Gold, golden identity
Jack Pena
3 source records from 2 feeds.
MBR-000992Verified3 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Jack
- Middle name—
- —
- Last nameENR
- Pena
- Date of birthENR
- 2004-03-20
- GenderENR
- F
- Member IDENR
- UHC-35249-07
- SSNENR
- •••-••-2846
- PhoneENR
- 6559910376
- Email—
- —
- AddressENR
- 4207 Baseline Rd
- CityENR
- Phoenix
- StateENR
- AZ
- ZIPENR
- 85083
- GroupENR
- GRP-1162
- PlanENR
- MEDICARE-ADV-A
Min confidence
1.00
Sources
ENR ×1CLM ×2
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ENR-138009 | ENR | 2026-01-04 | Jack Penaflagged | 2004-03-20 | UHC-35249-07 | 6559910376 | 4207 Baseline Rd, Phoenix, AZ | Scored | 1.00 | — |
| CLM-428994 | CLM | 2026-06-29 | Jack Penaflagged | 2004-03-20 | — | 6559910376 | 4207 Baseline Rd Apt 23, Phoenix, AZ | Scored | 1.00 | — |
| CLM-428993 | CLM | 2026-07-26 | Jack Penaflagged | 2004-03-20 | UHC-35249-07 | — | 4207 Baseline Rd, Phoenix, AZ | Scored | 1.00 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-428994CLMCLM-428993CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶ENR-138009ENRCLM-428994CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶ENR-138009ENRCLM-428993CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Eligibility conflict resolvedProposedJack Pena: 2 plan codes across sources → canonical MEDICARE-ADV-AACT-000051, Eligibility engine
- Orphan claim re-pointedExecutedCLM-428994 → UHC-35249-07 (Jack Pena)ACT-008256, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically51658053dbscoring_agent, CLM-428993, identity id MBR-000992, confidence 1, method probabilistic, matched record CLM-428994, policy version 1
- 2026-10-19 19:54:38Record linked automatically7ce7850b7dscoring_agent, CLM-428994, identity id MBR-000992, confidence 1, method probabilistic, matched record ENR-138009, policy version 1
- 2026-10-19 19:54:38Record linked automatically50f7a359adscoring_agent, ENR-138009, identity id MBR-000992, confidence 1, method probabilistic, matched record CLM-428994, policy version 1
- 2026-10-19 19:52:08Record linked automatically6e434597dfscoring_agent, CLM-428993, identity id MBR-000992, confidence 1, method probabilistic, matched record CLM-428994, policy version 1
- 2026-10-19 19:52:08Record linked automatically8ef922622ascoring_agent, CLM-428994, identity id MBR-000992, confidence 1, method probabilistic, matched record ENR-138009, policy version 1
- 2026-10-19 19:52:08Record linked automaticallyc6f1588ed4scoring_agent, ENR-138009, identity id MBR-000992, confidence 1, method probabilistic, matched record CLM-428994, policy version 1
- 2026-10-19 19:45:41Record linked automaticallyd18eb5703dscoring_agent, CLM-428993, identity id MBR-000992, confidence 1, method probabilistic, matched record CLM-428994, policy version 1
- 2026-10-19 19:45:41Record linked automatically19c7f356e7scoring_agent, CLM-428994, identity id MBR-000992, confidence 1, method probabilistic, matched record ENR-138009, policy version 1
- 2026-10-19 19:45:41Record linked automatically7acc3aa9d1scoring_agent, ENR-138009, identity id MBR-000992, confidence 1, method probabilistic, matched record CLM-428994, policy version 1
- 2026-10-19 19:32:31Record linked automatically5dbd64c275scoring_agent, CLM-428993, identity id MBR-000992, confidence 1, method probabilistic, matched record CLM-428994, policy version 1
- 2026-10-19 19:32:31Record linked automatically28a86c9cf7scoring_agent, CLM-428994, identity id MBR-000992, confidence 1, method probabilistic, matched record ENR-138009, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyc4fd8819e0scoring_agent, ENR-138009, identity id MBR-000992, confidence 1, method probabilistic, matched record CLM-428994, policy version 1
- 2026-10-19 19:31:28Record linked automatically6db048f31ascoring_agent, ENR-138009, identity id MBR-014823, confidence 1, method probabilistic, matched record TPA-62641, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyd890befab8matching_agent, CLM-428994, identity id MBR-005820, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138319
- 2026-10-19 19:31:28Record linked automatically416fccb6d3scoring_agent, CLM-428993, identity id MBR-003532, confidence 1, method probabilistic, matched record TPA-62740, policy version 1
Claims for this member
Claims attached through the identity graph; holds follow open steward cases automatically
| Claim | Service | Provider | Procedures | Billed | Plan paid | Rules | Status |
|---|---|---|---|---|---|---|---|
| CLM-2026-025271 | 2026-07-23 | Riverside Primary Care Associates in network | 70553 | $2,722.00 | — | Denied | Denied |
| CLM-2026-026188 | 2026-06-08 | Desert Primary Care Associates in network | 99203, 36415 | $257.00 | — | Denied | Denied |