Identities/MBR-019806

Gold, golden identity

Frank F Padilla

6 source records from 2 feeds.

MBR-019806Verified6 records

Golden record

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

First nameENR: Frank
Middle nameENR: F
Last nameENR: Padilla
Date of birthCLM: 1964-02-14
GenderENR: F
Member IDENR: UHC-18739-54
SSNENR: •••-••-6034
PhoneENR: 6403168158
EmailENR: frank.padilla@outlook.com
AddressENR: 3588 River Rd
CityENR: Minneapolis
StateENR: MN
ZIP—: —
GroupENR: GRP-3480
PlanENR: CORE-HMO

Min confidence

0.96

Sources

CLM ×5ENR ×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-405260	CLM	2026-03-15	Frank Padillaflagged	1964-02-14	UHC-18739-54	6403168158	3588 River Rd, Minneapolis, MN	Rule	0.99	D1 member id + dob exact
CLM-405257	CLM	2026-04-07	Frnak Padillaflagged	1964-02-14	UHC-18739-54	—	—	Rule	0.99	D1 member id + dob exact
ENR-106887	ENR	2026-05-13	Frank Padillaflagged	—	UHC-18739-54	6403168158	3588 River Rd, Minneapolis, MN	Rule	0.96	D3 member id + name
CLM-405259	CLM	2026-06-05	Frank Padillaflagged	1964-02-14	UHC-18739-54	6403168158	3588 River Rd, Minneapolis, MN	Rule	0.99	D1 member id + dob exact
CLM-405256	CLM	2026-08-03	Frank Padillaflagged	1964-02-14	UHC-18739-54	6403168158	3588 River Rd, Minneapolis, MN	Rule	0.99	D1 member id + dob exact
CLM-405258	CLM	2026-08-09	Frak Padillaflagged	1964-02-14	UHC-18739-54	—	3588 River Rd, Minneapolis, MN	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-405260CLMCLM-405256CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-405257CLMCLM-405256CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405259CLMCLM-405256CLM0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-405260CLMCLM-405257CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-405260CLMCLM-405258CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405257CLMCLM-405258CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-405259CLMCLM-405258CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405256CLMCLM-405258CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405260CLMCLM-405259CLM0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-405257CLMCLM-405259CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-106887ENRCLM-405256CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-106887ENRCLM-405258CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-106887ENRCLM-405259CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
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

▶CLM-405260CLMENR-106887ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-405257CLMENR-106887ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight
Name	0.98	3
Member ID	1.00	4
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Frank Padilla: 5 claims, no attributed provider
ACT-019075, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallycb0ad8a8be
matching_agent, CLM-405258, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:54:38Record linked automaticallyd8ea2af4fb
matching_agent, CLM-405256, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:54:38Record linked automatically391af6848c
matching_agent, CLM-405259, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:54:38Record linked automatically356236cf38
matching_agent, ENR-106887, identity id MBR-019806, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405260
2026-10-19 19:54:38Record linked automatically18a32cd72c
matching_agent, CLM-405257, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:54:38Record linked automatically1bcf7bec86
matching_agent, CLM-405260, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405257
2026-10-19 19:52:09Record linked automaticallybadfd89b3c
matching_agent, CLM-405258, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:52:09Record linked automatically342c610408
matching_agent, CLM-405256, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:52:09Record linked automaticallyd1a65f4117
matching_agent, CLM-405259, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:52:09Record linked automaticallydf8979ea6f
matching_agent, ENR-106887, identity id MBR-019806, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405260
2026-10-19 19:52:09Record linked automatically517d6160b3
matching_agent, CLM-405257, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:52:09Record linked automatically6ae4f4fcca
matching_agent, CLM-405260, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405257
2026-10-19 19:45:42Record linked automaticallyca749d5512
matching_agent, CLM-405258, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:45:42Record linked automaticallyc09ad02212
matching_agent, CLM-405256, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:45:42Record linked automaticallyeb46c41bd1
matching_agent, CLM-405259, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:45:42Record linked automatically47b29851b0
matching_agent, ENR-106887, identity id MBR-019806, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405260
2026-10-19 19:45:42Record linked automatically547b1e7f4f
matching_agent, CLM-405257, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:45:42Record linked automaticallyaa3935bf59
matching_agent, CLM-405260, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405257
2026-10-19 19:32:31Record linked automaticallyf5baeb8bd0
matching_agent, CLM-405258, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:32:31Record linked automatically1b0d136da9
matching_agent, CLM-405256, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:32:31Record linked automatically60cb9e1d50
matching_agent, CLM-405259, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:32:31Record linked automatically02fdaa0cbf
matching_agent, ENR-106887, identity id MBR-019806, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405260
2026-10-19 19:32:31Record linked automaticallyd66b03f2bb
matching_agent, CLM-405257, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405260
2026-10-19 19:32:31Record linked automatically376bee610b
matching_agent, CLM-405260, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405257
2026-10-19 19:31:28Record linked automatically741d886a54
matching_agent, CLM-405258, identity id MBR-026201, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106892
2026-10-19 19:31:28Record linked automatically4e8f86d74f
scoring_agent, CLM-405259, identity id MBR-019820, confidence 1.00, method probabilistic, matched record PRV-21569, policy version 1
2026-10-19 19:31:28Record linked automatically8c31126987
matching_agent, CLM-405256, identity id MBR-012294, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106890
2026-10-19 19:31:28Record linked automatically10ac3ff8ec
matching_agent, CLM-405257, identity id MBR-012294, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405256

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-2026-018021	2026-08-04	Pinecrest Behavioral Health in network	99214	$220.00	—	Needs review	Needs review
CLM-2026-018020	2026-08-04	Sunrise Counseling Center in network	99214	$220.00	$76.40	Approved	Approved
CLM-2026-008010	2026-07-12	Heritage Imaging Center in network	77067	$374.00	$0.00	Approved	Approved
CLM-2026-024733	2026-04-24	Riverside Orthopedic Specialists in network	29881	$8,953.00	—	Denied	Denied
CLM-2026-030057	2026-02-26	Riverside Internal Medicine Associates out of network	99232	$222.00	—	Denied	Denied
CLM-2026-011315	2026-02-09	Heritage Medical Group in network	99215, 80053	$411.00	$234.82	Approved	Approved