Raymond Simmons

4 source records from 3 feeds.

MBR-003478Verified4 records

Golden record

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

First nameENR: Raymond
Middle name—: —
Last nameENR: Simmons
Date of birthENR: 1972-02-03
GenderENR: F
Member IDENR: UHC-43448-49
SSNENR: •••-••-0917
PhoneENR: 5704047418
EmailTPA: raymond.simmons@proton.me
AddressENR: 5242 Desert Sky Blvd
CityENR: Nashville
StateENR: TN
ZIPENR: 37204
GroupENR: GRP-3841
PlanENR: MEDICARE-ADV-A

Min confidence

1.00

Sources

ENR ×1TPA ×2CLM ×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
ENR-106936	ENR	2026-01-11	Raymond Simmonsflagged	1972-02-03	UHC-43448-49	5704047418	5242 Desert Sky Blvd, Nashville, TN	Scored	1.00	—
TPA-52322	TPA	2026-07-16	Raymond Simmonsflagged	1972-02-03	—	—	5242 Desert Sky Blvd, Nashville, TN	Scored	1.00	—
CLM-405299	CLM	2026-07-25	Raymond Simmonsflagged	1972-02-03	UHC-43448-49	5704047418	5242 Desert Sky Blvd, Nashville, TN	Scored	1.00	—
TPA-52323	TPA	2026-09-12	Raymond Simmonsflagged	1972-02-03	—	5704047418	5242 Desert Sky Blvd, Nashville, TN	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-52322TPACLM-405299 CLM1.00Scoredweighted 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

▶ENR-106936ENRTPA-52322TPA1.00Scoredweighted 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

▶ENR-106936ENRTPA-52323TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52322TPATPA-52323TPA1.00Scoredweighted 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-405299 CLMTPA-52323TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-106936ENRCLM-405299 CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

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 automatically43400aacd2
scoring_agent, TPA-52323, identity id MBR-003478, confidence 1, method probabilistic, matched record ENR-106936, policy version 1
2026-10-19 19:54:38Record linked automaticallya835909d37
scoring_agent, CLM-405299, identity id MBR-003478, confidence 1, method probabilistic, matched record TPA-52322, policy version 1
2026-10-19 19:54:38Record linked automatically4700b02410
scoring_agent, TPA-52322, identity id MBR-003478, confidence 1, method probabilistic, matched record ENR-106936, policy version 1
2026-10-19 19:54:38Record linked automatically23493352da
scoring_agent, ENR-106936, identity id MBR-003478, confidence 1, method probabilistic, matched record TPA-52322, policy version 1
2026-10-19 19:52:08Record linked automaticallyc629d62d6a
scoring_agent, TPA-52323, identity id MBR-003478, confidence 1, method probabilistic, matched record ENR-106936, policy version 1
2026-10-19 19:52:08Record linked automaticallya698c4a190
scoring_agent, CLM-405299, identity id MBR-003478, confidence 1, method probabilistic, matched record TPA-52322, policy version 1
2026-10-19 19:52:08Record linked automatically8933683877
scoring_agent, TPA-52322, identity id MBR-003478, confidence 1, method probabilistic, matched record ENR-106936, policy version 1
2026-10-19 19:52:08Record linked automatically4ab3e8fefc
scoring_agent, ENR-106936, identity id MBR-003478, confidence 1, method probabilistic, matched record TPA-52322, policy version 1
2026-10-19 19:45:41Record linked automaticallyf1aec3d154
scoring_agent, TPA-52323, identity id MBR-003478, confidence 1, method probabilistic, matched record ENR-106936, policy version 1
2026-10-19 19:45:41Record linked automatically05de196998
scoring_agent, CLM-405299, identity id MBR-003478, confidence 1, method probabilistic, matched record TPA-52322, policy version 1
2026-10-19 19:45:41Record linked automatically53b8f575ee
scoring_agent, TPA-52322, identity id MBR-003478, confidence 1, method probabilistic, matched record ENR-106936, policy version 1
2026-10-19 19:45:41Record linked automaticallydae2171689
scoring_agent, ENR-106936, identity id MBR-003478, confidence 1, method probabilistic, matched record TPA-52322, policy version 1
2026-10-19 19:32:31Record linked automaticallybf3376f88a
scoring_agent, TPA-52323, identity id MBR-003478, confidence 1, method probabilistic, matched record ENR-106936, policy version 1
2026-10-19 19:32:31Record linked automatically67761eb7fa
scoring_agent, CLM-405299, identity id MBR-003478, confidence 1, method probabilistic, matched record TPA-52322, policy version 1
2026-10-19 19:32:31Record linked automatically0acb9c9a97
scoring_agent, TPA-52322, identity id MBR-003478, confidence 1, method probabilistic, matched record ENR-106936, policy version 1
2026-10-19 19:32:31Record linked automaticallyd54b80892d
scoring_agent, ENR-106936, identity id MBR-003478, confidence 1, method probabilistic, matched record TPA-52322, policy version 1
2026-10-19 19:31:28Record linked automaticallyd7e8fa41eb
scoring_agent, TPA-52323, identity id MBR-036240, confidence 1, method probabilistic, matched record CLM-405173, policy version 1
2026-10-19 19:31:28Record linked automatically24f643210b
scoring_agent, CLM-405299, identity id MBR-005535, confidence 1, method probabilistic, matched record CLM-405300, policy version 1
2026-10-19 19:31:28Record linked automatically6961cc877f
matching_agent, ENR-106936, identity id MBR-002650, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106935

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-2026-028130	2026-06-30	Mesa Reference Lab in network	80061	$70.00	$0.00	Approved	Approved