Identities/MBR-007145
Gold, golden identity

Teresa V Sims

4 source records from 3 feeds.

MBR-007145Verified4 recordsOpen steward case

Golden record

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

First nameENR
Teresa
Middle nameENR
V
Last nameENR
Sims
Date of birthENR
1981-01-25
GenderENR
M
Member IDENR
UHC-68801-10
SSNENR
•••-••-7662
PhoneENR
3847185091
EmailENR
teresa.sims@outlook.com
AddressENR
9302 Meadow Ln
CityENR
Houston
StateENR
TX
ZIPENR
77045
GroupENR
GRP-7517
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
ENR ×2PRV ×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

1.000.990.991.00ENRENR-135701PRVPRV-27997ENRENR-135700CLMCLM-427222IDMBR-007145
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-135701ENR2026-01-24Teresa Simsflagged1981-01-25UHC-68801-1038471850919302 Meadow Ln, Houston, TXScored1.00—
PRV-27997PRV2026-05-02Teresa Sismflagged1981-01-25—38471850919302 Meadow Ln, Houston, TXScored0.99—
ENR-135700ENR2026-05-03Teresa Simsflagged1981-01-25UHC-68801-1038471850919302 Meadow Ln, Houston, TXRule0.99D1 member id + dob exact
CLM-427222CLM2026-05-22Teresa Simsflagged1981-01-25—38471850919302 Meadow Ln, Houston, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-135701ENRCLM-427222CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-135701ENRENR-135700ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 5Conflicts: noneGuard: none
▶ENR-135701ENRPRV-27997PRV0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶PRV-27997PRVCLM-427222CLM 0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-135700ENRCLM-427222CLM 0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-27997PRVENR-135700ENR0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-427222 → UHC-68801-10 (Teresa Sims)
    ACT-007751, Claims processor
  • Duplicate member record retiredExecuted
    Teresa Sims: 2 enrollment records collapsed into UHC-68801-10
    ACT-022797, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically6ac150b0a4
    scoring_agent, CLM-427222, identity id MBR-007145, confidence 1, method probabilistic, matched record ENR-135701, policy version 1
  • 2026-10-19 19:54:38Record linked automatically74f04aebe0
    matching_agent, ENR-135700, identity id MBR-007145, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135701
  • 2026-10-19 19:54:38Record linked automaticallycb088bd586
    scoring_agent, PRV-27997, identity id MBR-007145, confidence 0.99, method probabilistic, matched record ENR-135701, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4bddb2a823
    scoring_agent, ENR-135701, identity id MBR-007145, confidence 1, method probabilistic, matched record CLM-427222, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyda170f59dd
    scoring_agent, CLM-427222, identity id MBR-007145, confidence 1, method probabilistic, matched record ENR-135701, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9cab34ab53
    matching_agent, ENR-135700, identity id MBR-007145, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135701
  • 2026-10-19 19:52:09Record linked automaticallyb56fdbd0fe
    scoring_agent, PRV-27997, identity id MBR-007145, confidence 0.99, method probabilistic, matched record ENR-135701, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyfc0839be69
    scoring_agent, ENR-135701, identity id MBR-007145, confidence 1, method probabilistic, matched record CLM-427222, policy version 1
  • 2026-10-19 19:45:42Record linked automatically67381c0d36
    scoring_agent, CLM-427222, identity id MBR-007145, confidence 1, method probabilistic, matched record ENR-135701, policy version 1
  • 2026-10-19 19:45:42Record linked automatically23f7737bb3
    matching_agent, ENR-135700, identity id MBR-007145, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135701
  • 2026-10-19 19:45:42Record linked automatically94c2d50ab8
    scoring_agent, PRV-27997, identity id MBR-007145, confidence 0.99, method probabilistic, matched record ENR-135701, policy version 1
  • 2026-10-19 19:45:42Record linked automatically20c6379740
    scoring_agent, ENR-135701, identity id MBR-007145, confidence 1, method probabilistic, matched record CLM-427222, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2a0e1e288c
    scoring_agent, CLM-427222, identity id MBR-007145, confidence 1, method probabilistic, matched record ENR-135701, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc8d0fa5962
    matching_agent, ENR-135700, identity id MBR-007145, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135701
  • 2026-10-19 19:32:31Record linked automatically8acdc0e06c
    scoring_agent, PRV-27997, identity id MBR-007145, confidence 0.99, method probabilistic, matched record ENR-135701, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8063e502f8
    scoring_agent, ENR-135701, identity id MBR-007145, confidence 1, method probabilistic, matched record CLM-427222, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8f010f854c
    matching_agent, PRV-27997, identity id MBR-023379, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427280
  • 2026-10-19 19:31:28Record linked automatically226d2a6237
    scoring_agent, ENR-135701, identity id MBR-015648, confidence 1, method probabilistic, matched record PRV-27926, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd4b70dd503
    matching_agent, ENR-135700, identity id MBR-015648, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427006
  • 2026-10-19 19:31:28Record linked automaticallya9fab604e8
    scoring_agent, CLM-427222, identity id MBR-014131, confidence 0.99, method probabilistic, matched record TPA-61974, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0243102026-04-30Cornerstone Internal Medicine Associates
in network
99215, 93000$399.00$227.38ApprovedApproved