Gold, golden identity
Donald L Sims
3 source records from 2 feeds.
MBR-001918Verified3 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Donald
- Middle nameENR
- L
- Last nameENR
- Sims
- Date of birthCLM
- 1998-04-09
- GenderCLM
- M
- Member IDENR
- UHC-69817-94
- SSNENR
- •••-••-5033
- PhoneENR
- 4709170666
- EmailENR
- donald.sims16@outlook.com
- AddressENR
- 2419 Washington St
- CityENR
- Tempe
- StateENR
- AZ
- ZIPENR
- 85294
- GroupENR
- GRP-7784
- PlanENR
- OPTIONS-PPO
Min confidence
0.96
Sources
CLM ×2ENR ×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-402069 | CLM | 2026-01-06 | Donald Simsflagged | 1998-04-09 | UHC-69817-94 | — | — | Rule | 0.99 | D1 member id + dob exact |
| ENR-102643 | ENR | 2026-03-27 | Donald Simsflagged | — | UHC-69817-94 | 4709170666 | 2419 Washington St, Tempe, AZ | Rule | 0.96 | D3 member id + name |
| CLM-402070 | CLM | 2026-08-03 | Donald Sims | 1998-04-09 | UHC-69817-94 | — | 2419 Washington St, Tempe, AZ | Rule | 0.99 | D1 member id + dob exact |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-402069CLMCLM-402070CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶ENR-102643ENRCLM-402070CLM0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-402069CLMENR-102643ENR0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
No actions yet
Nothing downstream has consumed this identity.
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically6ecd0b5541matching_agent, CLM-402070, identity id MBR-001918, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402069
- 2026-10-19 19:54:38Record linked automatically4f65431e56matching_agent, ENR-102643, identity id MBR-001918, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-402069
- 2026-10-19 19:54:38Record linked automatically800b9e306dmatching_agent, CLM-402069, identity id MBR-001918, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402070
- 2026-10-19 19:52:08Record linked automatically7091cef039matching_agent, CLM-402070, identity id MBR-001918, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402069
- 2026-10-19 19:52:08Record linked automatically6c1aad82famatching_agent, ENR-102643, identity id MBR-001918, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-402069
- 2026-10-19 19:52:08Record linked automatically8e5eb1d7b2matching_agent, CLM-402069, identity id MBR-001918, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402070
- 2026-10-19 19:45:41Record linked automatically6f4c0cbe57matching_agent, CLM-402070, identity id MBR-001918, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402069
- 2026-10-19 19:45:41Record linked automatically47c1a04598matching_agent, ENR-102643, identity id MBR-001918, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-402069
- 2026-10-19 19:45:41Record linked automatically143833fb4amatching_agent, CLM-402069, identity id MBR-001918, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402070
- 2026-10-19 19:32:31Record linked automatically9954d8dd21matching_agent, CLM-402070, identity id MBR-001918, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402069
- 2026-10-19 19:32:31Record linked automatically52c9881ff0matching_agent, ENR-102643, identity id MBR-001918, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-402069
- 2026-10-19 19:32:31Record linked automatically58771e0f9amatching_agent, CLM-402069, identity id MBR-001918, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402070
- 2026-10-19 19:31:28Record linked automaticallya87e5570bfscoring_agent, CLM-402069, identity id MBR-039509, confidence 1, method probabilistic, matched record ENR-102699, policy version 1
- 2026-10-19 19:31:28Record linked automatically3076a6c83amatching_agent, ENR-102643, identity id MBR-022379, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402026
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-2026-015666 | 2026-07-16 | Meadow Family Practice in network | 99213, 99395, 90471 | $520.00 | — | Denied | Denied |
| CLM-2026-015665 | 2026-07-16 | Meadow Family Practice in network | 99213, 99395, 90471 | $520.00 | $292.40 | Approved | Approved |
| CLM-2026-029780 | 2025-12-19 | Meadow Medical Group in network | 99395 | $298.00 | $154.76 | Approved | Approved |