Identities/MBR-018734
Gold, golden identity

Matthew Sims

3 source records from 2 feeds.

MBR-018734Verified3 records

Golden record

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

First nameCLM
Matthew
Middle name—
—
Last nameCLM
Sims
Date of birthCLM
1949-01-14
GenderCLM
F
Member IDCLM
UHC-92965-60
SSNCLM
•••-••-5006
PhoneTPA
5067648001
EmailCLM
matthew.sims@gmail.com
AddressCLM
9604 Lake View Rd
CityCLM
Chandler
StateCLM
AZ
ZIPCLM
85284
GroupCLM
GRP-3469
PlanCLM
MEDICARE-ADV-B
Min confidence
0.96
Sources
CLM ×2TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

Source records linked to this identity and the confidence of each link

0.990.990.96CLMCLM-423166CLMCLM-423165TPATPA-60182IDMBR-018734
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
CLM-423166CLM2026-03-10Matthew Simsflagged1949-01-14UHC-92965-60—9604 Lake View Rd, Chandler, AZRule0.99D1 member id + dob exact
CLM-423165CLM2026-05-28Matthew Simsflagged1949-01-14UHC-92965-60—9604 Lake View Rd, Chandler, AZRule0.99D1 member id + dob exact
TPA-60182TPA2026-07-17Matthew Simsflagged1950-01-14UHC-92965-605067648001—Rule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-423166CLMCLM-423165CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-423166CLMTPA-60182TPA0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.253month_day
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423165CLMTPA-60182TPA0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.253month_day
Member ID1.004
Identifiers agreeing: 1Conflicts: 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 automatically7e98b08bab
    matching_agent, TPA-60182, identity id MBR-018734, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423166
  • 2026-10-22 12:43:54Record linked automaticallya3666715b7
    matching_agent, CLM-423165, identity id MBR-018734, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423166
  • 2026-10-22 12:43:54Record linked automatically18754f1ed3
    matching_agent, CLM-423166, identity id MBR-018734, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423165
  • 2026-10-19 19:54:38Record linked automaticallye6af4eaf4e
    matching_agent, TPA-60182, identity id MBR-018734, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423166
  • 2026-10-19 19:54:38Record linked automaticallya4cea752a8
    matching_agent, CLM-423165, identity id MBR-018734, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423166
  • 2026-10-19 19:54:38Record linked automaticallya2c2ffc6aa
    matching_agent, CLM-423166, identity id MBR-018734, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423165
  • 2026-10-19 19:52:09Record linked automatically44e97cf670
    matching_agent, TPA-60182, identity id MBR-018734, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423166
  • 2026-10-19 19:52:09Record linked automatically47c4e245ce
    matching_agent, CLM-423165, identity id MBR-018734, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423166
  • 2026-10-19 19:52:09Record linked automatically5e53d426bd
    matching_agent, CLM-423166, identity id MBR-018734, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423165
  • 2026-10-19 19:45:42Record linked automaticallye56ef44253
    matching_agent, TPA-60182, identity id MBR-018734, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423166
  • 2026-10-19 19:45:42Record linked automatically9e74c930e3
    matching_agent, CLM-423165, identity id MBR-018734, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423166
  • 2026-10-19 19:45:42Record linked automatically976be1e499
    matching_agent, CLM-423166, identity id MBR-018734, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423165
  • 2026-10-19 19:32:31Record linked automatically23ffe5a916
    matching_agent, TPA-60182, identity id MBR-018734, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423166
  • 2026-10-19 19:32:31Record linked automaticallyfd704593ab
    matching_agent, CLM-423165, identity id MBR-018734, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423166
  • 2026-10-19 19:32:31Record linked automatically5d3e2b8ff3
    matching_agent, CLM-423166, identity id MBR-018734, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423165
  • 2026-10-19 19:31:28Record linked automatically51f10423ad
    scoring_agent, TPA-60182, identity id MBR-029465, confidence 1, method probabilistic, matched record ENR-130493, policy version 1
  • 2026-10-19 19:31:28Record linked automatically65253456ff
    scoring_agent, CLM-423165, identity id MBR-010297, confidence 0.98, method probabilistic, matched record ENR-130518, policy version 1
  • 2026-10-19 19:31:28Record linked automatically108be6d3b6
    matching_agent, CLM-423166, identity id MBR-002961, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423167

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0101952026-05-10Canyon Reference Lab
out of network
83036, 80061$159.00$0.00ApprovedApproved
CLM-2026-0321542026-02-03Evergreen Family Practice
in network
36415, 99213$191.00—Needs reviewNeeds review