Identities/MBR-005284
Gold, golden identity

Joshua X Simmons

6 source records from 2 feeds.

MBR-005284Verified6 records

Golden record

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

First nameENR
Joshua
Middle nameENR
X
Last nameENR
Simmons
Date of birthENR
1974-12-28
GenderENR
F
Member IDENR
UHC-19558-30
SSNENR
•••-••-4734
PhoneENR
5789115047
EmailENR
joshua.simmons8@outlook.com
AddressENR
1213 Main St
CityENR
Seattle
StateENR
WA
ZIPENR
98148
GroupENR
GRP-9345
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×5ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.990.990.99CLMCLM-415814CLMCLM-415812CLMCLM-415813CLMCLM-415811CLMCLM-415815ENRENR-120823IDMBR-005284
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-415814CLM2026-01-17Joshua Simmonsflagged1974-12-28UHC-19558-3057891150471213 Main St, Seattle, WARule0.99D1 member id + dob exact
CLM-415812CLM2026-03-12Joshua Simmonsflagged1974-12-28UHC-19558-30—1213 Main St, Seattle, WARule0.99D1 member id + dob exact
CLM-415813CLM2026-03-12Joshua Simmonsflagged1974-12-28UHC-19558-30—1213 Main St, Seattle, WARule0.99D1 member id + dob exact
CLM-415811CLM2026-04-24Joshua Simmonsflagged1974-12-28UHC-19558-3057891150471213 Main St, Seattle, WARule0.99D1 member id + dob exact
CLM-415815CLM2026-06-15Joshua Simmonsflagged1974-12-28UHC-19558-30—1213 Main St, Seattle, WARule0.99D1 member id + dob exact
ENR-120823ENR2026-09-28Joshua Simmonsflagged1974-12-28UHC-19558-3057891150471213 Main St, Seattle, WARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-415814CLMCLM-415811CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-415812CLM CLM-415811CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415813CLM CLM-415811CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415814CLMCLM-415812CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-415814CLMCLM-415813CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-415812CLM CLM-415813CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-415814CLMCLM-415815CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415812CLM CLM-415815CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415813CLM CLM-415815CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415811CLMCLM-415815CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415814CLMENR-120823ENR0.99RuleD1 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-415812CLM ENR-120823ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-415813CLM ENR-120823ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-415811CLMENR-120823ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-415815CLMENR-120823ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Joshua Simmons: 5 claims, no attributed provider
    ACT-018190, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallye1d4e3cf13
    matching_agent, ENR-120823, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:54:38Record linked automatically1de0b57d62
    matching_agent, CLM-415815, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:54:38Record linked automatically6b3e495d09
    matching_agent, CLM-415811, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:54:38Record linked automatically913a2233c4
    matching_agent, CLM-415813, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:54:38Record linked automatically80f3738404
    matching_agent, CLM-415812, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:54:38Record linked automatically54a31a8b21
    matching_agent, CLM-415814, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415812
  • 2026-10-19 19:52:08Record linked automatically467d3f44ba
    matching_agent, ENR-120823, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:52:08Record linked automaticallyc124438ec2
    matching_agent, CLM-415815, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:52:08Record linked automatically9522e82c44
    matching_agent, CLM-415811, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:52:08Record linked automatically19de72cb7b
    matching_agent, CLM-415813, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:52:08Record linked automatically4bed3aaca2
    matching_agent, CLM-415812, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:52:08Record linked automatically37d882740b
    matching_agent, CLM-415814, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415812
  • 2026-10-19 19:45:42Record linked automaticallybf5478c21b
    matching_agent, ENR-120823, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:45:42Record linked automaticallya0f1877fbd
    matching_agent, CLM-415815, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:45:42Record linked automaticallyeaf6708a0c
    matching_agent, CLM-415811, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:45:42Record linked automatically771bf70c63
    matching_agent, CLM-415813, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:45:42Record linked automaticallyaa443cc2fc
    matching_agent, CLM-415812, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:45:42Record linked automatically28f0b68cbc
    matching_agent, CLM-415814, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415812
  • 2026-10-19 19:32:31Record linked automatically1a50c90dc1
    matching_agent, ENR-120823, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:32:31Record linked automaticallya898e400e6
    matching_agent, CLM-415815, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:32:31Record linked automaticallye7a5c2e2ed
    matching_agent, CLM-415811, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:32:31Record linked automatically507dd65699
    matching_agent, CLM-415813, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:32:31Record linked automaticallyfcea986d29
    matching_agent, CLM-415812, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415814
  • 2026-10-19 19:32:31Record linked automaticallyb88b544c37
    matching_agent, CLM-415814, identity id MBR-005284, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415812
  • 2026-10-19 19:31:28Record linked automaticallydf21e9c331
    scoring_agent, CLM-415811, identity id MBR-034723, confidence 1, method probabilistic, matched record CLM-415810, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybf06758f45
    matching_agent, ENR-120823, identity id MBR-018514, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120822
  • 2026-10-19 19:31:28Record linked automatically0243320605
    scoring_agent, CLM-415812, identity id MBR-014302, confidence 1, method probabilistic, matched record CLM-415813, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0ea15a01c6
    scoring_agent, CLM-415813, identity id MBR-014302, confidence 1, method probabilistic, matched record CLM-415812, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd5e5da53df
    scoring_agent, CLM-415814, identity id MBR-001415, confidence 1, method probabilistic, matched record PRV-24641, policy version 1
  • 2026-10-19 19:31:28Record linked automatically388fc7e1c8
    scoring_agent, CLM-415815, identity id MBR-001415, confidence 1, method probabilistic, matched record PRV-24641, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0336022026-05-02Mesa Clinical Laboratories
in network
85025$38.00$0.00ApprovedApproved
CLM-2026-0160342026-04-15Mesa Internal Medicine Associates
out of network
99232, 99215$625.00—Needs reviewNeeds review
CLM-2026-0266422026-02-01Harbor Medical Group
in network
70553$3,563.00—Needs reviewNeeds review
CLM-2026-0238722026-02-26Summit Diagnostic Imaging
in network
74177$2,340.00$811.32ApprovedApproved
CLM-2026-0243402025-12-13Summit Clinical Laboratories
in network
80053, 87086$143.00$0.00ApprovedApproved