Elizabeth Simmons

4 source records from 4 feeds.

MBR-004148Verified4 records

Golden record

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

First nameENR: Elizabeth
Middle name—: —
Last nameENR: Simmons
Date of birthENR: 1985-06-17
GenderENR: M
Member IDENR: UHC-07694-89
SSNENR: •••-••-0695
PhoneENR: 9257653754
EmailENR: elizabeth.simmons@yahoo.com
AddressENR: 9041 Baseline Rd
CityENR: Fresno
StateENR: CA
ZIPENR: 93797
GroupENR: GRP-1867
PlanENR: NAVIGATE-HMO

Min confidence

0.94

Sources

PRV ×1TPA ×1ENR ×1CLM ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
PRV-25653	PRV	2026-01-14	Elizabeth Simmonsflagged	1985-06-17	—	9257653754	9041 Baseline Rd, Fresno, CA	Scored	0.94	—
TPA-58412	TPA	2026-01-31	Elizabeth Simmonsflagged	1985-06-17	—	—	9041 Baseline Rd, Fresno, CA	Scored	1.00	—
ENR-124987	ENR	2026-03-11	Elizabeth Simmonsflagged	1985-06-17	UHC-07694-89	9257653754	9041 Baseline Rd, Fresno, CA	Scored	1.00	—
CLM-418974	CLM	2026-10-05	Elizabeth Simmonsflagged	1985-06-17	—	9257653754	9041 Baseline Rd, Fresno, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-58412TPACLM-418974CLM1.00Scoredweighted 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-58412TPAENR-124987ENR1.00Scoredweighted 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-124987ENRCLM-418974CLM0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-25653PRVCLM-418974CLM0.94Scoredweighted 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

▶PRV-25653PRVENR-124987ENR0.94Scoredweighted 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

▶PRV-25653PRVTPA-58412TPA0.93Scoredweighted 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-418974 → UHC-07694-89 (Elizabeth Simmons)
ACT-005291, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automaticallyd0a63ac81d
scoring_agent, CLM-418974, identity id MBR-004148, confidence 1, method probabilistic, matched record TPA-58412, policy version 1
2026-10-22 12:43:53Record linked automatically54dbf957d0
scoring_agent, ENR-124987, identity id MBR-004148, confidence 1, method probabilistic, matched record TPA-58412, policy version 1
2026-10-22 12:43:53Record linked automaticallybd95925765
scoring_agent, TPA-58412, identity id MBR-004148, confidence 1, method probabilistic, matched record ENR-124987, policy version 1
2026-10-22 12:43:53Record linked automatically7b7ec68487
scoring_agent, PRV-25653, identity id MBR-004148, confidence 0.94, method probabilistic, matched record ENR-124987, policy version 1
2026-10-19 19:54:38Record linked automaticallycb6ed5decb
scoring_agent, CLM-418974, identity id MBR-004148, confidence 1, method probabilistic, matched record TPA-58412, policy version 1
2026-10-19 19:54:38Record linked automatically54f135dbf1
scoring_agent, ENR-124987, identity id MBR-004148, confidence 1, method probabilistic, matched record TPA-58412, policy version 1
2026-10-19 19:54:38Record linked automatically350fd2209b
scoring_agent, TPA-58412, identity id MBR-004148, confidence 1, method probabilistic, matched record ENR-124987, policy version 1
2026-10-19 19:54:38Record linked automatically3eedbeeb8b
scoring_agent, PRV-25653, identity id MBR-004148, confidence 0.94, method probabilistic, matched record ENR-124987, policy version 1
2026-10-19 19:52:08Record linked automatically3c30b3e21c
scoring_agent, CLM-418974, identity id MBR-004148, confidence 1, method probabilistic, matched record TPA-58412, policy version 1
2026-10-19 19:52:08Record linked automatically54f8e91746
scoring_agent, ENR-124987, identity id MBR-004148, confidence 1, method probabilistic, matched record TPA-58412, policy version 1
2026-10-19 19:52:08Record linked automaticallyeac825610d
scoring_agent, TPA-58412, identity id MBR-004148, confidence 1, method probabilistic, matched record ENR-124987, policy version 1
2026-10-19 19:52:08Record linked automatically2b3f122dfb
scoring_agent, PRV-25653, identity id MBR-004148, confidence 0.94, method probabilistic, matched record ENR-124987, policy version 1
2026-10-19 19:45:42Record linked automatically7c031b6f81
scoring_agent, CLM-418974, identity id MBR-004148, confidence 1, method probabilistic, matched record TPA-58412, policy version 1
2026-10-19 19:45:42Record linked automatically723c8717f5
scoring_agent, ENR-124987, identity id MBR-004148, confidence 1, method probabilistic, matched record TPA-58412, policy version 1
2026-10-19 19:45:42Record linked automatically744a1d2769
scoring_agent, TPA-58412, identity id MBR-004148, confidence 1, method probabilistic, matched record ENR-124987, policy version 1
2026-10-19 19:45:42Record linked automatically1916aa632a
scoring_agent, PRV-25653, identity id MBR-004148, confidence 0.94, method probabilistic, matched record ENR-124987, policy version 1
2026-10-19 19:32:31Record linked automatically1395e9b861
scoring_agent, CLM-418974, identity id MBR-004148, confidence 1, method probabilistic, matched record TPA-58412, policy version 1
2026-10-19 19:32:31Record linked automatically079907953e
scoring_agent, ENR-124987, identity id MBR-004148, confidence 1, method probabilistic, matched record TPA-58412, policy version 1
2026-10-19 19:32:31Record linked automaticallycabda59873
scoring_agent, TPA-58412, identity id MBR-004148, confidence 1, method probabilistic, matched record ENR-124987, policy version 1
2026-10-19 19:32:31Record linked automaticallyae54c16099
scoring_agent, PRV-25653, identity id MBR-004148, confidence 0.94, method probabilistic, matched record ENR-124987, policy version 1
2026-10-19 19:31:28Record linked automaticallye146b6d5ff
scoring_agent, TPA-58412, identity id MBR-034358, confidence 1, method probabilistic, matched record ENR-125279, policy version 1
2026-10-19 19:31:28Record linked automaticallye4aede44e0
matching_agent, PRV-25653, identity id MBR-025892, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419333
2026-10-19 19:31:28Record linked automatically7ab7dc1335
matching_agent, CLM-418974, identity id MBR-017516, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418973

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-2026-014999	2026-09-04	Pinecrest Regional Medical Center in network	96374	$160.00	$0.00	Approved	Approved