Identities/MBR-006954
Gold, golden identity

Aisha Simmons

6 source records from 2 feeds.

MBR-006954Verified6 records

Golden record

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

First nameENR
Aisha
Middle name—
—
Last nameENR
Simmons
Date of birthENR
1944-04-21
GenderENR
M
Member IDENR
UHC-46654-44
SSNENR
•••-••-8175
PhoneENR
2293515885
Email—
—
AddressENR
774 Lincoln Way
CityENR
Phoenix
StateENR
AZ
ZIPENR
85014
GroupENR
GRP-9597
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
ENR ×1CLM ×5
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.001.001.000.99ENRENR-102991CLMCLM-402341CLMCLM-402342CLMCLM-402340CLMCLM-402339CLMCLM-402338IDMBR-006954
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-102991ENR2026-01-23Aisha Simmonsflagged1944-04-21UHC-46654-442293515885774 Lincoln Way, Phoenix, AZScored1.00—
CLM-402341CLM2026-04-13Simmons Aishaflagged1944-04-21——774 Lincoln Way, Phoenix, AZScored0.99—
CLM-402342CLM2026-05-22Aisha Simmonsflagged1944-04-21UHC-46654-44—774 Lincoln Way, Phoenix, AZScored1.00—
CLM-402340CLM2026-08-09Aisha Simmonsflagged1944-04-21—2293515885774 Lincoln Way, Phoenix, AZScored1.00—
CLM-402339CLM2026-08-09Aisha Simmonsflagged1944-04-21—2293515885774 Lincoln Way, Phoenix, AZScored1.00—
CLM-402338CLM2026-09-29Aisha Simmonnsflagged1944-04-21UHC-46654-44——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-102991ENRCLM-402339CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402342CLM CLM-402339CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402340CLMCLM-402339CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-102991ENRCLM-402340CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402342CLM CLM-402340CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-102991ENRCLM-402338CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402342CLM CLM-402338CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-102991ENRCLM-402342CLM 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
▶ENR-102991ENRCLM-402341CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402341CLMCLM-402342CLM 0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402340CLMCLM-402338CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-402339CLMCLM-402338CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-402340 → UHC-46654-44 (Aisha Simmons)
    ACT-001911, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-402341 → UHC-46654-44 (Aisha Simmons)
    ACT-004153, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-402339 → UHC-46654-44 (Aisha Simmons)
    ACT-010232, Claims processor
  • Care coordination outreachProposed
    Aisha Simmons: 5 claims, no attributed provider
    ACT-018330, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically5f43e8f07f
    matching_agent, CLM-402338, identity id MBR-006954, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102991
  • 2026-10-19 19:54:38Record linked automatically1583d09e30
    scoring_agent, CLM-402339, identity id MBR-006954, confidence 1, method probabilistic, matched record ENR-102991, policy version 1
  • 2026-10-19 19:54:38Record linked automatically91f8bfde53
    scoring_agent, CLM-402340, identity id MBR-006954, confidence 1, method probabilistic, matched record ENR-102991, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydcc7ec7849
    scoring_agent, CLM-402342, identity id MBR-006954, confidence 1, method probabilistic, matched record CLM-402340, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1ca65d01a1
    scoring_agent, CLM-402341, identity id MBR-006954, confidence 0.99, method probabilistic, matched record ENR-102991, policy version 1
  • 2026-10-19 19:54:38Record linked automatically17b5444bce
    scoring_agent, ENR-102991, identity id MBR-006954, confidence 1, method probabilistic, matched record CLM-402340, policy version 1
  • 2026-10-19 19:52:09Record linked automatically66f1063cef
    matching_agent, CLM-402338, identity id MBR-006954, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102991
  • 2026-10-19 19:52:09Record linked automaticallyd656588220
    scoring_agent, CLM-402339, identity id MBR-006954, confidence 1, method probabilistic, matched record ENR-102991, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya70712e949
    scoring_agent, CLM-402340, identity id MBR-006954, confidence 1, method probabilistic, matched record ENR-102991, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3ce8ad078d
    scoring_agent, CLM-402342, identity id MBR-006954, confidence 1, method probabilistic, matched record CLM-402340, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyad51486331
    scoring_agent, CLM-402341, identity id MBR-006954, confidence 0.99, method probabilistic, matched record ENR-102991, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2dfff74539
    scoring_agent, ENR-102991, identity id MBR-006954, confidence 1, method probabilistic, matched record CLM-402340, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya1aa8a635f
    matching_agent, CLM-402338, identity id MBR-006954, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102991
  • 2026-10-19 19:45:42Record linked automatically7fa556c559
    scoring_agent, CLM-402339, identity id MBR-006954, confidence 1, method probabilistic, matched record ENR-102991, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0298b98f20
    scoring_agent, CLM-402340, identity id MBR-006954, confidence 1, method probabilistic, matched record ENR-102991, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc02cf052fe
    scoring_agent, CLM-402342, identity id MBR-006954, confidence 1, method probabilistic, matched record CLM-402340, policy version 1
  • 2026-10-19 19:45:42Record linked automatically87d09f3c0c
    scoring_agent, CLM-402341, identity id MBR-006954, confidence 0.99, method probabilistic, matched record ENR-102991, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf43883c4e0
    scoring_agent, ENR-102991, identity id MBR-006954, confidence 1, method probabilistic, matched record CLM-402340, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb760bf2c3e
    matching_agent, CLM-402338, identity id MBR-006954, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102991
  • 2026-10-19 19:32:31Record linked automatically56d390ea8a
    scoring_agent, CLM-402339, identity id MBR-006954, confidence 1, method probabilistic, matched record ENR-102991, policy version 1
  • 2026-10-19 19:32:31Record linked automatically574e8430c1
    scoring_agent, CLM-402340, identity id MBR-006954, confidence 1, method probabilistic, matched record ENR-102991, policy version 1
  • 2026-10-19 19:32:31Record linked automatically02d30695b0
    scoring_agent, CLM-402342, identity id MBR-006954, confidence 1, method probabilistic, matched record CLM-402340, policy version 1
  • 2026-10-19 19:32:31Record linked automatically311cb98b08
    scoring_agent, CLM-402341, identity id MBR-006954, confidence 0.99, method probabilistic, matched record ENR-102991, policy version 1
  • 2026-10-19 19:32:31Record linked automatically667978aa17
    scoring_agent, ENR-102991, identity id MBR-006954, confidence 1, method probabilistic, matched record CLM-402340, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf78ae7aade
    scoring_agent, CLM-402339, identity id MBR-036899, confidence 0.97, method probabilistic, matched record TPA-51064, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyec9a23a33e
    scoring_agent, ENR-102991, identity id MBR-022114, confidence 1, method probabilistic, matched record TPA-51035, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya81d55ca7a
    scoring_agent, CLM-402341, identity id MBR-012900, confidence 1, method probabilistic, matched record TPA-51065, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9f5be2ca9a
    matching_agent, CLM-402338, identity id MBR-009262, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103087
  • 2026-10-19 19:31:28Record linked automatically1f37bc101f
    scoring_agent, CLM-402340, identity id MBR-008593, confidence 1, method probabilistic, matched record ENR-103091, policy version 1
  • 2026-10-19 19:31:28Record linked automatically99468de974
    matching_agent, CLM-402342, identity id MBR-001363, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-402344

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0133022026-09-23Evergreen Reference Lab
in network
83036, 80061, 80053$193.00$0.00ApprovedApproved
CLM-2026-0338482026-07-06Meadow Physical Therapy
out of network
97110$152.00—DeniedDenied
CLM-2026-0022772026-07-29Riverside Community Hospital
in network
99285$1,723.00$597.65ApprovedApproved
CLM-2026-0197492026-04-22Lakeside Bone and Joint Center
in network
20610$195.00$60.90ApprovedApproved
CLM-2026-0107642026-03-10Canyon Cardiovascular Associates
in network
93015, 93306$1,923.00$700.95ApprovedApproved