Identities/MBR-024934
Gold, golden identity

Douglas M Gutierrez

3 source records from 2 feeds.

MBR-024934Verified3 records

Golden record

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

First nameENR
Douglas
Middle nameENR
M
Last nameENR
Gutierrez
Date of birthENR
2005-03-01
GenderCLM
F
Member IDENR
UHC-07621-24
SSNCLM
•••-••-9122
PhoneENR
6147637752
EmailENR
douglas.gutierrez93@icloud.com
AddressENR
25 Broadway
CityENR
Plano
StateENR
TX
ZIPCLM
75095
GroupENR
GRP-0707
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
ENR ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.00ENRENR-133464CLMCLM-425581CLMCLM-425580IDMBR-024934
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-133464ENR2026-04-09Douglas Gutierrezflagged2005-03-01UHC-07621-24614763775225 Broadway, Plano, TXRule0.99D1 member id + dob exact
CLM-425581CLM2026-09-13Douglas Gutierrezflagged2005-03-01—614763775225 Broadway, Plano, TXScored1.00—
CLM-425580CLM2026-09-25Douglas Gutierrezflagged2005-03-01UHC-07621-24—25 Broadway, Plano, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-425581CLMCLM-425580 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-133464ENRCLM-425580 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-133464ENRCLM-425581CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-425581 → UHC-07621-24 (Douglas Gutierrez)
    ACT-001833, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically856201d032
    scoring_agent, CLM-425580, identity id MBR-024934, confidence 1, method probabilistic, matched record CLM-425581, policy version 1
  • 2026-10-19 19:54:38Record linked automatically602fb4d586
    scoring_agent, CLM-425581, identity id MBR-024934, confidence 1, method probabilistic, matched record CLM-425580, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1e9d715301
    matching_agent, ENR-133464, identity id MBR-024934, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425580
  • 2026-10-19 19:52:09Record linked automaticallyf53fcbe812
    scoring_agent, CLM-425580, identity id MBR-024934, confidence 1, method probabilistic, matched record CLM-425581, policy version 1
  • 2026-10-19 19:52:09Record linked automatically020a1d96cc
    scoring_agent, CLM-425581, identity id MBR-024934, confidence 1, method probabilistic, matched record CLM-425580, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6f7889ea05
    matching_agent, ENR-133464, identity id MBR-024934, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425580
  • 2026-10-19 19:45:42Record linked automatically1339e833af
    scoring_agent, CLM-425580, identity id MBR-024934, confidence 1, method probabilistic, matched record CLM-425581, policy version 1
  • 2026-10-19 19:45:42Record linked automatically800bac2dec
    scoring_agent, CLM-425581, identity id MBR-024934, confidence 1, method probabilistic, matched record CLM-425580, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye47b719b0d
    matching_agent, ENR-133464, identity id MBR-024934, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425580
  • 2026-10-19 19:32:31Record linked automatically1c910514d7
    scoring_agent, CLM-425580, identity id MBR-024934, confidence 1, method probabilistic, matched record CLM-425581, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2e827d53cd
    scoring_agent, CLM-425581, identity id MBR-024934, confidence 1, method probabilistic, matched record CLM-425580, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3d65b5c06f
    matching_agent, ENR-133464, identity id MBR-024934, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425580
  • 2026-10-19 19:31:28Record linked automatically9b147c4a40
    matching_agent, CLM-425580, identity id MBR-014900, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133747

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0006172026-09-12Pinecrest Primary Care Associates
in network
90471$37.00$0.00ApprovedApproved
CLM-2026-0019652026-08-29Riverside Primary Care Associates
in network
99395, 99203, 36415$545.00$312.90ApprovedApproved