Identities/MBR-023954
Gold, golden identity

Pamela Sims

3 source records from 3 feeds.

MBR-023954Verified3 records

Golden record

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

First nameENR
Pamela
Middle name—
—
Last nameCLM
Sims
Date of birthENR
2003-07-07
GenderENR
F
Member IDENR
UHC-11226-34
SSNENR
•••-••-2548
PhoneENR
6417452159
EmailENR
pamela.sims82@outlook.com
AddressENR
6354 Bayshore Dr
CityENR
Los Angeles
StateENR
CA
ZIPENR
90064
GroupENR
GRP-5078
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
TPA ×1CLM ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.000.99TPATPA-58252CLMCLM-418671ENRENR-124566IDMBR-023954
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
TPA-58252TPA2026-04-04Pamela Simsflagged2003-07-07—64174521596354 Bayshore Dr, Los Angeles, CAScored1.00—
CLM-418671CLM2026-05-22Pamela Simsflagged2003-07-07UHC-11226-346417452159—Scored1.00—
ENR-124566ENR2026-08-13Pamela Symsflagged2003-07-07UHC-11226-3464174521596354 Bayshore Dr, Los Angeles, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-58252TPACLM-418671CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-418671CLMENR-124566ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.913
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-58252TPAENR-124566ENR0.97Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.913
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: 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 automatically02b946b972
    matching_agent, ENR-124566, identity id MBR-023954, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418671
  • 2026-10-22 12:43:54Record linked automatically37d0b0204a
    scoring_agent, CLM-418671, identity id MBR-023954, confidence 1, method probabilistic, matched record TPA-58252, policy version 1
  • 2026-10-22 12:43:54Record linked automatically30cf2aacdf
    scoring_agent, TPA-58252, identity id MBR-023954, confidence 1, method probabilistic, matched record CLM-418671, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye62b77990e
    matching_agent, ENR-124566, identity id MBR-023954, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418671
  • 2026-10-19 19:54:38Record linked automatically4a06a868c5
    scoring_agent, CLM-418671, identity id MBR-023954, confidence 1, method probabilistic, matched record TPA-58252, policy version 1
  • 2026-10-19 19:54:38Record linked automatically609565fcce
    scoring_agent, TPA-58252, identity id MBR-023954, confidence 1, method probabilistic, matched record CLM-418671, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyeb45084bcb
    matching_agent, ENR-124566, identity id MBR-023954, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418671
  • 2026-10-19 19:52:09Record linked automaticallyd56c73dd67
    scoring_agent, CLM-418671, identity id MBR-023954, confidence 1, method probabilistic, matched record TPA-58252, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8f18d5a6d4
    scoring_agent, TPA-58252, identity id MBR-023954, confidence 1, method probabilistic, matched record CLM-418671, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4cac31b978
    matching_agent, ENR-124566, identity id MBR-023954, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418671
  • 2026-10-19 19:45:42Record linked automatically6fc2e439ea
    scoring_agent, CLM-418671, identity id MBR-023954, confidence 1, method probabilistic, matched record TPA-58252, policy version 1
  • 2026-10-19 19:45:42Record linked automatically575618db00
    scoring_agent, TPA-58252, identity id MBR-023954, confidence 1, method probabilistic, matched record CLM-418671, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2860f19b91
    matching_agent, ENR-124566, identity id MBR-023954, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418671
  • 2026-10-19 19:32:31Record linked automaticallyec63cd9af4
    scoring_agent, CLM-418671, identity id MBR-023954, confidence 1, method probabilistic, matched record TPA-58252, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1a6eeb53bc
    scoring_agent, TPA-58252, identity id MBR-023954, confidence 1, method probabilistic, matched record CLM-418671, policy version 1
  • 2026-10-19 19:31:28Record linked automatically07cd13e47c
    matching_agent, CLM-418671, identity id MBR-012300, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-25442

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0158822026-05-06Heritage Medical Group
in network
90471$43.00$0.00ApprovedApproved