Identities/MBR-020728

Gold, golden identity

Yuki Simpson

5 source records from 2 feeds.

MBR-020728Verified5 records

Golden record

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

First nameCLM: Yuki
Middle name—: —
Last namePRV: Simpson
Date of birthPRV: 1964-09-27
GenderPRV: F
Member IDPRV: UHC-06184-67
SSNCLM: •••-••-3737
PhonePRV: 2542366654
Email—: —
AddressPRV: 3800 Ridge Rd
CityPRV: Charlotte
StatePRV: NC
ZIPPRV: 28212
GroupCLM: GRP-4704
PlanCLM: SELECT-EPO

Min confidence

0.97

Sources

CLM ×4PRV ×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
CLM-431556	CLM	2026-03-19	Yuki Simpsonflagged	1964-09-27	UHC-06184-67	2542366654	3800 Ridge Rd, Charlotte, NC	Scored	1.00	—
CLM-431555	CLM	2026-04-21	Yuki Simpsonflagged	1964-09-27	—	2542366654	3800 Ridge Rd, Charlotte, NC	Scored	1.00	—
CLM-431557	CLM	2026-06-08	Yuki Simpsonflagged	1964-09-27	—	—	9716 Canyon Rd, Tucson, AZ	Rule	0.97	D2 ssn4 + dob + last name
PRV-29231	PRV	2026-07-17	Yukki Simpsonflagged	1964-09-27	UHC-06184-67	2542366654	3800 Ridge Rd, Charlotte, NC	Scored	0.99	—
CLM-431554	CLM	2026-09-25	Yuki Simpsonflagged	1964-09-27	—	2542366654	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-431556CLMCLM-431554CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-431555CLMCLM-431554CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-431556CLMCLM-431555CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431555CLMPRV-29231PRV0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-29231PRVCLM-431554CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-431556CLMPRV-29231PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-431556CLMCLM-431557CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-431557CLMCLM-431554CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-431555CLMCLM-431557CLM0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶CLM-431557CLMPRV-29231PRV0.74Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-431555 → UHC-06184-67 (Yuki Simpson)
ACT-005937, Claims processor
Orphan claim re-pointedExecuted
CLM-431554 → UHC-06184-67 (Yuki Simpson)
ACT-007478, Claims processor
Orphan claim re-pointedExecuted
CLM-431557 → UHC-06184-67 (Yuki Simpson)
ACT-007691, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically9e9b3c4df5
scoring_agent, CLM-431554, identity id MBR-020728, confidence 1, method probabilistic, matched record CLM-431556, policy version 1
2026-10-22 12:43:54Record linked automatically3f4e661bfe
scoring_agent, PRV-29231, identity id MBR-020728, confidence 0.99, method probabilistic, matched record CLM-431555, policy version 1
2026-10-22 12:43:54Record linked automatically6d1634c0a9
matching_agent, CLM-431557, identity id MBR-020728, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431556
2026-10-22 12:43:54Record linked automatically641abf7765
scoring_agent, CLM-431555, identity id MBR-020728, confidence 1, method probabilistic, matched record CLM-431556, policy version 1
2026-10-22 12:43:54Record linked automaticallydb5b56edf6
scoring_agent, CLM-431556, identity id MBR-020728, confidence 1, method probabilistic, matched record CLM-431555, policy version 1
2026-10-19 19:54:38Record linked automaticallye1b8cfd00c
scoring_agent, CLM-431554, identity id MBR-020728, confidence 1, method probabilistic, matched record CLM-431556, policy version 1
2026-10-19 19:54:38Record linked automatically3724a26ced
scoring_agent, PRV-29231, identity id MBR-020728, confidence 0.99, method probabilistic, matched record CLM-431555, policy version 1
2026-10-19 19:54:38Record linked automatically726249c415
matching_agent, CLM-431557, identity id MBR-020728, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431556
2026-10-19 19:54:38Record linked automatically75fed64ac1
scoring_agent, CLM-431555, identity id MBR-020728, confidence 1, method probabilistic, matched record CLM-431556, policy version 1
2026-10-19 19:54:38Record linked automatically1bd277fa7b
scoring_agent, CLM-431556, identity id MBR-020728, confidence 1, method probabilistic, matched record CLM-431555, policy version 1
2026-10-19 19:52:09Record linked automaticallyc6e49a246a
scoring_agent, CLM-431554, identity id MBR-020728, confidence 1, method probabilistic, matched record CLM-431556, policy version 1
2026-10-19 19:52:09Record linked automatically872364c52d
scoring_agent, PRV-29231, identity id MBR-020728, confidence 0.99, method probabilistic, matched record CLM-431555, policy version 1
2026-10-19 19:52:09Record linked automaticallyba5028b89b
matching_agent, CLM-431557, identity id MBR-020728, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431556
2026-10-19 19:52:09Record linked automatically17732d042b
scoring_agent, CLM-431555, identity id MBR-020728, confidence 1, method probabilistic, matched record CLM-431556, policy version 1
2026-10-19 19:52:09Record linked automaticallydacebb9e2a
scoring_agent, CLM-431556, identity id MBR-020728, confidence 1, method probabilistic, matched record CLM-431555, policy version 1
2026-10-19 19:45:42Record linked automatically031f9da3c1
scoring_agent, CLM-431554, identity id MBR-020728, confidence 1, method probabilistic, matched record CLM-431556, policy version 1
2026-10-19 19:45:42Record linked automaticallyace8b6ba75
scoring_agent, PRV-29231, identity id MBR-020728, confidence 0.99, method probabilistic, matched record CLM-431555, policy version 1
2026-10-19 19:45:42Record linked automatically51705a065a
matching_agent, CLM-431557, identity id MBR-020728, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431556
2026-10-19 19:45:42Record linked automatically2181e52d61
scoring_agent, CLM-431555, identity id MBR-020728, confidence 1, method probabilistic, matched record CLM-431556, policy version 1
2026-10-19 19:45:42Record linked automatically5b5c6f6a78
scoring_agent, CLM-431556, identity id MBR-020728, confidence 1, method probabilistic, matched record CLM-431555, policy version 1
2026-10-19 19:32:31Record linked automaticallya90e00ecf4
scoring_agent, CLM-431554, identity id MBR-020728, confidence 1, method probabilistic, matched record CLM-431556, policy version 1
2026-10-19 19:32:31Record linked automatically51e527fe30
scoring_agent, PRV-29231, identity id MBR-020728, confidence 0.99, method probabilistic, matched record CLM-431555, policy version 1
2026-10-19 19:32:31Record linked automatically6a709b8ad6
matching_agent, CLM-431557, identity id MBR-020728, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431556
2026-10-19 19:32:31Record linked automatically4811a318fe
scoring_agent, CLM-431555, identity id MBR-020728, confidence 1, method probabilistic, matched record CLM-431556, policy version 1
2026-10-19 19:32:31Record linked automaticallyfc7878778f
scoring_agent, CLM-431556, identity id MBR-020728, confidence 1, method probabilistic, matched record CLM-431555, policy version 1
2026-10-19 19:31:28Record linked automatically759df82ad8
scoring_agent, PRV-29231, identity id MBR-033266, confidence 1, method probabilistic, matched record ENR-141773, policy version 1
2026-10-19 19:31:28Record linked automatically17e99713c3
scoring_agent, CLM-431557, identity id MBR-018218, confidence 1, method probabilistic, matched record PRV-29220, policy version 1
2026-10-19 19:31:28Record linked automatically6bcd2eeb2f
matching_agent, CLM-431555, identity id MBR-015319, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141636
2026-10-19 19:31:28Record linked automaticallyff93dcb3f6
matching_agent, CLM-431556, identity id MBR-012937, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29214
2026-10-19 19:31:28Record linked automaticallyda9d6e12d7
scoring_agent, CLM-431554, identity id MBR-008514, confidence 1, method probabilistic, matched record TPA-63829, policy version 1

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-2026-023257	2026-09-16	Mesa Family Practice in network	70553	$2,587.00	—	Needs review	Needs review
CLM-2026-024103	2026-05-22	Meadow Diagnostic Imaging out of network	77067, 70553, 71046	$2,722.00	—	Denied	Denied
CLM-2026-017305	2026-03-07	Riverside Digestive Health Center in network	43239, 88305	$2,714.00	$0.00	Approved	Approved
CLM-2026-007848	2026-02-09	Heritage Medical Group in network	80053, 99215	$494.00	$276.28	Approved	Approved