Identities/MBR-012073
Gold, golden identity

Randy C Sims

4 source records from 3 feeds.

MBR-012073Verified4 records

Golden record

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

First nameENR
Randy
Middle nameENR
C
Last nameENR
Sims
Date of birthENR
1983-10-01
GenderENR
M
Member IDENR
UHC-91736-60
SSNENR
•••-••-8553
PhoneENR
8164946255
Email—
—
AddressENR
7983 Church St
CityENR
Atlanta
StateENR
GA
ZIP—
—
GroupENR
GRP-9216
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
ENR ×2TPA ×1CLM ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.990.991.00ENRENR-115829ENRENR-115830TPATPA-55302CLMCLM-412023IDMBR-012073
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-115829ENR2026-02-10Randy Simsflagged1983-10-01UHC-91736-6081649462557983 Church St, Atlanta, GAScored1.00—
ENR-115830ENR2026-05-30Randy Simsflagged1983-10-01UHC-91736-608164946255—Rule0.99D1 member id + dob exact
TPA-55302TPA2026-07-19Randy Simsflagged1983-10-01UHC-91736-60—7983 Church St, Atlanta, GARule0.99D1 member id + dob exact
CLM-412023CLM2026-09-10Randy Simsflagged1983-10-01——7983 Church St, Atlanta, GAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-115829ENRCLM-412023CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-115829ENRENR-115830ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-115829ENRTPA-55302TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-115830ENRTPA-55302TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55302TPACLM-412023CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-115830ENRCLM-412023CLM0.83Scoredweighted 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-412023 → UHC-91736-60 (Randy Sims)
    ACT-003642, Claims processor
  • Duplicate member record retiredExecuted
    Randy Sims: 2 enrollment records collapsed into UHC-91736-60
    ACT-023533, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically568c18f061
    scoring_agent, CLM-412023, identity id MBR-012073, confidence 1, method probabilistic, matched record ENR-115829, policy version 1
  • 2026-10-19 19:54:38Record linked automatically070f4c9553
    matching_agent, TPA-55302, identity id MBR-012073, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115829
  • 2026-10-19 19:54:38Record linked automaticallyec819be7d7
    matching_agent, ENR-115830, identity id MBR-012073, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115829
  • 2026-10-19 19:54:38Record linked automaticallyd8266bbe2d
    scoring_agent, ENR-115829, identity id MBR-012073, confidence 1, method probabilistic, matched record CLM-412023, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallybb462a4e0b
    scoring_agent, CLM-412023, identity id MBR-012073, confidence 1, method probabilistic, matched record ENR-115829, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0d251f5a65
    matching_agent, TPA-55302, identity id MBR-012073, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115829
  • 2026-10-19 19:52:09Record linked automatically82dddb9079
    matching_agent, ENR-115830, identity id MBR-012073, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115829
  • 2026-10-19 19:52:09Record linked automatically463d58250e
    scoring_agent, ENR-115829, identity id MBR-012073, confidence 1, method probabilistic, matched record CLM-412023, policy version 1
  • 2026-10-19 19:45:42Record linked automatically100d96144a
    scoring_agent, CLM-412023, identity id MBR-012073, confidence 1, method probabilistic, matched record ENR-115829, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybd50f0cc13
    matching_agent, TPA-55302, identity id MBR-012073, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115829
  • 2026-10-19 19:45:42Record linked automatically08de6a64d2
    matching_agent, ENR-115830, identity id MBR-012073, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115829
  • 2026-10-19 19:45:42Record linked automatically3fccbeaf5f
    scoring_agent, ENR-115829, identity id MBR-012073, confidence 1, method probabilistic, matched record CLM-412023, policy version 1
  • 2026-10-19 19:32:31Record linked automatically693804b4db
    scoring_agent, CLM-412023, identity id MBR-012073, confidence 1, method probabilistic, matched record ENR-115829, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc85f5c72f0
    matching_agent, TPA-55302, identity id MBR-012073, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115829
  • 2026-10-19 19:32:31Record linked automatically9db3d54508
    matching_agent, ENR-115830, identity id MBR-012073, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115829
  • 2026-10-19 19:32:31Record linked automatically815d669f3c
    scoring_agent, ENR-115829, identity id MBR-012073, confidence 1, method probabilistic, matched record CLM-412023, policy version 1
  • 2026-10-19 19:31:28Record linked automatically37e9caa4ff
    matching_agent, ENR-115830, identity id MBR-023232, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411949
  • 2026-10-19 19:31:28Record linked automatically6161b1f72c
    matching_agent, CLM-412023, identity id MBR-010301, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-115924
  • 2026-10-19 19:31:28Record linked automatically5bd442bb78
    scoring_agent, TPA-55302, identity id MBR-002737, confidence 1, method probabilistic, matched record TPA-55301, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0086852026-02-25Sunrise Cardiovascular Associates
in network
93458$5,465.00—DeniedDenied