Identities/MBR-011518
Gold, golden identity

David Simmons

4 source records from 3 feeds.

MBR-011518Verified4 records

Golden record

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

First nameENR
David
Middle name—
—
Last nameENR
Simmons
Date of birthENR
1959-08-06
GenderENR
M
Member IDENR
UHC-48775-80
SSNCLM
•••-••-1300
PhoneENR
6152117638
EmailTPA
david.simmons90@aol.com
AddressTPA
1491 Lake View Rd # 546
CityENR
Fresno
StateENR
CA
ZIPENR
93713
GroupENR
GRP-6434
PlanENR
MEDICARE-ADV-A
Min confidence
0.97
Sources
ENR ×1CLM ×1TPA ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.990.971.00ENRENR-119050CLMCLM-414472TPATPA-56384TPATPA-56383IDMBR-011518
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-119050ENR2026-02-08David Simmonsflagged1959-08-06UHC-48775-8061521176381491 Lake View Rd, Fresno, CAScored1.00—
CLM-414472CLM2026-03-05Simmons Davidflagged1959-08-06UHC-48775-8061521176381491 Lake View Rd, Fresno, CARule0.99D1 member id + dob exact
TPA-56384TPA2026-04-10David Simmonsflagged1959-08-06——1491 Lake View Rd, Fresno, CARule0.97D2 ssn4 + dob + last name
TPA-56383TPA2026-06-29David Simmonsflagged1959-08-06—61521176381491 Lake View Rd # 546, Fresno, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-119050ENRTPA-56383TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-119050ENRCLM-414472CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-414472CLMTPA-56383TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-56384TPATPA-56383TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-414472CLMTPA-56384TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-119050ENRTPA-56384TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    David Simmons: 2 plan codes across sources → canonical MEDICARE-ADV-A
    ACT-000510, Eligibility engine
  • Outreach address correctedProposed
    David Simmons: 1491 Lake View Rd, Fresno → 1491 Lake View Rd # 546, Fresno
    ACT-011545, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyc52184d96d
    scoring_agent, TPA-56383, identity id MBR-011518, confidence 1, method probabilistic, matched record ENR-119050, policy version 1
  • 2026-10-19 19:54:38Record linked automatically213b9236eb
    matching_agent, TPA-56384, identity id MBR-011518, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56383
  • 2026-10-19 19:54:38Record linked automatically9e0f7270d3
    matching_agent, CLM-414472, identity id MBR-011518, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119050
  • 2026-10-19 19:54:38Record linked automatically8c290d6f91
    scoring_agent, ENR-119050, identity id MBR-011518, confidence 1, method probabilistic, matched record TPA-56383, policy version 1
  • 2026-10-19 19:52:09Record linked automatically60487f5c8d
    scoring_agent, TPA-56383, identity id MBR-011518, confidence 1, method probabilistic, matched record ENR-119050, policy version 1
  • 2026-10-19 19:52:09Record linked automatically60dd2fb25f
    matching_agent, TPA-56384, identity id MBR-011518, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56383
  • 2026-10-19 19:52:09Record linked automatically87d00651e3
    matching_agent, CLM-414472, identity id MBR-011518, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119050
  • 2026-10-19 19:52:09Record linked automatically5b8ead2c3b
    scoring_agent, ENR-119050, identity id MBR-011518, confidence 1, method probabilistic, matched record TPA-56383, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye6a3b1f8b3
    scoring_agent, TPA-56383, identity id MBR-011518, confidence 1, method probabilistic, matched record ENR-119050, policy version 1
  • 2026-10-19 19:45:42Record linked automatically84507df983
    matching_agent, TPA-56384, identity id MBR-011518, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56383
  • 2026-10-19 19:45:42Record linked automaticallycc1fca46a7
    matching_agent, CLM-414472, identity id MBR-011518, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119050
  • 2026-10-19 19:45:42Record linked automatically38628ee5de
    scoring_agent, ENR-119050, identity id MBR-011518, confidence 1, method probabilistic, matched record TPA-56383, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5f494a3e27
    scoring_agent, TPA-56383, identity id MBR-011518, confidence 1, method probabilistic, matched record ENR-119050, policy version 1
  • 2026-10-19 19:32:31Record linked automatically650be9c9d8
    matching_agent, TPA-56384, identity id MBR-011518, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56383
  • 2026-10-19 19:32:31Record linked automatically3327c5fa07
    matching_agent, CLM-414472, identity id MBR-011518, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119050
  • 2026-10-19 19:32:31Record linked automatically925d00b4ed
    scoring_agent, ENR-119050, identity id MBR-011518, confidence 1, method probabilistic, matched record TPA-56383, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyba42763289
    matching_agent, CLM-414472, identity id MBR-021575, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118975
  • 2026-10-19 19:31:28Record linked automatically01ff568ed0
    matching_agent, ENR-119050, identity id MBR-021210, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24262
  • 2026-10-19 19:31:28Record linked automatically67257516ab
    scoring_agent, TPA-56383, identity id MBR-019348, confidence 1, method probabilistic, matched record ENR-119226, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7b55ebc9f0
    scoring_agent, TPA-56384, identity id MBR-016332, confidence 1, method probabilistic, matched record CLM-414681, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0092822026-02-20Mesa Orthopedic Specialists
in network
20610$239.00$73.18ApprovedApproved