Identities/MBR-032145
Gold, golden identity

Carl T Sims

4 source records from 3 feeds.

MBR-032145Verified4 records

Golden record

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

First nameENR
Carl
Middle nameENR
T
Last nameENR
Sims
Date of birthENR
1953-05-05
GenderENR
M
Member IDENR
UHC-71488-13
SSNENR
•••-••-2756
PhoneENR
5227633342
EmailENR
carl.sims21@yahoo.com
AddressENR
2766 Desert Sky Blvd
CityENR
Plano
StateENR
TX
ZIPPRV
75078
GroupENR
GRP-3017
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.98
Sources
PRV ×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

0.980.990.990.98PRVPRV-27712CLMCLM-426173ENRENR-134282CLMCLM-426172IDMBR-032145
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
PRV-27712PRV2026-05-24Carl Simsflagged1953-05-05——2766 Desert Sky Blvd, Plano, TXScored0.98—
CLM-426173CLM2026-06-01Carl Simsflagged1953-05-05UHC-71488-13——Rule0.99D1 member id + dob exact
ENR-134282ENR2026-06-21Carl Simsflagged1953-05-05UHC-71488-1352276333422766 Desert Sky Blvd, Plano, TXRule0.99D1 member id + dob exact
CLM-426172CLM2026-09-07Carl Smsflagged1953-05-05——2766 Desert Sky Blvd, Plano, TXScored0.98—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-426173CLMENR-134282ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-27712PRVCLM-426172CLM0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-27712PRVCLM-426173CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-27712PRVENR-134282ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-134282ENRCLM-426172CLM0.91Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-426173CLMCLM-426172CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-426172 → UHC-71488-13 (Carl Sims)
    ACT-003781, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically877387f6c3
    scoring_agent, CLM-426172, identity id MBR-032145, confidence 0.98, method probabilistic, matched record PRV-27712, policy version 1
  • 2026-10-19 19:54:38Record linked automatically89f3301567
    matching_agent, ENR-134282, identity id MBR-032145, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426173
  • 2026-10-19 19:54:38Record linked automaticallyafc3547f28
    matching_agent, CLM-426173, identity id MBR-032145, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134282
  • 2026-10-19 19:54:38Record linked automaticallyede5b51303
    scoring_agent, PRV-27712, identity id MBR-032145, confidence 0.98, method probabilistic, matched record CLM-426172, policy version 1
  • 2026-10-19 19:52:09Record linked automatically290af4dca7
    scoring_agent, CLM-426172, identity id MBR-032145, confidence 0.98, method probabilistic, matched record PRV-27712, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyeeaed0fec3
    matching_agent, ENR-134282, identity id MBR-032145, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426173
  • 2026-10-19 19:52:09Record linked automatically626eb889d0
    matching_agent, CLM-426173, identity id MBR-032145, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134282
  • 2026-10-19 19:52:09Record linked automaticallya60613cf88
    scoring_agent, PRV-27712, identity id MBR-032145, confidence 0.98, method probabilistic, matched record CLM-426172, policy version 1
  • 2026-10-19 19:45:42Record linked automatically55aa9a56ea
    scoring_agent, CLM-426172, identity id MBR-032145, confidence 0.98, method probabilistic, matched record PRV-27712, policy version 1
  • 2026-10-19 19:45:42Record linked automatically499120e69d
    matching_agent, ENR-134282, identity id MBR-032145, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426173
  • 2026-10-19 19:45:42Record linked automatically3ed661c840
    matching_agent, CLM-426173, identity id MBR-032145, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134282
  • 2026-10-19 19:45:42Record linked automaticallyd7573fb708
    scoring_agent, PRV-27712, identity id MBR-032145, confidence 0.98, method probabilistic, matched record CLM-426172, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb056672918
    scoring_agent, CLM-426172, identity id MBR-032145, confidence 0.98, method probabilistic, matched record PRV-27712, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2134115d49
    matching_agent, ENR-134282, identity id MBR-032145, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426173
  • 2026-10-19 19:32:31Record linked automaticallyefd96dc733
    matching_agent, CLM-426173, identity id MBR-032145, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134282
  • 2026-10-19 19:32:31Record linked automatically219f447b9c
    scoring_agent, PRV-27712, identity id MBR-032145, confidence 0.98, method probabilistic, matched record CLM-426172, policy version 1
  • 2026-10-19 19:31:28Record linked automatically746e79e38b
    scoring_agent, CLM-426173, identity id MBR-007402, confidence 1, method probabilistic, matched record CLM-426172, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7373850570
    scoring_agent, CLM-426172, identity id MBR-007402, confidence 1, method probabilistic, matched record CLM-426171, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0093242026-08-17Evergreen Diagnostic Imaging
in network
76700$499.00$0.00ApprovedApproved
CLM-2026-0170602026-04-28Harbor Rehabilitation Center
in network
97110, 97161$389.00—DeniedDenied