Identities/MBR-026468

Gold, golden identity

Julie H Sims

6 source records from 4 feeds.

MBR-026468Verified6 records

Golden record

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

First nameENR: Julie
Middle nameENR: H
Last nameENR: Sims
Date of birthENR: 1980-02-25
GenderENR: M
Member IDENR: UHC-52677-23
SSNENR: •••-••-3461
PhoneENR: 5126944707
EmailENR: julie.sims86@yahoo.com
AddressENR: 4819 Valley View Dr
CityENR: San Antonio
StateENR: TX
ZIPENR: 78220
GroupENR: GRP-9400
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

TPA ×2PRV ×1CLM ×2ENR ×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
TPA-54411	TPA	2026-04-18	Julie Simsflagged	1980-02-25	—	5126944707	4819 Valley View Dr, San Antonio, TX	Scored	1.00	—
TPA-54412	TPA	2026-05-23	Julie Simsflagged	1980-02-25	—	—	4819 Valley View Dr, San Antonio, TX	Scored	1.00	—
PRV-22927	PRV	2026-07-02	Julie Simsflagged	1980-02-25	UHC-52677-23	—	4819 Valley View Dr, San Antonio, TX	Scored	1.00	—
CLM-410075	CLM	2026-08-01	Julie Simsflagged	1980-02-25	UHC-52677-23	—	4819 Valley View Dr, San Antonio, TX	Rule	0.99	D1 member id + dob exact
CLM-410076	CLM	2026-08-11	Julie Simsflagged	1980-02-25	UHC-52677-23	—	4819 Valley View Dr, San Antonio, TX	Scored	1.00	—
ENR-113283	ENR	2026-08-21	Julie Simsflagged	1980-02-25	UHC-52677-23	5126944707	4819 Valley View Dr, San Antonio, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-54411TPACLM-410076CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54412TPACLM-410076CLM1.00Scoredweighted 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-54411TPAENR-113283ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-54412TPAENR-113283ENR1.00Scoredweighted 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-54411TPAPRV-22927PRV1.00Scoredweighted 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-54412TPAPRV-22927PRV1.00Scoredweighted 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-54411TPATPA-54412TPA1.00Scoredweighted 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

▶PRV-22927PRVCLM-410075CLM0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-22927PRVCLM-410076CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410075CLMCLM-410076CLM0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-22927PRVENR-113283ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410075CLMENR-113283ENR0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-410076CLMENR-113283ENR0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-54411TPACLM-410075CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-54412TPACLM-410075CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: 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 automatically9d9a980a4a
scoring_agent, ENR-113283, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:54:38Record linked automatically2c247463ac
scoring_agent, CLM-410076, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:54:38Record linked automaticallyad55823665
matching_agent, CLM-410075, identity id MBR-026468, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22927
2026-10-19 19:54:38Record linked automatically1f5dfff641
scoring_agent, PRV-22927, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:54:38Record linked automaticallyf304fc9b8a
scoring_agent, TPA-54412, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:54:38Record linked automatically28b35fde8a
scoring_agent, TPA-54411, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54412, policy version 1
2026-10-19 19:52:09Record linked automaticallyce5c9e1bc2
scoring_agent, ENR-113283, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:52:09Record linked automatically9087b5f078
scoring_agent, CLM-410076, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:52:09Record linked automaticallya3f4a83a74
matching_agent, CLM-410075, identity id MBR-026468, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22927
2026-10-19 19:52:09Record linked automaticallyfc0ae533db
scoring_agent, PRV-22927, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:52:09Record linked automatically30d4c423a4
scoring_agent, TPA-54412, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:52:09Record linked automatically52cf4fbd00
scoring_agent, TPA-54411, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54412, policy version 1
2026-10-19 19:45:42Record linked automaticallyb7b33d93c5
scoring_agent, ENR-113283, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:45:42Record linked automaticallye16348749e
scoring_agent, CLM-410076, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:45:42Record linked automatically140bf6d17e
matching_agent, CLM-410075, identity id MBR-026468, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22927
2026-10-19 19:45:42Record linked automatically771b16363f
scoring_agent, PRV-22927, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:45:42Record linked automaticallye8bf832109
scoring_agent, TPA-54412, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:45:42Record linked automatically44dd908e78
scoring_agent, TPA-54411, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54412, policy version 1
2026-10-19 19:32:31Record linked automaticallyff176946ed
scoring_agent, ENR-113283, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:32:31Record linked automatically04b7b31ef9
scoring_agent, CLM-410076, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:32:31Record linked automaticallyeae2a674d6
matching_agent, CLM-410075, identity id MBR-026468, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22927
2026-10-19 19:32:31Record linked automaticallyb0213cbfc8
scoring_agent, PRV-22927, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:32:31Record linked automatically41e2daeb89
scoring_agent, TPA-54412, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54411, policy version 1
2026-10-19 19:32:31Record linked automatically75d2b27395
scoring_agent, TPA-54411, identity id MBR-026468, confidence 1, method probabilistic, matched record TPA-54412, policy version 1
2026-10-19 19:31:28Record linked automaticallyc4fa2000a8
scoring_agent, CLM-410076, identity id MBR-031159, confidence 1, method probabilistic, matched record CLM-410075, policy version 1
2026-10-19 19:31:28Record linked automatically44fd907c5d
scoring_agent, CLM-410075, identity id MBR-031159, confidence 1, method probabilistic, matched record CLM-410076, policy version 1
2026-10-19 19:31:28Record linked automatically72063883b5
scoring_agent, ENR-113283, identity id MBR-020427, confidence 1, method probabilistic, matched record TPA-54490, policy version 1
2026-10-19 19:31:28Record linked automatically19dfe309c7
scoring_agent, PRV-22927, identity id MBR-014245, confidence 1, method probabilistic, matched record PRV-22926, policy version 1
2026-10-19 19:31:28Record linked automatically3a6c697209
scoring_agent, TPA-54412, identity id MBR-008612, confidence 0.99, method probabilistic, matched record ENR-113066, 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-2026-006760	2026-07-20	Mesa Clinical Laboratories in network	83036, 85025, 80053	$210.00	$0.00	Approved	Approved
CLM-2026-031613	2026-06-22	Riverside Community Hospital in network	71046	$140.00	$0.00	Approved	Approved