistic, matched record TPA-64343, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf388431e93
    scoring_agent, TPA-64343, identity id MBR-019403, confidence 1, method probabilistic, matched record CLM-432525, policy version 1
  • 2026-10-19 19:45:42Record linked automatically197bb2f669
    scoring_agent, CLM-432525, identity id MBR-019403, confidence 1, method probabilistic, matched record TPA-64343, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyab128e4d5f
    scoring_agent, TPA-64343, identity id MBR-019403, confidence 1, method probabilistic, matched record CLM-432525, policy version 1
  • 2026-10-19 19:32:31Record linked automatically58c1b5083c
    scoring_agent, CLM-432525, identity id MBR-019403, confidence 1, method probabilistic, matched record TPA-64343, policy version 1
  • 2026-10-19 19:31:28Record linked automatically17182e83f7
    matching_agent, CLM-432525, identity id MBR-024913, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432526

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0020002026-02-06Riverside Primary Care Associates
in network
90471, 99213, 99395$468.00$270.32ApprovedApproved