Identities/MBR-004095
Gold, golden identity

Donna Hicks

3 source records from 3 feeds.

MBR-004095Verified3 records

Golden record

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

First nameENR
Donna
Middle name—
—
Last nameENR
Hicks
Date of birthENR
1952-04-13
GenderCLM
F
Member IDENR
UHC-61983-32
SSNENR
•••-••-3963
PhoneENR
2439311212
EmailENR
donna.hicks@yahoo.com
AddressCLM
2177 Highland Ave # 112
CityENR
Tempe
StateENR
AZ
ZIPCLM
85215
GroupENR
GRP-1733
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
TPA ×1ENR ×1CLM ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.00TPATPA-61229ENRENR-133273CLMCLM-425438IDMBR-004095
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
TPA-61229TPA2026-01-13Donna Hicksflagged1952-04-13——2177 Highland Ave, Tempe, AZScored1.00—
ENR-133273ENR2026-03-16Donna Hicksflagged1952-04-13UHC-61983-3224393112122177 Highland Ave, Tempe, AZRule0.99D1 member id + dob exact
CLM-425438CLM2026-08-09Donna Hicksflagged1952-04-13UHC-61983-3224393112122177 Highland Ave # 112, Tempe, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-61229TPACLM-425438CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-133273ENRCLM-425438CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-61229TPAENR-133273ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Outreach address correctedProposed
    Donna Hicks: 2177 Highland Ave, Tempe → 2177 Highland Ave # 112, Tempe
    ACT-010824, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically5da481ffd1
    scoring_agent, CLM-425438, identity id MBR-004095, confidence 1, method probabilistic, matched record TPA-61229, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydff8c87aae
    matching_agent, ENR-133273, identity id MBR-004095, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425438
  • 2026-10-19 19:54:38Record linked automatically245da7dde4
    scoring_agent, TPA-61229, identity id MBR-004095, confidence 1, method probabilistic, matched record CLM-425438, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyf30b7fd0b0
    scoring_agent, CLM-425438, identity id MBR-004095, confidence 1, method probabilistic, matched record TPA-61229, policy version 1
  • 2026-10-19 19:52:08Record linked automatically0d8f34b1dd
    matching_agent, ENR-133273, identity id MBR-004095, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425438
  • 2026-10-19 19:52:08Record linked automaticallyca983c1d3f
    scoring_agent, TPA-61229, identity id MBR-004095, confidence 1, method probabilistic, matched record CLM-425438, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3982caba94
    scoring_agent, CLM-425438, identity id MBR-004095, confidence 1, method probabilistic, matched record TPA-61229, policy version 1
  • 2026-10-19 19:45:42Record linked automatically95015f5073
    matching_agent, ENR-133273, identity id MBR-004095, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425438
  • 2026-10-19 19:45:42Record linked automatically6df1b9efd5
    scoring_agent, TPA-61229, identity id MBR-004095, confidence 1, method probabilistic, matched record CLM-425438, policy version 1
  • 2026-10-19 19:32:31Record linked automatically99d12e4b2b
    scoring_agent, CLM-425438, identity id MBR-004095, confidence 1, method probabilistic, matched record TPA-61229, policy version 1
  • 2026-10-19 19:32:31Record linked automatically46b8d70daa
    matching_agent, ENR-133273, identity id MBR-004095, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425438
  • 2026-10-19 19:32:31Record linked automatically6223a8874e
    scoring_agent, TPA-61229, identity id MBR-004095, confidence 1, method probabilistic, matched record CLM-425438, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9eadceb911
    matching_agent, ENR-133273, identity id MBR-026374, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133272
  • 2026-10-19 19:31:28Record linked automatically3b9946f887
    matching_agent, CLM-425438, identity id MBR-011350, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133512

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0292472026-08-05Riverside Regional Medical Center
out of network
99284, 99285$4,011.00$1,454.95ApprovedApproved