Maggie Hicks

2 source records from 2 feeds.

MBR-000725Verified2 recordsOpen steward case

Golden record

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

First nameCLM: Maggie
Middle name—: —
Last nameCLM: Hicks
Date of birthCLM: 2008-06-15
GenderCLM: M
Member ID—: —
SSN—: —
PhoneCLM: 9716296610
Email—: —
AddressCLM: 2960 Central Ave
CityCLM: Orlando
StateCLM: FL
ZIPCLM: 32853
GroupCLM: GRP-7828
PlanCLM: SELECT-EPO

Min confidence

1.00

Sources

CLM ×1TPA ×1

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
CLM-400251	CLM	2026-01-03	Maggie Hicksflagged	2008-06-15	—	9716296610	2960 Central Ave, Orlando, FL	Scored	1.00	—
TPA-50108	TPA	2026-01-28	Margaret Hicksflagged	2008-06-15	—	—	2960 Central Ave, Orlando, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-400251CLMTPA-50108 TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: 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

2026-10-19 19:54:38Record linked automatically3688834ed3
scoring_agent, TPA-50108, identity id MBR-000725, confidence 1, method probabilistic, matched record CLM-400251, policy version 1
2026-10-19 19:54:38Record linked automatically9c3838d62f
scoring_agent, CLM-400251, identity id MBR-000725, confidence 1, method probabilistic, matched record TPA-50108, policy version 1
2026-10-19 19:52:08Record linked automaticallyc199de0bcd
scoring_agent, TPA-50108, identity id MBR-000725, confidence 1, method probabilistic, matched record CLM-400251, policy version 1
2026-10-19 19:52:08Record linked automatically8d7153474e
scoring_agent, CLM-400251, identity id MBR-000725, confidence 1, method probabilistic, matched record TPA-50108, policy version 1
2026-10-19 19:45:41Record linked automaticallyd439dcdf2e
scoring_agent, TPA-50108, identity id MBR-000725, confidence 1, method probabilistic, matched record CLM-400251, policy version 1
2026-10-19 19:45:41Record linked automatically4ccfb73e60
scoring_agent, CLM-400251, identity id MBR-000725, confidence 1, method probabilistic, matched record TPA-50108, policy version 1
2026-10-19 19:32:31Record linked automatically19b683d140
scoring_agent, TPA-50108, identity id MBR-000725, confidence 1, method probabilistic, matched record CLM-400251, policy version 1
2026-10-19 19:32:31Record linked automaticallyb21f19a4f1
scoring_agent, CLM-400251, identity id MBR-000725, confidence 1, method probabilistic, matched record TPA-50108, policy version 1
2026-10-19 19:31:28Record linked automaticallyeaabdaef84
matching_agent, CLM-400251, identity id MBR-005281, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-100360
2026-10-19 19:31:28Record linked automatically5cc90d3b89
matching_agent, TPA-50108, identity id MBR-003990, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-50109

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-2026-003300	2025-12-30	Riverside Primary Care Associates in network	99214	$263.00	$138.06	Approved	Approved