Karen R Simpson

2 source records from 1 feed.

MBR-011041Verified2 recordsOpen steward case

Golden record

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

First nameCLM: Karen
Middle nameCLM: R
Last nameCLM: Simpson
Date of birthCLM: 1987-05-19
GenderCLM: F
Member IDCLM: UHC-89737-33
SSN—: —
PhoneCLM: 8737022189
Email—: —
Address—: —
City—: —
State—: —
ZIP—: —
GroupCLM: GRP-1508
PlanCLM: MEDICARE-ADV-A

Min confidence

0.99

Sources

CLM ×2

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-402475	CLM	2026-02-07	Karen Simpsonflagged	1987-05-19	UHC-89737-33	8737022189	—	Rule	0.99	D1 member id + dob exact
CLM-402476	CLM	2026-08-23	Karen Simpsonflagged	1987-05-19	UHC-89737-33	8737022189	—	Rule	0.99	D1 member id + dob exact

Evidence

1 scored pair among these records, expand a row for the per-field comparison

Score

Method

Rule

Decision

▶CLM-402475CLMCLM-402476CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallye663d11324
matching_agent, CLM-402476, identity id MBR-011041, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402475
2026-10-22 12:43:54Record linked automatically29083e3dce
matching_agent, CLM-402475, identity id MBR-011041, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402476
2026-10-19 19:54:38Record linked automaticallye41c629679
matching_agent, CLM-402476, identity id MBR-011041, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402475
2026-10-19 19:54:38Record linked automatically3e3e5e782e
matching_agent, CLM-402475, identity id MBR-011041, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402476
2026-10-19 19:52:09Record linked automatically86625dd35d
matching_agent, CLM-402476, identity id MBR-011041, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402475
2026-10-19 19:52:09Record linked automatically44378d5f53
matching_agent, CLM-402475, identity id MBR-011041, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402476
2026-10-19 19:45:42Record linked automatically93eb490b7c
matching_agent, CLM-402476, identity id MBR-011041, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402475
2026-10-19 19:45:42Record linked automaticallye5872da2ce
matching_agent, CLM-402475, identity id MBR-011041, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402476
2026-10-19 19:32:31Record linked automatically2f752f1c9b
matching_agent, CLM-402476, identity id MBR-011041, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402475
2026-10-19 19:32:31Record linked automaticallyb98e601066
matching_agent, CLM-402475, identity id MBR-011041, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402476
2026-10-19 19:31:28Record linked automaticallyaa5ef8ab07
scoring_agent, CLM-402476, identity id MBR-032787, confidence 1, method probabilistic, matched record TPA-51129, policy version 1
2026-10-19 19:31:28Record linked automatically0fd85503d6
scoring_agent, CLM-402475, identity id MBR-021380, confidence 1, method probabilistic, matched record TPA-51128, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-008992	2026-08-09	Heritage Community Hospital in network	96374, 99284, 71046	$2,086.00	$1,064.25	Approved	Approved
CLM-2026-022296	2026-01-28	Heritage Rehabilitation Center in network	97110, 97161	$448.00	—	Needs review	Needs review
CLM-2026-022295	2026-01-28	Heritage Rehabilitation Center in network	97110, 97161	$448.00	$247.76	Approved	Approved