Identities/MBR-003131

Gold, golden identity

Emma H Pena

5 source records from 3 feeds.

MBR-003131Verified5 records

Golden record

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

First nameENR: Emma
Middle nameENR: H
Last nameENR: Pena
Date of birthENR: 2007-12-15
GenderPRV: M
Member IDENR: UHC-89588-48
SSNENR: •••-••-2294
PhoneENR: 2135477737
Email—: —
AddressENR: 1716 Sunset Blvd
CityENR: Austin
StateENR: TX
ZIPENR: 78701
GroupENR: GRP-9653
PlanENR: OPTIONS-PPO

Min confidence

0.96

Sources

CLM ×2PRV ×2ENR ×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-420242	CLM	2026-01-10	Emma Penaflagged	2007-12-15	UHC-89588-48	2135477737	—	Scored	1.00	—
PRV-25999	PRV	2026-06-08	Emma Penaflagged	2006-12-15	UHC-89588-48	2135477737	1716 Sunset Blvd, Austin, TX	Rule	0.96	D3 member id + name
CLM-420243	CLM	2026-07-23	Emma Penaflagged	2007-12-15	UHC-89588-48	2135477737	1716 Sunset Blvd, Austin, TX	Scored	1.00	—
ENR-126603	ENR	2026-08-04	Emma Penaflagged	2007-12-15	UHC-89588-48	2135477737	1716 Sunset Blvd, Austin, TX	Scored	1.00	—
PRV-25998	PRV	2026-08-10	Emma Penaflagged	2007-12-15	—	2135477737	1716 Sunset Blvd, Austin, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-420242CLMPRV-25998PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420243CLMPRV-25998PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-126603ENRPRV-25998PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420242CLMCLM-420243CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420242CLMENR-126603ENR0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420243CLMENR-126603ENR0.99RuleD1 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-25999 PRVCLM-420243CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-25999 PRVENR-126603ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-420242CLMPRV-25999 PRV0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-25999 PRVPRV-25998PRV0.84Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Emma Pena: 2 plan codes across sources → canonical OPTIONS-PPO
ACT-000156, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically2a05f5faed
scoring_agent, PRV-25998, identity id MBR-003131, confidence 1, method probabilistic, matched record CLM-420242, policy version 1
2026-10-19 19:54:38Record linked automatically325c9d625f
scoring_agent, ENR-126603, identity id MBR-003131, confidence 1, method probabilistic, matched record PRV-25998, policy version 1
2026-10-19 19:54:38Record linked automatically5ebb0d2de8
scoring_agent, CLM-420243, identity id MBR-003131, confidence 1, method probabilistic, matched record PRV-25998, policy version 1
2026-10-19 19:54:38Record linked automatically4496f20769
matching_agent, PRV-25999, identity id MBR-003131, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-420242
2026-10-19 19:54:38Record linked automatically2c3da9557a
scoring_agent, CLM-420242, identity id MBR-003131, confidence 1, method probabilistic, matched record PRV-25998, policy version 1
2026-10-19 19:52:08Record linked automatically44ccbe1245
scoring_agent, PRV-25998, identity id MBR-003131, confidence 1, method probabilistic, matched record CLM-420242, policy version 1
2026-10-19 19:52:08Record linked automaticallybf72aef365
scoring_agent, ENR-126603, identity id MBR-003131, confidence 1, method probabilistic, matched record PRV-25998, policy version 1
2026-10-19 19:52:08Record linked automatically56fa0ac9b7
scoring_agent, CLM-420243, identity id MBR-003131, confidence 1, method probabilistic, matched record PRV-25998, policy version 1
2026-10-19 19:52:08Record linked automatically3a70805d8b
matching_agent, PRV-25999, identity id MBR-003131, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-420242
2026-10-19 19:52:08Record linked automaticallyb48aac0c77
scoring_agent, CLM-420242, identity id MBR-003131, confidence 1, method probabilistic, matched record PRV-25998, policy version 1
2026-10-19 19:45:41Record linked automaticallye240a3636e
scoring_agent, PRV-25998, identity id MBR-003131, confidence 1, method probabilistic, matched record CLM-420242, policy version 1
2026-10-19 19:45:41Record linked automaticallyc68cabecda
scoring_agent, ENR-126603, identity id MBR-003131, confidence 1, method probabilistic, matched record PRV-25998, policy version 1
2026-10-19 19:45:41Record linked automaticallyf29c0119e9
scoring_agent, CLM-420243, identity id MBR-003131, confidence 1, method probabilistic, matched record PRV-25998, policy version 1
2026-10-19 19:45:41Record linked automatically831b311102
matching_agent, PRV-25999, identity id MBR-003131, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-420242
2026-10-19 19:45:41Record linked automatically69868e23ca
scoring_agent, CLM-420242, identity id MBR-003131, confidence 1, method probabilistic, matched record PRV-25998, policy version 1
2026-10-19 19:32:31Record linked automaticallyc98fbf4df0
scoring_agent, PRV-25998, identity id MBR-003131, confidence 1, method probabilistic, matched record CLM-420242, policy version 1
2026-10-19 19:32:31Record linked automatically800bae3d02
scoring_agent, ENR-126603, identity id MBR-003131, confidence 1, method probabilistic, matched record PRV-25998, policy version 1
2026-10-19 19:32:31Record linked automatically086d4293dd
scoring_agent, CLM-420243, identity id MBR-003131, confidence 1, method probabilistic, matched record PRV-25998, policy version 1
2026-10-19 19:32:31Record linked automaticallyca1637cbb3
matching_agent, PRV-25999, identity id MBR-003131, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-420242
2026-10-19 19:32:31Record linked automatically1362db23d1
scoring_agent, CLM-420242, identity id MBR-003131, confidence 1, method probabilistic, matched record PRV-25998, policy version 1
2026-10-19 19:31:28Record linked automatically23508729e3
matching_agent, ENR-126603, identity id MBR-018910, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420278
2026-10-19 19:31:28Record linked automatically1426c3d22f
matching_agent, PRV-25999, identity id MBR-008451, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126906
2026-10-19 19:31:28Record linked automatically27510936d9
matching_agent, PRV-25998, identity id MBR-008451, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126906
2026-10-19 19:31:28Record linked automatically65261e4bc3
matching_agent, CLM-420243, identity id MBR-005724, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420242
2026-10-19 19:31:28Record linked automaticallyd0492a32ab
matching_agent, CLM-420242, identity id MBR-005724, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420241

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-2026-001267	2026-06-09	Summit Medical Group in network	99215, 99214	$549.00	—	Denied	Denied
CLM-2026-034433	2025-12-11	Valley Reference Lab in network	80061	$84.00	$0.00	Approved	Approved