Betty Simmons

3 source records from 2 feeds.

MBR-033041Verified3 records

Golden record

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

First nameCLM: Betty
Middle name—: —
Last nameCLM: Simmons
Date of birthCLM: 1972-11-14
GenderCLM: F
Member IDCLM: UHC-99046-36
SSN—: —
PhoneCLM: 6969900828
Email—: —
AddressCLM: 797 Maple Ave
CityCLM: San Diego
StateCLM: CA
ZIPCLM: 92170
GroupCLM: GRP-1024
PlanCLM: CORE-HMO

Min confidence

1.00

Sources

CLM ×2TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-413678	CLM	2026-05-31	Betty Simmonsflagged	1972-11-14	UHC-99046-36	6969900828	797 Maple Ave, San Diego, CA	Scored	1.00	—
CLM-413679	CLM	2026-06-05	Betty Simmonsflagged	1972-11-14	UHC-99046-36	—	797 Maple Ave, San Diego, CA	Scored	1.00	—
TPA-56006	TPA	2026-06-26	Betty Simmonsflagged	1972-11-14	—	—	797 Maple Ave, San Diego, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-413678CLMTPA-56006TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-413679CLM TPA-56006TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-413678CLMCLM-413679CLM 0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

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

2026-10-22 12:43:55Record linked automatically87a118f885
scoring_agent, TPA-56006, identity id MBR-033041, confidence 1, method probabilistic, matched record CLM-413678, policy version 1
2026-10-22 12:43:55Record linked automatically66d65228fa
scoring_agent, CLM-413679, identity id MBR-033041, confidence 1, method probabilistic, matched record TPA-56006, policy version 1
2026-10-22 12:43:55Record linked automaticallye077038cf4
scoring_agent, CLM-413678, identity id MBR-033041, confidence 1, method probabilistic, matched record TPA-56006, policy version 1
2026-10-19 19:54:38Record linked automatically814a27e005
scoring_agent, TPA-56006, identity id MBR-033041, confidence 1, method probabilistic, matched record CLM-413678, policy version 1
2026-10-19 19:54:38Record linked automatically1750654e1a
scoring_agent, CLM-413679, identity id MBR-033041, confidence 1, method probabilistic, matched record TPA-56006, policy version 1
2026-10-19 19:54:38Record linked automaticallyb366da4eb6
scoring_agent, CLM-413678, identity id MBR-033041, confidence 1, method probabilistic, matched record TPA-56006, policy version 1
2026-10-19 19:52:09Record linked automaticallydce2f5311b
scoring_agent, TPA-56006, identity id MBR-033041, confidence 1, method probabilistic, matched record CLM-413678, policy version 1
2026-10-19 19:52:09Record linked automatically9212d97208
scoring_agent, CLM-413679, identity id MBR-033041, confidence 1, method probabilistic, matched record TPA-56006, policy version 1
2026-10-19 19:52:09Record linked automatically8a10edd290
scoring_agent, CLM-413678, identity id MBR-033041, confidence 1, method probabilistic, matched record TPA-56006, policy version 1
2026-10-19 19:45:42Record linked automatically5d3b7a8873
scoring_agent, TPA-56006, identity id MBR-033041, confidence 1, method probabilistic, matched record CLM-413678, policy version 1
2026-10-19 19:45:42Record linked automatically78dd17466c
scoring_agent, CLM-413679, identity id MBR-033041, confidence 1, method probabilistic, matched record TPA-56006, policy version 1
2026-10-19 19:45:42Record linked automatically43d7c5054e
scoring_agent, CLM-413678, identity id MBR-033041, confidence 1, method probabilistic, matched record TPA-56006, policy version 1
2026-10-19 19:32:31Record linked automaticallye6d4a4d122
scoring_agent, TPA-56006, identity id MBR-033041, confidence 1, method probabilistic, matched record CLM-413678, policy version 1
2026-10-19 19:32:31Record linked automaticallyb72d63c37a
scoring_agent, CLM-413679, identity id MBR-033041, confidence 1, method probabilistic, matched record TPA-56006, policy version 1
2026-10-19 19:32:31Record linked automatically4050ae6bc1
scoring_agent, CLM-413678, identity id MBR-033041, confidence 1, method probabilistic, matched record TPA-56006, policy version 1
2026-10-19 19:31:28Record linked automatically4d6079cca6
scoring_agent, CLM-413678, identity id MBR-022772, confidence 1, method probabilistic, matched record ENR-118025, policy version 1
2026-10-19 19:31:28Record linked automatically297da7cee1
scoring_agent, TPA-56006, identity id MBR-010669, confidence 0.98, method probabilistic, matched record CLM-413797, policy version 1
2026-10-19 19:31:28Record linked automatically9811a323a0
matching_agent, CLM-413679, identity id MBR-004171, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118026

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-2026-029786	2026-05-08	Mesa Physical Therapy in network	97110, 97014	$355.00	$200.10	Approved	Approved
CLM-2026-023106	2026-05-23	Lakeside Imaging Center in network	74177, 71046	$1,615.00	$0.00	Approved	Approved