Identities/MBR-019663
Gold, golden identity

Scott Simmons

5 source records from 2 feeds.

MBR-019663Verified5 records

Golden record

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

First nameCLM
Scott
Middle name—
—
Last nameCLM
Simmons
Date of birthCLM
1976-01-09
GenderCLM
M
Member ID—
—
SSNCLM
•••-••-4362
PhoneCLM
8768932158
EmailTPA
scott.simmons43@yahoo.com
AddressCLM
2254 Lake View Rd
CityCLM
Mesa
StateCLM
AZ
ZIPCLM
85226
GroupCLM
GRP-3019
PlanCLM
CORE-HMO
Min confidence
0.99
Sources
CLM ×2TPA ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.000.990.99CLMCLM-407287TPATPA-53198TPATPA-53200TPATPA-53199CLMCLM-407288IDMBR-019663
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-407287CLM2026-03-14Scott Simmonsflagged1976-01-09—8768932158—Scored0.99—
TPA-53198TPA2026-06-19Scott Simmonsflagged1976-01-09—87689321582254 Lake View Rd, Mesa, AZScored1.00—
TPA-53200TPA2026-08-13Scott Simmonsflagged1976-01-09——2254 Lake View Rd, Mesa, AZScored1.00—
TPA-53199TPA2026-09-14Sctot Simmonsflagged1976-01-09—87689321582254 Lake View Rd, Mesa, AZScored0.99—
CLM-407288CLM2026-10-13Scott Simmonnsflagged1976-01-09—87689321582254 Lake View Rd, Mesa, AZScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-53198TPATPA-53200TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-53200TPACLM-407288CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407287CLM TPA-53199TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407287CLM CLM-407288CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-53198TPACLM-407288CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-407287CLM TPA-53198TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-53198TPATPA-53199TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-53199TPACLM-407288CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-53200TPATPA-53199TPA0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407287CLM TPA-53200TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

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 automatically2ea96cb691
    scoring_agent, CLM-407288, identity id MBR-019663, confidence 0.99, method probabilistic, matched record TPA-53200, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycf46b0f0bb
    scoring_agent, TPA-53199, identity id MBR-019663, confidence 0.99, method probabilistic, matched record CLM-407287, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0b7994a83d
    scoring_agent, TPA-53200, identity id MBR-019663, confidence 1, method probabilistic, matched record TPA-53198, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8b004d2e17
    scoring_agent, TPA-53198, identity id MBR-019663, confidence 1, method probabilistic, matched record TPA-53200, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyff05cf75d9
    scoring_agent, CLM-407287, identity id MBR-019663, confidence 0.99, method probabilistic, matched record TPA-53199, policy version 1
  • 2026-10-19 19:52:09Record linked automatically216ccecabf
    scoring_agent, CLM-407288, identity id MBR-019663, confidence 0.99, method probabilistic, matched record TPA-53200, policy version 1
  • 2026-10-19 19:52:09Record linked automatically18b0a92879
    scoring_agent, TPA-53199, identity id MBR-019663, confidence 0.99, method probabilistic, matched record CLM-407287, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya4d85d91a9
    scoring_agent, TPA-53200, identity id MBR-019663, confidence 1, method probabilistic, matched record TPA-53198, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb54431d3ab
    scoring_agent, TPA-53198, identity id MBR-019663, confidence 1, method probabilistic, matched record TPA-53200, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4b97a2e730
    scoring_agent, CLM-407287, identity id MBR-019663, confidence 0.99, method probabilistic, matched record TPA-53199, policy version 1
  • 2026-10-19 19:45:42Record linked automatically63bf75745e
    scoring_agent, CLM-407288, identity id MBR-019663, confidence 0.99, method probabilistic, matched record TPA-53200, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyaf504a5e18
    scoring_agent, TPA-53199, identity id MBR-019663, confidence 0.99, method probabilistic, matched record CLM-407287, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5b234488fa
    scoring_agent, TPA-53200, identity id MBR-019663, confidence 1, method probabilistic, matched record TPA-53198, policy version 1
  • 2026-10-19 19:45:42Record linked automatically86ba2aab34
    scoring_agent, TPA-53198, identity id MBR-019663, confidence 1, method probabilistic, matched record TPA-53200, policy version 1
  • 2026-10-19 19:45:42Record linked automatically685c6749c8
    scoring_agent, CLM-407287, identity id MBR-019663, confidence 0.99, method probabilistic, matched record TPA-53199, policy version 1
  • 2026-10-19 19:32:31Record linked automatically068db24973
    scoring_agent, CLM-407288, identity id MBR-019663, confidence 0.99, method probabilistic, matched record TPA-53200, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye6b6043d1c
    scoring_agent, TPA-53199, identity id MBR-019663, confidence 0.99, method probabilistic, matched record CLM-407287, policy version 1
  • 2026-10-19 19:32:31Record linked automatically12cd4cb31b
    scoring_agent, TPA-53200, identity id MBR-019663, confidence 1, method probabilistic, matched record TPA-53198, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf5393a18ff
    scoring_agent, TPA-53198, identity id MBR-019663, confidence 1, method probabilistic, matched record TPA-53200, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb2c6594793
    scoring_agent, CLM-407287, identity id MBR-019663, confidence 0.99, method probabilistic, matched record TPA-53199, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1ea8236f6b
    scoring_agent, TPA-53200, identity id MBR-008359, confidence 1, method probabilistic, matched record CLM-407246, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb2f52cbea1
    scoring_agent, TPA-53199, identity id MBR-008359, confidence 1, method probabilistic, matched record CLM-407246, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya73c569fdc
    scoring_agent, CLM-407287, identity id MBR-005748, confidence 1, method probabilistic, matched record TPA-53218, policy version 1
  • 2026-10-19 19:31:28Record linked automatically71631ceead
    scoring_agent, CLM-407288, identity id MBR-005748, confidence 1, method probabilistic, matched record ENR-109549, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0274742026-09-12Cornerstone Reference Lab
out of network
80061, 87086, 83036$177.00—PendedPended
CLM-2026-0197942026-01-30Evergreen Primary Care Associates
in network
99213$169.00—PendedPended