Patricia S Simmons

4 source records from 3 feeds.

MBR-016232Verified4 records

Golden record

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

First namePRV: Patricia
Middle nameENR: S
Last nameENR: Simmons
Date of birthPRV: 1963-12-19
GenderENR: M
Member IDENR: UHC-34156-49
SSNENR: •••-••-2151
PhoneENR: 6842935793
EmailENR: patricia.simmons@outlook.com
AddressENR: 320 Sage Ct
CityENR: Los Angeles
StateENR: CA
ZIPENR: 90029
GroupENR: GRP-4344
PlanENR: MEDICARE-ADV-B

Min confidence

0.96

Sources

PRV ×2CLM ×1ENR ×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
PRV-21373	PRV	2026-02-27	Patriccia Simmonsflagged	1963-12-19	UHC-34156-49	6842935793	320 Sage Ct, Los Angeles, CA	Scored	1.00	—
CLM-404733	CLM	2026-07-27	Patricia Simmonsflagged	1963-12-19	UHC-34156-49	—	320 Sage Ct Apt 1, Los Angeles, CA	Scored	1.00	—
PRV-21374	PRV	2026-09-13	Patricia Simmonsflagged	1963-12-19	—	6842935793	320 Sage Ct, Los Angeles, CA	Scored	1.00	—
ENR-106234	ENR	2026-09-19	Tricia Simmonsflagged	1936-12-19	UHC-34156-49	6842935793	320 Sage Ct, Los Angeles, CA	Rule	0.96	D3 member id + name

Evidence

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

Score

Method

Rule

Decision

▶CLM-404733CLMPRV-21374PRV1.00Scoredweighted 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-21373PRVPRV-21374PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21373PRVCLM-404733CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21373PRVENR-106234ENR 0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	0.60	3	transposition
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-404733CLMENR-106234ENR 0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	0.60	3	transposition
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21374PRVENR-106234ENR 0.90Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	0.60	3	transposition
SSN (last four)	1.00	2.5
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 automatically3f88a9b80d
matching_agent, ENR-106234, identity id MBR-016232, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21373
2026-10-22 12:43:54Record linked automaticallyc3dd97c40b
scoring_agent, PRV-21374, identity id MBR-016232, confidence 1, method probabilistic, matched record CLM-404733, policy version 1
2026-10-22 12:43:54Record linked automatically4522b1346b
scoring_agent, CLM-404733, identity id MBR-016232, confidence 1, method probabilistic, matched record PRV-21374, policy version 1
2026-10-22 12:43:54Record linked automatically2dcf9fc3a1
scoring_agent, PRV-21373, identity id MBR-016232, confidence 1.00, method probabilistic, matched record PRV-21374, policy version 1
2026-10-19 19:54:38Record linked automaticallya446ddb4e5
matching_agent, ENR-106234, identity id MBR-016232, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21373
2026-10-19 19:54:38Record linked automatically4ba2da1d7a
scoring_agent, PRV-21374, identity id MBR-016232, confidence 1, method probabilistic, matched record CLM-404733, policy version 1
2026-10-19 19:54:38Record linked automatically3028ea2789
scoring_agent, CLM-404733, identity id MBR-016232, confidence 1, method probabilistic, matched record PRV-21374, policy version 1
2026-10-19 19:54:38Record linked automatically076a79373e
scoring_agent, PRV-21373, identity id MBR-016232, confidence 1.00, method probabilistic, matched record PRV-21374, policy version 1
2026-10-19 19:52:09Record linked automatically577650a4d1
matching_agent, ENR-106234, identity id MBR-016232, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21373
2026-10-19 19:52:09Record linked automaticallyd81b9d4fe5
scoring_agent, PRV-21374, identity id MBR-016232, confidence 1, method probabilistic, matched record CLM-404733, policy version 1
2026-10-19 19:52:09Record linked automaticallybe39d2151e
scoring_agent, CLM-404733, identity id MBR-016232, confidence 1, method probabilistic, matched record PRV-21374, policy version 1
2026-10-19 19:52:09Record linked automaticallyc5a96c7837
scoring_agent, PRV-21373, identity id MBR-016232, confidence 1.00, method probabilistic, matched record PRV-21374, policy version 1
2026-10-19 19:45:42Record linked automatically6717dc5db0
matching_agent, ENR-106234, identity id MBR-016232, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21373
2026-10-19 19:45:42Record linked automatically5770538033
scoring_agent, PRV-21374, identity id MBR-016232, confidence 1, method probabilistic, matched record CLM-404733, policy version 1
2026-10-19 19:45:42Record linked automatically86608582a8
scoring_agent, CLM-404733, identity id MBR-016232, confidence 1, method probabilistic, matched record PRV-21374, policy version 1
2026-10-19 19:45:42Record linked automatically94011621c9
scoring_agent, PRV-21373, identity id MBR-016232, confidence 1.00, method probabilistic, matched record PRV-21374, policy version 1
2026-10-19 19:32:31Record linked automaticallyf927690d23
matching_agent, ENR-106234, identity id MBR-016232, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21373
2026-10-19 19:32:31Record linked automatically2a6bca6498
scoring_agent, PRV-21374, identity id MBR-016232, confidence 1, method probabilistic, matched record CLM-404733, policy version 1
2026-10-19 19:32:31Record linked automatically96d29fb0d7
scoring_agent, CLM-404733, identity id MBR-016232, confidence 1, method probabilistic, matched record PRV-21374, policy version 1
2026-10-19 19:32:31Record linked automatically31962f56eb
scoring_agent, PRV-21373, identity id MBR-016232, confidence 1.00, method probabilistic, matched record PRV-21374, policy version 1
2026-10-19 19:31:28Record linked automatically501944a98c
matching_agent, ENR-106234, identity id MBR-021681, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404771
2026-10-19 19:31:28Record linked automatically1a2505c46e
scoring_agent, PRV-21373, identity id MBR-010261, confidence 1, method probabilistic, matched record ENR-106082, policy version 1
2026-10-19 19:31:28Record linked automatically958f68593f
scoring_agent, CLM-404733, identity id MBR-002074, confidence 1, method probabilistic, matched record TPA-52109, 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-2026-034515	2026-07-16	Pinecrest Bone and Joint Center in network	99213	$166.00	$62.92	Approved	Approved