Samantha Z Guzman

4 source records from 3 feeds.

MBR-023571Verified4 records

Golden record

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

First namePRV: Samantha
Middle nameCLM: Z
Last namePRV: Guzman
Date of birthPRV: 1969-12-26
GenderPRV: M
Member IDPRV: UHC-92739-37
SSNCLM: •••-••-1373
PhonePRV: 9118284633
Email—: —
AddressPRV: 5202 Market St
CityPRV: Los Angeles
StatePRV: CA
ZIPPRV: 90040
GroupCLM: GRP-6819
PlanCLM: MEDICARE-ADV-A

Min confidence

0.96

Sources

PRV ×1TPA ×1CLM ×2

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
PRV-21043	PRV	2026-04-02	Samantha Guzmanflagged	1969-12-26	UHC-92739-37	9118284633	5202 Market St, Los Angeles, CA	Scored	1.00	—
TPA-51608	TPA	2026-07-06	Samantha Guzmanflagged	1969-12-26	—	—	5202 Market St Apt 14, Los Angeles, CA	Scored	1.00	—
CLM-403705	CLM	2026-07-27	Samantha Guzmanflagged	1969-12-26	UHC-92739-37	9118284633	5202 Market St, Los Angeles, CA	Scored	1.00	—
CLM-403704	CLM	2026-08-26	Samantha Guzmanflagged	1996-12-26	UHC-92739-37	9118284633	—	Rule	0.96	D3 member id + name

Evidence

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

Score

Method

Rule

Decision

▶TPA-51608TPACLM-403705CLM1.00Scoredweighted 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

▶PRV-21043PRVTPA-51608TPA1.00Scoredweighted 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

▶PRV-21043PRVCLM-403705CLM0.99RuleD1 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

▶PRV-21043PRVCLM-403704CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.60	3	transposition
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403705CLMCLM-403704CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.60	3	transposition
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51608TPACLM-403704CLM0.80Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.60	3	transposition

Identifiers agreeing: 0Conflicts: 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 automaticallyc5fd09631f
matching_agent, CLM-403704, identity id MBR-023571, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21043
2026-10-22 12:43:54Record linked automatically12ccebc6dc
scoring_agent, CLM-403705, identity id MBR-023571, confidence 1, method probabilistic, matched record TPA-51608, policy version 1
2026-10-22 12:43:54Record linked automatically871ca980d7
scoring_agent, TPA-51608, identity id MBR-023571, confidence 1, method probabilistic, matched record PRV-21043, policy version 1
2026-10-22 12:43:54Record linked automaticallydc6da480e0
scoring_agent, PRV-21043, identity id MBR-023571, confidence 1, method probabilistic, matched record TPA-51608, policy version 1
2026-10-19 19:54:38Record linked automaticallydda21cc603
matching_agent, CLM-403704, identity id MBR-023571, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21043
2026-10-19 19:54:38Record linked automaticallyef42c9ee93
scoring_agent, CLM-403705, identity id MBR-023571, confidence 1, method probabilistic, matched record TPA-51608, policy version 1
2026-10-19 19:54:38Record linked automaticallya687792f15
scoring_agent, TPA-51608, identity id MBR-023571, confidence 1, method probabilistic, matched record PRV-21043, policy version 1
2026-10-19 19:54:38Record linked automatically77811e43a2
scoring_agent, PRV-21043, identity id MBR-023571, confidence 1, method probabilistic, matched record TPA-51608, policy version 1
2026-10-19 19:52:09Record linked automatically991e421365
matching_agent, CLM-403704, identity id MBR-023571, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21043
2026-10-19 19:52:09Record linked automatically9b62d4e15d
scoring_agent, CLM-403705, identity id MBR-023571, confidence 1, method probabilistic, matched record TPA-51608, policy version 1
2026-10-19 19:52:09Record linked automaticallyb1114b9187
scoring_agent, TPA-51608, identity id MBR-023571, confidence 1, method probabilistic, matched record PRV-21043, policy version 1
2026-10-19 19:52:09Record linked automaticallyce80254171
scoring_agent, PRV-21043, identity id MBR-023571, confidence 1, method probabilistic, matched record TPA-51608, policy version 1
2026-10-19 19:45:42Record linked automatically98088fb36c
matching_agent, CLM-403704, identity id MBR-023571, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21043
2026-10-19 19:45:42Record linked automaticallya7a5ef48ce
scoring_agent, CLM-403705, identity id MBR-023571, confidence 1, method probabilistic, matched record TPA-51608, policy version 1
2026-10-19 19:45:42Record linked automatically67c7633756
scoring_agent, TPA-51608, identity id MBR-023571, confidence 1, method probabilistic, matched record PRV-21043, policy version 1
2026-10-19 19:45:42Record linked automaticallya6a5507eb4
scoring_agent, PRV-21043, identity id MBR-023571, confidence 1, method probabilistic, matched record TPA-51608, policy version 1
2026-10-19 19:32:31Record linked automaticallya6ad4e71b1
matching_agent, CLM-403704, identity id MBR-023571, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21043
2026-10-19 19:32:31Record linked automaticallyfd1632bb39
scoring_agent, CLM-403705, identity id MBR-023571, confidence 1, method probabilistic, matched record TPA-51608, policy version 1
2026-10-19 19:32:31Record linked automatically840b2ccb3a
scoring_agent, TPA-51608, identity id MBR-023571, confidence 1, method probabilistic, matched record PRV-21043, policy version 1
2026-10-19 19:32:31Record linked automatically3219e38939
scoring_agent, PRV-21043, identity id MBR-023571, confidence 1, method probabilistic, matched record TPA-51608, policy version 1
2026-10-19 19:31:28Record linked automaticallyc792dc0b44
matching_agent, PRV-21043, identity id MBR-036596, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21042
2026-10-19 19:31:28Record linked automatically8809a2b526
matching_agent, CLM-403704, identity id MBR-019973, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104822
2026-10-19 19:31:28Record linked automatically4718039ea1
matching_agent, CLM-403705, identity id MBR-017957, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-104825
2026-10-19 19:31:28Record linked automaticallyfc98a34982
scoring_agent, TPA-51608, identity id MBR-008107, confidence 1, method probabilistic, matched record ENR-104633, 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-2026-014023	2026-07-17	Sunrise Imaging Center out of network	74177, 77067	$2,387.00	$889.89	Approved	Approved
CLM-2026-026861	2026-07-20	Riverside Digestive Health Center in network	99214	$310.00	—	Denied	Denied
CLM-2026-026860	2026-07-20	Riverside Digestive Health Center in network	99214	$310.00	$132.20	Approved	Approved