Identities/MBR-001182
Gold, golden identity

Charlotte Simmons

3 source records from 3 feeds.

MBR-001182Verified3 records

Golden record

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

First nameENR
Charlotte
Middle name—
—
Last nameENR
Simmons
Date of birthENR
1961-05-14
GenderENR
M
Member IDENR
UHC-98486-13
SSNENR
•••-••-8658
PhoneENR
7835153357
EmailENR
charlotte.simmons@proton.me
AddressENR
1245 Ridge Rd # 702
CityENR
Fresno
StateENR
CA
ZIPENR
93702
GroupENR
GRP-3997
PlanENR
NAVIGATE-HMO
Min confidence
0.97
Sources
CLM ×1TPA ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.970.990.99CLMCLM-408144TPATPA-53574ENRENR-110727IDMBR-001182
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
CLM-408144CLM2026-01-04Charlotte Simmonsflagged1961-05-14—7835153357—Rule0.97D2 ssn4 + dob + last name
TPA-53574TPA2026-02-02Charlotte Simmonsflagged1961-05-14UHC-98486-13——Rule0.99D1 member id + dob exact
ENR-110727ENR2026-09-26Charlotte Simmonsflagged1961-05-14UHC-98486-1378351533571245 Ridge Rd # 702, Fresno, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-53574TPAENR-110727ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-408144CLMENR-110727ENR0.97RuleD2 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-408144CLMTPA-53574TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Charlotte Simmons: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000064, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-408144 → UHC-98486-13 (Charlotte Simmons)
    ACT-006413, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically1465bf539b
    matching_agent, ENR-110727, identity id MBR-001182, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53574
  • 2026-10-19 19:54:38Record linked automaticallybff78474a0
    matching_agent, TPA-53574, identity id MBR-001182, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110727
  • 2026-10-19 19:54:38Record linked automatically0527b93ca7
    matching_agent, CLM-408144, identity id MBR-001182, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-53574
  • 2026-10-19 19:52:08Record linked automatically883036f6a2
    matching_agent, ENR-110727, identity id MBR-001182, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53574
  • 2026-10-19 19:52:08Record linked automatically2f2fcc5506
    matching_agent, TPA-53574, identity id MBR-001182, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110727
  • 2026-10-19 19:52:08Record linked automaticallyed8a520f24
    matching_agent, CLM-408144, identity id MBR-001182, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-53574
  • 2026-10-19 19:45:41Record linked automatically00cda3dcc6
    matching_agent, ENR-110727, identity id MBR-001182, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53574
  • 2026-10-19 19:45:41Record linked automatically281c2f400c
    matching_agent, TPA-53574, identity id MBR-001182, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110727
  • 2026-10-19 19:45:41Record linked automatically81b2cbb24b
    matching_agent, CLM-408144, identity id MBR-001182, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-53574
  • 2026-10-19 19:32:31Record linked automatically16481b92df
    matching_agent, ENR-110727, identity id MBR-001182, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53574
  • 2026-10-19 19:32:31Record linked automatically71a2733732
    matching_agent, TPA-53574, identity id MBR-001182, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110727
  • 2026-10-19 19:32:31Record linked automatically6bf5019006
    matching_agent, CLM-408144, identity id MBR-001182, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-53574
  • 2026-10-19 19:31:28Record linked automatically50f801b7a6
    matching_agent, ENR-110727, identity id MBR-016471, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408166
  • 2026-10-19 19:31:28Record linked automaticallyb9650b2448
    matching_agent, CLM-408144, identity id MBR-011549, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408143
  • 2026-10-19 19:31:28Record linked automaticallybf08ee17f3
    scoring_agent, TPA-53574, identity id MBR-010166, confidence 1, method probabilistic, matched record TPA-53573, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0191512025-11-28Valley Skin Care Associates
out of network
11102, 11403$791.00—DeniedDenied