Identities/MBR-004399
Gold, golden identity

William Simpson

4 source records from 3 feeds.

MBR-004399Verified4 records

Golden record

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

First nameENR
William
Middle name—
—
Last nameENR
Simpson
Date of birthENR
1999-12-22
GenderENR
F
Member IDENR
UHC-87572-94
SSNENR
•••-••-3529
PhoneENR
6799464475
EmailENR
william.simpson34@gmail.com
AddressENR
4472 Baseline Rd
CityENR
Scottsdale
StateENR
AZ
ZIPENR
85240
GroupENR
GRP-0928
PlanENR
SELECT-EPO
Min confidence
0.99
Sources
CLM ×2ENR ×1PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.001.00CLMCLM-405723ENRENR-107528PRVPRV-21663CLMCLM-405724IDMBR-004399
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-405723CLM2026-01-14William Simpsonflagged1999-12-22UHC-87572-94——Rule0.99D1 member id + dob exact
ENR-107528ENR2026-03-25William Simpsonflagged1999-12-22UHC-87572-9467994644754472 Baseline Rd, Scottsdale, AZScored1.00—
PRV-21663PRV2026-08-27William Simpsonflagged1999-12-22—67994644754472 Baseline Rd, Scottsdale, AZScored1.00—
CLM-405724CLM2026-10-17Will Simpsonflagged1999-12-22——4472 Baseline Rd, Scottsdale, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶PRV-21663PRVCLM-405724CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-107528ENRPRV-21663PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-405723CLMENR-107528ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-107528ENRCLM-405724CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-405723CLMCLM-405724CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-405723CLMPRV-21663PRV0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-405724 → UHC-87572-94 (William Simpson)
    ACT-008235, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically1a2b58917f
    scoring_agent, CLM-405724, identity id MBR-004399, confidence 1, method probabilistic, matched record PRV-21663, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc97a6fb198
    scoring_agent, PRV-21663, identity id MBR-004399, confidence 1, method probabilistic, matched record ENR-107528, policy version 1
  • 2026-10-19 19:54:38Record linked automatically32932d89c2
    scoring_agent, ENR-107528, identity id MBR-004399, confidence 1, method probabilistic, matched record PRV-21663, policy version 1
  • 2026-10-19 19:54:38Record linked automatically55730df24c
    matching_agent, CLM-405723, identity id MBR-004399, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107528
  • 2026-10-19 19:52:08Record linked automaticallyce6e57c882
    scoring_agent, CLM-405724, identity id MBR-004399, confidence 1, method probabilistic, matched record PRV-21663, policy version 1
  • 2026-10-19 19:52:08Record linked automatically5b5ba87a9f
    scoring_agent, PRV-21663, identity id MBR-004399, confidence 1, method probabilistic, matched record ENR-107528, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyc76e975a48
    scoring_agent, ENR-107528, identity id MBR-004399, confidence 1, method probabilistic, matched record PRV-21663, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallycb2d472e40
    matching_agent, CLM-405723, identity id MBR-004399, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107528
  • 2026-10-19 19:45:42Record linked automaticallyb473b87db1
    scoring_agent, CLM-405724, identity id MBR-004399, confidence 1, method probabilistic, matched record PRV-21663, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye2e90d555f
    scoring_agent, PRV-21663, identity id MBR-004399, confidence 1, method probabilistic, matched record ENR-107528, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7ed1a9a859
    scoring_agent, ENR-107528, identity id MBR-004399, confidence 1, method probabilistic, matched record PRV-21663, policy version 1
  • 2026-10-19 19:45:42Record linked automatically047bd23cdf
    matching_agent, CLM-405723, identity id MBR-004399, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107528
  • 2026-10-19 19:32:31Record linked automatically933564893d
    scoring_agent, CLM-405724, identity id MBR-004399, confidence 1, method probabilistic, matched record PRV-21663, policy version 1
  • 2026-10-19 19:32:31Record linked automatically514b191154
    scoring_agent, PRV-21663, identity id MBR-004399, confidence 1, method probabilistic, matched record ENR-107528, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb7d3bbe3d2
    scoring_agent, ENR-107528, identity id MBR-004399, confidence 1, method probabilistic, matched record PRV-21663, policy version 1
  • 2026-10-19 19:32:31Record linked automatically45a6c4e08d
    matching_agent, CLM-405723, identity id MBR-004399, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107528
  • 2026-10-19 19:31:28Record linked automaticallye7ce9eafbf
    matching_agent, CLM-405724, identity id MBR-033037, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-107483
  • 2026-10-19 19:31:28Record linked automatically217caac0be
    scoring_agent, PRV-21663, identity id MBR-015299, confidence 1, method probabilistic, matched record CLM-405556, policy version 1
  • 2026-10-19 19:31:28Record linked automatically961e1a9c9a
    matching_agent, CLM-405723, identity id MBR-003382, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107482
  • 2026-10-19 19:31:28Record linked automatically0f336ca03c
    scoring_agent, ENR-107528, identity id MBR-003321, confidence 1, method probabilistic, matched record TPA-52564, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0261232026-10-14Mesa Internal Medicine Associates
out of network
93000, 80053$135.00—DeniedDenied
CLM-2026-0246782025-12-30Meadow Dermatology Clinic
in network
17110, 99213, 11102$664.00$336.68ApprovedApproved