Identities/MBR-021130

Gold, golden identity

Gerald M Pena

5 source records from 3 feeds.

MBR-021130Verified5 records

Golden record

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

First nameENR: Gerald
Middle nameENR: M
Last nameENR: Pena
Date of birthENR: 1978-10-23
GenderPRV: M
Member IDENR: UHC-42304-14
SSNENR: •••-••-6123
PhonePRV: 5304689264
EmailENR: gerald.pena92@hotmail.com
AddressPRV: 9382 Bayshore Dr
CityENR: Phoenix
StateENR: AZ
ZIPENR: 85038
GroupENR: GRP-8009
PlanENR: OPTIONS-PPO

Min confidence

1.00

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-412918	CLM	2026-03-21	Gerald Penaflagged	1978-10-23	—	5304689264	9382 Bayshore Dr, Phoenix, AZ	Scored	1.00	—
CLM-412917	CLM	2026-03-22	Gerald Penaflagged	1978-10-23	UHC-42304-14	—	9382 Bayshore Dr, Phoenix, AZ	Scored	1.00	—
PRV-23736	PRV	2026-03-24	Gerald Penaflagged	1978-10-23	UHC-42304-14	—	9382 Bayshore Dr, Phoenix, AZ	Scored	1.00	—
ENR-116970	ENR	2026-04-22	Gerald Penaflagged	1978-10-23	UHC-42304-14	—	9382 Bayshore Dr # 723, Phoenix, AZ	Scored	1.00	—
PRV-23735	PRV	2026-06-11	Gerald Penaflagged	1978-10-23	UHC-42304-14	5304689264	9382 Bayshore Dr, Phoenix, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-412918CLMCLM-412917CLM1.00Scoredweighted 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

▶CLM-412918CLMENR-116970ENR1.00Scoredweighted 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

▶CLM-412918CLMPRV-23735PRV1.00Scoredweighted 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-412918CLMPRV-23736 PRV1.00Scoredweighted 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

▶CLM-412917CLMENR-116970ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-23736 PRVENR-116970ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412917CLMPRV-23735PRV0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-23736 PRVPRV-23735PRV0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-116970ENRPRV-23735PRV0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-412917CLMPRV-23736 PRV0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-412918 → UHC-42304-14 (Gerald Pena)
ACT-009069, Claims processor
Outreach address correctedProposed
Gerald Pena: 9382 Bayshore Dr # 723, Phoenix → 9382 Bayshore Dr, Phoenix
ACT-012339, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically86f92c5e90
scoring_agent, PRV-23735, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:54:38Record linked automatically3bddf0c290
scoring_agent, ENR-116970, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:54:38Record linked automatically23707e4e52
scoring_agent, PRV-23736, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:54:38Record linked automatically5467ce5cac
scoring_agent, CLM-412917, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:54:38Record linked automaticallyc1f8f48057
scoring_agent, CLM-412918, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412917, policy version 1
2026-10-19 19:52:09Record linked automatically302e965f74
scoring_agent, PRV-23735, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:52:09Record linked automatically4284d98281
scoring_agent, ENR-116970, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:52:09Record linked automatically64a8ae1b78
scoring_agent, PRV-23736, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:52:09Record linked automaticallya18de31f7a
scoring_agent, CLM-412917, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:52:09Record linked automatically6fdf28f730
scoring_agent, CLM-412918, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412917, policy version 1
2026-10-19 19:45:42Record linked automaticallya479cf2466
scoring_agent, PRV-23735, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:45:42Record linked automaticallyd3ba1545af
scoring_agent, ENR-116970, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:45:42Record linked automaticallyc2db238346
scoring_agent, PRV-23736, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:45:42Record linked automatically3ce57bbf1e
scoring_agent, CLM-412917, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:45:42Record linked automaticallyda3e7d5c3b
scoring_agent, CLM-412918, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412917, policy version 1
2026-10-19 19:32:31Record linked automaticallye9a33d4ce8
scoring_agent, PRV-23735, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:32:31Record linked automatically1af63efd73
scoring_agent, ENR-116970, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:32:31Record linked automatically0a74d702c8
scoring_agent, PRV-23736, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:32:31Record linked automatically81fc9bb81d
scoring_agent, CLM-412917, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412918, policy version 1
2026-10-19 19:32:31Record linked automaticallyc7f160cee8
scoring_agent, CLM-412918, identity id MBR-021130, confidence 1, method probabilistic, matched record CLM-412917, policy version 1
2026-10-19 19:31:28Record linked automatically1ff0943ab0
matching_agent, CLM-412918, identity id MBR-031951, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23818
2026-10-19 19:31:28Record linked automaticallyc9bac6e86f
scoring_agent, PRV-23736, identity id MBR-017330, confidence 1, method probabilistic, matched record PRV-23737, policy version 1
2026-10-19 19:31:28Record linked automatically4ebbc30df2
matching_agent, ENR-116970, identity id MBR-010296, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23794
2026-10-19 19:31:28Record linked automatically27a7fe3bf2
matching_agent, CLM-412917, identity id MBR-008553, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-117068
2026-10-19 19:31:28Record linked automaticallyb5b44d9fa1
matching_agent, PRV-23735, identity id MBR-008074, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116739

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-029720	2026-02-10	Riverside Primary Care Associates in network	99213	$171.00	—	Denied	Denied
CLM-2026-029335	2026-03-03	Lakeside Physical Therapy in network	97110, 97014	$299.00	—	Denied	Denied