Identities/MBR-011615
Gold, golden identity

Justin Sims

3 source records from 2 feeds.

MBR-011615Verified3 records

Golden record

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

First nameENR
Justin
Middle name—
—
Last nameCLM
Sims
Date of birthENR
1938-10-22
GenderENR
F
Member IDENR
UHC-97386-84
SSNENR
•••-••-5792
PhoneENR
6139832805
EmailENR
justin.sims@aol.com
AddressENR
5124 Highland Ave Apt 36
CityENR
Fresno
StateENR
CA
ZIPENR
93787
GroupENR
GRP-7248
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×2ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.99CLMCLM-429019CLMCLM-429018ENRENR-138042IDMBR-011615
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-429019CLM2026-02-09Justin Simsflagged1938-10-22UHC-97386-84—5124 Highland Ave, Fresno, CARule0.99D1 member id + dob exact
CLM-429018CLM2026-02-09Justin Simsflagged1938-10-22UHC-97386-84—5124 Highland Ave, Fresno, CARule0.99D1 member id + dob exact
ENR-138042ENR2026-05-23Justin Smsflagged1938-10-22UHC-97386-8461398328055124 Highland Ave Apt 36, Fresno, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-429019CLMCLM-429018CLM0.99RuleD1 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-429019CLMENR-138042ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-429018CLMENR-138042ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: 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 automatically1816415f25
    matching_agent, ENR-138042, identity id MBR-011615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429019
  • 2026-10-22 12:43:54Record linked automatically7a275848b9
    matching_agent, CLM-429018, identity id MBR-011615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429019
  • 2026-10-22 12:43:54Record linked automaticallya69fc3dfa6
    matching_agent, CLM-429019, identity id MBR-011615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429018
  • 2026-10-19 19:54:38Record linked automatically98f0122426
    matching_agent, ENR-138042, identity id MBR-011615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429019
  • 2026-10-19 19:54:38Record linked automatically03873c58bc
    matching_agent, CLM-429018, identity id MBR-011615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429019
  • 2026-10-19 19:54:38Record linked automaticallya027fd0e48
    matching_agent, CLM-429019, identity id MBR-011615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429018
  • 2026-10-19 19:52:09Record linked automatically487edbc7dd
    matching_agent, ENR-138042, identity id MBR-011615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429019
  • 2026-10-19 19:52:09Record linked automatically3fdf36abab
    matching_agent, CLM-429018, identity id MBR-011615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429019
  • 2026-10-19 19:52:09Record linked automatically5b02097b6c
    matching_agent, CLM-429019, identity id MBR-011615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429018
  • 2026-10-19 19:45:42Record linked automatically050dc831b1
    matching_agent, ENR-138042, identity id MBR-011615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429019
  • 2026-10-19 19:45:42Record linked automatically3193bf1c6b
    matching_agent, CLM-429018, identity id MBR-011615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429019
  • 2026-10-19 19:45:42Record linked automaticallycfa59cbf5c
    matching_agent, CLM-429019, identity id MBR-011615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429018
  • 2026-10-19 19:32:31Record linked automaticallyddf49391bf
    matching_agent, ENR-138042, identity id MBR-011615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429019
  • 2026-10-19 19:32:31Record linked automaticallyd95f3fe497
    matching_agent, CLM-429018, identity id MBR-011615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429019
  • 2026-10-19 19:32:31Record linked automatically444986e70a
    matching_agent, CLM-429019, identity id MBR-011615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429018
  • 2026-10-19 19:31:28Record linked automatically9b0c4f8895
    matching_agent, ENR-138042, identity id MBR-016579, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138041
  • 2026-10-19 19:31:28Record linked automaticallyf80968635c
    scoring_agent, CLM-429019, identity id MBR-014307, confidence 1, method probabilistic, matched record TPA-62747, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc015258012
    scoring_agent, CLM-429018, identity id MBR-014307, confidence 0.99, method probabilistic, matched record TPA-62747, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0213512026-01-22Pinecrest Heart Institute
in network
99214$296.00—DeniedDenied
CLM-2026-0213502026-01-22Pinecrest Heart Institute
in network
99214$296.00$123.52ApprovedApproved
CLM-2026-0072982026-02-07Pinecrest Bone and Joint Center
in network
73721$2,358.00$0.00ApprovedApproved