Shirley Simpson

4 source records from 2 feeds.

MBR-017444Verified4 records

Golden record

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

First nameENR: Shirley
Middle name—: —
Last nameENR: Simpson
Date of birthENR: 1987-07-05
GenderENR: F
Member IDENR: UHC-57924-01
SSNENR: •••-••-3583
PhoneENR: 4006391253
EmailENR: shirley.simpson@hotmail.com
AddressENR: 873 Willow Ct
CityENR: Eden Prairie
StateENR: MN
ZIPENR: 55395
GroupENR: GRP-8809
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.93

Sources

CLM ×3ENR ×1

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-427640	CLM	2026-03-04	Shirley Simpsonflagged	1987-07-05	—	—	873 Willow Ct, Eden Prairie, MN	Scored	1.00	—
CLM-427641	CLM	2026-04-18	Shirley Simpsonflagged	1987-07-05	—	—	873 Willow Ct, Eden Prairie, MN	Scored	1.00	—
CLM-427642	CLM	2026-07-06	Shirley Simpsonflagged	1987-07-05	—	—	873 Willow Ct, Eden Prairie, MN	Scored	0.93	—
ENR-136234	ENR	2026-09-21	Shirley Simpsonflagged	1987-07-05	UHC-57924-01	4006391253	873 Willow Ct, Eden Prairie, MN	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-427640CLMCLM-427641CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-427640CLMENR-136234ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-427641CLMENR-136234ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-427640CLMCLM-427642CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-427641CLMCLM-427642CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-427642CLMENR-136234ENR0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-427640 → UHC-57924-01 (Shirley Simpson)
ACT-004460, Claims processor
Orphan claim re-pointedExecuted
CLM-427642 → UHC-57924-01 (Shirley Simpson)
ACT-006992, Claims processor
Orphan claim re-pointedExecuted
CLM-427641 → UHC-57924-01 (Shirley Simpson)
ACT-008957, Claims processor
Care coordination outreachProposed
Shirley Simpson: 3 claims, no attributed provider
ACT-018960, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallye412ca7f98
scoring_agent, ENR-136234, identity id MBR-017444, confidence 1, method probabilistic, matched record CLM-427640, policy version 1
2026-10-19 19:54:38Record linked automaticallye0c7966b5e
scoring_agent, CLM-427642, identity id MBR-017444, confidence 0.93, method probabilistic, matched record CLM-427640, policy version 1
2026-10-19 19:54:38Record linked automaticallyc43ff23d65
scoring_agent, CLM-427641, identity id MBR-017444, confidence 1, method probabilistic, matched record CLM-427640, policy version 1
2026-10-19 19:54:38Record linked automaticallyf332dfedee
scoring_agent, CLM-427640, identity id MBR-017444, confidence 1, method probabilistic, matched record CLM-427641, policy version 1
2026-10-19 19:52:09Record linked automaticallyf6574607d3
scoring_agent, ENR-136234, identity id MBR-017444, confidence 1, method probabilistic, matched record CLM-427640, policy version 1
2026-10-19 19:52:09Record linked automaticallybe47a7c295
scoring_agent, CLM-427642, identity id MBR-017444, confidence 0.93, method probabilistic, matched record CLM-427640, policy version 1
2026-10-19 19:52:09Record linked automatically77d0b66398
scoring_agent, CLM-427641, identity id MBR-017444, confidence 1, method probabilistic, matched record CLM-427640, policy version 1
2026-10-19 19:52:09Record linked automaticallyd0965cd6d3
scoring_agent, CLM-427640, identity id MBR-017444, confidence 1, method probabilistic, matched record CLM-427641, policy version 1
2026-10-19 19:45:42Record linked automaticallyfe895636c8
scoring_agent, ENR-136234, identity id MBR-017444, confidence 1, method probabilistic, matched record CLM-427640, policy version 1
2026-10-19 19:45:42Record linked automatically99c43ffba8
scoring_agent, CLM-427642, identity id MBR-017444, confidence 0.93, method probabilistic, matched record CLM-427640, policy version 1
2026-10-19 19:45:42Record linked automaticallyf89324d4a6
scoring_agent, CLM-427641, identity id MBR-017444, confidence 1, method probabilistic, matched record CLM-427640, policy version 1
2026-10-19 19:45:42Record linked automatically6f1b701b49
scoring_agent, CLM-427640, identity id MBR-017444, confidence 1, method probabilistic, matched record CLM-427641, policy version 1
2026-10-19 19:32:31Record linked automatically6f9ea952cb
scoring_agent, ENR-136234, identity id MBR-017444, confidence 1, method probabilistic, matched record CLM-427640, policy version 1
2026-10-19 19:32:31Record linked automatically2e837753fb
scoring_agent, CLM-427642, identity id MBR-017444, confidence 0.93, method probabilistic, matched record CLM-427640, policy version 1
2026-10-19 19:32:31Record linked automatically3ec2700ab7
scoring_agent, CLM-427641, identity id MBR-017444, confidence 1, method probabilistic, matched record CLM-427640, policy version 1
2026-10-19 19:32:31Record linked automatically0b6183bca5
scoring_agent, CLM-427640, identity id MBR-017444, confidence 1, method probabilistic, matched record CLM-427641, policy version 1
2026-10-19 19:31:28Record linked automatically8a76dc8a35
scoring_agent, ENR-136234, identity id MBR-027015, confidence 0.99, method probabilistic, matched record PRV-28026, policy version 1
2026-10-19 19:31:28Record linked automatically226cb1fdcf
scoring_agent, CLM-427641, identity id MBR-007386, confidence 1, method probabilistic, matched record TPA-62159, policy version 1
2026-10-19 19:31:28Record linked automatically76341ce054
matching_agent, CLM-427640, identity id MBR-001225, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136589

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-2026-021302	2026-06-04	Unity Primary Care Associates out of network	99214	$299.00	—	Denied	Denied
CLM-2026-021301	2026-06-04	Unity Primary Care Associates out of network	99214	$299.00	$104.55	Approved	Approved
CLM-2026-028840	2026-03-10	Northgate Orthopedic Specialists in network	20610, 99213	$397.00	—	Needs review	Needs review
CLM-2026-028839	2026-03-10	Northgate Orthopedic Specialists in network	20610, 99213	$397.00	$206.14	Approved	Approved
CLM-2026-011904	2026-01-21	Northgate Primary Care Associates out of network	90471, 99395	$294.00	$119.25	Approved	Approved