Identities/MBR-004165
Gold, golden identity

Scott B Pena

4 source records from 2 feeds.

MBR-004165Verified4 recordsOpen steward case

Golden record

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

First nameENR
Scott
Middle nameENR
B
Last nameENR
Pena
Date of birthENR
1993-10-14
GenderENR
M
Member IDENR
UHC-95096-66
SSNENR
•••-••-7701
PhoneENR
2229578212
EmailENR
scott.pena47@icloud.com
AddressENR
2019 Oak St
CityENR
Tucson
StateENR
AZ
ZIPENR
85798
GroupENR
GRP-8093
PlanENR
NAVIGATE-HMO
Min confidence
0.97
Sources
ENR ×2CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.970.99ENRENR-110603CLMCLM-408038CLMCLM-408037ENRENR-110602IDMBR-004165
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
ENR-110603ENR2026-01-14Scott Penaflagged1993-10-14UHC-95096-6622295782122019 Oak St, Tucson, AZRule0.99D1 member id + dob exact
CLM-408038CLM2026-05-19Scott Penaflagged1993-10-14UHC-95096-6622295782122019 Oak St, Tucson, AZRule0.99D1 member id + dob exact
CLM-408037CLM2026-05-26Scott Penaflagged1993-10-14——2019 Oak St, Tucson, AZRule0.97D2 ssn4 + dob + last name
ENR-110602ENR2026-06-20Scott Penaflagged1993-10-14UHC-95096-6622295782122019 Oak St, Tucson, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-110603ENRCLM-408038CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-110603ENRENR-110602ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-408038CLMENR-110602ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-110603ENRCLM-408037CLM0.97RuleD2 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
▶CLM-408038CLMCLM-408037CLM0.97RuleD2 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
▶CLM-408037CLMENR-110602ENR0.97RuleD2 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

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Scott Pena: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000207, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-408037 → UHC-95096-66 (Scott Pena)
    ACT-002648, Claims processor
  • Duplicate member record retiredExecuted
    Scott Pena: 2 enrollment records collapsed into UHC-95096-66
    ACT-022350, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyd44711c2f5
    matching_agent, ENR-110602, identity id MBR-004165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110603
  • 2026-10-19 19:54:38Record linked automaticallyca74e02ac7
    matching_agent, CLM-408037, identity id MBR-004165, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110603
  • 2026-10-19 19:54:38Record linked automaticallyf116d4bb81
    matching_agent, CLM-408038, identity id MBR-004165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110603
  • 2026-10-19 19:54:38Record linked automaticallya14ee8d402
    matching_agent, ENR-110603, identity id MBR-004165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408038
  • 2026-10-19 19:52:08Record linked automaticallye1ebd8a4dd
    matching_agent, ENR-110602, identity id MBR-004165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110603
  • 2026-10-19 19:52:08Record linked automatically807c2c9c14
    matching_agent, CLM-408037, identity id MBR-004165, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110603
  • 2026-10-19 19:52:08Record linked automatically431e7c51c7
    matching_agent, CLM-408038, identity id MBR-004165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110603
  • 2026-10-19 19:52:08Record linked automaticallyee02f737e2
    matching_agent, ENR-110603, identity id MBR-004165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408038
  • 2026-10-19 19:45:42Record linked automatically0edb3ecc97
    matching_agent, ENR-110602, identity id MBR-004165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110603
  • 2026-10-19 19:45:42Record linked automaticallydccc13111d
    matching_agent, CLM-408037, identity id MBR-004165, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110603
  • 2026-10-19 19:45:42Record linked automatically65b621d52d
    matching_agent, CLM-408038, identity id MBR-004165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110603
  • 2026-10-19 19:45:42Record linked automaticallya11f081102
    matching_agent, ENR-110603, identity id MBR-004165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408038
  • 2026-10-19 19:32:31Record linked automaticallyfa36e30889
    matching_agent, ENR-110602, identity id MBR-004165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110603
  • 2026-10-19 19:32:31Record linked automatically59a68032e9
    matching_agent, CLM-408037, identity id MBR-004165, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110603
  • 2026-10-19 19:32:31Record linked automaticallydbf2a7f55e
    matching_agent, CLM-408038, identity id MBR-004165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110603
  • 2026-10-19 19:32:31Record linked automaticallyb726661b5f
    matching_agent, ENR-110603, identity id MBR-004165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408038
  • 2026-10-19 19:31:28Record linked automatically5109fb8965
    matching_agent, CLM-408037, identity id MBR-030442, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408036
  • 2026-10-19 19:31:28Record linked automaticallyf3bf2c52e3
    matching_agent, ENR-110603, identity id MBR-021449, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408085
  • 2026-10-19 19:31:28Record linked automatically1e94e991b2
    scoring_agent, CLM-408038, identity id MBR-010955, confidence 1, method probabilistic, matched record TPA-53518, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6a378bc64a
    scoring_agent, ENR-110602, identity id MBR-009737, confidence 1, method probabilistic, matched record TPA-53549, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0049462026-05-18Lakeside Internal Medicine Associates
in network
93000$96.00$34.52ApprovedApproved
CLM-2026-0171472026-04-30Pinecrest Primary Care Associates
in network
99214$211.00$105.82ApprovedApproved