Identities/MBR-007413
Gold, golden identity

Richard Z Simmons

4 source records from 1 feed.

MBR-007413Verified4 records

Golden record

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

First nameCLM
Richard
Middle nameCLM
Z
Last nameCLM
Simmons
Date of birthCLM
1979-11-13
GenderCLM
F
Member IDCLM
UHC-95902-92
SSN—
—
Phone—
—
EmailCLM
richard.simmons39@proton.me
AddressCLM
7176 Market St
CityCLM
Houston
StateCLM
TX
ZIPCLM
77050
GroupCLM
GRP-6188
PlanCLM
SELECT-EPO
Min confidence
0.99
Sources
CLM ×4
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.991.001.00CLMCLM-412584CLMCLM-412585CLMCLM-412583CLMCLM-412582IDMBR-007413
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-412584CLM2026-01-25Richard Simmonsflagged1979-11-13——7176 Market St, Houston, TXScored1.00—
CLM-412585CLM2026-03-04Richard Simmonsflagged1979-11-13UHC-95902-92——Rule0.99D1 member id + dob exact
CLM-412583CLM2026-05-29Richard Simmonsflagged1979-11-13UHC-95902-92—7176 Market St, Houston, TXScored1.00—
CLM-412582CLM2026-08-05Richard Simmonsflagged1979-11-13UHC-95902-92—7176 Market St, Houston, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-412584CLMCLM-412582CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412584CLMCLM-412583CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412585CLMCLM-412582CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412583CLMCLM-412582CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-412585CLMCLM-412583CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412584CLMCLM-412585CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-412584 → UHC-95902-92 (Richard Simmons)
    ACT-004647, Claims processor
  • Care coordination outreachProposed
    Richard Simmons: 4 claims, no attributed provider
    ACT-018361, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically902046ecc7
    scoring_agent, CLM-412582, identity id MBR-007413, confidence 1, method probabilistic, matched record CLM-412584, policy version 1
  • 2026-10-22 12:43:53Record linked automatically1267dd623b
    scoring_agent, CLM-412583, identity id MBR-007413, confidence 1, method probabilistic, matched record CLM-412584, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallybd14a74acf
    matching_agent, CLM-412585, identity id MBR-007413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412583
  • 2026-10-22 12:43:53Record linked automatically9b178254ec
    scoring_agent, CLM-412584, identity id MBR-007413, confidence 1, method probabilistic, matched record CLM-412583, policy version 1
  • 2026-10-19 19:54:38Record linked automatically34e167c798
    scoring_agent, CLM-412582, identity id MBR-007413, confidence 1, method probabilistic, matched record CLM-412584, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc8a814f095
    scoring_agent, CLM-412583, identity id MBR-007413, confidence 1, method probabilistic, matched record CLM-412584, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb822cdda04
    matching_agent, CLM-412585, identity id MBR-007413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412583
  • 2026-10-19 19:54:38Record linked automatically40180a2f1d
    scoring_agent, CLM-412584, identity id MBR-007413, confidence 1, method probabilistic, matched record CLM-412583, policy version 1
  • 2026-10-19 19:52:09Record linked automatically753d33c4db
    scoring_agent, CLM-412582, identity id MBR-007413, confidence 1, method probabilistic, matched record CLM-412584, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallybeca744530
    scoring_agent, CLM-412583, identity id MBR-007413, confidence 1, method probabilistic, matched record CLM-412584, policy version 1
  • 2026-10-19 19:52:09Record linked automatically913adb61ec
    matching_agent, CLM-412585, identity id MBR-007413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412583
  • 2026-10-19 19:52:09Record linked automatically0c4c61bad6
    scoring_agent, CLM-412584, identity id MBR-007413, confidence 1, method probabilistic, matched record CLM-412583, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7a9df3de8a
    scoring_agent, CLM-412582, identity id MBR-007413, confidence 1, method probabilistic, matched record CLM-412584, policy version 1
  • 2026-10-19 19:45:42Record linked automatically762e2730ee
    scoring_agent, CLM-412583, identity id MBR-007413, confidence 1, method probabilistic, matched record CLM-412584, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf44c208cdd
    matching_agent, CLM-412585, identity id MBR-007413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412583
  • 2026-10-19 19:45:42Record linked automatically893c910c55
    scoring_agent, CLM-412584, identity id MBR-007413, confidence 1, method probabilistic, matched record CLM-412583, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfb7973bc39
    scoring_agent, CLM-412582, identity id MBR-007413, confidence 1, method probabilistic, matched record CLM-412584, policy version 1
  • 2026-10-19 19:32:31Record linked automatically89fc527d95
    scoring_agent, CLM-412583, identity id MBR-007413, confidence 1, method probabilistic, matched record CLM-412584, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2b8b269fef
    matching_agent, CLM-412585, identity id MBR-007413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412583
  • 2026-10-19 19:32:31Record linked automatically06b1f40a66
    scoring_agent, CLM-412584, identity id MBR-007413, confidence 1, method probabilistic, matched record CLM-412583, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyed0fe075c5
    matching_agent, CLM-412582, identity id MBR-041040, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116668
  • 2026-10-19 19:31:28Record linked automatically83cf902d71
    scoring_agent, CLM-412585, identity id MBR-016584, confidence 1, method probabilistic, matched record CLM-412586, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7b42b6a245
    scoring_agent, CLM-412584, identity id MBR-012192, confidence 1, method probabilistic, matched record CLM-412583, policy version 1
  • 2026-10-19 19:31:28Record linked automatically70304c095e
    scoring_agent, CLM-412583, identity id MBR-012192, confidence 1, method probabilistic, matched record CLM-412584, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0070752026-07-18Desert Imaging Center
in network
71046, 70553, 74177$4,248.00—Needs reviewNeeds review
CLM-2026-0143112026-05-13Pinecrest Primary Care Associates
in network
99203$218.00—Needs reviewNeeds review
CLM-2026-0286722026-02-24Summit Diagnostic Imaging
in network
74177, 76700$1,977.00$669.63ApprovedApproved
CLM-2026-0125612026-01-07Sunrise Medical Group
out of network
80053$46.00—DeniedDenied