Identities/MBR-027999
Gold, golden identity

Kyle E Simpson

4 source records from 2 feeds.

MBR-027999Verified4 records

Golden record

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

First nameENR
Kyle
Middle nameENR
E
Last nameENR
Simpson
Date of birthENR
2007-04-15
GenderENR
F
Member IDENR
UHC-10810-94
SSNENR
•••-••-9543
PhoneCLM
7722251125
Email—
—
AddressENR
621 Palm Dr
CityENR
Plano
StateENR
TX
ZIPENR
75092
GroupENR
GRP-2294
PlanENR
OPTIONS-PPO
Min confidence
0.97
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.990.990.97CLMCLM-404032CLMCLM-404031ENRENR-105271CLMCLM-404033IDMBR-027999
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-404032CLM2026-04-27Kyle Simpsonflagged2007-04-15—7722251125621 Palm Dr, Plano, TXRule0.97D2 ssn4 + dob + last name
CLM-404031CLM2026-05-04Kyle Simpsonflagged2007-04-15UHC-10810-94—621 Palm Dr, Plano, TXRule0.99D1 member id + dob exact
ENR-105271ENR2026-08-09Kyle Simpsonflagged2007-04-15UHC-10810-94—621 Palm Dr, Plano, TXRule0.99D1 member id + dob exact
CLM-404033CLM2026-09-07Kyle Simpsonflagged2007-04-15—7722251125621 Palm Dr, Plano, TXRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-404031CLMENR-105271ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-404032CLMCLM-404031CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-404032CLMCLM-404033CLM0.97RuleD2 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
▶CLM-404031CLMCLM-404033CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-105271ENRCLM-404033CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-404032CLMENR-105271ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-404032 → UHC-10810-94 (Kyle Simpson)
    ACT-001409, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-404033 → UHC-10810-94 (Kyle Simpson)
    ACT-007652, Claims processor
  • Care coordination outreachProposed
    Kyle Simpson: 3 claims, no attributed provider
    ACT-019397, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallya67a465e1a
    matching_agent, CLM-404033, identity id MBR-027999, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404032
  • 2026-10-19 19:54:38Record linked automaticallyd9279a3c6f
    matching_agent, ENR-105271, identity id MBR-027999, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404031
  • 2026-10-19 19:54:38Record linked automatically49fd643f36
    matching_agent, CLM-404031, identity id MBR-027999, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105271
  • 2026-10-19 19:54:38Record linked automaticallyebd19d602c
    matching_agent, CLM-404032, identity id MBR-027999, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404031
  • 2026-10-19 19:52:09Record linked automatically6fab4c837c
    matching_agent, CLM-404033, identity id MBR-027999, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404032
  • 2026-10-19 19:52:09Record linked automatically22d2d9a5e1
    matching_agent, ENR-105271, identity id MBR-027999, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404031
  • 2026-10-19 19:52:09Record linked automatically046e2ee97d
    matching_agent, CLM-404031, identity id MBR-027999, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105271
  • 2026-10-19 19:52:09Record linked automatically0d01e2b67a
    matching_agent, CLM-404032, identity id MBR-027999, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404031
  • 2026-10-19 19:45:42Record linked automaticallyf3b46cd538
    matching_agent, CLM-404033, identity id MBR-027999, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404032
  • 2026-10-19 19:45:42Record linked automatically2043c78d67
    matching_agent, ENR-105271, identity id MBR-027999, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404031
  • 2026-10-19 19:45:42Record linked automatically71cc4dba08
    matching_agent, CLM-404031, identity id MBR-027999, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105271
  • 2026-10-19 19:45:42Record linked automatically47387f6f92
    matching_agent, CLM-404032, identity id MBR-027999, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404031
  • 2026-10-19 19:32:31Record linked automatically09ee35e985
    matching_agent, CLM-404033, identity id MBR-027999, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404032
  • 2026-10-19 19:32:31Record linked automaticallycfdc6c03aa
    matching_agent, ENR-105271, identity id MBR-027999, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404031
  • 2026-10-19 19:32:31Record linked automaticallyc0c22b569a
    matching_agent, CLM-404031, identity id MBR-027999, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105271
  • 2026-10-19 19:32:31Record linked automatically5bfdf6cc2d
    matching_agent, CLM-404032, identity id MBR-027999, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404031
  • 2026-10-19 19:31:28Record linked automatically574ebdbf79
    scoring_agent, CLM-404033, identity id MBR-025593, confidence 1, method probabilistic, matched record TPA-51806, policy version 1
  • 2026-10-19 19:31:28Record linked automatically873a8e8cae
    scoring_agent, ENR-105271, identity id MBR-019816, confidence 1, method probabilistic, matched record TPA-51823, policy version 1
  • 2026-10-19 19:31:28Record linked automatically16c18292f4
    matching_agent, CLM-404032, identity id MBR-002391, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404030
  • 2026-10-19 19:31:28Record linked automaticallyca7a1037a0
    scoring_agent, CLM-404031, identity id MBR-002391, confidence 0.99, method probabilistic, matched record TPA-51804, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0239572026-08-17Sunrise Imaging Center
out of network
70553, 77067$3,226.00$161.12ApprovedApproved
CLM-2026-0117732026-04-05Unity Reference Lab
in network
70553$3,304.00—Needs reviewNeeds review
CLM-2026-0002922026-03-14Pinecrest Diagnostic Imaging
in network
74177$1,860.00—Needs reviewNeeds review