Identities/MBR-004143
Gold, golden identity

Doris L Sims

4 source records from 3 feeds.

MBR-004143Verified4 records

Golden record

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

First nameENR
Doris
Middle nameENR
L
Last nameENR
Sims
Date of birthENR
1987-06-10
GenderENR
M
Member IDENR
UHC-19611-18
SSNENR
•••-••-7341
PhoneENR
5789359821
Email—
—
AddressENR
9430 Grand Ave
CityENR
Chandler
StateENR
AZ
ZIPENR
85247
GroupENR
GRP-3623
PlanENR
OPTIONS-PPO
Min confidence
0.97
Sources
ENR ×1CLM ×2TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.990.97ENRENR-114332CLMCLM-410931CLMCLM-410932TPATPA-54786IDMBR-004143
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
ENR-114332ENR2026-01-14Doris Simsflagged1987-06-10UHC-19611-1857893598219430 Grand Ave, Chandler, AZRule0.99D1 member id + dob exact
CLM-410931CLM2026-05-27Doris Simmsflagged1987-06-10UHC-19611-18—2883 Oak St, San Diego, CARule0.99D1 member id + dob exact
CLM-410932CLM2026-06-27Doris Simsflagged1987-06-10UHC-19611-1857893598219430 Grand Ave, Chandler, AZRule0.99D1 member id + dob exact
TPA-54786TPA2026-09-21Doris Symsflagged1987-06-10—57893598219430 Grand Ave, Chandler, AZScored0.97—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-114332ENRCLM-410931CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-114332ENRCLM-410932CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-410931CLMCLM-410932CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-114332ENRTPA-54786TPA0.97Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.913
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-410932CLMTPA-54786TPA0.97Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.913
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-410931CLMTPA-54786TPA0.71Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.883
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: 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

  • 2026-10-22 12:43:53Record linked automaticallyd8da59824d
    scoring_agent, TPA-54786, identity id MBR-004143, confidence 0.97, method probabilistic, matched record ENR-114332, policy version 1
  • 2026-10-22 12:43:53Record linked automatically947247017c
    matching_agent, CLM-410932, identity id MBR-004143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114332
  • 2026-10-22 12:43:53Record linked automatically434d88f596
    matching_agent, CLM-410931, identity id MBR-004143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114332
  • 2026-10-22 12:43:53Record linked automatically9eb0fa0863
    matching_agent, ENR-114332, identity id MBR-004143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410931
  • 2026-10-19 19:54:38Record linked automatically8bec125038
    scoring_agent, TPA-54786, identity id MBR-004143, confidence 0.97, method probabilistic, matched record ENR-114332, policy version 1
  • 2026-10-19 19:54:38Record linked automatically87ff9b4eb9
    matching_agent, CLM-410932, identity id MBR-004143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114332
  • 2026-10-19 19:54:38Record linked automaticallya1a6ff0c87
    matching_agent, CLM-410931, identity id MBR-004143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114332
  • 2026-10-19 19:54:38Record linked automaticallyabcad040ff
    matching_agent, ENR-114332, identity id MBR-004143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410931
  • 2026-10-19 19:52:08Record linked automaticallyb41a22ec38
    scoring_agent, TPA-54786, identity id MBR-004143, confidence 0.97, method probabilistic, matched record ENR-114332, policy version 1
  • 2026-10-19 19:52:08Record linked automatically3a36c6f3d9
    matching_agent, CLM-410932, identity id MBR-004143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114332
  • 2026-10-19 19:52:08Record linked automaticallycae16d1605
    matching_agent, CLM-410931, identity id MBR-004143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114332
  • 2026-10-19 19:52:08Record linked automatically782520818d
    matching_agent, ENR-114332, identity id MBR-004143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410931
  • 2026-10-19 19:45:42Record linked automatically0e2948158e
    scoring_agent, TPA-54786, identity id MBR-004143, confidence 0.97, method probabilistic, matched record ENR-114332, policy version 1
  • 2026-10-19 19:45:42Record linked automatically401952869c
    matching_agent, CLM-410932, identity id MBR-004143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114332
  • 2026-10-19 19:45:42Record linked automatically9466ab0c9d
    matching_agent, CLM-410931, identity id MBR-004143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114332
  • 2026-10-19 19:45:42Record linked automatically0400c81675
    matching_agent, ENR-114332, identity id MBR-004143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410931
  • 2026-10-19 19:32:31Record linked automatically9d6081c955
    scoring_agent, TPA-54786, identity id MBR-004143, confidence 0.97, method probabilistic, matched record ENR-114332, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6b3bb002ad
    matching_agent, CLM-410932, identity id MBR-004143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114332
  • 2026-10-19 19:32:31Record linked automatically76b6aed16f
    matching_agent, CLM-410931, identity id MBR-004143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114332
  • 2026-10-19 19:32:31Record linked automatically1b9e4f12f7
    matching_agent, ENR-114332, identity id MBR-004143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410931
  • 2026-10-19 19:31:28Record linked automatically6f88c43279
    matching_agent, CLM-410931, identity id MBR-043956, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-114493
  • 2026-10-19 19:31:28Record linked automatically82ba637e8f
    scoring_agent, CLM-410932, identity id MBR-028278, confidence 1, method probabilistic, matched record ENR-114502, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye4ff240605
    matching_agent, ENR-114332, identity id MBR-001722, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114330

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0311932026-06-19Pinecrest Heart Institute
in network
93015$667.00$0.00ApprovedApproved
CLM-2026-0183692026-04-21Sunrise Counseling Center
in network
70553$3,399.00—Needs reviewNeeds review