Identities/MBR-003378

Gold, golden identity

Dorothy Hicks

6 source records from 3 feeds.

MBR-003378Verified6 records

Golden record

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

First nameENR: Dorothy
Middle name—: —
Last nameENR: Hicks
Date of birthENR: 1946-08-25
GenderENR: F
Member IDENR: UHC-74134-54
SSNENR: •••-••-4704
PhoneENR: 4155760904
EmailENR: dorothy.hicks@outlook.com
AddressENR: 7841 River Rd
CityENR: Tucson
StateENR: AZ
ZIPENR: 85755
GroupENR: GRP-8004
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

CLM ×4ENR ×1PRV ×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-428970	CLM	2026-01-11	Dorothy Hicksflagged	1946-08-25	UHC-74134-54	—	7841 River Rd, Tucson, AZ	Scored	1.00	—
ENR-137975	ENR	2026-03-02	Dorothy Hicksflagged	1946-08-25	UHC-74134-54	4155760904	7841 River Rd, Tucson, AZ	Scored	1.00	—
CLM-428967	CLM	2026-07-05	Dorothy Hikksflagged	1946-08-25	UHC-74134-54	—	—	Rule	0.99	D1 member id + dob exact
PRV-28508	PRV	2026-07-05	Dorothy Hicksflagged	1946-08-25	—	4155760904	7841 River Rd, Tucson, AZ	Scored	1.00	—
CLM-428969	CLM	2026-09-01	Dorothy Hicksflagged	1946-08-25	UHC-74134-54	—	7841 River Rd # 482, Tucson, AZ	Scored	1.00	—
CLM-428968	CLM	2026-10-09	Dorothy Hicksflagged	1946-08-25	UHC-74134-54	4155760904	7841 River Rd, Tucson, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-28508PRVCLM-428968CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-28508PRVCLM-428969CLM1.00Scoredweighted 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-428970CLMPRV-28508PRV1.00Scoredweighted 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

▶ENR-137975ENRPRV-28508PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428970CLMCLM-428967CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-137975ENRCLM-428967CLM0.99RuleD1 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
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428970CLMCLM-428968CLM0.99RuleD1 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

▶ENR-137975ENRCLM-428968CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-428967CLMCLM-428968CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-428969CLMCLM-428968CLM0.99RuleD1 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

▶CLM-428970CLMCLM-428969CLM0.99RuleD1 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

▶ENR-137975ENRCLM-428969CLM0.99RuleD1 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-428967CLMCLM-428969CLM0.99RuleD1 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
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428970CLMENR-137975ENR0.99RuleD1 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

▶CLM-428967CLMPRV-28508PRV0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

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 automatically1418b251f1
scoring_agent, CLM-428968, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:54:38Record linked automatically050db78fd7
scoring_agent, CLM-428969, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:54:38Record linked automatically5f77f77a0f
scoring_agent, PRV-28508, identity id MBR-003378, confidence 1, method probabilistic, matched record CLM-428970, policy version 1
2026-10-19 19:54:38Record linked automaticallyfbc2372c05
matching_agent, CLM-428967, identity id MBR-003378, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428970
2026-10-19 19:54:38Record linked automaticallyc56f1b16e0
scoring_agent, ENR-137975, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:54:38Record linked automaticallyfab3bb1134
scoring_agent, CLM-428970, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:52:08Record linked automaticallyafae33ab3a
scoring_agent, CLM-428968, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:52:08Record linked automatically5bac91004c
scoring_agent, CLM-428969, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:52:08Record linked automatically49d1f88ed0
scoring_agent, PRV-28508, identity id MBR-003378, confidence 1, method probabilistic, matched record CLM-428970, policy version 1
2026-10-19 19:52:08Record linked automatically9b3f82355a
matching_agent, CLM-428967, identity id MBR-003378, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428970
2026-10-19 19:52:08Record linked automatically8eea5b3f35
scoring_agent, ENR-137975, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:52:08Record linked automatically5ddd556757
scoring_agent, CLM-428970, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:45:41Record linked automatically9756c1955c
scoring_agent, CLM-428968, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:45:41Record linked automatically7c45aa354d
scoring_agent, CLM-428969, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:45:41Record linked automatically5134a4dad8
scoring_agent, PRV-28508, identity id MBR-003378, confidence 1, method probabilistic, matched record CLM-428970, policy version 1
2026-10-19 19:45:41Record linked automaticallya4fe92c560
matching_agent, CLM-428967, identity id MBR-003378, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428970
2026-10-19 19:45:41Record linked automatically6d1cb47cf4
scoring_agent, ENR-137975, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:45:41Record linked automaticallye4280b0988
scoring_agent, CLM-428970, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:32:31Record linked automatically1802dfbe4c
scoring_agent, CLM-428968, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:32:31Record linked automatically14f621d323
scoring_agent, CLM-428969, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:32:31Record linked automatically862227d1ba
scoring_agent, PRV-28508, identity id MBR-003378, confidence 1, method probabilistic, matched record CLM-428970, policy version 1
2026-10-19 19:32:31Record linked automatically648329bdf7
matching_agent, CLM-428967, identity id MBR-003378, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428970
2026-10-19 19:32:31Record linked automatically63d17f48bb
scoring_agent, ENR-137975, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:32:31Record linked automaticallyeae546f61a
scoring_agent, CLM-428970, identity id MBR-003378, confidence 1, method probabilistic, matched record PRV-28508, policy version 1
2026-10-19 19:31:28Record linked automatically513efec860
matching_agent, CLM-428967, identity id MBR-039333, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138271
2026-10-19 19:31:28Record linked automaticallyb3701edadf
scoring_agent, ENR-137975, identity id MBR-026998, confidence 1, method probabilistic, matched record TPA-62625, policy version 1
2026-10-19 19:31:28Record linked automatically0b2407fbfc
matching_agent, CLM-428969, identity id MBR-025981, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138283
2026-10-19 19:31:28Record linked automatically65ce2f710f
scoring_agent, CLM-428968, identity id MBR-017012, confidence 1, method probabilistic, matched record ENR-138276, policy version 1
2026-10-19 19:31:28Record linked automaticallyd6e27e3583
matching_agent, PRV-28508, identity id MBR-013660, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28509
2026-10-19 19:31:28Record linked automatically79fdeacc7c
matching_agent, CLM-428970, identity id MBR-011842, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138284

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-2026-033296	2026-09-28	Unity Primary Care Associates out of network	36415	$14.00	$0.00	Approved	Approved
CLM-2026-032829	2026-07-27	Canyon Clinical Laboratories in network	83036, 85025	$133.00	$0.00	Approved	Approved
CLM-2026-013793	2026-05-31	Harbor Primary Care Associates in network	99214	$283.00	$155.46	Approved	Approved
CLM-2026-000479	2025-11-30	Pinecrest Bone and Joint Center in network	27447	$33,706.00	—	Needs review	Needs review