Identities/MBR-008385
Gold, golden identity

Donald Simpson

4 source records from 2 feeds.

MBR-008385Verified4 records

Golden record

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

First nameENR
Donald
Middle name—
—
Last nameENR
Simpson
Date of birthENR
1976-07-23
GenderENR
F
Member IDENR
UHC-22050-94
SSNENR
•••-••-1514
PhoneENR
5643816326
EmailENR
donald.simpson24@yahoo.com
AddressENR
2920 Central Ave
CityENR
Denver
StateENR
CO
ZIPENR
80253
GroupENR
GRP-8249
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.991.001.001.00CLMCLM-432467CLMCLM-432468ENRENR-142622CLMCLM-432466IDMBR-008385
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-432467CLM2026-01-28Donald Simpsonflagged1976-07-23UHC-22050-94—2920 Central Ave, Denver, CORule0.99D1 member id + dob exact
CLM-432468CLM2026-02-05Donald Simpsonflagged1976-07-23—56438163262920 Central Ave, Denver, COScored1.00—
ENR-142622ENR2026-09-07Donald Simpsonflagged1976-07-23UHC-22050-9456438163262920 Central Ave, Denver, COScored1.00—
CLM-432466CLM2026-09-12Donald Simpsonflagged1976-07-23—5643816326—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-432468CLMCLM-432466CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-142622ENRCLM-432466CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-432467CLMENR-142622ENR0.99RuleD1 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
▶CLM-432467CLMCLM-432468CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-432468CLMENR-142622ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-432467CLMCLM-432466CLM0.83Scoredweighted 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-432468 → UHC-22050-94 (Donald Simpson)
    ACT-004368, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-432466 → UHC-22050-94 (Donald Simpson)
    ACT-008293, Claims processor
  • Care coordination outreachProposed
    Donald Simpson: 3 claims, no attributed provider
    ACT-018433, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically0ce8c909a1
    scoring_agent, CLM-432466, identity id MBR-008385, confidence 1, method probabilistic, matched record CLM-432468, policy version 1
  • 2026-10-22 12:43:54Record linked automatically337cf023c5
    scoring_agent, ENR-142622, identity id MBR-008385, confidence 1, method probabilistic, matched record CLM-432466, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyab45cf422e
    scoring_agent, CLM-432468, identity id MBR-008385, confidence 1, method probabilistic, matched record CLM-432466, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyf83b6e2adc
    matching_agent, CLM-432467, identity id MBR-008385, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142622
  • 2026-10-19 19:54:38Record linked automatically2d1517c22c
    scoring_agent, CLM-432466, identity id MBR-008385, confidence 1, method probabilistic, matched record CLM-432468, policy version 1
  • 2026-10-19 19:54:38Record linked automatically83958bf02c
    scoring_agent, ENR-142622, identity id MBR-008385, confidence 1, method probabilistic, matched record CLM-432466, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyeb485b55c5
    scoring_agent, CLM-432468, identity id MBR-008385, confidence 1, method probabilistic, matched record CLM-432466, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5dbafc82d2
    matching_agent, CLM-432467, identity id MBR-008385, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142622
  • 2026-10-19 19:52:09Record linked automatically99155b9ecd
    scoring_agent, CLM-432466, identity id MBR-008385, confidence 1, method probabilistic, matched record CLM-432468, policy version 1
  • 2026-10-19 19:52:09Record linked automatically904186e4d8
    scoring_agent, ENR-142622, identity id MBR-008385, confidence 1, method probabilistic, matched record CLM-432466, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4db1a532d2
    scoring_agent, CLM-432468, identity id MBR-008385, confidence 1, method probabilistic, matched record CLM-432466, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7d9249ce53
    matching_agent, CLM-432467, identity id MBR-008385, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142622
  • 2026-10-19 19:45:42Record linked automaticallyccc67a178c
    scoring_agent, CLM-432466, identity id MBR-008385, confidence 1, method probabilistic, matched record CLM-432468, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9bd0af11e5
    scoring_agent, ENR-142622, identity id MBR-008385, confidence 1, method probabilistic, matched record CLM-432466, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4bea54c75f
    scoring_agent, CLM-432468, identity id MBR-008385, confidence 1, method probabilistic, matched record CLM-432466, policy version 1
  • 2026-10-19 19:45:42Record linked automatically768d270611
    matching_agent, CLM-432467, identity id MBR-008385, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142622
  • 2026-10-19 19:32:31Record linked automatically8efe6ce924
    scoring_agent, CLM-432466, identity id MBR-008385, confidence 1, method probabilistic, matched record CLM-432468, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallydd42b45e4c
    scoring_agent, ENR-142622, identity id MBR-008385, confidence 1, method probabilistic, matched record CLM-432466, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1e9fda0145
    scoring_agent, CLM-432468, identity id MBR-008385, confidence 1, method probabilistic, matched record CLM-432466, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya927180cfc
    matching_agent, CLM-432467, identity id MBR-008385, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142622
  • 2026-10-19 19:31:28Record linked automatically12dc5f80f2
    matching_agent, CLM-432467, identity id MBR-020618, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-142796
  • 2026-10-19 19:31:28Record linked automaticallyf73be88766
    matching_agent, CLM-432466, identity id MBR-020618, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-142796
  • 2026-10-19 19:31:28Record linked automatically015380fc8b
    matching_agent, CLM-432468, identity id MBR-010733, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-64204
  • 2026-10-19 19:31:28Record linked automatically46ceb47109
    scoring_agent, ENR-142622, identity id MBR-002028, confidence 1, method probabilistic, matched record TPA-64144, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0263192026-08-27Evergreen Family Practice
in network
36415$17.00$0.00ApprovedApproved
CLM-2026-0115752026-01-27Desert Reference Lab
out of network
80053, 85025, 83036$150.00—Needs reviewNeeds review
CLM-2026-0057152025-12-26Desert Primary Care Associates
in network
36415, 99213$226.00—Needs reviewNeeds review