Melissa V Simmons

4 source records from 3 feeds.

MBR-016281Verified4 records

Golden record

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

First nameENR: Melissa
Middle nameENR: V
Last nameENR: Simmons
Date of birthENR: 1993-10-05
GenderENR: F
Member IDENR: UHC-31521-24
SSN—: —
PhoneENR: 3114715238
EmailENR: melissa.simmons@hotmail.com
AddressPRV: 3474 Sage Ct
CityENR: Atlanta
StateENR: GA
ZIPENR: 30381
GroupENR: GRP-2388
PlanENR: MEDICARE-ADV-A

Min confidence

1.00

Sources

CLM ×1ENR ×1PRV ×2

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
CLM-427751	CLM	2026-02-27	Melissa Simmonsflagged	1993-10-05	—	—	3474 Sage Ct # 190, Atlanta, GA	Scored	1.00	—
ENR-136387	ENR	2026-07-05	Melissa Simmonsflagged	1993-10-05	UHC-31521-24	3114715238	3474 Sage Ct Apt 23, Atlanta, GA	Scored	1.00	—
PRV-28131	PRV	2026-07-08	Melissa Simmonsflagged	1993-10-05	UHC-31521-24	3114715238	3474 Sage Ct # 627, Atlanta, GA	Scored	1.00	—
PRV-28130	PRV	2026-10-13	Melissa Simmonsflagged	1993-10-05	UHC-31521-24	3114715238	3474 Sage Ct, Atlanta, GA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-427751CLMENR-136387ENR 1.00Scoredweighted 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

▶CLM-427751CLMPRV-28130PRV1.00Scoredweighted 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

▶CLM-427751CLMPRV-28131PRV1.00Scoredweighted 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

▶ENR-136387ENR PRV-28130PRV0.99RuleD1 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

▶PRV-28131PRVPRV-28130PRV0.99RuleD1 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

▶ENR-136387ENR PRV-28131PRV0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-427751 → UHC-31521-24 (Melissa Simmons)
ACT-004257, Claims processor
Outreach address correctedProposed
Melissa Simmons: 3474 Sage Ct Apt 23, Atlanta → 3474 Sage Ct, Atlanta
ACT-011972, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyb2a08d359a
scoring_agent, PRV-28130, identity id MBR-016281, confidence 1, method probabilistic, matched record CLM-427751, policy version 1
2026-10-19 19:54:38Record linked automatically23e3213cfa
scoring_agent, PRV-28131, identity id MBR-016281, confidence 1, method probabilistic, matched record CLM-427751, policy version 1
2026-10-19 19:54:38Record linked automatically840edc9562
scoring_agent, ENR-136387, identity id MBR-016281, confidence 1, method probabilistic, matched record CLM-427751, policy version 1
2026-10-19 19:54:38Record linked automatically8648251f84
scoring_agent, CLM-427751, identity id MBR-016281, confidence 1, method probabilistic, matched record ENR-136387, policy version 1
2026-10-19 19:52:09Record linked automaticallye3fa86c288
scoring_agent, PRV-28130, identity id MBR-016281, confidence 1, method probabilistic, matched record CLM-427751, policy version 1
2026-10-19 19:52:09Record linked automaticallyb788b51517
scoring_agent, PRV-28131, identity id MBR-016281, confidence 1, method probabilistic, matched record CLM-427751, policy version 1
2026-10-19 19:52:09Record linked automatically94a3beb46c
scoring_agent, ENR-136387, identity id MBR-016281, confidence 1, method probabilistic, matched record CLM-427751, policy version 1
2026-10-19 19:52:09Record linked automatically432a1c79a3
scoring_agent, CLM-427751, identity id MBR-016281, confidence 1, method probabilistic, matched record ENR-136387, policy version 1
2026-10-19 19:45:42Record linked automaticallyd02c82e2cf
scoring_agent, PRV-28130, identity id MBR-016281, confidence 1, method probabilistic, matched record CLM-427751, policy version 1
2026-10-19 19:45:42Record linked automatically43bc9bdd5b
scoring_agent, PRV-28131, identity id MBR-016281, confidence 1, method probabilistic, matched record CLM-427751, policy version 1
2026-10-19 19:45:42Record linked automatically6f6b3e7491
scoring_agent, ENR-136387, identity id MBR-016281, confidence 1, method probabilistic, matched record CLM-427751, policy version 1
2026-10-19 19:45:42Record linked automaticallyfb2815a785
scoring_agent, CLM-427751, identity id MBR-016281, confidence 1, method probabilistic, matched record ENR-136387, policy version 1
2026-10-19 19:32:31Record linked automatically663cc14dea
scoring_agent, PRV-28130, identity id MBR-016281, confidence 1, method probabilistic, matched record CLM-427751, policy version 1
2026-10-19 19:32:31Record linked automatically147edc0942
scoring_agent, PRV-28131, identity id MBR-016281, confidence 1, method probabilistic, matched record CLM-427751, policy version 1
2026-10-19 19:32:31Record linked automatically37205eb1ca
scoring_agent, ENR-136387, identity id MBR-016281, confidence 1, method probabilistic, matched record CLM-427751, policy version 1
2026-10-19 19:32:31Record linked automaticallyaccf775f3e
scoring_agent, CLM-427751, identity id MBR-016281, confidence 1, method probabilistic, matched record ENR-136387, policy version 1
2026-10-19 19:31:28Record linked automatically9057001620
scoring_agent, PRV-28130, identity id MBR-008470, confidence 0.99, method probabilistic, matched record TPA-62183, policy version 1
2026-10-19 19:31:28Record linked automaticallyb9049730d3
matching_agent, ENR-136387, identity id MBR-002493, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427479

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-2026-011157	2026-02-16	Mesa Behavioral Health in network	99214	$209.00	$69.58	Approved	Approved