Kenneth Sims

2 source records from 2 feeds.

MBR-014045Verified2 records

Golden record

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

First nameCLM: Kenneth
Middle name—: —
Last nameCLM: Sims
Date of birthCLM: 1999-06-16
GenderCLM: F
Member IDCLM: UHC-30731-18
SSNCLM: •••-••-5408
PhoneCLM: 2473060141
Email—: —
AddressCLM: 392 Indian School Rd
CityCLM: Phoenix
StateCLM: AZ
ZIPCLM: 85096
GroupCLM: GRP-3582
PlanCLM: OPTIONS-PPO

Min confidence

0.99

Sources

CLM ×1TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
CLM-418270	CLM	2026-02-18	Kenneth Simsflagged	1999-06-16	UHC-30731-18	2473060141	392 Indian School Rd, Phoenix, AZ	Rule	0.99	D1 member id + dob exact
TPA-58060	TPA	2026-08-17	Kenneth Simsflagged	1999-06-16	UHC-30731-18	2473060141	392 Indian School Rd, Phoenix, AZ	Rule	0.99	D1 member id + dob exact

Evidence

1 scored pair among these records, expand a row for the per-field comparison

Score

Method

Rule

Decision

▶CLM-418270CLMTPA-58060TPA0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: 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 automatically229167f377
matching_agent, TPA-58060, identity id MBR-014045, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418270
2026-10-22 12:43:54Record linked automatically62cabe648e
matching_agent, CLM-418270, identity id MBR-014045, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-58060
2026-10-19 19:54:38Record linked automatically017e34db4b
matching_agent, TPA-58060, identity id MBR-014045, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418270
2026-10-19 19:54:38Record linked automaticallya6765bbd30
matching_agent, CLM-418270, identity id MBR-014045, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-58060
2026-10-19 19:52:09Record linked automatically210474813e
matching_agent, TPA-58060, identity id MBR-014045, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418270
2026-10-19 19:52:09Record linked automaticallyb6e7ff57b8
matching_agent, CLM-418270, identity id MBR-014045, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-58060
2026-10-19 19:45:42Record linked automatically6bdc15f395
matching_agent, TPA-58060, identity id MBR-014045, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418270
2026-10-19 19:45:42Record linked automaticallyff13ab4cec
matching_agent, CLM-418270, identity id MBR-014045, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-58060
2026-10-19 19:32:31Record linked automatically4dbc7f36dd
matching_agent, TPA-58060, identity id MBR-014045, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418270
2026-10-19 19:32:31Record linked automaticallye2135bf38b
matching_agent, CLM-418270, identity id MBR-014045, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-58060
2026-10-19 19:31:28Record linked automatically58cc85bc6a
scoring_agent, TPA-58060, identity id MBR-036519, confidence 1, method probabilistic, matched record CLM-418449, policy version 1
2026-10-19 19:31:28Record linked automaticallyda1f4c94db
scoring_agent, CLM-418270, identity id MBR-001846, confidence 0.99, method probabilistic, matched record PRV-25335, 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-2026-030355	2026-02-08	Desert Medical Group in network	93000	$90.00	—	Needs review	Needs review