Helen Guerrero

4 source records from 2 feeds.

MBR-028083Verified4 records

Golden record

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

First nameCLM: Helen
Middle name—: —
Last nameCLM: Guerrero
Date of birthCLM: 1991-08-23
GenderCLM: F
Member IDCLM: UHC-70876-54
SSNCLM: •••-••-2688
PhoneCLM: 7642852561
Email—: —
AddressCLM: 3231 Baseline Rd
CityCLM: Glendale
StateCLM: AZ
ZIPCLM: 85329
GroupCLM: GRP-3329
PlanCLM: OPTIONS-PPO

Min confidence

0.96

Sources

TPA ×2CLM ×2

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
TPA-59363	TPA	2026-04-28	Helen Guerreroflagged	1991-08-23	UHC-70876-54	—	3231 Baseline Rd, Glendale, AZ	Rule	0.99	D1 member id + dob exact
CLM-421291	CLM	2026-05-01	Helen Guerreroflagged	1991-08-23	UHC-70876-54	7642852561	3231 Baseline Rd, Glendale, AZ	Scored	1.00	—
CLM-421290	CLM	2026-05-11	Helen Guerreroflagged	—	UHC-70876-54	—	3231 Baseline Rd, Glendale, AZ	Rule	0.96	D3 member id + name
TPA-59362	TPA	2026-06-19	Helen Guerreroflagged	1991-08-23	—	7642852561	3231 Baseline Rd, Glendale, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-421291CLMTPA-59362TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59363TPACLM-421291CLM0.99RuleD1 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

▶TPA-59363TPACLM-421290CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421291CLMCLM-421290CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59363TPATPA-59362TPA0.93Scoredweighted 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-421290CLMTPA-59362TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

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

2026-10-19 19:54:38Record linked automatically6148924ca4
scoring_agent, TPA-59362, identity id MBR-028083, confidence 1, method probabilistic, matched record CLM-421291, policy version 1
2026-10-19 19:54:38Record linked automatically84f880719c
matching_agent, CLM-421290, identity id MBR-028083, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-59363
2026-10-19 19:54:38Record linked automatically1f03b20574
scoring_agent, CLM-421291, identity id MBR-028083, confidence 1, method probabilistic, matched record TPA-59362, policy version 1
2026-10-19 19:54:38Record linked automaticallyad57ccdfb1
matching_agent, TPA-59363, identity id MBR-028083, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421291
2026-10-19 19:52:09Record linked automatically45277d1d7a
scoring_agent, TPA-59362, identity id MBR-028083, confidence 1, method probabilistic, matched record CLM-421291, policy version 1
2026-10-19 19:52:09Record linked automatically8232aa11b3
matching_agent, CLM-421290, identity id MBR-028083, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-59363
2026-10-19 19:52:09Record linked automatically0b0ec54162
scoring_agent, CLM-421291, identity id MBR-028083, confidence 1, method probabilistic, matched record TPA-59362, policy version 1
2026-10-19 19:52:09Record linked automatically3ddec7892f
matching_agent, TPA-59363, identity id MBR-028083, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421291
2026-10-19 19:45:42Record linked automatically885e5d68ec
scoring_agent, TPA-59362, identity id MBR-028083, confidence 1, method probabilistic, matched record CLM-421291, policy version 1
2026-10-19 19:45:42Record linked automaticallyc341661e9c
matching_agent, CLM-421290, identity id MBR-028083, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-59363
2026-10-19 19:45:42Record linked automatically53045d3476
scoring_agent, CLM-421291, identity id MBR-028083, confidence 1, method probabilistic, matched record TPA-59362, policy version 1
2026-10-19 19:45:42Record linked automatically547466bc45
matching_agent, TPA-59363, identity id MBR-028083, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421291
2026-10-19 19:32:31Record linked automaticallya27e6bab41
scoring_agent, TPA-59362, identity id MBR-028083, confidence 1, method probabilistic, matched record CLM-421291, policy version 1
2026-10-19 19:32:31Record linked automaticallye0bacb1772
matching_agent, CLM-421290, identity id MBR-028083, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-59363
2026-10-19 19:32:31Record linked automaticallydeb8c11050
scoring_agent, CLM-421291, identity id MBR-028083, confidence 1, method probabilistic, matched record TPA-59362, policy version 1
2026-10-19 19:32:31Record linked automatically8d02f84d4c
matching_agent, TPA-59363, identity id MBR-028083, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421291
2026-10-19 19:31:28Record linked automatically42787762c1
scoring_agent, TPA-59363, identity id MBR-033689, confidence 1, method probabilistic, matched record CLM-421432, policy version 1
2026-10-19 19:31:28Record linked automatically01a9dcbe41
scoring_agent, TPA-59362, identity id MBR-029189, confidence 1, method probabilistic, matched record CLM-421427, policy version 1
2026-10-19 19:31:28Record linked automaticallyb9f1dc94d5
scoring_agent, CLM-421290, identity id MBR-010474, confidence 0.99, method probabilistic, matched record PRV-26252, policy version 1
2026-10-19 19:31:28Record linked automaticallyca20354024
matching_agent, CLM-421291, identity id MBR-000783, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127968

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-2026-020734	2026-04-04	Pinecrest Bone and Joint Center in network	20610	$311.00	$152.82	Approved	Approved
CLM-2026-020238	2026-04-07	Desert Cardiovascular Associates in network	99214	$261.00	$121.82	Approved	Approved