Identities/MBR-012780
Gold, golden identity

Fatima Simmons

3 source records from 3 feeds.

MBR-012780Verified3 recordsOpen steward case

Golden record

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

First namePRV
Fatima
Middle name—
—
Last namePRV
Simmons
Date of birthPRV
1999-03-09
GenderPRV
F
Member IDPRV
UHC-08560-99
SSNPRV
•••-••-6741
PhoneCLM
4598886174
EmailPRV
fatima.simmons@aol.com
AddressPRV
388 Church St
CityPRV
Columbus
StatePRV
OH
ZIPPRV
43239
GroupTPA
GRP-5546
PlanPRV
OPTIONS-PPO
Min confidence
0.99
Sources
TPA ×1CLM ×1PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.99TPATPA-54390CLMCLM-410027PRVPRV-22918IDMBR-012780
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
TPA-54390TPA2026-02-13Fatima Simmonsflagged1999-03-09UHC-08560-99—388 Church St, Columbus, OHRule0.99D1 member id + dob exact
CLM-410027CLM2026-02-22Fatima Simmonsflagged1999-03-09UHC-08560-994598886174388 Church St, Columbus, OHRule0.99D1 member id + dob exact
PRV-22918PRV2026-09-06Fatima Simmonsflagged1999-03-09UHC-08560-99—388 Church St, Columbus, OHRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-54390TPACLM-410027CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-54390TPAPRV-22918 PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-410027CLM PRV-22918 PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
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

  • 2026-10-19 19:54:38Record linked automatically08ad6bd029
    matching_agent, PRV-22918, identity id MBR-012780, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54390
  • 2026-10-19 19:54:38Record linked automatically2b5c758f15
    matching_agent, CLM-410027, identity id MBR-012780, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54390
  • 2026-10-19 19:54:38Record linked automatically72e9aaa182
    matching_agent, TPA-54390, identity id MBR-012780, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410027
  • 2026-10-19 19:52:09Record linked automaticallye9519fac48
    matching_agent, PRV-22918, identity id MBR-012780, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54390
  • 2026-10-19 19:52:09Record linked automatically8926d80d1a
    matching_agent, CLM-410027, identity id MBR-012780, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54390
  • 2026-10-19 19:52:09Record linked automatically40f29b38dc
    matching_agent, TPA-54390, identity id MBR-012780, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410027
  • 2026-10-19 19:45:42Record linked automatically8bf64c6ff2
    matching_agent, PRV-22918, identity id MBR-012780, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54390
  • 2026-10-19 19:45:42Record linked automaticallyf433951ea5
    matching_agent, CLM-410027, identity id MBR-012780, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54390
  • 2026-10-19 19:45:42Record linked automaticallya69ab1c50e
    matching_agent, TPA-54390, identity id MBR-012780, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410027
  • 2026-10-19 19:32:31Record linked automatically2d9fb4c75a
    matching_agent, PRV-22918, identity id MBR-012780, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54390
  • 2026-10-19 19:32:31Record linked automaticallyd97f0cd720
    matching_agent, CLM-410027, identity id MBR-012780, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54390
  • 2026-10-19 19:32:31Record linked automatically1e2d96e363
    matching_agent, TPA-54390, identity id MBR-012780, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410027
  • 2026-10-19 19:31:28Record linked automatically6babbca08f
    scoring_agent, CLM-410027, identity id MBR-024746, confidence 1, method probabilistic, matched record CLM-410025, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7cf2036e73
    matching_agent, TPA-54390, identity id MBR-007092, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-409862
  • 2026-10-19 19:31:28Record linked automatically274ee79d12
    scoring_agent, PRV-22918, identity id MBR-006057, confidence 1.00, method probabilistic, matched record CLM-409818, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0330442026-01-15Sunrise Behavioral Health
in network
90791, 90834$532.00$289.84ApprovedApproved