Identities/MBR-013469

Gold, golden identity

Thomas E Sims

5 source records from 3 feeds.

MBR-013469Verified5 records

Golden record

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

First namePRV: Thomas
Middle nameCLM: E
Last namePRV: Sims
Date of birthPRV: 1971-03-19
GenderCLM: F
Member IDCLM: UHC-88422-90
SSN—: —
PhonePRV: 9817131418
Email—: —
AddressTPA: 4750 Grand Ave Apt 26
CityPRV: Orlando
StatePRV: FL
ZIPPRV: 32898
GroupCLM: GRP-7811
PlanCLM: OPTIONS-PPO

Min confidence

0.97

Sources

PRV ×1CLM ×1TPA ×3

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-27812	PRV	2026-02-16	Thomas Simsflagged	1971-03-19	—	9817131418	4750 Grand Ave, Orlando, FL	Scored	1.00	—
CLM-426489	CLM	2026-04-02	Tommy Symsflagged	1971-03-19	UHC-88422-90	9817131418	4750 Grand Ave, Orlando, FL	Scored	0.97	—
TPA-61707	TPA	2026-04-08	Thomas Simsflagged	1971-03-19	—	9817131418	4750 Grand Ave, Orlando, FL	Scored	1.00	—
TPA-61708	TPA	2026-05-03	Thomas Simsflagged	1971-03-19	—	9817131418	4750 Grand Ave, Orlando, FL	Scored	1.00	—
TPA-61706	TPA	2026-07-11	Thomas Simsflagged	1971-03-19	—	—	4750 Grand Ave Apt 26, Orlando, FL	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-27812PRVTPA-61706TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61707TPATPA-61706TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61708TPATPA-61706TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-27812PRVTPA-61707TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-27812PRVTPA-61708TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-61707TPATPA-61708TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-27812PRVCLM-426489CLM0.97Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.91	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-426489CLMTPA-61707TPA0.97Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.91	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-426489CLMTPA-61708TPA0.97Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.91	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-426489CLMTPA-61706TPA0.97Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.91	3	nickname
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: 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 automatically53a1178f97
scoring_agent, TPA-61706, identity id MBR-013469, confidence 1, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:54:38Record linked automatically07ff637e34
scoring_agent, TPA-61708, identity id MBR-013469, confidence 1, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:54:38Record linked automatically5bed93975f
scoring_agent, TPA-61707, identity id MBR-013469, confidence 1, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:54:38Record linked automatically5dd4e126ac
scoring_agent, CLM-426489, identity id MBR-013469, confidence 0.97, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:54:38Record linked automatically7a8fd531ce
scoring_agent, PRV-27812, identity id MBR-013469, confidence 1, method probabilistic, matched record TPA-61707, policy version 1
2026-10-19 19:52:09Record linked automaticallyb77c20f631
scoring_agent, TPA-61706, identity id MBR-013469, confidence 1, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:52:09Record linked automatically1f3f3f0955
scoring_agent, TPA-61708, identity id MBR-013469, confidence 1, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:52:09Record linked automatically52f85fa036
scoring_agent, TPA-61707, identity id MBR-013469, confidence 1, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:52:09Record linked automaticallycb16b736f7
scoring_agent, CLM-426489, identity id MBR-013469, confidence 0.97, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:52:09Record linked automatically19b98930fa
scoring_agent, PRV-27812, identity id MBR-013469, confidence 1, method probabilistic, matched record TPA-61707, policy version 1
2026-10-19 19:45:42Record linked automaticallyc8632dbd42
scoring_agent, TPA-61706, identity id MBR-013469, confidence 1, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:45:42Record linked automatically701b3b0672
scoring_agent, TPA-61708, identity id MBR-013469, confidence 1, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:45:42Record linked automatically4cea2f2525
scoring_agent, TPA-61707, identity id MBR-013469, confidence 1, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:45:42Record linked automaticallydb7c730d83
scoring_agent, CLM-426489, identity id MBR-013469, confidence 0.97, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:45:42Record linked automatically6aa527f46b
scoring_agent, PRV-27812, identity id MBR-013469, confidence 1, method probabilistic, matched record TPA-61707, policy version 1
2026-10-19 19:32:31Record linked automatically172b32d845
scoring_agent, TPA-61706, identity id MBR-013469, confidence 1, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:32:31Record linked automatically393ebd9017
scoring_agent, TPA-61708, identity id MBR-013469, confidence 1, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:32:31Record linked automaticallycaaeca2d9b
scoring_agent, TPA-61707, identity id MBR-013469, confidence 1, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:32:31Record linked automaticallyc9e8c8c5a9
scoring_agent, CLM-426489, identity id MBR-013469, confidence 0.97, method probabilistic, matched record PRV-27812, policy version 1
2026-10-19 19:32:31Record linked automaticallyd0c1348ba1
scoring_agent, PRV-27812, identity id MBR-013469, confidence 1, method probabilistic, matched record TPA-61707, policy version 1
2026-10-19 19:31:28Record linked automatically5911211329
scoring_agent, TPA-61707, identity id MBR-029425, confidence 1, method probabilistic, matched record ENR-135225, policy version 1
2026-10-19 19:31:28Record linked automaticallya2a357bb8c
scoring_agent, TPA-61706, identity id MBR-021924, confidence 1, method probabilistic, matched record CLM-426626, policy version 1
2026-10-19 19:31:28Record linked automatically38a844f4d5
matching_agent, PRV-27812, identity id MBR-021891, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135101
2026-10-19 19:31:28Record linked automatically1ea1f20355
matching_agent, CLM-426489, identity id MBR-020055, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135032

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-034567	2026-03-30	Heritage Primary Care Associates in network	99214	$277.00	$151.74	Approved	Approved