Identities/MBR-003838

Gold, golden identity

George Sims

6 source records from 3 feeds.

MBR-003838Verified6 records

Golden record

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

First nameENR: George
Middle name—: —
Last nameENR: Sims
Date of birthENR: 1997-01-02
GenderENR: F
Member IDENR: UHC-90175-74
SSNENR: •••-••-4724
PhoneENR: 9832619092
EmailENR: george.sims42@gmail.com
AddressENR: 461 Jefferson Ave
CityENR: Plano
StateENR: TX
ZIP—: —
GroupENR: GRP-2667
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

CLM ×3TPA ×1ENR ×2

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-405314	CLM	2026-01-13	George Simsflagged	1997-01-02	—	—	461 Jefferson Ave, Plano, TX	Scored	1.00	—
TPA-52336	TPA	2026-02-13	George Simsflagged	1997-01-02	—	9832619092	461 Jefferson Ave, Plano, TX	Scored	1.00	—
CLM-405312	CLM	2026-03-21	Georgge Simsflagged	1997-01-02	UHC-90175-74	9832619092	461 Jefferson Ave, Plano, TX	Scored	1.00	—
ENR-106959	ENR	2026-06-14	George Simsflagged	1997-01-02	UHC-90175-74	9832619092	461 Jefferson Ave Apt 13, Plano, TX	Scored	1.00	—
ENR-106958	ENR	2026-08-21	George Simsflagged	1997-01-02	UHC-90175-74	9832619092	461 Jefferson Ave, Plano, TX	Rule	0.99	D1 member id + dob exact
CLM-405313	CLM	2026-09-17	George Simsflagged	1997-01-02	UHC-90175-74	9832619092	461 Jefferson Ave, Plano, TX	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶TPA-52336TPAENR-106959ENR 1.00Scoredweighted 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

▶CLM-405314CLM TPA-52336TPA1.00Scoredweighted 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-52336TPACLM-405312CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405312CLMCLM-405313CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-106959ENR CLM-405313CLM0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-106958ENRCLM-405313CLM0.99RuleD1 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

▶CLM-405312CLMENR-106958ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-106959ENR ENR-106958ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-405312CLMENR-106959ENR 0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-405314CLM CLM-405312CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405314CLM ENR-106958ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405314CLM ENR-106959ENR 0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52336TPACLM-405313CLM0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52336TPAENR-106958ENR0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405314CLM CLM-405313CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-405314 → UHC-90175-74 (George Sims)
ACT-009413, Claims processor
Outreach address correctedProposed
George Sims: 461 Jefferson Ave Apt 13, Plano → 461 Jefferson Ave, Plano
ACT-010805, Outreach
Care coordination outreachProposed
George Sims: 3 claims, no attributed provider
ACT-018062, Next-best-action
Duplicate member record retiredExecuted
George Sims: 2 enrollment records collapsed into UHC-90175-74
ACT-022297, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically12435eefbb
matching_agent, CLM-405313, identity id MBR-003838, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405312
2026-10-19 19:54:38Record linked automatically43bfbdfe86
matching_agent, ENR-106958, identity id MBR-003838, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405312
2026-10-19 19:54:38Record linked automaticallyf7bb85003e
scoring_agent, ENR-106959, identity id MBR-003838, confidence 1, method probabilistic, matched record TPA-52336, policy version 1
2026-10-19 19:54:38Record linked automatically29190fdfe7
scoring_agent, CLM-405312, identity id MBR-003838, confidence 1.00, method probabilistic, matched record TPA-52336, policy version 1
2026-10-19 19:54:38Record linked automatically32e2c7eea8
scoring_agent, TPA-52336, identity id MBR-003838, confidence 1, method probabilistic, matched record CLM-405314, policy version 1
2026-10-19 19:54:38Record linked automatically0d755c8622
scoring_agent, CLM-405314, identity id MBR-003838, confidence 1, method probabilistic, matched record TPA-52336, policy version 1
2026-10-19 19:52:08Record linked automaticallyad77eda13e
matching_agent, CLM-405313, identity id MBR-003838, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405312
2026-10-19 19:52:08Record linked automatically8bc87c7a12
matching_agent, ENR-106958, identity id MBR-003838, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405312
2026-10-19 19:52:08Record linked automatically9c1312fa48
scoring_agent, ENR-106959, identity id MBR-003838, confidence 1, method probabilistic, matched record TPA-52336, policy version 1
2026-10-19 19:52:08Record linked automatically37f8fea62f
scoring_agent, CLM-405312, identity id MBR-003838, confidence 1.00, method probabilistic, matched record TPA-52336, policy version 1
2026-10-19 19:52:08Record linked automaticallyd7646f8a80
scoring_agent, TPA-52336, identity id MBR-003838, confidence 1, method probabilistic, matched record CLM-405314, policy version 1
2026-10-19 19:52:08Record linked automatically2b7566f8ee
scoring_agent, CLM-405314, identity id MBR-003838, confidence 1, method probabilistic, matched record TPA-52336, policy version 1
2026-10-19 19:45:42Record linked automatically0e6102b4ba
matching_agent, CLM-405313, identity id MBR-003838, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405312
2026-10-19 19:45:42Record linked automatically48583ae885
matching_agent, ENR-106958, identity id MBR-003838, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405312
2026-10-19 19:45:42Record linked automatically23f4b9e773
scoring_agent, ENR-106959, identity id MBR-003838, confidence 1, method probabilistic, matched record TPA-52336, policy version 1
2026-10-19 19:45:42Record linked automaticallye9482c486d
scoring_agent, CLM-405312, identity id MBR-003838, confidence 1.00, method probabilistic, matched record TPA-52336, policy version 1
2026-10-19 19:45:42Record linked automaticallyc655b51536
scoring_agent, TPA-52336, identity id MBR-003838, confidence 1, method probabilistic, matched record CLM-405314, policy version 1
2026-10-19 19:45:42Record linked automatically7817aa3067
scoring_agent, CLM-405314, identity id MBR-003838, confidence 1, method probabilistic, matched record TPA-52336, policy version 1
2026-10-19 19:32:31Record linked automatically232bda70a2
matching_agent, CLM-405313, identity id MBR-003838, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405312
2026-10-19 19:32:31Record linked automatically26abbd229d
matching_agent, ENR-106958, identity id MBR-003838, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405312
2026-10-19 19:32:31Record linked automaticallyc1ea44e652
scoring_agent, ENR-106959, identity id MBR-003838, confidence 1, method probabilistic, matched record TPA-52336, policy version 1
2026-10-19 19:32:31Record linked automaticallye83ef612c4
scoring_agent, CLM-405312, identity id MBR-003838, confidence 1.00, method probabilistic, matched record TPA-52336, policy version 1
2026-10-19 19:32:31Record linked automaticallyc19bbc04a0
scoring_agent, TPA-52336, identity id MBR-003838, confidence 1, method probabilistic, matched record CLM-405314, policy version 1
2026-10-19 19:32:31Record linked automatically9813576846
scoring_agent, CLM-405314, identity id MBR-003838, confidence 1, method probabilistic, matched record TPA-52336, policy version 1
2026-10-19 19:31:28Record linked automatically9ea5e7f73a
matching_agent, TPA-52336, identity id MBR-043329, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-405208
2026-10-19 19:31:28Record linked automatically5dc41807d9
scoring_agent, CLM-405314, identity id MBR-027099, confidence 0.93, method probabilistic, matched record TPA-52379, policy version 1
2026-10-19 19:31:28Record linked automatically490c4dd3ec
scoring_agent, CLM-405312, identity id MBR-025923, confidence 1, method probabilistic, matched record CLM-405311, policy version 1
2026-10-19 19:31:28Record linked automatically0db5ef0dfb
matching_agent, ENR-106959, identity id MBR-016542, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405303
2026-10-19 19:31:28Record linked automatically093dd8f858
matching_agent, CLM-405313, identity id MBR-002956, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106967

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-2026-005951	2026-08-10	Sunrise Cardiovascular Associates out of network	93306, 93015	$1,865.00	$0.00	Approved	Approved
CLM-2026-013415	2026-02-23	Evergreen Family Practice in network	99214	$282.00	$134.84	Approved	Approved
CLM-2026-030803	2025-08-16	Heritage Medical Group in network	93000, 99214	$382.00	—	Denied	Denied