Identities/MBR-029754

Gold, golden identity

Andrew L Simmons

5 source records from 2 feeds.

MBR-029754Verified5 records

Golden record

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

First nameCLM: Andrew
Middle nameCLM: L
Last nameCLM: Simmons
Date of birthCLM: 1996-11-15
GenderCLM: F
Member IDCLM: UHC-41090-96
SSNCLM: •••-••-1770
PhoneCLM: 4038688829
Email—: —
AddressCLM: 1958 Valley View Dr
CityCLM: Denver
StateCLM: CO
ZIPCLM: 80241
GroupCLM: GRP-4083
PlanTPA: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

CLM ×2TPA ×3

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
CLM-417944	CLM	2026-05-08	Andrew Simmonsflagged	1996-11-15	UHC-41090-96	4038688829	1958 Valley View Dr, Denver, CO	Scored	1.00	—
CLM-417945	CLM	2026-08-12	Andrew Simmonsflagged	1996-11-15	UHC-41090-96	—	—	Rule	0.99	D1 member id + dob exact
TPA-57924	TPA	2026-09-11	Andrew Simmonsflagged	1996-11-15	—	4038688829	1958 Valley View Dr, Denver, CO	Scored	1.00	—
TPA-57923	TPA	2026-09-16	Andrew Simmonsflagged	1996-11-15	—	4038688829	1958 Valley View Dr, Denver, CO	Scored	1.00	—
TPA-57925	TPA	2026-10-09	Drew Simmonsflagged	1996-11-15	—	—	1958 Valley View Dr, Denver, CO	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-417944CLMTPA-57923TPA 1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-57924TPATPA-57923TPA 1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417944CLMTPA-57924TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417944CLMTPA-57925TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-57924TPATPA-57925TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-57923TPA TPA-57925TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417944CLMCLM-417945CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417945CLMTPA-57923TPA 0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-417945CLMTPA-57924TPA0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-417945CLMTPA-57925TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

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 automatically0c8e8af7b9
scoring_agent, TPA-57925, identity id MBR-029754, confidence 1, method probabilistic, matched record CLM-417944, policy version 1
2026-10-19 19:54:38Record linked automaticallyf3fda561d1
scoring_agent, TPA-57923, identity id MBR-029754, confidence 1, method probabilistic, matched record CLM-417944, policy version 1
2026-10-19 19:54:38Record linked automaticallya0309a7f65
scoring_agent, TPA-57924, identity id MBR-029754, confidence 1, method probabilistic, matched record CLM-417944, policy version 1
2026-10-19 19:54:38Record linked automaticallya120ce67e8
matching_agent, CLM-417945, identity id MBR-029754, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417944
2026-10-19 19:54:38Record linked automatically79a9e1294e
scoring_agent, CLM-417944, identity id MBR-029754, confidence 1, method probabilistic, matched record TPA-57924, policy version 1
2026-10-19 19:52:09Record linked automatically61438b1964
scoring_agent, TPA-57925, identity id MBR-029754, confidence 1, method probabilistic, matched record CLM-417944, policy version 1
2026-10-19 19:52:09Record linked automaticallye713d28b40
scoring_agent, TPA-57923, identity id MBR-029754, confidence 1, method probabilistic, matched record CLM-417944, policy version 1
2026-10-19 19:52:09Record linked automaticallyee3bf9b795
scoring_agent, TPA-57924, identity id MBR-029754, confidence 1, method probabilistic, matched record CLM-417944, policy version 1
2026-10-19 19:52:09Record linked automatically0a3cb866d2
matching_agent, CLM-417945, identity id MBR-029754, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417944
2026-10-19 19:52:09Record linked automatically3b0ce7d66b
scoring_agent, CLM-417944, identity id MBR-029754, confidence 1, method probabilistic, matched record TPA-57924, policy version 1
2026-10-19 19:45:42Record linked automaticallyc97531948f
scoring_agent, TPA-57925, identity id MBR-029754, confidence 1, method probabilistic, matched record CLM-417944, policy version 1
2026-10-19 19:45:42Record linked automaticallyc8c2e339fa
scoring_agent, TPA-57923, identity id MBR-029754, confidence 1, method probabilistic, matched record CLM-417944, policy version 1
2026-10-19 19:45:42Record linked automatically587bc5385d
scoring_agent, TPA-57924, identity id MBR-029754, confidence 1, method probabilistic, matched record CLM-417944, policy version 1
2026-10-19 19:45:42Record linked automatically758c269d1d
matching_agent, CLM-417945, identity id MBR-029754, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417944
2026-10-19 19:45:42Record linked automatically9dc5a96470
scoring_agent, CLM-417944, identity id MBR-029754, confidence 1, method probabilistic, matched record TPA-57924, policy version 1
2026-10-19 19:32:31Record linked automaticallycad24eced7
scoring_agent, TPA-57925, identity id MBR-029754, confidence 1, method probabilistic, matched record CLM-417944, policy version 1
2026-10-19 19:32:31Record linked automatically5fd98a4ccd
scoring_agent, TPA-57923, identity id MBR-029754, confidence 1, method probabilistic, matched record CLM-417944, policy version 1
2026-10-19 19:32:31Record linked automatically241f8f938f
scoring_agent, TPA-57924, identity id MBR-029754, confidence 1, method probabilistic, matched record CLM-417944, policy version 1
2026-10-19 19:32:31Record linked automatically3fb72764e3
matching_agent, CLM-417945, identity id MBR-029754, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417944
2026-10-19 19:32:31Record linked automatically398ef613ba
scoring_agent, CLM-417944, identity id MBR-029754, confidence 1, method probabilistic, matched record TPA-57924, policy version 1
2026-10-19 19:31:28Record linked automaticallyc33077f2c7
matching_agent, CLM-417945, identity id MBR-019941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123498
2026-10-19 19:31:28Record linked automatically05ee6f65a1
matching_agent, TPA-57924, identity id MBR-009252, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-123747
2026-10-19 19:31:28Record linked automatically0893096529
scoring_agent, TPA-57925, identity id MBR-006706, confidence 1, method probabilistic, matched record CLM-418148, policy version 1
2026-10-19 19:31:28Record linked automatically3c4baca98c
scoring_agent, CLM-417944, identity id MBR-003469, confidence 1, method probabilistic, matched record PRV-25248, 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-2026-022210	2026-07-20	Pinecrest Medical Group in network	99215	$371.00	$200.02	Approved	Approved
CLM-2026-018069	2026-04-29	Harbor Medical Group out of network	99215	$296.00	—	Needs review	Needs review