Identities/MBR-005298
Gold, golden identity

Nancy Simpson

3 source records from 3 feeds.

MBR-005298Verified3 records

Golden record

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

First nameENR
Nancy
Middle name—
—
Last nameENR
Simpson
Date of birthENR
1956-04-01
GenderCLM
M
Member IDENR
UHC-55422-71
SSNENR
•••-••-3431
PhoneENR
2059585506
EmailENR
nancy.simpson@proton.me
AddressCLM
5617 Jefferson Ave # 110
CityENR
Sacramento
StateENR
CA
ZIPENR
95828
GroupENR
GRP-8771
PlanENR
CHOICE-PLUS-PPO
Min confidence
1.00
Sources
TPA ×1ENR ×1CLM ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.00TPATPA-53860ENRENR-111609CLMCLM-408793IDMBR-005298
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
TPA-53860TPA2026-01-17Nancy Simpsonflagged1956-04-01UHC-55422-7120595855065617 Jefferson Ave, Sacramento, CAScored1.00—
ENR-111609ENR2026-07-27Nancy Simpsonflagged1956-04-01UHC-55422-7120595855065617 Jefferson Ave, Sacramento, CAScored1.00—
CLM-408793CLM2026-10-16Nancy Simpsonflagged1956-04-01—20595855065617 Jefferson Ave # 110, Sacramento, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-53860TPACLM-408793CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-111609ENRCLM-408793CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-53860TPAENR-111609ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-408793 → UHC-55422-71 (Nancy Simpson)
    ACT-003143, Claims processor
  • Outreach address correctedProposed
    Nancy Simpson: 5617 Jefferson Ave, Sacramento → 5617 Jefferson Ave # 110, Sacramento
    ACT-010951, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically9c4098da0a
    scoring_agent, CLM-408793, identity id MBR-005298, confidence 1, method probabilistic, matched record TPA-53860, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd6c1c5b6ab
    scoring_agent, ENR-111609, identity id MBR-005298, confidence 1, method probabilistic, matched record CLM-408793, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb68af3ba7f
    scoring_agent, TPA-53860, identity id MBR-005298, confidence 1, method probabilistic, matched record CLM-408793, policy version 1
  • 2026-10-19 19:52:08Record linked automatically423c5b64d0
    scoring_agent, CLM-408793, identity id MBR-005298, confidence 1, method probabilistic, matched record TPA-53860, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallya44a03346e
    scoring_agent, ENR-111609, identity id MBR-005298, confidence 1, method probabilistic, matched record CLM-408793, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyadeb34cb01
    scoring_agent, TPA-53860, identity id MBR-005298, confidence 1, method probabilistic, matched record CLM-408793, policy version 1
  • 2026-10-19 19:45:42Record linked automatically26d7cfc906
    scoring_agent, CLM-408793, identity id MBR-005298, confidence 1, method probabilistic, matched record TPA-53860, policy version 1
  • 2026-10-19 19:45:42Record linked automatically75a39132dd
    scoring_agent, ENR-111609, identity id MBR-005298, confidence 1, method probabilistic, matched record CLM-408793, policy version 1
  • 2026-10-19 19:45:42Record linked automatically991d1fd58b
    scoring_agent, TPA-53860, identity id MBR-005298, confidence 1, method probabilistic, matched record CLM-408793, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4b42a66c5a
    scoring_agent, CLM-408793, identity id MBR-005298, confidence 1, method probabilistic, matched record TPA-53860, policy version 1
  • 2026-10-19 19:32:31Record linked automatically15b08df6a1
    scoring_agent, ENR-111609, identity id MBR-005298, confidence 1, method probabilistic, matched record CLM-408793, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4c2981ad1f
    scoring_agent, TPA-53860, identity id MBR-005298, confidence 1, method probabilistic, matched record CLM-408793, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0b52969023
    scoring_agent, TPA-53860, identity id MBR-012941, confidence 1, method probabilistic, matched record ENR-111471, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0068362026-10-14Summit Regional Medical Center
in network
71046$176.00$0.00ApprovedApproved