Identities/MBR-003975
Gold, golden identity

Scott F Sims

3 source records from 1 feed.

MBR-003975Verified3 records

Golden record

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

First nameCLM
Scott
Middle nameCLM
F
Last nameCLM
Sims
Date of birthCLM
1974-05-06
GenderCLM
F
Member IDCLM
UHC-03945-14
SSNCLM
•••-••-5809
PhoneCLM
9354293768
Email—
—
AddressCLM
3054 Maple Ave
CityCLM
San Antonio
StateCLM
TX
ZIP—
—
GroupCLM
GRP-8853
PlanCLM
CORE-HMO
Min confidence
0.99
Sources
CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.99CLMCLM-418327CLMCLM-418325CLMCLM-418326IDMBR-003975
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-418327CLM2026-01-13Scott Simsflagged1974-05-06UHC-03945-1493542937683054 Maple Ave, San Antonio, TXRule0.99D1 member id + dob exact
CLM-418325CLM2026-01-26Scott Simsflagged1974-05-06UHC-03945-14——Rule0.99D1 member id + dob exact
CLM-418326CLM2026-05-29Scott Simsflagged1974-05-06UHC-03945-14——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-418327CLMCLM-418325CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-418327CLMCLM-418326CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-418325CLMCLM-418326CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Scott Sims: 3 claims, no attributed provider
    ACT-018077, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically79782dfbcf
    matching_agent, CLM-418326, identity id MBR-003975, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418327
  • 2026-10-22 12:43:53Record linked automatically5c08b6dd44
    matching_agent, CLM-418325, identity id MBR-003975, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418327
  • 2026-10-22 12:43:53Record linked automatically87a72ce0f7
    matching_agent, CLM-418327, identity id MBR-003975, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418325
  • 2026-10-19 19:54:38Record linked automatically810d1007d7
    matching_agent, CLM-418326, identity id MBR-003975, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418327
  • 2026-10-19 19:54:38Record linked automaticallyff3075bb91
    matching_agent, CLM-418325, identity id MBR-003975, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418327
  • 2026-10-19 19:54:38Record linked automaticallyf476f584cc
    matching_agent, CLM-418327, identity id MBR-003975, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418325
  • 2026-10-19 19:52:08Record linked automaticallyd5d24fabb7
    matching_agent, CLM-418326, identity id MBR-003975, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418327
  • 2026-10-19 19:52:08Record linked automatically885e7cf1ed
    matching_agent, CLM-418325, identity id MBR-003975, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418327
  • 2026-10-19 19:52:08Record linked automaticallyfe7f519d34
    matching_agent, CLM-418327, identity id MBR-003975, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418325
  • 2026-10-19 19:45:42Record linked automaticallydd086fa55a
    matching_agent, CLM-418326, identity id MBR-003975, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418327
  • 2026-10-19 19:45:42Record linked automatically1832a3abf3
    matching_agent, CLM-418325, identity id MBR-003975, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418327
  • 2026-10-19 19:45:42Record linked automaticallyf2676c08e2
    matching_agent, CLM-418327, identity id MBR-003975, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418325
  • 2026-10-19 19:32:31Record linked automatically77850828d6
    matching_agent, CLM-418326, identity id MBR-003975, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418327
  • 2026-10-19 19:32:31Record linked automatically1d364a6c4f
    matching_agent, CLM-418325, identity id MBR-003975, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418327
  • 2026-10-19 19:32:31Record linked automatically30afb39360
    matching_agent, CLM-418327, identity id MBR-003975, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418325
  • 2026-10-19 19:31:28Record linked automatically8d451f1b24
    matching_agent, CLM-418326, identity id MBR-036941, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-58006
  • 2026-10-19 19:31:28Record linked automaticallydc9bd7daf8
    scoring_agent, CLM-418327, identity id MBR-015902, confidence 1.00, method probabilistic, matched record PRV-25344, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0028032026-05-08Meadow Medical Group
in network
99213, 99395, 36415$473.00$273.26ApprovedApproved
CLM-2026-0249432026-01-06Unity Imaging Center
out of network
74177, 76700$2,448.00—DeniedDenied
CLM-2026-0076472025-12-20Canyon Clinical Laboratories
in network
85025, 80061$92.00$0.00ApprovedApproved