Identities/MBR-002002

Gold, golden identity

Mateo P Sims

4 source records from 3 feeds.

MBR-002002Verified4 records

Golden record

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

First namePRV: Mateo
Middle nameCLM: P
Last namePRV: Sims
Date of birthPRV: 1959-11-11
GenderPRV: F
Member IDCLM: UHC-98861-75
SSN—: —
PhoneCLM: 9544372608
Email—: —
AddressPRV: 7841 Bayshore Dr
CityPRV: Phoenix
StatePRV: AZ
ZIPPRV: 85007
GroupCLM: GRP-9289
PlanPRV: MEDICARE-ADV-A

Min confidence

0.99

Sources

CLM ×2TPA ×1PRV ×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-426116	CLM	2026-01-07	Mateo Simsflagged	1959-11-11	UHC-98861-75	—	7841 Bayshore Dr, Phoenix, AZ	Scored	1.00	—
TPA-61533	TPA	2026-03-23	Mateo Simsflagged	1959-11-11	—	9544372608	7841 Bayshore Dr, Phoenix, AZ	Scored	1.00	—
CLM-426115	CLM	2026-09-07	Mato Simsflagged	1959-11-11	—	9544372608	7841 Bayshore Dr, Phoenix, AZ	Scored	0.99	—
PRV-27697	PRV	2026-10-13	Mateo Simsflagged	1959-11-11	—	—	7841 Bayshore Dr, Phoenix, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-426116CLMPRV-27697PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61533TPAPRV-27697PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-426116CLMTPA-61533TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61533TPACLM-426115 CLM0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-426116CLMCLM-426115 CLM0.99Scoredweighted 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-426115 CLMPRV-27697PRV0.99Scoredweighted 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-426115 → UHC-98861-75 (Mateo Sims)
ACT-008791, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically8fa2adce43
scoring_agent, PRV-27697, identity id MBR-002002, confidence 1, method probabilistic, matched record CLM-426116, policy version 1
2026-10-19 19:54:38Record linked automaticallyee7fcd68cb
scoring_agent, CLM-426115, identity id MBR-002002, confidence 0.99, method probabilistic, matched record TPA-61533, policy version 1
2026-10-19 19:54:38Record linked automatically7445bb1bcd
scoring_agent, TPA-61533, identity id MBR-002002, confidence 1, method probabilistic, matched record CLM-426116, policy version 1
2026-10-19 19:54:38Record linked automatically9d13f81715
scoring_agent, CLM-426116, identity id MBR-002002, confidence 1, method probabilistic, matched record TPA-61533, policy version 1
2026-10-19 19:52:08Record linked automaticallye0bda90aa9
scoring_agent, PRV-27697, identity id MBR-002002, confidence 1, method probabilistic, matched record CLM-426116, policy version 1
2026-10-19 19:52:08Record linked automatically37a7acdbb9
scoring_agent, CLM-426115, identity id MBR-002002, confidence 0.99, method probabilistic, matched record TPA-61533, policy version 1
2026-10-19 19:52:08Record linked automatically82c48f2a34
scoring_agent, TPA-61533, identity id MBR-002002, confidence 1, method probabilistic, matched record CLM-426116, policy version 1
2026-10-19 19:52:08Record linked automatically1dd99bb35b
scoring_agent, CLM-426116, identity id MBR-002002, confidence 1, method probabilistic, matched record TPA-61533, policy version 1
2026-10-19 19:45:41Record linked automatically77de7275b5
scoring_agent, PRV-27697, identity id MBR-002002, confidence 1, method probabilistic, matched record CLM-426116, policy version 1
2026-10-19 19:45:41Record linked automatically4ebcf81287
scoring_agent, CLM-426115, identity id MBR-002002, confidence 0.99, method probabilistic, matched record TPA-61533, policy version 1
2026-10-19 19:45:41Record linked automatically7cae4ae04f
scoring_agent, TPA-61533, identity id MBR-002002, confidence 1, method probabilistic, matched record CLM-426116, policy version 1
2026-10-19 19:45:41Record linked automatically98c5b60239
scoring_agent, CLM-426116, identity id MBR-002002, confidence 1, method probabilistic, matched record TPA-61533, policy version 1
2026-10-19 19:32:31Record linked automaticallydd8a524a49
scoring_agent, PRV-27697, identity id MBR-002002, confidence 1, method probabilistic, matched record CLM-426116, policy version 1
2026-10-19 19:32:31Record linked automaticallyeb8b68b3b7
scoring_agent, CLM-426115, identity id MBR-002002, confidence 0.99, method probabilistic, matched record TPA-61533, policy version 1
2026-10-19 19:32:31Record linked automatically83fe5c2a6a
scoring_agent, TPA-61533, identity id MBR-002002, confidence 1, method probabilistic, matched record CLM-426116, policy version 1
2026-10-19 19:32:31Record linked automatically183ea9f69c
scoring_agent, CLM-426116, identity id MBR-002002, confidence 1, method probabilistic, matched record TPA-61533, policy version 1
2026-10-19 19:31:28Record linked automaticallye84a9ae159
scoring_agent, PRV-27697, identity id MBR-042761, confidence 1, method probabilistic, matched record PRV-27696, policy version 1
2026-10-19 19:31:28Record linked automatically657a97f150
scoring_agent, CLM-426115, identity id MBR-019484, confidence 1, method probabilistic, matched record ENR-134508, policy version 1
2026-10-19 19:31:28Record linked automaticallyde83a69bfc
scoring_agent, TPA-61533, identity id MBR-019471, confidence 1, method probabilistic, matched record TPA-61534, policy version 1
2026-10-19 19:31:28Record linked automatically0600469665
matching_agent, CLM-426116, identity id MBR-007547, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426117

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-2026-028214	2026-07-30	Riverside Clinical Laboratories in network	80053, 80061	$113.00	$0.00	Approved	Approved
CLM-2026-020306	2025-11-24	Lakeside Skin Care Associates in network	70553	$2,404.00	—	Needs review	Needs review