Identities/MBR-000580

Gold, golden identity

Betty H Pena

6 source records from 4 feeds.

MBR-000580Verified6 records

Golden record

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

First nameENR: Betty
Middle nameENR: H
Last nameENR: Pena
Date of birthENR: 1953-10-03
GenderENR: M
Member IDENR: UHC-15755-28
SSNENR: •••-••-5550
PhoneENR: 5886663083
EmailENR: betty.pena37@hotmail.com
AddressCLM: 8194 Maple Ave Apt 5
CityENR: Nashville
StateENR: TN
ZIPPRV: 37272
GroupENR: GRP-5716
PlanENR: OPTIONS-PPO

Min confidence

0.99

Sources

CLM ×2PRV ×2ENR ×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-414268	CLM	2026-01-02	Betty Penaflagged	1953-10-03	UHC-15755-28	5886663083	8194 Maple Ave, Nashville, TN	Rule	0.99	D1 member id + dob exact
PRV-24167	PRV	2026-01-13	Betty Penaflagged	1953-10-03	UHC-15755-28	5886663083	8194 Maple Ave, Nashville, TN	Scored	1.00	—
ENR-118753	ENR	2026-04-24	Betty Penaflagged	1953-10-03	UHC-15755-28	5886663083	8194 Maple Ave, Nashville, TN	Rule	0.99	D1 member id + dob exact
TPA-56300	TPA	2026-05-08	Betty Penaflagged	1953-10-03	—	—	8194 Maple Ave, Nashville, TN	Scored	1.00	—
PRV-24168	PRV	2026-06-01	Betty Penaflagged	1953-10-03	UHC-15755-28	5886663083	8194 Maple Ave, Nashville, TN	Scored	1.00	—
CLM-414269	CLM	2026-09-09	Betty Penaflagged	1953-10-03	UHC-15755-28	5886663083	8194 Maple Ave Apt 5, Nashville, TN	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶TPA-56300TPAPRV-24168PRV1.00Scoredweighted 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

▶PRV-24167PRVTPA-56300TPA1.00Scoredweighted 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-414268CLMCLM-414269CLM0.99RuleD1 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
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶PRV-24167PRVCLM-414269CLM0.99RuleD1 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

▶ENR-118753ENRCLM-414269CLM0.99RuleD1 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
Phone	1.00	1.5
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 5Conflicts: noneGuard: none

▶PRV-24168PRVCLM-414269CLM0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-414268CLMENR-118753ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶PRV-24167PRVENR-118753ENR0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-414268CLMPRV-24167PRV0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-414268CLMPRV-24168PRV0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-24167PRVPRV-24168PRV0.99RuleD1 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

▶ENR-118753ENRPRV-24168PRV0.99RuleD1 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
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶TPA-56300TPACLM-414269CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-414268CLMTPA-56300TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-118753ENRTPA-56300TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Outreach address correctedProposed
Betty Pena: 8194 Maple Ave, Nashville → 8194 Maple Ave Apt 5, Nashville
ACT-010512, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallybebef7511f
matching_agent, CLM-414269, identity id MBR-000580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414268
2026-10-19 19:54:38Record linked automaticallyfd4f53bab4
scoring_agent, PRV-24168, identity id MBR-000580, confidence 1, method probabilistic, matched record TPA-56300, policy version 1
2026-10-19 19:54:38Record linked automaticallybe9ed3bcd2
scoring_agent, TPA-56300, identity id MBR-000580, confidence 1, method probabilistic, matched record PRV-24167, policy version 1
2026-10-19 19:54:38Record linked automatically64f8e0ef84
matching_agent, ENR-118753, identity id MBR-000580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414268
2026-10-19 19:54:38Record linked automatically2bfebdce45
scoring_agent, PRV-24167, identity id MBR-000580, confidence 1, method probabilistic, matched record TPA-56300, policy version 1
2026-10-19 19:54:38Record linked automatically62a184ec0a
matching_agent, CLM-414268, identity id MBR-000580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24167
2026-10-19 19:52:08Record linked automaticallye0b5780445
matching_agent, CLM-414269, identity id MBR-000580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414268
2026-10-19 19:52:08Record linked automatically0e28ad10fb
scoring_agent, PRV-24168, identity id MBR-000580, confidence 1, method probabilistic, matched record TPA-56300, policy version 1
2026-10-19 19:52:08Record linked automatically951b887c39
scoring_agent, TPA-56300, identity id MBR-000580, confidence 1, method probabilistic, matched record PRV-24167, policy version 1
2026-10-19 19:52:08Record linked automatically2ca61f9d2d
matching_agent, ENR-118753, identity id MBR-000580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414268
2026-10-19 19:52:08Record linked automatically12e4c9f65c
scoring_agent, PRV-24167, identity id MBR-000580, confidence 1, method probabilistic, matched record TPA-56300, policy version 1
2026-10-19 19:52:08Record linked automatically1ef1c3e822
matching_agent, CLM-414268, identity id MBR-000580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24167
2026-10-19 19:45:41Record linked automaticallydcea4f353b
matching_agent, CLM-414269, identity id MBR-000580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414268
2026-10-19 19:45:41Record linked automaticallyb29cf73da9
scoring_agent, PRV-24168, identity id MBR-000580, confidence 1, method probabilistic, matched record TPA-56300, policy version 1
2026-10-19 19:45:41Record linked automatically7658a6e7b0
scoring_agent, TPA-56300, identity id MBR-000580, confidence 1, method probabilistic, matched record PRV-24167, policy version 1
2026-10-19 19:45:41Record linked automaticallya3b5e63c2b
matching_agent, ENR-118753, identity id MBR-000580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414268
2026-10-19 19:45:41Record linked automatically8dbb8828e3
scoring_agent, PRV-24167, identity id MBR-000580, confidence 1, method probabilistic, matched record TPA-56300, policy version 1
2026-10-19 19:45:41Record linked automaticallyb9506f8ab6
matching_agent, CLM-414268, identity id MBR-000580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24167
2026-10-19 19:32:31Record linked automatically8c8d8125e1
matching_agent, CLM-414269, identity id MBR-000580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414268
2026-10-19 19:32:31Record linked automaticallydd9062c533
scoring_agent, PRV-24168, identity id MBR-000580, confidence 1, method probabilistic, matched record TPA-56300, policy version 1
2026-10-19 19:32:31Record linked automatically50ba3b0f6f
scoring_agent, TPA-56300, identity id MBR-000580, confidence 1, method probabilistic, matched record PRV-24167, policy version 1
2026-10-19 19:32:31Record linked automaticallycc89879ffa
matching_agent, ENR-118753, identity id MBR-000580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414268
2026-10-19 19:32:31Record linked automatically351009e446
scoring_agent, PRV-24167, identity id MBR-000580, confidence 1, method probabilistic, matched record TPA-56300, policy version 1
2026-10-19 19:32:31Record linked automaticallyf2906e34e8
matching_agent, CLM-414268, identity id MBR-000580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24167
2026-10-19 19:31:28Record linked automaticallybf66675fde
scoring_agent, PRV-24168, identity id MBR-015887, confidence 1, method probabilistic, matched record CLM-414126, policy version 1
2026-10-19 19:31:28Record linked automaticallya69ff1e9a9
scoring_agent, CLM-414268, identity id MBR-014498, confidence 1, method probabilistic, matched record TPA-56189, policy version 1
2026-10-19 19:31:28Record linked automaticallydbb6c76abf
matching_agent, TPA-56300, identity id MBR-012204, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-414494
2026-10-19 19:31:28Record linked automatically0ddb9f0d84
scoring_agent, PRV-24167, identity id MBR-011245, confidence 0.98, method probabilistic, matched record ENR-118551, policy version 1

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-2026-002195	2026-08-20	Sunrise Diabetes Center in network	83036, 95251	$302.00	$148.80	Approved	Approved
CLM-2026-026444	2025-12-18	Canyon Primary Care Associates in network	90471, 99203	$268.00	$143.84	Approved	Approved