Identities/MBR-006326

Gold, golden identity

Ethan S Sims

5 source records from 4 feeds.

MBR-006326Verified5 records

Golden record

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

First nameENR: Ethan
Middle nameENR: S
Last nameENR: Sims
Date of birthENR: 1969-05-08
GenderPRV: F
Member IDENR: UHC-64045-26
SSNENR: •••-••-0965
PhoneENR: 6139380739
EmailENR: ethan.sims36@yahoo.com
AddressENR: 6288 Elm St
CityENR: Plano
StateENR: TX
ZIP—: —
GroupENR: GRP-0141
PlanENR: SELECT-EPO

Min confidence

0.94

Sources

CLM ×2ENR ×1PRV ×1TPA ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
CLM-425249	CLM	2026-01-21	Ethan Simsflagged	1969-05-08	UHC-64045-26	—	6288 Elm St, Plano, TX	Scored	1.00	—
ENR-133035	ENR	2026-02-20	Ethan Simsflagged	1969-05-08	UHC-64045-26	6139380739	6288 Elm St, Plano, TX	Rule	0.99	D1 member id + dob exact
CLM-425250	CLM	2026-04-09	Ethan Simsflagged	1969-05-08	—	—	6288 Elm St # 903, Plano, TX	Scored	1.00	—
PRV-27428	PRV	2026-04-12	Ethan Simsflagged	1969-05-08	UHC-64045-26	6139380739	6288 Elm St, Plano, TX	Scored	1.00	—
TPA-61146	TPA	2026-06-03	Ethan Simsflagged	1969-05-08	—	6139380739	6288 Elm St, Plano, TX	Scored	0.94	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-425249CLMCLM-425250CLM1.00Scoredweighted 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

▶CLM-425250CLMPRV-27428 PRV1.00Scoredweighted 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

▶CLM-425249CLMENR-133035ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425249CLMPRV-27428 PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-133035ENRPRV-27428 PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-133035ENRCLM-425250CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-133035ENRTPA-61146 TPA0.94Scoredweighted 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-27428 PRVTPA-61146 TPA0.94Scoredweighted 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

▶CLM-425249CLMTPA-61146 TPA0.93Scoredweighted 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

▶CLM-425250CLMTPA-61146 TPA0.93Scoredweighted 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-425250 → UHC-64045-26 (Ethan Sims)
ACT-007941, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically76153ac824
scoring_agent, TPA-61146, identity id MBR-006326, confidence 0.94, method probabilistic, matched record ENR-133035, policy version 1
2026-10-19 19:54:38Record linked automatically43ad6043be
scoring_agent, PRV-27428, identity id MBR-006326, confidence 1, method probabilistic, matched record CLM-425250, policy version 1
2026-10-19 19:54:38Record linked automatically0f3cf99ad5
scoring_agent, CLM-425250, identity id MBR-006326, confidence 1, method probabilistic, matched record CLM-425249, policy version 1
2026-10-19 19:54:38Record linked automatically934853ad37
matching_agent, ENR-133035, identity id MBR-006326, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425249
2026-10-19 19:54:38Record linked automaticallyebcc110f9e
scoring_agent, CLM-425249, identity id MBR-006326, confidence 1, method probabilistic, matched record CLM-425250, policy version 1
2026-10-19 19:52:09Record linked automatically234ba94f29
scoring_agent, TPA-61146, identity id MBR-006326, confidence 0.94, method probabilistic, matched record ENR-133035, policy version 1
2026-10-19 19:52:09Record linked automaticallyfc3f54a60b
scoring_agent, PRV-27428, identity id MBR-006326, confidence 1, method probabilistic, matched record CLM-425250, policy version 1
2026-10-19 19:52:09Record linked automatically808fffdf64
scoring_agent, CLM-425250, identity id MBR-006326, confidence 1, method probabilistic, matched record CLM-425249, policy version 1
2026-10-19 19:52:09Record linked automatically9c3462d3c0
matching_agent, ENR-133035, identity id MBR-006326, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425249
2026-10-19 19:52:09Record linked automatically398a6bca96
scoring_agent, CLM-425249, identity id MBR-006326, confidence 1, method probabilistic, matched record CLM-425250, policy version 1
2026-10-19 19:45:42Record linked automaticallyadd2e4ea7a
scoring_agent, TPA-61146, identity id MBR-006326, confidence 0.94, method probabilistic, matched record ENR-133035, policy version 1
2026-10-19 19:45:42Record linked automatically815550d117
scoring_agent, PRV-27428, identity id MBR-006326, confidence 1, method probabilistic, matched record CLM-425250, policy version 1
2026-10-19 19:45:42Record linked automaticallyfc574f4100
scoring_agent, CLM-425250, identity id MBR-006326, confidence 1, method probabilistic, matched record CLM-425249, policy version 1
2026-10-19 19:45:42Record linked automatically72189d9fb6
matching_agent, ENR-133035, identity id MBR-006326, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425249
2026-10-19 19:45:42Record linked automatically410077d0e1
scoring_agent, CLM-425249, identity id MBR-006326, confidence 1, method probabilistic, matched record CLM-425250, policy version 1
2026-10-19 19:32:31Record linked automaticallyb21c786dc3
scoring_agent, TPA-61146, identity id MBR-006326, confidence 0.94, method probabilistic, matched record ENR-133035, policy version 1
2026-10-19 19:32:31Record linked automatically09d2526654
scoring_agent, PRV-27428, identity id MBR-006326, confidence 1, method probabilistic, matched record CLM-425250, policy version 1
2026-10-19 19:32:31Record linked automatically5477fc4363
scoring_agent, CLM-425250, identity id MBR-006326, confidence 1, method probabilistic, matched record CLM-425249, policy version 1
2026-10-19 19:32:31Record linked automaticallyc730fc5d6f
matching_agent, ENR-133035, identity id MBR-006326, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425249
2026-10-19 19:32:31Record linked automaticallyfd62f9d97a
scoring_agent, CLM-425249, identity id MBR-006326, confidence 1, method probabilistic, matched record CLM-425250, policy version 1
2026-10-19 19:31:28Record linked automatically1b34c802b7
scoring_agent, TPA-61146, identity id MBR-018468, confidence 1, method probabilistic, matched record ENR-133367, policy version 1
2026-10-19 19:31:28Record linked automatically67472198f8
matching_agent, CLM-425249, identity id MBR-000736, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133254

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-025038	2026-03-14	Valley Clinical Laboratories out of network	80061, 85025, 87086	$178.00	—	Denied	Denied
CLM-2026-024313	2025-12-20	Desert Internal Medicine Associates in network	80053, 99214	$324.00	$170.88	Approved	Approved