Identities/MBR-001889
Gold, golden identity

Jacqueline A Padilla

5 source records from 4 feeds.

MBR-001889Verified5 records

Golden record

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

First nameENR
Jacqueline
Middle nameENR
A
Last nameENR
Padilla
Date of birthENR
1984-07-25
GenderENR
M
Member IDENR
UHC-58059-62
SSNENR
•••-••-4981
PhoneENR
6917465292
EmailENR
jacqueline.padilla@outlook.com
AddressENR
8450 Cedar Ln
CityENR
Fresno
StateENR
CA
ZIPENR
93782
GroupENR
GRP-7679
PlanENR
NAVIGATE-HMO
Min confidence
0.96
Sources
PRV ×1TPA ×1ENR ×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

0.961.001.001.001.00PRVPRV-23937TPATPA-55974ENRENR-117788CLMCLM-413582CLMCLM-413583IDMBR-001889
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
PRV-23937PRV2026-01-06Jacqueline Padillaflagged1985-07-25UHC-58059-6269174652928450 Cedar Ln Apt 34, Fresno, CARule0.96D3 member id + name
TPA-55974TPA2026-05-20Jacqueline Padillaflagged1984-07-25——8450 Cedar Ln, Fresno, CAScored1.00—
ENR-117788ENR2026-06-02Jacqueline Padillaflagged1984-07-25UHC-58059-6269174652928450 Cedar Ln, Fresno, CAScored1.00—
CLM-413582CLM2026-07-06Jacqueline Padillaflagged1984-07-25UHC-58059-626917465292—Scored1.00—
CLM-413583CLM2026-07-31Jacqueline Padillaflagged1984-07-25—69174652928450 Cedar Ln, Fresno, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-117788ENRCLM-413583CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413582CLMCLM-413583CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55974TPACLM-413583CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-117788ENRCLM-413582CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-55974TPAENR-117788ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-23937PRVCLM-413582CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-23937PRVENR-117788ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶PRV-23937PRVTPA-55974TPA0.86Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-23937PRVCLM-413583CLM0.84Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-55974TPACLM-413582CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-413583 → UHC-58059-62 (Jacqueline Padilla)
    ACT-005715, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallybc2ae3a66a
    scoring_agent, CLM-413583, identity id MBR-001889, confidence 1, method probabilistic, matched record ENR-117788, policy version 1
  • 2026-10-19 19:54:38Record linked automatically437d7fc299
    scoring_agent, CLM-413582, identity id MBR-001889, confidence 1, method probabilistic, matched record CLM-413583, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf35b805411
    scoring_agent, ENR-117788, identity id MBR-001889, confidence 1, method probabilistic, matched record CLM-413583, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd6290739e2
    scoring_agent, TPA-55974, identity id MBR-001889, confidence 1, method probabilistic, matched record CLM-413583, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8a22830fdf
    matching_agent, PRV-23937, identity id MBR-001889, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-117788
  • 2026-10-19 19:52:08Record linked automatically59c8b6894c
    scoring_agent, CLM-413583, identity id MBR-001889, confidence 1, method probabilistic, matched record ENR-117788, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallye2429f49c4
    scoring_agent, CLM-413582, identity id MBR-001889, confidence 1, method probabilistic, matched record CLM-413583, policy version 1
  • 2026-10-19 19:52:08Record linked automatically015a7b8c92
    scoring_agent, ENR-117788, identity id MBR-001889, confidence 1, method probabilistic, matched record CLM-413583, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyc5a2de4955
    scoring_agent, TPA-55974, identity id MBR-001889, confidence 1, method probabilistic, matched record CLM-413583, policy version 1
  • 2026-10-19 19:52:08Record linked automatically90932ba201
    matching_agent, PRV-23937, identity id MBR-001889, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-117788
  • 2026-10-19 19:45:41Record linked automaticallybf4d0a7f46
    scoring_agent, CLM-413583, identity id MBR-001889, confidence 1, method probabilistic, matched record ENR-117788, policy version 1
  • 2026-10-19 19:45:41Record linked automatically6b8f639049
    scoring_agent, CLM-413582, identity id MBR-001889, confidence 1, method probabilistic, matched record CLM-413583, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallya0f4b56621
    scoring_agent, ENR-117788, identity id MBR-001889, confidence 1, method probabilistic, matched record CLM-413583, policy version 1
  • 2026-10-19 19:45:41Record linked automatically3b343acb30
    scoring_agent, TPA-55974, identity id MBR-001889, confidence 1, method probabilistic, matched record CLM-413583, policy version 1
  • 2026-10-19 19:45:41Record linked automatically2b1146323e
    matching_agent, PRV-23937, identity id MBR-001889, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-117788
  • 2026-10-19 19:32:31Record linked automatically889ed02c72
    scoring_agent, CLM-413583, identity id MBR-001889, confidence 1, method probabilistic, matched record ENR-117788, policy version 1
  • 2026-10-19 19:32:31Record linked automatically326854475d
    scoring_agent, CLM-413582, identity id MBR-001889, confidence 1, method probabilistic, matched record CLM-413583, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyddad90e379
    scoring_agent, ENR-117788, identity id MBR-001889, confidence 1, method probabilistic, matched record CLM-413583, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye73edf9637
    scoring_agent, TPA-55974, identity id MBR-001889, confidence 1, method probabilistic, matched record CLM-413583, policy version 1
  • 2026-10-19 19:32:31Record linked automatically99943ed2fa
    matching_agent, PRV-23937, identity id MBR-001889, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-117788
  • 2026-10-19 19:31:28Record linked automatically52da5a7037
    matching_agent, CLM-413583, identity id MBR-042784, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117881
  • 2026-10-19 19:31:28Record linked automatically98810189f3
    scoring_agent, TPA-55974, identity id MBR-032943, confidence 1, method probabilistic, matched record ENR-118030, policy version 1
  • 2026-10-19 19:31:28Record linked automatically89cab9ccf8
    scoring_agent, CLM-413582, identity id MBR-015937, confidence 1, method probabilistic, matched record ENR-117880, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf51d73fb37
    scoring_agent, PRV-23937, identity id MBR-012799, confidence 0.99, method probabilistic, matched record ENR-117687, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye51fe563b0
    scoring_agent, ENR-117788, identity id MBR-010639, confidence 0.99, method probabilistic, matched record TPA-55882, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0165252026-07-10Lakeside Reference Lab
in network
83036$47.00—Needs reviewNeeds review
CLM-2026-0236522026-05-31Harbor Diabetes Center
in network
99214, 95251$481.00—Needs reviewNeeds review
CLM-2026-0236512026-05-31Harbor Diabetes Center
in network
99214, 95251$481.00$238.22ApprovedApproved