Identities/MBR-013461
Gold, golden identity

Hiroshi Y Sims

4 source records from 3 feeds.

MBR-013461Verified4 records

Golden record

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

First nameENR
Hiroshi
Middle nameENR
Y
Last nameENR
Sims
Date of birthENR
1972-10-22
GenderENR
F
Member IDENR
UHC-85479-92
SSNENR
•••-••-4506
PhoneENR
8352798010
EmailENR
hiroshi.sims92@yahoo.com
AddressENR
393 Lincoln Way
CityENR
Fresno
StateENR
CA
ZIPENR
93766
GroupENR
GRP-5047
PlanENR
SELECT-EPO
Min confidence
0.99
Sources
ENR ×1PRV ×1CLM ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.991.000.991.00ENRENR-140285PRVPRV-28979CLMCLM-430677CLMCLM-430676IDMBR-013461
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-140285ENR2026-02-16Hiroshi Simsflagged1972-10-22UHC-85479-928352798010393 Lincoln Way, Fresno, CARule0.99D1 member id + dob exact
PRV-28979PRV2026-03-25Hiroshi Simsflagged1972-10-22—8352798010393 Lincoln Way, Fresno, CAScored1.00—
CLM-430677CLM2026-09-01Hiroshi Simsflagged1972-10-22UHC-85479-928352798010—Rule0.99D1 member id + dob exact
CLM-430676CLM2026-10-11Hiroshi Simsflagged1972-10-22UHC-85479-92—393 Lincoln Way, Fresno, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶PRV-28979PRVCLM-430676CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-140285ENRCLM-430676CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-430677CLMCLM-430676CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-140285ENRCLM-430677CLM0.99RuleD1 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
▶PRV-28979PRVCLM-430677CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-140285ENRPRV-28979PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: 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 automaticallya4c9311e46
    scoring_agent, CLM-430676, identity id MBR-013461, confidence 1, method probabilistic, matched record PRV-28979, policy version 1
  • 2026-10-22 12:43:54Record linked automatically1aef7aeaf2
    matching_agent, CLM-430677, identity id MBR-013461, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140285
  • 2026-10-22 12:43:54Record linked automatically1d80897dd6
    scoring_agent, PRV-28979, identity id MBR-013461, confidence 1, method probabilistic, matched record CLM-430676, policy version 1
  • 2026-10-22 12:43:54Record linked automatically1d763f3e03
    matching_agent, ENR-140285, identity id MBR-013461, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430677
  • 2026-10-19 19:54:38Record linked automatically3754980fb0
    scoring_agent, CLM-430676, identity id MBR-013461, confidence 1, method probabilistic, matched record PRV-28979, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye11d2e3494
    matching_agent, CLM-430677, identity id MBR-013461, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140285
  • 2026-10-19 19:54:38Record linked automatically329f707a91
    scoring_agent, PRV-28979, identity id MBR-013461, confidence 1, method probabilistic, matched record CLM-430676, policy version 1
  • 2026-10-19 19:54:38Record linked automatically130e64a396
    matching_agent, ENR-140285, identity id MBR-013461, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430677
  • 2026-10-19 19:52:09Record linked automatically91655006af
    scoring_agent, CLM-430676, identity id MBR-013461, confidence 1, method probabilistic, matched record PRV-28979, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8eeb6284a8
    matching_agent, CLM-430677, identity id MBR-013461, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140285
  • 2026-10-19 19:52:09Record linked automaticallyce162a26e0
    scoring_agent, PRV-28979, identity id MBR-013461, confidence 1, method probabilistic, matched record CLM-430676, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6508284ce5
    matching_agent, ENR-140285, identity id MBR-013461, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430677
  • 2026-10-19 19:45:42Record linked automatically763dc5223c
    scoring_agent, CLM-430676, identity id MBR-013461, confidence 1, method probabilistic, matched record PRV-28979, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9299cee3d4
    matching_agent, CLM-430677, identity id MBR-013461, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140285
  • 2026-10-19 19:45:42Record linked automaticallye99d2b0b80
    scoring_agent, PRV-28979, identity id MBR-013461, confidence 1, method probabilistic, matched record CLM-430676, policy version 1
  • 2026-10-19 19:45:42Record linked automatically130012d86f
    matching_agent, ENR-140285, identity id MBR-013461, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430677
  • 2026-10-19 19:32:31Record linked automatically15c2a25666
    scoring_agent, CLM-430676, identity id MBR-013461, confidence 1, method probabilistic, matched record PRV-28979, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye455b70ef8
    matching_agent, CLM-430677, identity id MBR-013461, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140285
  • 2026-10-19 19:32:31Record linked automatically5fc5a6a41c
    scoring_agent, PRV-28979, identity id MBR-013461, confidence 1, method probabilistic, matched record CLM-430676, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6e0dae5da1
    matching_agent, ENR-140285, identity id MBR-013461, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430677
  • 2026-10-19 19:31:28Record linked automaticallyd743a0064e
    matching_agent, ENR-140285, identity id MBR-040677, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430531
  • 2026-10-19 19:31:28Record linked automatically9c47bf1841
    scoring_agent, CLM-430677, identity id MBR-022053, confidence 1, method probabilistic, matched record TPA-63454, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0321102026-09-03Valley Rehabilitation Center
in network
97110, 97161, 97140$478.00$266.36ApprovedApproved
CLM-2026-0060932026-08-13Pinecrest Diagnostic Imaging
in network
77067$248.00$3.25ApprovedApproved