Identities/MBR-040028
Gold, golden identity

Juhn Simpson

2 source records from 2 feeds.

MBR-040028Verified2 records

Golden record

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

First nameENR
Juhn
Middle name—
—
Last nameENR
Simpson
Date of birthENR
1959-02-04
Gender—
—
Member IDENR
UHC-44690-09
SSNENR
•••-••-7180
PhoneENR
2758378081
EmailENR
john.simpson95@outlook.com
AddressENR
12 Highland Ave
CityENR
Austin
StateENR
TX
ZIPENR
78708
GroupENR
GRP-5037
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
ENR ×1CLM ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.99ENRENR-101923CLMCLM-401480IDMBR-040028
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-101923ENR2026-07-29Juhn Simpsonflagged1959-02-04UHC-44690-09275837808112 Highland Ave, Austin, TXRule0.99D1 member id + dob exact
CLM-401480CLM2026-08-30John Simpsonflagged1959-02-04UHC-44690-09—12 Highland Ave, Austin, TXRule0.99D1 member id + dob exact

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶ENR-101923ENRCLM-401480CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Juhn Simpson: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-001304, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:55Record linked automaticallyc234791469
    matching_agent, CLM-401480, identity id MBR-040028, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101923
  • 2026-10-22 12:43:55Record linked automaticallyc8dceabdeb
    matching_agent, ENR-101923, identity id MBR-040028, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401480
  • 2026-10-19 19:54:39Record linked automatically44e8c2b27f
    matching_agent, CLM-401480, identity id MBR-040028, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101923
  • 2026-10-19 19:54:39Record linked automatically58b83293b7
    matching_agent, ENR-101923, identity id MBR-040028, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401480
  • 2026-10-19 19:52:09Record linked automatically854c765c24
    matching_agent, CLM-401480, identity id MBR-040028, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101923
  • 2026-10-19 19:52:09Record linked automaticallyfb1f71738e
    matching_agent, ENR-101923, identity id MBR-040028, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401480
  • 2026-10-19 19:45:42Record linked automatically02f94fb844
    matching_agent, CLM-401480, identity id MBR-040028, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101923
  • 2026-10-19 19:45:42Record linked automaticallyb78327b1b2
    matching_agent, ENR-101923, identity id MBR-040028, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401480
  • 2026-10-19 19:32:31Record linked automatically59fb1006f8
    matching_agent, CLM-401480, identity id MBR-040028, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101923
  • 2026-10-19 19:32:31Record linked automatically09f81357ef
    matching_agent, ENR-101923, identity id MBR-040028, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401480
  • 2026-10-19 19:31:28Record linked automaticallyf83ac30a2e
    matching_agent, CLM-401480, identity id MBR-026668, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401481

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0067462026-08-17Heritage Primary Care Associates
in network
70553$3,125.00—DeniedDenied