Identities/MBR-031367

Gold, golden identity

Lauren Gutierrez

6 source records from 3 feeds.

MBR-031367Verified6 records

Golden record

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

First nameCLM: Lauren
Middle name—: —
Last nameENR: Gutierrez
Date of birthENR: 1942-10-10
GenderENR: M
Member IDENR: UHC-72049-97
SSNENR: •••-••-2031
PhoneENR: 4409083769
EmailENR: lauren.gutierrez@yahoo.com
AddressENR: 5474 Indian School Rd
CityENR: Chandler
StateENR: AZ
ZIPENR: 85220
GroupENR: GRP-2922
PlanENR: MEDICARE-ADV-A

Min confidence

0.96

Sources

ENR ×1CLM ×3TPA ×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
ENR-127217	ENR	2026-05-19	Lauuren Gutierrezflagged	1942-10-10	UHC-72049-97	4409083769	5474 Indian School Rd, Chandler, AZ	Scored	1.00	—
CLM-420703	CLM	2026-08-15	Lauren Gutierrezflagged	1942-10-10	—	4409083769	—	Scored	1.00	—
CLM-420702	CLM	2026-08-23	Lauren Gutierrezflagged	1942-10-10	—	4409083769	5474 Indian School Rd, Chandler, AZ	Scored	1.00	—
CLM-420701	CLM	2026-08-24	Lauren Gutierrezflagged	—	UHC-72049-97	—	5474 Indian School Rd, Chandler, AZ	Rule	0.96	D3 member id + name
TPA-59082	TPA	2026-09-10	Lauren Gutierrezflagged	1942-10-10	—	4409083769	5474 Indian School Rd, Chandler, AZ	Scored	1.00	—
TPA-59083	TPA	2026-09-10	Lauren Gutierrezflagged	1942-10-10	—	4409083769	5474 Indian School Rd, Chandler, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-420703CLMCLM-420702CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420703CLMTPA-59082TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420702CLMTPA-59082TPA1.00Scoredweighted 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

▶CLM-420703CLMTPA-59083TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420702CLMTPA-59083TPA1.00Scoredweighted 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-59082TPATPA-59083TPA1.00Scoredweighted 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

▶ENR-127217ENRCLM-420702CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-127217ENRTPA-59082TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-127217ENRTPA-59083TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-127217ENRCLM-420703CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-127217ENRCLM-420701CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-420702CLMCLM-420701CLM0.83Scoredweighted 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

▶CLM-420701CLMTPA-59082TPA0.83Scoredweighted 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

▶CLM-420701CLMTPA-59083TPA0.83Scoredweighted 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

Orphan claim re-pointedExecuted
CLM-420702 → UHC-72049-97 (Lauren Gutierrez)
ACT-001478, Claims processor
Orphan claim re-pointedExecuted
CLM-420703 → UHC-72049-97 (Lauren Gutierrez)
ACT-004234, Claims processor
Care coordination outreachProposed
Lauren Gutierrez: 3 claims, no attributed provider
ACT-019470, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically456737093c
scoring_agent, TPA-59083, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420703, policy version 1
2026-10-19 19:54:38Record linked automaticallydaa157e514
scoring_agent, TPA-59082, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420703, policy version 1
2026-10-19 19:54:38Record linked automaticallyefd8d9c2d2
matching_agent, CLM-420701, identity id MBR-031367, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-127217
2026-10-19 19:54:38Record linked automaticallyd45f02e987
scoring_agent, CLM-420702, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420703, policy version 1
2026-10-19 19:54:38Record linked automatically8d8b240094
scoring_agent, CLM-420703, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420702, policy version 1
2026-10-19 19:54:38Record linked automatically048b1efb48
scoring_agent, ENR-127217, identity id MBR-031367, confidence 1.00, method probabilistic, matched record CLM-420702, policy version 1
2026-10-19 19:52:09Record linked automatically609955b811
scoring_agent, TPA-59083, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420703, policy version 1
2026-10-19 19:52:09Record linked automatically2ac2288a1a
scoring_agent, TPA-59082, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420703, policy version 1
2026-10-19 19:52:09Record linked automaticallydf9aa01096
matching_agent, CLM-420701, identity id MBR-031367, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-127217
2026-10-19 19:52:09Record linked automatically9b2a6872d0
scoring_agent, CLM-420702, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420703, policy version 1
2026-10-19 19:52:09Record linked automatically945b756fd8
scoring_agent, CLM-420703, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420702, policy version 1
2026-10-19 19:52:09Record linked automaticallye859358113
scoring_agent, ENR-127217, identity id MBR-031367, confidence 1.00, method probabilistic, matched record CLM-420702, policy version 1
2026-10-19 19:45:42Record linked automaticallyeead6e1167
scoring_agent, TPA-59083, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420703, policy version 1
2026-10-19 19:45:42Record linked automatically338b0117a6
scoring_agent, TPA-59082, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420703, policy version 1
2026-10-19 19:45:42Record linked automatically118177bdff
matching_agent, CLM-420701, identity id MBR-031367, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-127217
2026-10-19 19:45:42Record linked automaticallye6b40a63d4
scoring_agent, CLM-420702, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420703, policy version 1
2026-10-19 19:45:42Record linked automaticallyab1ee16814
scoring_agent, CLM-420703, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420702, policy version 1
2026-10-19 19:45:42Record linked automatically4ce8b85a41
scoring_agent, ENR-127217, identity id MBR-031367, confidence 1.00, method probabilistic, matched record CLM-420702, policy version 1
2026-10-19 19:32:31Record linked automatically8e93dfca5d
scoring_agent, TPA-59083, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420703, policy version 1
2026-10-19 19:32:31Record linked automatically52bfef55fd
scoring_agent, TPA-59082, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420703, policy version 1
2026-10-19 19:32:31Record linked automatically4a36e2896f
matching_agent, CLM-420701, identity id MBR-031367, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-127217
2026-10-19 19:32:31Record linked automaticallyfb90f393d4
scoring_agent, CLM-420702, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420703, policy version 1
2026-10-19 19:32:31Record linked automatically0dc3f3f1ce
scoring_agent, CLM-420703, identity id MBR-031367, confidence 1, method probabilistic, matched record CLM-420702, policy version 1
2026-10-19 19:32:31Record linked automaticallya6b16a552f
scoring_agent, ENR-127217, identity id MBR-031367, confidence 1.00, method probabilistic, matched record CLM-420702, policy version 1
2026-10-19 19:31:28Record linked automatically88bce1aacd
scoring_agent, TPA-59082, identity id MBR-025169, confidence 1, method probabilistic, matched record ENR-127366, policy version 1
2026-10-19 19:31:28Record linked automatically8622317d5d
matching_agent, CLM-420701, identity id MBR-020255, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127184
2026-10-19 19:31:28Record linked automaticallyffba35b37c
matching_agent, ENR-127217, identity id MBR-004950, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26076
2026-10-19 19:31:28Record linked automatically9f446ee903
matching_agent, CLM-420702, identity id MBR-000959, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420703
2026-10-19 19:31:28Record linked automatically3a0512654b
matching_agent, CLM-420703, identity id MBR-000959, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420702

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-000452	2026-07-30	Evergreen Medical Group in network	99213	$219.00	$110.78	Approved	Approved
CLM-2026-000629	2026-08-15	Summit Reference Lab out of network	85025, 83036, 80053	$178.00	—	Needs review	Needs review
CLM-2026-011063	2026-07-10	Northgate Reference Lab in network	80053, 80061, 83036	$192.00	$0.00	Approved	Approved