Identities/MBR-004525
Gold, golden identity

Kimberly Simmons

3 source records from 2 feeds.

MBR-004525Verified3 records

Golden record

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

First nameENR
Kimberly
Middle name—
—
Last nameENR
Simmons
Date of birthENR
1997-02-12
GenderENR
F
Member IDENR
UHC-05418-33
SSNENR
•••-••-5697
PhoneCLM
6722663609
Email—
—
AddressENR
5330 Park Pl
CityENR
Miami
StateENR
FL
ZIPENR
33186
GroupENR
GRP-2967
PlanENR
OPTIONS-PPO
Min confidence
0.97
Sources
ENR ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.970.99ENRENR-125645CLMCLM-419471CLMCLM-419469IDMBR-004525
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-125645ENR2026-01-15Kimberly Simmonsflagged1997-02-12UHC-05418-33—5330 Park Pl, Miami, FLRule0.99D1 member id + dob exact
CLM-419471CLM2026-08-15Kimberly Simmonsflagged1997-02-12——5330 Park Pl, Miami, FLRule0.97D2 ssn4 + dob + last name
CLM-419469CLM2026-09-06Kimberly Simmonsflagged1997-02-12UHC-05418-336722663609—Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-125645ENRCLM-419469CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-125645ENRCLM-419471CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-419471CLMCLM-419469CLM0.83Scoredweighted 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-419471 → UHC-05418-33 (Kimberly Simmons)
    ACT-002540, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically1fa539f1ba
    matching_agent, CLM-419469, identity id MBR-004525, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125645
  • 2026-10-19 19:54:38Record linked automaticallycb8968c464
    matching_agent, CLM-419471, identity id MBR-004525, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-125645
  • 2026-10-19 19:54:38Record linked automatically5b01ebb4eb
    matching_agent, ENR-125645, identity id MBR-004525, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419469
  • 2026-10-19 19:52:08Record linked automatically0a29a3a596
    matching_agent, CLM-419469, identity id MBR-004525, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125645
  • 2026-10-19 19:52:08Record linked automatically6d21652a50
    matching_agent, CLM-419471, identity id MBR-004525, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-125645
  • 2026-10-19 19:52:08Record linked automaticallyee8a6438cc
    matching_agent, ENR-125645, identity id MBR-004525, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419469
  • 2026-10-19 19:45:42Record linked automaticallyc52fc8000a
    matching_agent, CLM-419469, identity id MBR-004525, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125645
  • 2026-10-19 19:45:42Record linked automaticallybf8f786d1a
    matching_agent, CLM-419471, identity id MBR-004525, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-125645
  • 2026-10-19 19:45:42Record linked automatically77677a0c48
    matching_agent, ENR-125645, identity id MBR-004525, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419469
  • 2026-10-19 19:32:31Record linked automatically770522354f
    matching_agent, CLM-419469, identity id MBR-004525, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125645
  • 2026-10-19 19:32:31Record linked automatically839e9f16ea
    matching_agent, CLM-419471, identity id MBR-004525, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-125645
  • 2026-10-19 19:32:31Record linked automatically5679eed5a3
    matching_agent, ENR-125645, identity id MBR-004525, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419469
  • 2026-10-19 19:31:28Record linked automatically868ab30a01
    scoring_agent, CLM-419471, identity id MBR-021375, confidence 1, method probabilistic, matched record TPA-58481, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8d291cb586
    matching_agent, CLM-419469, identity id MBR-010534, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-125540

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0288882026-08-26Evergreen Digestive Health Center
in network
43239$1,810.00$0.00ApprovedApproved
CLM-2026-0045522026-07-06Meadow Primary Care Associates
in network
36415, 99213$177.00$101.68ApprovedApproved