Identities/MBR-035206
Gold, golden identity

Pamela Gutierrez

4 source records from 3 feeds.

MBR-035206Verified4 records

Golden record

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

First nameENR
Pamela
Middle name—
—
Last nameENR
Gutierrez
Date of birthENR
2005-08-08
GenderENR
M
Member IDENR
UHC-39290-28
SSNENR
•••-••-6467
PhoneENR
7052528892
Email—
—
AddressENR
6224 Meadow Ln
CityENR
Las Vegas
StateENR
NV
ZIPENR
89191
GroupENR
GRP-4429
PlanENR
NAVIGATE-HMO
Min confidence
0.97
Sources
TPA ×1ENR ×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

1.001.000.971.00TPATPA-56039ENRENR-117979CLMCLM-413748CLMCLM-413747IDMBR-035206
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
TPA-56039TPA2026-06-17Pamela Gutierrezflagged2005-08-08——6224 Meadow Ln, Las Vegas, NVScored1.00—
ENR-117979ENR2026-08-13Pamela Gutierrezflagged2005-08-08UHC-39290-2870525288926224 Meadow Ln, Las Vegas, NVScored1.00—
CLM-413748CLM2026-09-11Pamela Gutierrezflagged2005-08-08—7052528892—Rule0.97D2 ssn4 + dob + last name
CLM-413747CLM2026-09-18Pamela Gutierrezflagged2005-08-08UHC-39290-28—6224 Meadow Ln, Las Vegas, NVScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-56039TPA CLM-413747CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-56039TPA ENR-117979ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-117979ENRCLM-413747CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-117979ENRCLM-413748CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413748CLMCLM-413747CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶TPA-56039TPA CLM-413748CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-413748 → UHC-39290-28 (Pamela Gutierrez)
    ACT-006930, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:55Record linked automaticallydfeb49db05
    scoring_agent, CLM-413747, identity id MBR-035206, confidence 1, method probabilistic, matched record TPA-56039, policy version 1
  • 2026-10-22 12:43:55Record linked automatically7bd98a2021
    matching_agent, CLM-413748, identity id MBR-035206, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-117979
  • 2026-10-22 12:43:55Record linked automaticallyfd005a1cec
    scoring_agent, ENR-117979, identity id MBR-035206, confidence 1, method probabilistic, matched record TPA-56039, policy version 1
  • 2026-10-22 12:43:55Record linked automatically7ccccfe650
    scoring_agent, TPA-56039, identity id MBR-035206, confidence 1, method probabilistic, matched record ENR-117979, policy version 1
  • 2026-10-19 19:54:39Record linked automatically327d77103c
    scoring_agent, CLM-413747, identity id MBR-035206, confidence 1, method probabilistic, matched record TPA-56039, policy version 1
  • 2026-10-19 19:54:39Record linked automatically08d7fcb63b
    matching_agent, CLM-413748, identity id MBR-035206, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-117979
  • 2026-10-19 19:54:39Record linked automatically45ae2de06c
    scoring_agent, ENR-117979, identity id MBR-035206, confidence 1, method probabilistic, matched record TPA-56039, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallyb17e312356
    scoring_agent, TPA-56039, identity id MBR-035206, confidence 1, method probabilistic, matched record ENR-117979, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3840772dfd
    scoring_agent, CLM-413747, identity id MBR-035206, confidence 1, method probabilistic, matched record TPA-56039, policy version 1
  • 2026-10-19 19:52:09Record linked automatically058fdd7aa6
    matching_agent, CLM-413748, identity id MBR-035206, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-117979
  • 2026-10-19 19:52:09Record linked automaticallyc07228f863
    scoring_agent, ENR-117979, identity id MBR-035206, confidence 1, method probabilistic, matched record TPA-56039, policy version 1
  • 2026-10-19 19:52:09Record linked automatically33995facaa
    scoring_agent, TPA-56039, identity id MBR-035206, confidence 1, method probabilistic, matched record ENR-117979, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3908cdb125
    scoring_agent, CLM-413747, identity id MBR-035206, confidence 1, method probabilistic, matched record TPA-56039, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya2bc593dbb
    matching_agent, CLM-413748, identity id MBR-035206, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-117979
  • 2026-10-19 19:45:42Record linked automatically3bb0f18190
    scoring_agent, ENR-117979, identity id MBR-035206, confidence 1, method probabilistic, matched record TPA-56039, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1a543b5755
    scoring_agent, TPA-56039, identity id MBR-035206, confidence 1, method probabilistic, matched record ENR-117979, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf44a0f39fb
    scoring_agent, CLM-413747, identity id MBR-035206, confidence 1, method probabilistic, matched record TPA-56039, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4d516e9e8b
    matching_agent, CLM-413748, identity id MBR-035206, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-117979
  • 2026-10-19 19:32:31Record linked automaticallyae9f002262
    scoring_agent, ENR-117979, identity id MBR-035206, confidence 1, method probabilistic, matched record TPA-56039, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1cf27b11fc
    scoring_agent, TPA-56039, identity id MBR-035206, confidence 1, method probabilistic, matched record ENR-117979, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2e5999c6f3
    scoring_agent, TPA-56039, identity id MBR-021733, confidence 0.94, method probabilistic, matched record PRV-24080, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye1106b3b9d
    matching_agent, CLM-413748, identity id MBR-005917, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118078

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0153132026-09-03Pinecrest Primary Care Associates
in network
99395, 99214, 99203$827.00$482.74ApprovedApproved
CLM-2026-0210392026-07-30Harbor Clinical Laboratories
in network
83036, 87086, 80061$147.00$0.00ApprovedApproved