Gold, golden identity
Melissa Sims
2 source records from 2 feeds.
MBR-017190Verified2 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Melissa
- Middle name—
- —
- Last nameENR
- Sims
- Date of birthENR
- 1938-07-23
- GenderCLM
- F
- Member IDENR
- UHC-12676-11
- SSNENR
- •••-••-1527
- PhoneENR
- 4869135113
- EmailENR
- melissa.sims97@proton.me
- AddressENR
- 7919 Apache Blvd
- CityENR
- Fresno
- StateENR
- CA
- ZIPENR
- 93712
- GroupENR
- GRP-4423
- PlanENR
- MEDICARE-ADV-A
Min confidence
0.99
Sources
ENR ×1CLM ×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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ENR-106167 | ENR | 2026-03-03 | Melissa Simsflagged | 1938-07-23 | UHC-12676-11 | 4869135113 | 7919 Apache Blvd, Fresno, CA | Rule | 0.99 | D1 member id + dob exact |
| CLM-404684 | CLM | 2026-05-19 | Meissa Simsflagged | 1938-07-23 | UHC-12676-11 | 4869135113 | 7919 Apache Blvd, Fresno, CA | Rule | 0.99 | D1 member id + dob exact |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶ENR-106167ENR CLM-404684CLM0.99RuleD1 member id + dob exactAuto-linked
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 automatically781b0b4130matching_agent, CLM-404684, identity id MBR-017190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106167
- 2026-10-22 12:43:54Record linked automatically21fa3facc5matching_agent, ENR-106167, identity id MBR-017190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404684
- 2026-10-19 19:54:38Record linked automatically53dd36d111matching_agent, CLM-404684, identity id MBR-017190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106167
- 2026-10-19 19:54:38Record linked automatically92794650ebmatching_agent, ENR-106167, identity id MBR-017190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404684
- 2026-10-19 19:52:09Record linked automatically65a5cfa109matching_agent, CLM-404684, identity id MBR-017190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106167
- 2026-10-19 19:52:09Record linked automatically7acce57aa7matching_agent, ENR-106167, identity id MBR-017190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404684
- 2026-10-19 19:45:42Record linked automatically6798ce8f04matching_agent, CLM-404684, identity id MBR-017190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106167
- 2026-10-19 19:45:42Record linked automatically77dc1eb402matching_agent, ENR-106167, identity id MBR-017190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404684
- 2026-10-19 19:32:31Record linked automatically156d0cc975matching_agent, CLM-404684, identity id MBR-017190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106167
- 2026-10-19 19:32:31Record linked automaticallyabd4dd8a18matching_agent, ENR-106167, identity id MBR-017190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404684
- 2026-10-19 19:31:28Record linked automaticallya5c8f5579cscoring_agent, ENR-106167, identity id MBR-031524, confidence 1, method probabilistic, matched record TPA-52097, policy version 1
- 2026-10-19 19:31:28Record linked automatically300945d38fmatching_agent, CLM-404684, identity id MBR-018265, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404683
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-2026-013696 | 2026-04-06 | Evergreen Dermatology Clinic out of network | 11102 | $264.00 | $68.80 | Approved | Approved |