Identities/MBR-000543
Gold, golden identity

Jean F Pena

4 source records from 3 feeds.

MBR-000543Verified4 records

Golden record

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

First nameENR
Jean
Middle nameENR
F
Last nameENR
Pena
Date of birthENR
1952-11-26
GenderENR
F
Member IDENR
UHC-63144-44
SSNENR
•••-••-7573
PhoneENR
6825226386
EmailENR
jean.pena@hotmail.com
AddressENR
2729 Market St
CityENR
San Antonio
StateENR
TX
ZIPENR
78227
GroupENR
GRP-2717
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.96
Sources
TPA ×1CLM ×1ENR ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.960.990.99TPATPA-60896CLMCLM-424679ENRENR-132241ENRENR-132242IDMBR-000543
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-60896TPA2026-01-02Jean Penaflagged1952-11-26UHC-63144-44—2729 Market St, San Antonio, TXRule0.99D1 member id + dob exact
CLM-424679CLM2026-03-29Jean Penaflagged—UHC-63144-446825226386—Rule0.96D3 member id + name
ENR-132241ENR2026-05-11Jean Penaflagged1952-11-26UHC-63144-4468252263862729 Market St, San Antonio, TXRule0.99D1 member id + dob exact
ENR-132242ENR2026-05-15Jean Peanflagged1952-11-26UHC-63144-4468252263862729 Market St, San Antonio, TXRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-60896TPAENR-132241ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-60896TPAENR-132242ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-132241ENRENR-132242ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶TPA-60896TPACLM-424679CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424679CLMENR-132241ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-424679CLMENR-132242ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.963
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Jean Pena: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
    ACT-000024, Eligibility engine
  • Duplicate member record retiredExecuted
    Jean Pena: 2 enrollment records collapsed into UHC-63144-44
    ACT-021756, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically0264e82848
    matching_agent, ENR-132242, identity id MBR-000543, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60896
  • 2026-10-19 19:54:38Record linked automatically405d028d0f
    matching_agent, ENR-132241, identity id MBR-000543, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60896
  • 2026-10-19 19:54:38Record linked automatically63c12195f2
    matching_agent, CLM-424679, identity id MBR-000543, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-60896
  • 2026-10-19 19:54:38Record linked automatically0f8952d553
    matching_agent, TPA-60896, identity id MBR-000543, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132241
  • 2026-10-19 19:52:08Record linked automaticallye4517cb20b
    matching_agent, ENR-132242, identity id MBR-000543, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60896
  • 2026-10-19 19:52:08Record linked automatically1ab9e655de
    matching_agent, ENR-132241, identity id MBR-000543, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60896
  • 2026-10-19 19:52:08Record linked automaticallyc49c2e016d
    matching_agent, CLM-424679, identity id MBR-000543, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-60896
  • 2026-10-19 19:52:08Record linked automatically7986395f27
    matching_agent, TPA-60896, identity id MBR-000543, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132241
  • 2026-10-19 19:45:41Record linked automaticallyfe85e2359c
    matching_agent, ENR-132242, identity id MBR-000543, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60896
  • 2026-10-19 19:45:41Record linked automaticallyf540953507
    matching_agent, ENR-132241, identity id MBR-000543, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60896
  • 2026-10-19 19:45:41Record linked automaticallyb1b8a2ad91
    matching_agent, CLM-424679, identity id MBR-000543, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-60896
  • 2026-10-19 19:45:41Record linked automaticallyd515c48e23
    matching_agent, TPA-60896, identity id MBR-000543, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132241
  • 2026-10-19 19:32:31Record linked automaticallyb5cb82bafd
    matching_agent, ENR-132242, identity id MBR-000543, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60896
  • 2026-10-19 19:32:31Record linked automaticallyd25c9b7543
    matching_agent, ENR-132241, identity id MBR-000543, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60896
  • 2026-10-19 19:32:31Record linked automaticallyb65085a570
    matching_agent, CLM-424679, identity id MBR-000543, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-60896
  • 2026-10-19 19:32:31Record linked automaticallyee5aa655ac
    matching_agent, TPA-60896, identity id MBR-000543, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132241
  • 2026-10-19 19:31:28Record linked automatically53e93a1dcd
    matching_agent, ENR-132242, identity id MBR-016927, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132243
  • 2026-10-19 19:31:28Record linked automaticallyb568075a71
    matching_agent, TPA-60896, identity id MBR-001180, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132606

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0193862026-02-17Northgate Cardiovascular Associates
in network
93458, 93306$8,741.00—Needs reviewNeeds review