Identities/MBR-011646
Gold, golden identity

Harold F Pena

5 source records from 2 feeds.

MBR-011646Verified5 records

Golden record

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

First nameENR
Harold
Middle nameENR
F
Last nameENR
Pena
Date of birthENR
1997-05-15
GenderENR
F
Member IDENR
UHC-17817-28
SSNENR
•••-••-8080
PhoneENR
4158701242
EmailENR
harold.pena@aol.com
AddressENR
1236 Union St
CityENR
Charlotte
StateENR
NC
ZIPCLM
28239
GroupENR
GRP-3054
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
ENR ×2CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.991.001.001.00ENRENR-100308ENRENR-100309CLMCLM-400217CLMCLM-400216CLMCLM-400215IDMBR-011646
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-100308ENR2026-02-09Harold Penaflagged1997-05-15UHC-17817-2841587012421236 Union St, Charlotte, NCRule0.99D1 member id + dob exact
ENR-100309ENR2026-02-09Harold Penaflagged1997-05-15UHC-17817-2841587012421236 Union St, Charlotte, NCRule0.99D1 member id + dob exact
CLM-400217CLM2026-05-05Harold Penaflagged1997-05-15——1236 Union St, Charlotte, NCScored1.00—
CLM-400216CLM2026-07-28Harold Penaflagged1997-05-15—41587012421236 Union St, Charlotte, NCScored1.00—
CLM-400215CLM2026-07-28Harold Penaflagged1997-05-15—41587012421236 Union St, Charlotte, NCScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-400217CLMCLM-400215CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400217CLMCLM-400216CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-100308ENRENR-100309ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶ENR-100308ENRCLM-400215CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-100309ENRCLM-400215CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-400216CLMCLM-400215CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-100308ENRCLM-400216CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-100309ENRCLM-400216CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-100308ENRCLM-400217CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-100309ENRCLM-400217CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-400217 → UHC-17817-28 (Harold Pena)
    ACT-002745, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-400216 → UHC-17817-28 (Harold Pena)
    ACT-003535, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-400215 → UHC-17817-28 (Harold Pena)
    ACT-005942, Claims processor
  • Care coordination outreachProposed
    Harold Pena: 3 claims, no attributed provider
    ACT-018631, Next-best-action
  • Duplicate member record retiredExecuted
    Harold Pena: 2 enrollment records collapsed into UHC-17817-28
    ACT-023474, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically3ebcd5b015
    scoring_agent, CLM-400215, identity id MBR-011646, confidence 1, method probabilistic, matched record CLM-400217, policy version 1
  • 2026-10-19 19:54:38Record linked automatically344acb1f68
    scoring_agent, CLM-400216, identity id MBR-011646, confidence 1, method probabilistic, matched record CLM-400217, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd0ae1b93d4
    scoring_agent, CLM-400217, identity id MBR-011646, confidence 1, method probabilistic, matched record CLM-400216, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8843ce7de6
    matching_agent, ENR-100309, identity id MBR-011646, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100308
  • 2026-10-19 19:54:38Record linked automaticallyf42568b309
    matching_agent, ENR-100308, identity id MBR-011646, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100309
  • 2026-10-19 19:52:09Record linked automaticallyc60ec222c3
    scoring_agent, CLM-400215, identity id MBR-011646, confidence 1, method probabilistic, matched record CLM-400217, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2582048117
    scoring_agent, CLM-400216, identity id MBR-011646, confidence 1, method probabilistic, matched record CLM-400217, policy version 1
  • 2026-10-19 19:52:09Record linked automatically536ce9910c
    scoring_agent, CLM-400217, identity id MBR-011646, confidence 1, method probabilistic, matched record CLM-400216, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyde45b6229a
    matching_agent, ENR-100309, identity id MBR-011646, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100308
  • 2026-10-19 19:52:09Record linked automaticallyeeb08fc41c
    matching_agent, ENR-100308, identity id MBR-011646, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100309
  • 2026-10-19 19:45:42Record linked automatically2e24e8c4ae
    scoring_agent, CLM-400215, identity id MBR-011646, confidence 1, method probabilistic, matched record CLM-400217, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6a0fe54051
    scoring_agent, CLM-400216, identity id MBR-011646, confidence 1, method probabilistic, matched record CLM-400217, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb2f9d96199
    scoring_agent, CLM-400217, identity id MBR-011646, confidence 1, method probabilistic, matched record CLM-400216, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd2a3190504
    matching_agent, ENR-100309, identity id MBR-011646, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100308
  • 2026-10-19 19:45:42Record linked automatically6acb15210e
    matching_agent, ENR-100308, identity id MBR-011646, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100309
  • 2026-10-19 19:32:31Record linked automatically57293d9708
    scoring_agent, CLM-400215, identity id MBR-011646, confidence 1, method probabilistic, matched record CLM-400217, policy version 1
  • 2026-10-19 19:32:31Record linked automatically214ee5ffdd
    scoring_agent, CLM-400216, identity id MBR-011646, confidence 1, method probabilistic, matched record CLM-400217, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3da15cd568
    scoring_agent, CLM-400217, identity id MBR-011646, confidence 1, method probabilistic, matched record CLM-400216, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfe6f684a53
    matching_agent, ENR-100309, identity id MBR-011646, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100308
  • 2026-10-19 19:32:31Record linked automatically5ec1248152
    matching_agent, ENR-100308, identity id MBR-011646, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100309
  • 2026-10-19 19:31:28Record linked automatically1a2f986881
    matching_agent, CLM-400216, identity id MBR-035079, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-100321
  • 2026-10-19 19:31:28Record linked automaticallyede5051210
    scoring_agent, ENR-100309, identity id MBR-024570, confidence 1, method probabilistic, matched record TPA-50089, policy version 1
  • 2026-10-19 19:31:28Record linked automatically42791a1f00
    matching_agent, CLM-400215, identity id MBR-020713, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100320

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0173212026-06-14Mesa Medical Group
in network
99213$195.00$80.90ApprovedApproved
CLM-2026-0083112026-06-25Pinecrest Heart Institute
in network
93015, 93458$8,495.00$3,274.64ApprovedApproved
CLM-2026-0053432026-04-11Heritage Internal Medicine Associates
in network
99214$292.00$141.04ApprovedApproved