Identities/MBR-034183

Gold, golden identity

Teresa O Sims

5 source records from 2 feeds.

MBR-034183Verified5 records

Golden record

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

First nameENR: Teresa
Middle nameENR: O
Last nameENR: Sims
Date of birthENR: 1970-02-08
GenderENR: F
Member IDENR: UHC-19809-99
SSNENR: •••-••-1657
PhoneENR: 7496542572
EmailENR: teresa.sims@yahoo.com
AddressENR: 9686 Indian School Rd
CityENR: Los Angeles
StateENR: CA
ZIPENR: 90042
GroupENR: GRP-8377
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

ENR ×2CLM ×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
ENR-138256	ENR	2026-06-09	Teresa Simsflagged	1970-02-08	UHC-19809-99	7496542572	9686 Indian School Rd, Los Angeles, CA	Rule	0.99	D1 member id + dob exact
CLM-429171	CLM	2026-07-11	Teersa Simsflagged	1970-02-08	UHC-19809-99	7496542572	9686 Indian School Rd, Los Angeles, CA	Rule	0.99	D1 member id + dob exact
CLM-429172	CLM	2026-07-20	Teresa Sismflagged	1970-02-08	UHC-19809-99	7496542572	9686 Indian School Rd, Los Angeles, CA	Rule	0.99	D1 member id + dob exact
ENR-138257	ENR	2026-08-09	Teresa Simsflagged	1970-02-08	UHC-19809-99	7496542572	9686 Indian School Rd, Los Angeles, CA	Rule	0.99	D1 member id + dob exact
CLM-429170	CLM	2026-09-20	Teresa Simsflagged	1970-02-08	UHC-19809-99	—	9686 Indian School Rd, Los Angeles, CA	Rule	0.99	D1 member id + dob exact

Evidence

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

A

B

Score

Method

Rule

Decision

▶ENR-138256ENRCLM-429170CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-429171CLMCLM-429170CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-138257ENRCLM-429170CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-429172CLMCLM-429170CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-138256ENRCLM-429171CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-138256ENRCLM-429172CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-429171CLMCLM-429172CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-138256ENRENR-138257ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-429171CLMENR-138257ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-429172CLMENR-138257ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Teresa Sims: 3 claims, no attributed provider
ACT-019510, Next-best-action
Duplicate member record retiredExecuted
Teresa Sims: 2 enrollment records collapsed into UHC-19809-99
ACT-026022, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:39Record linked automatically32446e9f83
matching_agent, CLM-429170, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:54:39Record linked automatically1685674de1
matching_agent, ENR-138257, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:54:39Record linked automatically211a081971
matching_agent, CLM-429172, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:54:39Record linked automatically734e6019bd
matching_agent, CLM-429171, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:54:39Record linked automaticallydbf9448ea1
matching_agent, ENR-138256, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429171
2026-10-19 19:52:09Record linked automatically70127dbf2d
matching_agent, CLM-429170, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:52:09Record linked automaticallyec854d3162
matching_agent, ENR-138257, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:52:09Record linked automaticallyfafcf8a677
matching_agent, CLM-429172, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:52:09Record linked automatically1be6fa8c9f
matching_agent, CLM-429171, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:52:09Record linked automatically2dc5d89f27
matching_agent, ENR-138256, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429171
2026-10-19 19:45:42Record linked automaticallyec942f7db6
matching_agent, CLM-429170, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:45:42Record linked automaticallyea79444158
matching_agent, ENR-138257, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:45:42Record linked automatically8baca4fe0a
matching_agent, CLM-429172, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:45:42Record linked automaticallyc219613ca5
matching_agent, CLM-429171, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:45:42Record linked automaticallye17770dbda
matching_agent, ENR-138256, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429171
2026-10-19 19:32:31Record linked automatically9aa3f955fe
matching_agent, CLM-429170, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:32:31Record linked automatically974b841b8b
matching_agent, ENR-138257, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:32:31Record linked automatically9a30155ef6
matching_agent, CLM-429172, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:32:31Record linked automatically1d740f3c4f
matching_agent, CLM-429171, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138256
2026-10-19 19:32:31Record linked automatically2582d91bec
matching_agent, ENR-138256, identity id MBR-034183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429171
2026-10-19 19:31:28Record linked automaticallyac89e6a0f0
matching_agent, CLM-429172, identity id MBR-040343, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138534
2026-10-19 19:31:28Record linked automatically8444098373
matching_agent, CLM-429171, identity id MBR-011848, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138530

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-015596	2026-08-11	Harbor Cardiovascular Associates in network	99214	$236.00	—	Denied	Denied
CLM-2026-015595	2026-08-11	Harbor Cardiovascular Associates in network	99214	$236.00	$106.32	Approved	Approved
CLM-2026-022159	2026-07-15	Canyon Reference Lab out of network	87086, 80061	$110.00	$0.00	Approved	Approved
CLM-2026-005713	2026-06-16	Desert Primary Care Associates in network	99203, 36415, 99395	$560.00	$327.20	Approved	Approved