Ralph J Gutierrez

3 source records from 2 feeds.

MBR-020176Verified3 recordsOpen steward case

Golden record

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

First nameCLM: Ralph
Middle nameTPA: J
Last nameCLM: Gutierrez
Date of birthCLM: 1950-11-24
GenderCLM: M
Member IDCLM: UHC-07884-13
SSNCLM: •••-••-0685
PhoneCLM: 3114397602
Email—: —
AddressCLM: 1974 Meadow Ln
CityCLM: Las Vegas
StateCLM: NV
ZIPCLM: 89113
GroupCLM: GRP-5142
PlanCLM: OPTIONS-PPO

Min confidence

0.97

Sources

CLM ×2TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-406386	CLM	2026-03-17	Ralph Gutierrezflagged	1950-11-24	—	3114397602	1974 Meadow Ln, Las Vegas, NV	Rule	0.97	D2 ssn4 + dob + last name
TPA-52802	TPA	2026-05-26	Ralph Gutierrezflagged	1950-11-24	UHC-07884-13	—	1974 Meadow Ln, Las Vegas, NV	Rule	0.99	D1 member id + dob exact
CLM-406385	CLM	2026-07-15	Ralph Gutierrezflagged	1950-11-24	UHC-07884-13	3114397602	1974 Meadow Ln, Las Vegas, NV	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶TPA-52802TPACLM-406385CLM0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406386CLMCLM-406385CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-406386CLMTPA-52802TPA0.93Scoredweighted 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-406386 → UHC-07884-13 (Ralph Gutierrez)
ACT-008583, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically3a0fc5b376
matching_agent, CLM-406385, identity id MBR-020176, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-52802
2026-10-22 12:43:54Record linked automatically342587d54c
matching_agent, TPA-52802, identity id MBR-020176, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406385
2026-10-22 12:43:54Record linked automaticallyb6b5aac5e0
matching_agent, CLM-406386, identity id MBR-020176, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-406385
2026-10-19 19:54:38Record linked automaticallyb124a42382
matching_agent, CLM-406385, identity id MBR-020176, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-52802
2026-10-19 19:54:38Record linked automatically6d7d552c9e
matching_agent, TPA-52802, identity id MBR-020176, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406385
2026-10-19 19:54:38Record linked automaticallyfebbebc7ff
matching_agent, CLM-406386, identity id MBR-020176, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-406385
2026-10-19 19:52:09Record linked automatically371b9356a6
matching_agent, CLM-406385, identity id MBR-020176, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-52802
2026-10-19 19:52:09Record linked automatically19ed0cc411
matching_agent, TPA-52802, identity id MBR-020176, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406385
2026-10-19 19:52:09Record linked automatically443ef8c690
matching_agent, CLM-406386, identity id MBR-020176, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-406385
2026-10-19 19:45:42Record linked automaticallyd6881fd073
matching_agent, CLM-406385, identity id MBR-020176, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-52802
2026-10-19 19:45:42Record linked automatically2a05cbd86c
matching_agent, TPA-52802, identity id MBR-020176, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406385
2026-10-19 19:45:42Record linked automatically6ca39a31d9
matching_agent, CLM-406386, identity id MBR-020176, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-406385
2026-10-19 19:32:31Record linked automatically4fbd9660b2
matching_agent, CLM-406385, identity id MBR-020176, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-52802
2026-10-19 19:32:31Record linked automaticallyfdd029e63d
matching_agent, TPA-52802, identity id MBR-020176, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406385
2026-10-19 19:32:31Record linked automatically585377a545
matching_agent, CLM-406386, identity id MBR-020176, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-406385
2026-10-19 19:31:28Record linked automaticallye3c7691cb5
scoring_agent, TPA-52802, identity id MBR-009704, confidence 1, method probabilistic, matched record CLM-406297, 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-2026-015922	2026-06-08	Riverside Orthopedic Specialists in network	99213	$180.00	$36.60	Approved	Approved
CLM-2026-027464	2026-01-31	Summit Family Practice in network	99213, 99395	$429.00	$245.98	Approved	Approved