Identities/MBR-024248

Gold, golden identity

Bryan S Simmons

5 source records from 3 feeds.

MBR-024248Verified5 records

Golden record

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

First nameENR: Bryan
Middle nameENR: S
Last nameENR: Simmons
Date of birthENR: 1947-11-10
GenderENR: F
Member IDENR: UHC-87202-79
SSNENR: •••-••-2548
PhoneCLM: 5527938839
EmailCLM: bryan.simmons2@proton.me
AddressENR: 67 Bayshore Dr
CityENR: Atlanta
StateENR: GA
ZIPENR: 30364
GroupENR: GRP-6405
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

ENR ×1CLM ×3TPA ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
ENR-123364	ENR	2026-04-06	Bryan Simmonsflagged	1947-11-10	UHC-87202-79	—	67 Bayshore Dr, Atlanta, GA	Scored	1.00	—
CLM-417743	CLM	2026-05-09	Bryyan Simmonsflagged	—	—	—	67 Bayshore Dr, Atlanta, GA	Scored	0.99	—
TPA-57835	TPA	2026-08-09	Bryan Simmonsflagged	1947-11-10	—	5527938839	67 Bayshore Dr, Atlanta, GA	Scored	1.00	—
CLM-417744	CLM	2026-09-22	Bryan Simmonsflagged	1947-11-10	UHC-87202-79	5527938839	—	Scored	1.00	—
CLM-417742	CLM	2026-09-30	Bryan Simmonsflagged	1947-11-10	—	—	67 Bayshore Dr, Atlanta, GA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-57835TPACLM-417742CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-57835TPACLM-417744CLM1.00Scoredweighted 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

▶ENR-123364ENRTPA-57835TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417743CLMCLM-417742CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-123364ENRCLM-417743CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-123364ENRCLM-417744CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-123364ENRCLM-417742CLM0.97RuleD2 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417744CLMCLM-417742CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417743CLMTPA-57835TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-417742 → UHC-87202-79 (Bryan Simmons)
ACT-003747, Claims processor
Orphan claim re-pointedExecuted
CLM-417743 → UHC-87202-79 (Bryan Simmons)
ACT-006976, Claims processor
Care coordination outreachProposed
Bryan Simmons: 3 claims, no attributed provider
ACT-019264, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically0b91795eb2
scoring_agent, CLM-417742, identity id MBR-024248, confidence 1, method probabilistic, matched record TPA-57835, policy version 1
2026-10-19 19:54:38Record linked automatically461a92b3b2
scoring_agent, CLM-417744, identity id MBR-024248, confidence 1, method probabilistic, matched record TPA-57835, policy version 1
2026-10-19 19:54:38Record linked automaticallybb417a13f3
scoring_agent, TPA-57835, identity id MBR-024248, confidence 1, method probabilistic, matched record ENR-123364, policy version 1
2026-10-19 19:54:38Record linked automatically7c86092cd4
scoring_agent, CLM-417743, identity id MBR-024248, confidence 0.99, method probabilistic, matched record ENR-123364, policy version 1
2026-10-19 19:54:38Record linked automatically8ea325b4c6
scoring_agent, ENR-123364, identity id MBR-024248, confidence 1, method probabilistic, matched record TPA-57835, policy version 1
2026-10-19 19:52:09Record linked automaticallyc526ecc92b
scoring_agent, CLM-417742, identity id MBR-024248, confidence 1, method probabilistic, matched record TPA-57835, policy version 1
2026-10-19 19:52:09Record linked automaticallyf0b7b162a1
scoring_agent, CLM-417744, identity id MBR-024248, confidence 1, method probabilistic, matched record TPA-57835, policy version 1
2026-10-19 19:52:09Record linked automaticallyb6c74a1646
scoring_agent, TPA-57835, identity id MBR-024248, confidence 1, method probabilistic, matched record ENR-123364, policy version 1
2026-10-19 19:52:09Record linked automatically78ad3c6f24
scoring_agent, CLM-417743, identity id MBR-024248, confidence 0.99, method probabilistic, matched record ENR-123364, policy version 1
2026-10-19 19:52:09Record linked automatically316cbc3dad
scoring_agent, ENR-123364, identity id MBR-024248, confidence 1, method probabilistic, matched record TPA-57835, policy version 1
2026-10-19 19:45:42Record linked automatically25c5aabfda
scoring_agent, CLM-417742, identity id MBR-024248, confidence 1, method probabilistic, matched record TPA-57835, policy version 1
2026-10-19 19:45:42Record linked automaticallyf65d0dad48
scoring_agent, CLM-417744, identity id MBR-024248, confidence 1, method probabilistic, matched record TPA-57835, policy version 1
2026-10-19 19:45:42Record linked automatically3ac406cab8
scoring_agent, TPA-57835, identity id MBR-024248, confidence 1, method probabilistic, matched record ENR-123364, policy version 1
2026-10-19 19:45:42Record linked automatically280b31c822
scoring_agent, CLM-417743, identity id MBR-024248, confidence 0.99, method probabilistic, matched record ENR-123364, policy version 1
2026-10-19 19:45:42Record linked automaticallybfa072cd5b
scoring_agent, ENR-123364, identity id MBR-024248, confidence 1, method probabilistic, matched record TPA-57835, policy version 1
2026-10-19 19:32:31Record linked automatically574e3d1346
scoring_agent, CLM-417742, identity id MBR-024248, confidence 1, method probabilistic, matched record TPA-57835, policy version 1
2026-10-19 19:32:31Record linked automatically598b9a4339
scoring_agent, CLM-417744, identity id MBR-024248, confidence 1, method probabilistic, matched record TPA-57835, policy version 1
2026-10-19 19:32:31Record linked automatically769db3c20a
scoring_agent, TPA-57835, identity id MBR-024248, confidence 1, method probabilistic, matched record ENR-123364, policy version 1
2026-10-19 19:32:31Record linked automatically106ecf7c61
scoring_agent, CLM-417743, identity id MBR-024248, confidence 0.99, method probabilistic, matched record ENR-123364, policy version 1
2026-10-19 19:32:31Record linked automaticallyce2f7a670d
scoring_agent, ENR-123364, identity id MBR-024248, confidence 1, method probabilistic, matched record TPA-57835, policy version 1
2026-10-19 19:31:28Record linked automaticallyd714a9b5ac
matching_agent, ENR-123364, identity id MBR-026879, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-123365
2026-10-19 19:31:28Record linked automatically7ba5d4e276
scoring_agent, CLM-417742, identity id MBR-021496, confidence 1, method probabilistic, matched record ENR-123200, policy version 1
2026-10-19 19:31:28Record linked automatically3e732ec943
scoring_agent, CLM-417743, identity id MBR-019082, confidence 0.98, method probabilistic, matched record ENR-123201, policy version 1
2026-10-19 19:31:28Record linked automatically97d1c5dd3a
scoring_agent, CLM-417744, identity id MBR-016591, confidence 1, method probabilistic, matched record TPA-57752, 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-2026-009165	2026-08-26	Northgate Internal Medicine Associates in network	93000, 80053	$156.00	$71.72	Approved	Approved
CLM-2026-011695	2026-08-31	Mesa Internal Medicine Associates in network	99215	$343.00	$187.66	Approved	Approved
CLM-2026-021225	2026-04-18	Lakeside Physical Therapy in network	97110	$234.00	$120.08	Approved	Approved