Megan V Pena

4 source records from 3 feeds.

MBR-009040Verified4 records

Golden record

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

First nameENR: Megan
Middle nameENR: V
Last nameENR: Pena
Date of birthENR: 1972-03-24
GenderCLM: F
Member IDENR: UHC-99425-15
SSNENR: •••-••-9157
PhoneENR: 3896438845
EmailENR: megan.pena83@aol.com
AddressENR: 5555 River Rd
CityENR: Nashville
StateENR: TN
ZIPENR: 37285
GroupENR: GRP-1266
PlanENR: SELECT-EPO

Min confidence

1.00

Sources

CLM ×2PRV ×1ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-426376	CLM	2026-01-31	Megan Penaflagged	1972-03-24	—	3896438845	—	Scored	1.00	—
PRV-27775	PRV	2026-06-05	Megan Penaflagged	1972-03-24	—	3896438845	5555 River Rd, Nashville, TN	Scored	1.00	—
CLM-426377	CLM	2026-07-29	Megan Penaflagged	1972-03-24	UHC-99425-15	—	5555 River Rd, Nashville, TN	Scored	1.00	—
ENR-134573	ENR	2026-07-30	Megan Penaflagged	1972-03-24	UHC-99425-15	3896438845	5555 River Rd, Nashville, TN	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-27775PRVCLM-426377CLM1.00Scoredweighted 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-27775PRVENR-134573ENR 1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-426376CLMPRV-27775PRV1.00Scoredweighted 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-426377CLMENR-134573ENR 0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-426376CLMCLM-426377CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-426376CLMENR-134573ENR 0.97RuleD2 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-426376 → UHC-99425-15 (Megan Pena)
ACT-004350, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallye17dcbcb64
scoring_agent, ENR-134573, identity id MBR-009040, confidence 1, method probabilistic, matched record PRV-27775, policy version 1
2026-10-22 12:43:54Record linked automatically9acc3e01ab
scoring_agent, CLM-426377, identity id MBR-009040, confidence 1, method probabilistic, matched record PRV-27775, policy version 1
2026-10-22 12:43:54Record linked automaticallyf57b8d1211
scoring_agent, PRV-27775, identity id MBR-009040, confidence 1, method probabilistic, matched record CLM-426376, policy version 1
2026-10-22 12:43:54Record linked automatically141083803e
scoring_agent, CLM-426376, identity id MBR-009040, confidence 1, method probabilistic, matched record PRV-27775, policy version 1
2026-10-19 19:54:38Record linked automaticallyb6e9b76ed2
scoring_agent, ENR-134573, identity id MBR-009040, confidence 1, method probabilistic, matched record PRV-27775, policy version 1
2026-10-19 19:54:38Record linked automaticallyb39790e97c
scoring_agent, CLM-426377, identity id MBR-009040, confidence 1, method probabilistic, matched record PRV-27775, policy version 1
2026-10-19 19:54:38Record linked automaticallycd91588314
scoring_agent, PRV-27775, identity id MBR-009040, confidence 1, method probabilistic, matched record CLM-426376, policy version 1
2026-10-19 19:54:38Record linked automaticallyef7e63311b
scoring_agent, CLM-426376, identity id MBR-009040, confidence 1, method probabilistic, matched record PRV-27775, policy version 1
2026-10-19 19:52:09Record linked automaticallyb75c4fae81
scoring_agent, ENR-134573, identity id MBR-009040, confidence 1, method probabilistic, matched record PRV-27775, policy version 1
2026-10-19 19:52:09Record linked automatically4d77553adc
scoring_agent, CLM-426377, identity id MBR-009040, confidence 1, method probabilistic, matched record PRV-27775, policy version 1
2026-10-19 19:52:09Record linked automatically4f23fce78d
scoring_agent, PRV-27775, identity id MBR-009040, confidence 1, method probabilistic, matched record CLM-426376, policy version 1
2026-10-19 19:52:09Record linked automaticallyce9adbaa8a
scoring_agent, CLM-426376, identity id MBR-009040, confidence 1, method probabilistic, matched record PRV-27775, policy version 1
2026-10-19 19:45:42Record linked automatically8d3d58d07e
scoring_agent, ENR-134573, identity id MBR-009040, confidence 1, method probabilistic, matched record PRV-27775, policy version 1
2026-10-19 19:45:42Record linked automatically95ebaf3611
scoring_agent, CLM-426377, identity id MBR-009040, confidence 1, method probabilistic, matched record PRV-27775, policy version 1
2026-10-19 19:45:42Record linked automatically4104a8f288
scoring_agent, PRV-27775, identity id MBR-009040, confidence 1, method probabilistic, matched record CLM-426376, policy version 1
2026-10-19 19:45:42Record linked automatically6747fb60e7
scoring_agent, CLM-426376, identity id MBR-009040, confidence 1, method probabilistic, matched record PRV-27775, policy version 1
2026-10-19 19:32:31Record linked automaticallyff2b0ef6d7
scoring_agent, ENR-134573, identity id MBR-009040, confidence 1, method probabilistic, matched record PRV-27775, policy version 1
2026-10-19 19:32:31Record linked automatically0e8d7f0e02
scoring_agent, CLM-426377, identity id MBR-009040, confidence 1, method probabilistic, matched record PRV-27775, policy version 1
2026-10-19 19:32:31Record linked automaticallyc53a1eaeaf
scoring_agent, PRV-27775, identity id MBR-009040, confidence 1, method probabilistic, matched record CLM-426376, policy version 1
2026-10-19 19:32:31Record linked automaticallya64a225cf3
scoring_agent, CLM-426376, identity id MBR-009040, confidence 1, method probabilistic, matched record PRV-27775, policy version 1
2026-10-19 19:31:28Record linked automatically5a7f19e692
matching_agent, CLM-426376, identity id MBR-002883, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134870

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-2026-028155	2026-07-27	Heritage Rehabilitation Center in network	97110	$316.00	$170.92	Approved	Approved
CLM-2026-011505	2026-01-01	Lakeside Internal Medicine Associates in network	99214	$266.00	$139.92	Approved	Approved