Identities/MBR-027966
Gold, golden identity

Gary Sims

2 source records from 2 feeds.

MBR-027966Verified2 records

Golden record

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

First nameENR
Gary
Middle name—
—
Last nameENR
Sims
Date of birthENR
1950-04-10
GenderENR
F
Member IDENR
UHC-50068-89
SSNENR
•••-••-2340
PhoneENR
8036631340
Email—
—
AddressENR
7461 Maple Ave
CityENR
Tampa
StateENR
FL
ZIPENR
33676
GroupENR
GRP-6253
PlanENR
MEDICARE-ADV-B
Min confidence
0.97
Sources
CLM ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.97CLMCLM-407362ENRENR-109641IDMBR-027966
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-407362CLM2026-04-27Gary Simsflagged1950-04-10—80366313407461 Maple Ave Apt 5, Tampa, FLRule0.97D2 ssn4 + dob + last name
ENR-109641ENR2026-06-17Gary Simsflagged1950-04-10UHC-50068-8980366313407461 Maple Ave, Tampa, FLRule0.97D2 ssn4 + dob + last name

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-407362CLMENR-109641ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-407362 → UHC-50068-89 (Gary Sims)
    ACT-006602, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically682946508c
    matching_agent, ENR-109641, identity id MBR-027966, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407362
  • 2026-10-19 19:54:38Record linked automatically4e37015a6c
    matching_agent, CLM-407362, identity id MBR-027966, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-109641
  • 2026-10-19 19:52:09Record linked automaticallycb59d6f344
    matching_agent, ENR-109641, identity id MBR-027966, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407362
  • 2026-10-19 19:52:09Record linked automatically2e202ee75f
    matching_agent, CLM-407362, identity id MBR-027966, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-109641
  • 2026-10-19 19:45:42Record linked automatically1212677ada
    matching_agent, ENR-109641, identity id MBR-027966, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407362
  • 2026-10-19 19:45:42Record linked automaticallybdc19b3e89
    matching_agent, CLM-407362, identity id MBR-027966, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-109641
  • 2026-10-19 19:32:31Record linked automatically0345b56fa8
    matching_agent, ENR-109641, identity id MBR-027966, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407362
  • 2026-10-19 19:32:31Record linked automaticallyceef8de728
    matching_agent, CLM-407362, identity id MBR-027966, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-109641
  • 2026-10-19 19:31:28Record linked automaticallyd8b119fb81
    matching_agent, CLM-407362, identity id MBR-004603, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407363

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0198182026-04-08Canyon Diagnostic Imaging
in network
71046$220.00—DeniedDenied
CLM-2026-0198172026-04-08Canyon Diagnostic Imaging
in network
71046$220.00$0.00ApprovedApproved