Identities/MBR-000648

Gold, golden identity

Mike Simmons

6 source records from 3 feeds.

MBR-000648Verified6 records

Golden record

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

First nameENR: Mike
Middle name—: —
Last nameENR: Simmons
Date of birthENR: 1994-02-27
GenderENR: F
Member IDENR: UHC-55383-31
SSNENR: •••-••-4865
PhoneENR: 3948378915
Email—: —
AddressENR: 3978 Broadway
CityENR: Houston
StateENR: TX
ZIPENR: 77078
GroupENR: GRP-4135
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

CLM ×4ENR ×1TPA ×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-416739	CLM	2026-01-03	Michael Simmonsflagged	1994-02-27	UHC-55383-31	—	3978 Broadway, Houston, TX	Scored	0.99	—
ENR-121980	ENR	2026-02-20	Mike Simmonsflagged	1994-02-27	UHC-55383-31	3948378915	3978 Broadway, Houston, TX	Scored	0.99	—
CLM-416738	CLM	2026-03-20	Mike Simmonsflagged	1994-02-27	UHC-55383-31	—	3978 Broadway, Houston, TX	Scored	0.99	—
CLM-416737	CLM	2026-03-20	Mike Simmonsflagged	1994-02-27	UHC-55383-31	—	3978 Broadway, Houston, TX	Scored	0.99	—
TPA-57370	TPA	2026-05-15	Michael Simmoonsflagged	1994-02-27	—	3948378915	3978 Broadway, Houston, TX	Scored	0.99	—
CLM-416736	CLM	2026-09-04	Michael Simmonsflagged	1994-02-27	UHC-55383-31	—	3978 Broadway, Houston, TX	Scored	0.99	—

Evidence

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

Score

Method

Rule

Decision

▶ENR-121980ENR TPA-57370TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-57370TPACLM-416736CLM0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-416739CLMTPA-57370TPA0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-416738CLMTPA-57370TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3	nickname
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-416737CLMTPA-57370TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3	nickname
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-416739CLMCLM-416736CLM0.99RuleD1 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-121980ENR CLM-416736CLM0.99RuleD1 member id + dob exactAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416738CLMCLM-416736CLM0.99RuleD1 member id + dob exactAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416737CLMCLM-416736CLM0.99RuleD1 member id + dob exactAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416739CLMCLM-416737CLM0.99RuleD1 member id + dob exactAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-121980ENR CLM-416737CLM0.99RuleD1 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-416738CLMCLM-416737CLM0.99RuleD1 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-416739CLMCLM-416738CLM0.99RuleD1 member id + dob exactAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-121980ENR CLM-416738CLM0.99RuleD1 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-416739CLMENR-121980ENR 0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
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

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Mike Simmons: 4 claims, no attributed provider
ACT-017818, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyc2aac7d0a2
scoring_agent, CLM-416736, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:54:38Record linked automaticallybe790b718b
scoring_agent, TPA-57370, identity id MBR-000648, confidence 0.99, method probabilistic, matched record ENR-121980, policy version 1
2026-10-19 19:54:38Record linked automatically79a0a562fa
scoring_agent, CLM-416737, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:54:38Record linked automatically07badb0742
scoring_agent, CLM-416738, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:54:38Record linked automaticallyd409f4aacc
scoring_agent, ENR-121980, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:54:38Record linked automatically1759688219
scoring_agent, CLM-416739, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:52:08Record linked automaticallyb515ae8078
scoring_agent, CLM-416736, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:52:08Record linked automatically6aff2dd1ce
scoring_agent, TPA-57370, identity id MBR-000648, confidence 0.99, method probabilistic, matched record ENR-121980, policy version 1
2026-10-19 19:52:08Record linked automatically5d9592bb5c
scoring_agent, CLM-416737, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:52:08Record linked automatically6a388423ca
scoring_agent, CLM-416738, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:52:08Record linked automatically0b0d39b029
scoring_agent, ENR-121980, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:52:08Record linked automaticallyf811814a81
scoring_agent, CLM-416739, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:45:41Record linked automatically858e0e497e
scoring_agent, CLM-416736, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:45:41Record linked automaticallybae1421bfb
scoring_agent, TPA-57370, identity id MBR-000648, confidence 0.99, method probabilistic, matched record ENR-121980, policy version 1
2026-10-19 19:45:41Record linked automatically41e387c1d0
scoring_agent, CLM-416737, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:45:41Record linked automatically4a470fdc70
scoring_agent, CLM-416738, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:45:41Record linked automatically850d424768
scoring_agent, ENR-121980, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:45:41Record linked automaticallyc370e2adbd
scoring_agent, CLM-416739, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:32:31Record linked automatically69ee45a499
scoring_agent, CLM-416736, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:32:31Record linked automatically55c0ab800f
scoring_agent, TPA-57370, identity id MBR-000648, confidence 0.99, method probabilistic, matched record ENR-121980, policy version 1
2026-10-19 19:32:31Record linked automatically4a19a0dbc6
scoring_agent, CLM-416737, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:32:31Record linked automaticallycb912f5cbc
scoring_agent, CLM-416738, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:32:31Record linked automaticallycaf7e82db2
scoring_agent, ENR-121980, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:32:31Record linked automaticallyf2e3f686a1
scoring_agent, CLM-416739, identity id MBR-000648, confidence 0.99, method probabilistic, matched record TPA-57370, policy version 1
2026-10-19 19:31:28Record linked automatically3454158b7a
matching_agent, CLM-416739, identity id MBR-020560, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121914
2026-10-19 19:31:28Record linked automatically98100cc1d3
scoring_agent, CLM-416736, identity id MBR-012003, confidence 1, method probabilistic, matched record CLM-416735, policy version 1
2026-10-19 19:31:28Record linked automatically0215165345
scoring_agent, CLM-416737, identity id MBR-003095, confidence 1, method probabilistic, matched record ENR-121911, policy version 1
2026-10-19 19:31:28Record linked automaticallyea8a90eccf
matching_agent, CLM-416738, identity id MBR-001887, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24894
2026-10-19 19:31:28Record linked automatically60a77d6d32
scoring_agent, TPA-57370, identity id MBR-000328, confidence 1, method probabilistic, matched record PRV-24938, policy version 1

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-2026-004016	2026-07-26	Sunrise Cardiovascular Associates in network	93015	$356.00	$16.44	Approved	Approved
CLM-2026-034283	2026-03-05	Pinecrest Regional Medical Center out of network	96374	$205.00	$0.00	Approved	Approved
CLM-2026-032854	2026-02-26	Desert Internal Medicine Associates in network	93000	$94.00	$33.28	Approved	Approved
CLM-2026-008390	2025-12-12	Evergreen Diagnostic Imaging in network	74177, 76700, 70553	$4,855.00	$2,243.44	Approved	Approved