Luis Pena

3 source records from 2 feeds.

MBR-024799Verified3 records

Golden record

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

First namePRV: Luis
Middle name—: —
Last namePRV: Pena
Date of birthPRV: 1963-08-21
GenderCLM: F
Member IDPRV: UHC-67941-70
SSN—: —
PhonePRV: 9408377937
EmailCLM: luis.pena9@gmail.com
AddressPRV: 7615 River Rd
CityPRV: San Diego
StatePRV: CA
ZIPPRV: 92136
Group—: —
PlanPRV: OPTIONS-PPO

Min confidence

1.00

Sources

CLM ×1PRV ×2

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-417976	CLM	2026-04-09	Luis Penaflagged	1963-08-21	—	—	7615 River Rd, San Diego, CA	Scored	1.00	—
PRV-25341	PRV	2026-06-27	Luis Penaflagged	1963-08-21	UHC-67941-70	9408377937	7615 River Rd, San Diego, CA	Scored	1.00	—
PRV-25340	PRV	2026-06-27	Luis Penaflagged	1963-08-21	UHC-67941-70	9408377937	7615 River Rd, San Diego, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-417976CLMPRV-25340PRV1.00Scoredweighted 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-417976CLMPRV-25341PRV1.00Scoredweighted 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-25341PRVPRV-25340PRV0.99RuleD1 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

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Luis Pena: 2 plan codes across sources → canonical OPTIONS-PPO
ACT-001001, Eligibility engine
Orphan claim re-pointedExecuted
CLM-417976 → UHC-67941-70 (Luis Pena)
ACT-008627, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically824ade866b
scoring_agent, PRV-25340, identity id MBR-024799, confidence 1, method probabilistic, matched record CLM-417976, policy version 1
2026-10-19 19:54:38Record linked automatically24adedc415
scoring_agent, PRV-25341, identity id MBR-024799, confidence 1, method probabilistic, matched record CLM-417976, policy version 1
2026-10-19 19:54:38Record linked automatically81357c09e6
scoring_agent, CLM-417976, identity id MBR-024799, confidence 1, method probabilistic, matched record PRV-25341, policy version 1
2026-10-19 19:52:09Record linked automatically67371f1977
scoring_agent, PRV-25340, identity id MBR-024799, confidence 1, method probabilistic, matched record CLM-417976, policy version 1
2026-10-19 19:52:09Record linked automaticallycbe8bd2be2
scoring_agent, PRV-25341, identity id MBR-024799, confidence 1, method probabilistic, matched record CLM-417976, policy version 1
2026-10-19 19:52:09Record linked automatically442d029dbd
scoring_agent, CLM-417976, identity id MBR-024799, confidence 1, method probabilistic, matched record PRV-25341, policy version 1
2026-10-19 19:45:42Record linked automatically98de79248d
scoring_agent, PRV-25340, identity id MBR-024799, confidence 1, method probabilistic, matched record CLM-417976, policy version 1
2026-10-19 19:45:42Record linked automatically492a9be885
scoring_agent, PRV-25341, identity id MBR-024799, confidence 1, method probabilistic, matched record CLM-417976, policy version 1
2026-10-19 19:45:42Record linked automatically6c103e01d0
scoring_agent, CLM-417976, identity id MBR-024799, confidence 1, method probabilistic, matched record PRV-25341, policy version 1
2026-10-19 19:32:31Record linked automatically87c0c7c18d
scoring_agent, PRV-25340, identity id MBR-024799, confidence 1, method probabilistic, matched record CLM-417976, policy version 1
2026-10-19 19:32:31Record linked automaticallyfdd5fce327
scoring_agent, PRV-25341, identity id MBR-024799, confidence 1, method probabilistic, matched record CLM-417976, policy version 1
2026-10-19 19:32:31Record linked automatically8fe895b81d
scoring_agent, CLM-417976, identity id MBR-024799, confidence 1, method probabilistic, matched record PRV-25341, policy version 1
2026-10-19 19:31:28Record linked automatically5ded69ec1a
scoring_agent, PRV-25340, identity id MBR-013149, confidence 1, method probabilistic, matched record ENR-123951, policy version 1
2026-10-19 19:31:28Record linked automatically50f6c7910a
matching_agent, CLM-417976, identity id MBR-004388, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123537

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-2026-027608	2026-03-07	Canyon Diagnostic Imaging in network	70553, 77067	$3,749.00	—	Needs review	Needs review