Identities/MBR-012751
Gold, golden identity

Julie L Simmons

4 source records from 2 feeds.

MBR-012751Verified4 records

Golden record

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

First nameENR
Julie
Middle nameENR
L
Last nameENR
Simmons
Date of birthENR
1977-12-28
GenderENR
F
Member IDENR
UHC-60087-69
SSNENR
•••-••-8918
PhoneCLM
8134699316
EmailENR
julie.simmons45@aol.com
AddressENR
3742 Forest Ave
CityENR
Tucson
StateENR
AZ
ZIPENR
85783
GroupENR
GRP-0798
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
ENR ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.991.00ENRENR-104836CLMCLM-403723CLMCLM-403721CLMCLM-403722IDMBR-012751
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-104836ENR2026-02-13Julie Simmonsflagged1977-12-28UHC-60087-69—3742 Forest Ave, Tucson, AZScored1.00—
CLM-403723CLM2026-06-23Julie Simmonsflagged1977-12-28UHC-60087-6981346993163742 Forest Ave, Tucson, AZScored1.00—
CLM-403721CLM2026-07-03Julie Simmonsflagged1977-12-28UHC-60087-69——Rule0.99D1 member id + dob exact
CLM-403722CLM2026-08-05Julie Simmonsflagged1977-12-28——3742 Forest Ave, Tucson, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-104836ENR CLM-403722CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-403723CLMCLM-403722CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-104836ENR CLM-403721CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-403723CLMCLM-403721CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-104836ENR CLM-403723CLM0.99RuleD1 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-403721CLMCLM-403722CLM0.83Scoredweighted 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-403722 → UHC-60087-69 (Julie Simmons)
    ACT-005420, Claims processor
  • Care coordination outreachProposed
    Julie Simmons: 3 claims, no attributed provider
    ACT-018702, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallye8532975ba
    scoring_agent, CLM-403722, identity id MBR-012751, confidence 1, method probabilistic, matched record ENR-104836, policy version 1
  • 2026-10-19 19:54:38Record linked automatically74cddc637e
    matching_agent, CLM-403721, identity id MBR-012751, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104836
  • 2026-10-19 19:54:38Record linked automaticallya008093b91
    scoring_agent, CLM-403723, identity id MBR-012751, confidence 1, method probabilistic, matched record CLM-403722, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyeba8c3b86c
    scoring_agent, ENR-104836, identity id MBR-012751, confidence 1, method probabilistic, matched record CLM-403722, policy version 1
  • 2026-10-19 19:52:09Record linked automatically509d525410
    scoring_agent, CLM-403722, identity id MBR-012751, confidence 1, method probabilistic, matched record ENR-104836, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3a5456b1c7
    matching_agent, CLM-403721, identity id MBR-012751, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104836
  • 2026-10-19 19:52:09Record linked automatically5749930ad2
    scoring_agent, CLM-403723, identity id MBR-012751, confidence 1, method probabilistic, matched record CLM-403722, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0c88908a91
    scoring_agent, ENR-104836, identity id MBR-012751, confidence 1, method probabilistic, matched record CLM-403722, policy version 1
  • 2026-10-19 19:45:42Record linked automatically81e765347f
    scoring_agent, CLM-403722, identity id MBR-012751, confidence 1, method probabilistic, matched record ENR-104836, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2e585aa60e
    matching_agent, CLM-403721, identity id MBR-012751, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104836
  • 2026-10-19 19:45:42Record linked automatically003b434dbe
    scoring_agent, CLM-403723, identity id MBR-012751, confidence 1, method probabilistic, matched record CLM-403722, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd4a6782f3e
    scoring_agent, ENR-104836, identity id MBR-012751, confidence 1, method probabilistic, matched record CLM-403722, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd9c7a728fd
    scoring_agent, CLM-403722, identity id MBR-012751, confidence 1, method probabilistic, matched record ENR-104836, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd0cb46de14
    matching_agent, CLM-403721, identity id MBR-012751, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104836
  • 2026-10-19 19:32:31Record linked automatically92f3579a00
    scoring_agent, CLM-403723, identity id MBR-012751, confidence 1, method probabilistic, matched record CLM-403722, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8fa34850cc
    scoring_agent, ENR-104836, identity id MBR-012751, confidence 1, method probabilistic, matched record CLM-403722, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0393d032cb
    matching_agent, CLM-403723, identity id MBR-003979, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21134
  • 2026-10-19 19:31:28Record linked automatically7d0cede2da
    matching_agent, CLM-403721, identity id MBR-003843, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104841
  • 2026-10-19 19:31:28Record linked automatically6bf5edf5dd
    matching_agent, CLM-403722, identity id MBR-003843, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104841

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0154792026-06-24Unity Clinical Laboratories
in network
80053, 85025$141.00$0.00ApprovedApproved
CLM-2026-0193262026-06-17Meadow Physical Therapy
in network
97110, 97161$495.00$281.90ApprovedApproved
CLM-2026-0184292026-06-01Heritage Medical Group
out of network
36415$14.00—Needs reviewNeeds review