Identities/MBR-019370
Gold, golden identity

Douglas Simmons

2 source records from 2 feeds.

MBR-019370Verified2 records

Golden record

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

First nameENR
Douglas
Middle name—
—
Last nameENR
Simmons
Date of birthENR
1957-03-21
GenderCLM
M
Member IDENR
UHC-32473-84
SSNENR
•••-••-3581
PhoneENR
6855865248
EmailENR
douglas.simmons@proton.me
AddressENR
7378 Main St
CityENR
Houston
StateENR
TX
ZIPENR
77056
GroupENR
GRP-6825
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.99CLMCLM-401243ENRENR-101606IDMBR-019370
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-401243CLM2026-03-13Douglas Simmonsflagged1957-03-21UHC-32473-8468558652487378 Main St, Houston, TXRule0.99D1 member id + dob exact
ENR-101606ENR2026-05-28Douglas Simmonsflagged1957-03-21UHC-32473-8468558652487378 Main St, Houston, TXRule0.99D1 member id + dob exact

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-401243CLMENR-101606ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
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

  • 2026-10-19 19:54:38Record linked automaticallyefda738b18
    matching_agent, ENR-101606, identity id MBR-019370, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401243
  • 2026-10-19 19:54:38Record linked automatically2ebc9a20f9
    matching_agent, CLM-401243, identity id MBR-019370, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101606
  • 2026-10-19 19:52:09Record linked automatically3043641258
    matching_agent, ENR-101606, identity id MBR-019370, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401243
  • 2026-10-19 19:52:09Record linked automaticallyc6674cecb5
    matching_agent, CLM-401243, identity id MBR-019370, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101606
  • 2026-10-19 19:45:42Record linked automatically4919fbb82b
    matching_agent, ENR-101606, identity id MBR-019370, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401243
  • 2026-10-19 19:45:42Record linked automatically3a94dedc83
    matching_agent, CLM-401243, identity id MBR-019370, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101606
  • 2026-10-19 19:32:31Record linked automaticallya667bdba24
    matching_agent, ENR-101606, identity id MBR-019370, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401243
  • 2026-10-19 19:32:31Record linked automatically5ae712988e
    matching_agent, CLM-401243, identity id MBR-019370, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101606
  • 2026-10-19 19:31:28Record linked automatically082df19b84
    matching_agent, CLM-401243, identity id MBR-018012, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401242

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0311362026-03-10Desert Internal Medicine Associates
in network
99214, 99215$569.00$312.78ApprovedApproved