Identities/MBR-029781

Gold, golden identity

Frank Guzman

5 source records from 2 feeds.

MBR-029781Verified5 records

Golden record

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

First nameENR: Frank
Middle name—: —
Last nameENR: Guzman
Date of birthENR: 2006-10-09
GenderCLM: F
Member IDENR: UHC-66444-28
SSNENR: •••-••-4814
PhoneENR: 4383180685
EmailENR: frank.guzman95@hotmail.com
AddressENR: 1500 Spring St
CityENR: Fresno
StateENR: CA
ZIPENR: 93723
GroupENR: GRP-6059
PlanENR: CORE-HMO

Min confidence

0.99

Sources

CLM ×4ENR ×1

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
CLM-406340	CLM	2026-05-08	Frank Guzmanflagged	2006-10-09	UHC-66444-28	4383180685	1500 Spring St, Fresno, CA	Rule	0.99	D1 member id + dob exact
ENR-108316	ENR	2026-05-14	Frank Guzmanflagged	2006-10-09	UHC-66444-28	4383180685	1500 Spring St, Fresno, CA	Rule	0.99	D1 member id + dob exact
CLM-406338	CLM	2026-05-28	Frank Guzmanflagged	2006-10-09	UHC-66444-28	—	1500 Spring St, Fresno, CA	Rule	0.99	D1 member id + dob exact
CLM-406339	CLM	2026-09-18	Frak Guzmanflagged	2006-10-09	UHC-66444-28	—	1500 Spring St, Fresno, CA	Rule	0.99	D1 member id + dob exact
CLM-406341	CLM	2026-09-24	Frank Guzmanflagged	2006-10-09	UHC-66444-28	—	1500 Spring St, Fresno, CA	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-406340CLMCLM-406338CLM0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-108316ENRCLM-406338CLM0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406340CLMCLM-406339CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-108316ENRCLM-406339CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-406338CLMCLM-406339CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406340CLMCLM-406341CLM0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-108316ENRCLM-406341CLM0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406338CLMCLM-406341CLM0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406339CLMCLM-406341CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406340CLMENR-108316ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 5Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Frank Guzman: 4 claims, no attributed provider
ACT-019433, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically50760e36ab
matching_agent, CLM-406341, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:54:38Record linked automatically3e06960c78
matching_agent, CLM-406339, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:54:38Record linked automatically7b1be9dbaf
matching_agent, CLM-406338, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:54:38Record linked automatically527f357ecf
matching_agent, ENR-108316, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:54:38Record linked automatically03d02cab92
matching_agent, CLM-406340, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108316
2026-10-19 19:52:09Record linked automatically524a47570f
matching_agent, CLM-406341, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:52:09Record linked automatically209bb5624a
matching_agent, CLM-406339, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:52:09Record linked automatically72e913ffb3
matching_agent, CLM-406338, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:52:09Record linked automaticallyc857aab79c
matching_agent, ENR-108316, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:52:09Record linked automaticallyfeba62ecfb
matching_agent, CLM-406340, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108316
2026-10-19 19:45:42Record linked automatically677964386c
matching_agent, CLM-406341, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:45:42Record linked automaticallye4e3666819
matching_agent, CLM-406339, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:45:42Record linked automaticallye03e13b3dd
matching_agent, CLM-406338, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:45:42Record linked automaticallyafd54b330d
matching_agent, ENR-108316, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:45:42Record linked automatically9081aa2919
matching_agent, CLM-406340, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108316
2026-10-19 19:32:31Record linked automatically8e962f38cf
matching_agent, CLM-406341, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:32:31Record linked automaticallyf6fd57e1af
matching_agent, CLM-406339, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:32:31Record linked automatically98be378f54
matching_agent, CLM-406338, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:32:31Record linked automatically8d49edce15
matching_agent, ENR-108316, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406340
2026-10-19 19:32:31Record linked automatically39e5b6e498
matching_agent, CLM-406340, identity id MBR-029781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108316
2026-10-19 19:31:28Record linked automatically0d75fd9bf0
matching_agent, CLM-406338, identity id MBR-012160, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108301
2026-10-19 19:31:28Record linked automatically6841f41cd0
matching_agent, ENR-108316, identity id MBR-010492, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406342
2026-10-19 19:31:28Record linked automatically38591d645a
matching_agent, CLM-406340, identity id MBR-010492, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406342
2026-10-19 19:31:28Record linked automatically753ca977ef
matching_agent, CLM-406339, identity id MBR-003701, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108306

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-2026-002827	2026-09-16	Valley Skin Care Associates out of network	17110	$170.00	—	Denied	Denied
CLM-2026-008286	2026-09-14	Sunrise Clinical Laboratories in network	87086, 83036	$114.00	$0.00	Approved	Approved
CLM-2026-006526	2026-05-15	Meadow Heart Institute in network	99214, 93224	$659.00	—	Needs review	Needs review
CLM-2026-012516	2025-12-09	Sunrise Counseling Center in network	90791, 90837	$553.00	—	Denied	Denied