Identities/MBR-013348

Gold, golden identity

Hannah B Simmons

5 source records from 4 feeds.

MBR-013348Verified5 records

Golden record

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

First nameENR: Hannah
Middle nameENR: B
Last nameENR: Simmons
Date of birthPRV: 1981-12-04
GenderPRV: M
Member IDENR: UHC-61478-12
SSNENR: •••-••-6460
PhoneENR: 5957911275
Email—: —
AddressENR: 2317 Church St
CityENR: Fresno
StateENR: CA
ZIPENR: 93778
GroupENR: GRP-9157
PlanENR: NAVIGATE-HMO

Min confidence

0.96

Sources

PRV ×1CLM ×2ENR ×1TPA ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

Identity graph

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

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

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
PRV-23782	PRV	2026-02-15	Hannah Simmonsflagged	1981-12-04	UHC-61478-12	5957911275	—	Scored	1.00	—
CLM-413059	CLM	2026-06-23	Hannah Simmonsflagged	1981-12-04	UHC-61478-12	—	2317 Church St, Fresno, CA	Rule	0.99	D1 member id + dob exact
ENR-117136	ENR	2026-07-29	Hannah Simmonsflagged	—	UHC-61478-12	5957911275	2317 Church St, Fresno, CA	Rule	0.96	D3 member id + name
CLM-413060	CLM	2026-09-24	Hannah Simmonsflagged	1981-12-04	UHC-61478-12	5957911275	2317 Church St, Fresno, CA	Scored	1.00	—
TPA-55742	TPA	2026-10-17	Hannah Simmonsflagged	1981-12-04	—	5957911275	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-23782PRVTPA-55742TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-413060CLMTPA-55742TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-23782PRVCLM-413059CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-23782PRVCLM-413060CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-413059CLMCLM-413060CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-117136ENRCLM-413060CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶PRV-23782PRVENR-117136ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-413059CLMENR-117136ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-413059CLMTPA-55742TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶ENR-117136ENRTPA-55742TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

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 automatically1607e5d020
scoring_agent, TPA-55742, identity id MBR-013348, confidence 1, method probabilistic, matched record PRV-23782, policy version 1
2026-10-19 19:54:38Record linked automaticallya4c71b9e99
scoring_agent, CLM-413060, identity id MBR-013348, confidence 1, method probabilistic, matched record TPA-55742, policy version 1
2026-10-19 19:54:38Record linked automatically98f4baea72
matching_agent, ENR-117136, identity id MBR-013348, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-23782
2026-10-19 19:54:38Record linked automaticallyfde166d55f
matching_agent, CLM-413059, identity id MBR-013348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23782
2026-10-19 19:54:38Record linked automaticallye8fc5ab8a3
scoring_agent, PRV-23782, identity id MBR-013348, confidence 1, method probabilistic, matched record TPA-55742, policy version 1
2026-10-19 19:52:09Record linked automaticallyce7a7da98b
scoring_agent, TPA-55742, identity id MBR-013348, confidence 1, method probabilistic, matched record PRV-23782, policy version 1
2026-10-19 19:52:09Record linked automatically62fdfbdb25
scoring_agent, CLM-413060, identity id MBR-013348, confidence 1, method probabilistic, matched record TPA-55742, policy version 1
2026-10-19 19:52:09Record linked automaticallyc943db7fe1
matching_agent, ENR-117136, identity id MBR-013348, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-23782
2026-10-19 19:52:09Record linked automaticallye25be2515e
matching_agent, CLM-413059, identity id MBR-013348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23782
2026-10-19 19:52:09Record linked automaticallya883d9ca12
scoring_agent, PRV-23782, identity id MBR-013348, confidence 1, method probabilistic, matched record TPA-55742, policy version 1
2026-10-19 19:45:42Record linked automaticallya329e84460
scoring_agent, TPA-55742, identity id MBR-013348, confidence 1, method probabilistic, matched record PRV-23782, policy version 1
2026-10-19 19:45:42Record linked automaticallydcf1a684cc
scoring_agent, CLM-413060, identity id MBR-013348, confidence 1, method probabilistic, matched record TPA-55742, policy version 1
2026-10-19 19:45:42Record linked automaticallyca45ba48ec
matching_agent, ENR-117136, identity id MBR-013348, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-23782
2026-10-19 19:45:42Record linked automatically9b9cfc3bd6
matching_agent, CLM-413059, identity id MBR-013348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23782
2026-10-19 19:45:42Record linked automatically11d8d5420f
scoring_agent, PRV-23782, identity id MBR-013348, confidence 1, method probabilistic, matched record TPA-55742, policy version 1
2026-10-19 19:32:31Record linked automatically56c8521618
scoring_agent, TPA-55742, identity id MBR-013348, confidence 1, method probabilistic, matched record PRV-23782, policy version 1
2026-10-19 19:32:31Record linked automaticallydcfcc0c66d
scoring_agent, CLM-413060, identity id MBR-013348, confidence 1, method probabilistic, matched record TPA-55742, policy version 1
2026-10-19 19:32:31Record linked automatically9218d79ed6
matching_agent, ENR-117136, identity id MBR-013348, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-23782
2026-10-19 19:32:31Record linked automaticallyd2e798c5d3
matching_agent, CLM-413059, identity id MBR-013348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23782
2026-10-19 19:32:31Record linked automatically05e5079ad5
scoring_agent, PRV-23782, identity id MBR-013348, confidence 1, method probabilistic, matched record TPA-55742, policy version 1
2026-10-19 19:31:28Record linked automaticallyd73349062b
scoring_agent, CLM-413060, identity id MBR-046031, confidence 1, method probabilistic, matched record ENR-117263, policy version 1
2026-10-19 19:31:28Record linked automatically76bc47abd9
scoring_agent, TPA-55742, identity id MBR-027913, confidence 1, method probabilistic, matched record TPA-55741, policy version 1
2026-10-19 19:31:28Record linked automatically9ef17f3035
matching_agent, PRV-23782, identity id MBR-024190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412806
2026-10-19 19:31:28Record linked automatically6f73a26b2b
scoring_agent, CLM-413059, identity id MBR-020031, confidence 1, method probabilistic, matched record ENR-117258, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-000696	2026-08-13	Sunrise Cardiovascular Associates in network	93224	$307.00	$150.34	Approved	Approved
CLM-2026-029485	2026-06-12	Cornerstone Regional Medical Center in network	99283, 99284	$2,387.00	$962.85	Approved	Approved