Identities/MBR-029877
Gold, golden identity

Sandra S Simmons

4 source records from 2 feeds.

MBR-029877Verified4 records

Golden record

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

First nameENR
Sandra
Middle nameENR
S
Last nameENR
Simmons
Date of birthENR
1967-02-27
GenderENR
M
Member IDENR
UHC-87599-06
SSNENR
•••-••-3796
PhoneENR
5082291918
Email—
—
AddressENR
469 Elm St
CityENR
Seattle
StateENR
WA
ZIPENR
98181
GroupENR
GRP-6629
PlanENR
NAVIGATE-HMO
Min confidence
0.97
Sources
ENR ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.970.990.97ENRENR-119411CLMCLM-414756CLMCLM-414757CLMCLM-414755IDMBR-029877
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
ENR-119411ENR2026-05-09Sandra Simmonsflagged1967-02-27UHC-87599-065082291918469 Elm St, Seattle, WARule0.99D1 member id + dob exact
CLM-414756CLM2026-07-03Sandra Simmonsflagged1967-02-27——469 Elm St, Seattle, WARule0.97D2 ssn4 + dob + last name
CLM-414757CLM2026-07-06Sandra Simmonsflagged1967-02-27UHC-87599-06—469 Elm St, Seattle, WARule0.99D1 member id + dob exact
CLM-414755CLM2026-07-10Sandra Simmonsflagged1967-02-27—5082291918469 Elm St, Seattle, WARule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶ENR-119411ENRCLM-414757CLM0.99RuleD1 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
▶ENR-119411ENRCLM-414755CLM0.97RuleD2 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-414756CLMCLM-414755CLM0.97RuleD2 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-414757CLMCLM-414755CLM0.97RuleD2 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-119411ENRCLM-414756CLM0.97RuleD2 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-414756CLMCLM-414757CLM0.97RuleD2 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-414755 → UHC-87599-06 (Sandra Simmons)
    ACT-001947, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-414756 → UHC-87599-06 (Sandra Simmons)
    ACT-009721, Claims processor
  • Care coordination outreachProposed
    Sandra Simmons: 3 claims, no attributed provider
    ACT-019436, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallya8b65b75db
    matching_agent, CLM-414755, identity id MBR-029877, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-119411
  • 2026-10-19 19:54:38Record linked automatically022e8455c8
    matching_agent, CLM-414757, identity id MBR-029877, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119411
  • 2026-10-19 19:54:38Record linked automatically5cba438f5e
    matching_agent, CLM-414756, identity id MBR-029877, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-119411
  • 2026-10-19 19:54:38Record linked automaticallyae4799c16d
    matching_agent, ENR-119411, identity id MBR-029877, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414757
  • 2026-10-19 19:52:09Record linked automaticallye30a8cd3e7
    matching_agent, CLM-414755, identity id MBR-029877, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-119411
  • 2026-10-19 19:52:09Record linked automatically3d60663d80
    matching_agent, CLM-414757, identity id MBR-029877, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119411
  • 2026-10-19 19:52:09Record linked automatically707f356a42
    matching_agent, CLM-414756, identity id MBR-029877, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-119411
  • 2026-10-19 19:52:09Record linked automatically84ea7773f6
    matching_agent, ENR-119411, identity id MBR-029877, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414757
  • 2026-10-19 19:45:42Record linked automaticallyf9da59cd5b
    matching_agent, CLM-414755, identity id MBR-029877, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-119411
  • 2026-10-19 19:45:42Record linked automaticallyc4bbf94a1a
    matching_agent, CLM-414757, identity id MBR-029877, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119411
  • 2026-10-19 19:45:42Record linked automaticallyfe88ff0c36
    matching_agent, CLM-414756, identity id MBR-029877, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-119411
  • 2026-10-19 19:45:42Record linked automatically8c40734e85
    matching_agent, ENR-119411, identity id MBR-029877, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414757
  • 2026-10-19 19:32:31Record linked automaticallyc28e558f22
    matching_agent, CLM-414755, identity id MBR-029877, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-119411
  • 2026-10-19 19:32:31Record linked automaticallyd821143aaf
    matching_agent, CLM-414757, identity id MBR-029877, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119411
  • 2026-10-19 19:32:31Record linked automatically425dcb1c1b
    matching_agent, CLM-414756, identity id MBR-029877, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-119411
  • 2026-10-19 19:32:31Record linked automatically49318c42d0
    matching_agent, ENR-119411, identity id MBR-029877, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414757
  • 2026-10-19 19:31:28Record linked automatically5bc7cdd41e
    matching_agent, ENR-119411, identity id MBR-036830, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-414824
  • 2026-10-19 19:31:28Record linked automatically2512cb7aa4
    matching_agent, CLM-414756, identity id MBR-027892, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119325
  • 2026-10-19 19:31:28Record linked automatically3886e4cc2e
    matching_agent, CLM-414757, identity id MBR-008629, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119327
  • 2026-10-19 19:31:28Record linked automatically2cc0920a92
    matching_agent, CLM-414755, identity id MBR-006775, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414753

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0024082026-06-09Lakeside Endocrine Associates
out of network
99214, 83036, 95251$580.00—DeniedDenied
CLM-2026-0258512026-06-15Heritage Medical Group
in network
99214$236.00$116.32ApprovedApproved
CLM-2026-0318952026-06-22Sunrise Diabetes Center
in network
99215, 99214$576.00$317.12ApprovedApproved