Identities/MBR-003473
Gold, golden identity

John T Sims

4 source records from 2 feeds.

MBR-003473Verified4 records

Golden record

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

First nameCLM
John
Middle nameENR
T
Last nameCLM
Sims
Date of birthENR
1979-06-09
GenderENR
F
Member IDENR
UHC-98485-42
SSNENR
•••-••-9489
PhoneENR
9872394608
EmailENR
john.sims23@gmail.com
AddressENR
7970 Main St
CityENR
San Diego
StateENR
CA
ZIPENR
92138
GroupENR
GRP-1667
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.99CLMCLM-414696CLMCLM-414695ENRENR-119335CLMCLM-414694IDMBR-003473
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-414696CLM2026-01-11Jon Simsflagged1979-06-09UHC-98485-42—7970 Main St, San Diego, CARule0.99D1 member id + dob exact
CLM-414695CLM2026-03-03John Simsflagged1979-06-09UHC-98485-4298723946087970 Main St, San Diego, CARule0.99D1 member id + dob exact
ENR-119335ENR2026-08-27Johnny Smisflagged1979-06-09UHC-98485-4298723946087970 Main St, San Diego, CARule0.99D1 member id + dob exact
CLM-414694CLM2026-10-09John Simsflagged1979-06-09UHC-98485-4298723946087970 Main St, San Diego, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-414696CLMCLM-414694CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.923
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414695CLMCLM-414694CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-119335ENRCLM-414694CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953nickname
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-414696CLMCLM-414695CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.923
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414696CLMENR-119335ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.883
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414695CLMENR-119335ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953nickname
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    John Sims: 3 claims, no attributed provider
    ACT-018029, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically19bc7529ea
    matching_agent, CLM-414694, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414696
  • 2026-10-19 19:54:38Record linked automaticallydacc356722
    matching_agent, ENR-119335, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414696
  • 2026-10-19 19:54:38Record linked automaticallyd4e1da4e09
    matching_agent, CLM-414695, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414696
  • 2026-10-19 19:54:38Record linked automaticallya83c2e47ff
    matching_agent, CLM-414696, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414695
  • 2026-10-19 19:52:08Record linked automaticallyd6e50059e2
    matching_agent, CLM-414694, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414696
  • 2026-10-19 19:52:08Record linked automatically27b4381311
    matching_agent, ENR-119335, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414696
  • 2026-10-19 19:52:08Record linked automatically3ac0d8cb87
    matching_agent, CLM-414695, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414696
  • 2026-10-19 19:52:08Record linked automatically4b51c0a562
    matching_agent, CLM-414696, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414695
  • 2026-10-19 19:45:41Record linked automatically3e370a6d6d
    matching_agent, CLM-414694, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414696
  • 2026-10-19 19:45:41Record linked automaticallyfe89cc31d1
    matching_agent, ENR-119335, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414696
  • 2026-10-19 19:45:41Record linked automatically58fc985d1d
    matching_agent, CLM-414695, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414696
  • 2026-10-19 19:45:41Record linked automaticallyc45939f09b
    matching_agent, CLM-414696, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414695
  • 2026-10-19 19:32:31Record linked automatically005fb2b69d
    matching_agent, CLM-414694, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414696
  • 2026-10-19 19:32:31Record linked automaticallycaa034876e
    matching_agent, ENR-119335, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414696
  • 2026-10-19 19:32:31Record linked automatically3fb52d0914
    matching_agent, CLM-414695, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414696
  • 2026-10-19 19:32:31Record linked automaticallydc816638b7
    matching_agent, CLM-414696, identity id MBR-003473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414695
  • 2026-10-19 19:31:28Record linked automatically78c256c550
    matching_agent, ENR-119335, identity id MBR-027452, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414765
  • 2026-10-19 19:31:28Record linked automatically8286b94e3c
    scoring_agent, CLM-414694, identity id MBR-025119, confidence 0.99, method probabilistic, matched record ENR-119247, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8466cd707e
    matching_agent, CLM-414696, identity id MBR-012235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414695
  • 2026-10-19 19:31:28Record linked automaticallyc9a28b5c3b
    matching_agent, CLM-414695, identity id MBR-012235, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24311

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0173662026-08-28Mesa Family Practice
in network
36415, 90471$55.00—Needs reviewNeeds review
CLM-2026-0125172026-01-28Evergreen Counseling Center
in network
90837, 90834$449.00$238.38ApprovedApproved
CLM-2026-0113302025-12-10Summit Regional Medical Center
in network
99283, 96374$1,170.00$493.50ApprovedApproved