Identities/MBR-041540
Gold, golden identity

Diane Z Simmons

2 source records from 2 feeds.

MBR-041540Verified2 records

Golden record

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

First nameENR
Diane
Middle nameENR
Z
Last nameENR
Simmons
Date of birthENR
2005-12-01
GenderENR
M
Member IDENR
UHC-25483-47
SSNENR
•••-••-8758
PhoneENR
3274537681
Email—
—
AddressENR
9221 Maple Ave
CityENR
Fresno
StateENR
CA
ZIPENR
93766
GroupENR
GRP-3311
PlanENR
SELECT-EPO
Min confidence
1.00
Sources
CLM ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.00CLMCLM-422628ENRENR-129649IDMBR-041540
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
CLM-422628CLM2026-08-14Diane Simmonsflagged2005-12-01—32745376819221 Maple Ave, Fresno, CAScored1.00—
ENR-129649ENR2026-08-19Diane Simmonsflagged2005-12-01UHC-25483-4732745376819221 Maple Ave, Fresno, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-422628CLMENR-129649 ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-422628 → UHC-25483-47 (Diane Simmons)
    ACT-003367, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:55Record linked automatically0b90fdbf68
    scoring_agent, ENR-129649, identity id MBR-041540, confidence 1, method probabilistic, matched record CLM-422628, policy version 1
  • 2026-10-22 12:43:55Record linked automaticallydcdf506981
    scoring_agent, CLM-422628, identity id MBR-041540, confidence 1, method probabilistic, matched record ENR-129649, policy version 1
  • 2026-10-19 19:54:39Record linked automatically37ac06e8a6
    scoring_agent, ENR-129649, identity id MBR-041540, confidence 1, method probabilistic, matched record CLM-422628, policy version 1
  • 2026-10-19 19:54:39Record linked automatically9cc74fe33c
    scoring_agent, CLM-422628, identity id MBR-041540, confidence 1, method probabilistic, matched record ENR-129649, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4318380e1b
    scoring_agent, ENR-129649, identity id MBR-041540, confidence 1, method probabilistic, matched record CLM-422628, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6bbce2e3af
    scoring_agent, CLM-422628, identity id MBR-041540, confidence 1, method probabilistic, matched record ENR-129649, policy version 1
  • 2026-10-19 19:45:42Record linked automatically99adc3c362
    scoring_agent, ENR-129649, identity id MBR-041540, confidence 1, method probabilistic, matched record CLM-422628, policy version 1
  • 2026-10-19 19:45:42Record linked automatically404085d3bb
    scoring_agent, CLM-422628, identity id MBR-041540, confidence 1, method probabilistic, matched record ENR-129649, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd12ead00aa
    scoring_agent, ENR-129649, identity id MBR-041540, confidence 1, method probabilistic, matched record CLM-422628, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7e468cc23a
    scoring_agent, CLM-422628, identity id MBR-041540, confidence 1, method probabilistic, matched record ENR-129649, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2fa5b3e537
    matching_agent, CLM-422628, identity id MBR-003937, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422627

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0076522026-07-13Riverside Internal Medicine Associates
out of network
80053, 99215$356.00—DeniedDenied