Gold, golden identity
Julie Pena
4 source records from 2 feeds.
MBR-025241Verified4 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Julie
- Middle name—
- —
- Last nameENR
- Pena
- Date of birthENR
- 1994-12-14
- GenderCLM
- M
- Member IDENR
- UHC-64751-19
- SSNENR
- •••-••-8529
- PhoneENR
- 8296431839
- Email—
- —
- AddressENR
- 9289 Ridge Rd
- CityENR
- Atlanta
- StateENR
- GA
- ZIPENR
- 30309
- GroupENR
- GRP-7301
- PlanENR
- MEDICARE-ADV-A
Min confidence
0.97
Sources
CLM ×3ENR ×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-429879 | CLM | 2026-04-11 | Julie Penaflagged | 1994-12-14 | — | — | 9289 Ridge Rd, Atlanta, GA | Rule | 0.97 | D2 ssn4 + dob + last name |
| CLM-429881 | CLM | 2026-05-07 | Julie Penaflagged | 1994-12-14 | UHC-64751-19 | 8296431839 | — | Rule | 0.99 | D1 member id + dob exact |
| ENR-139180 | ENR | 2026-09-23 | Julie Penaflagged | 1994-12-14 | UHC-64751-19 | 8296431839 | 9289 Ridge Rd, Atlanta, GA | Rule | 0.99 | D1 member id + dob exact |
| CLM-429880 | CLM | 2026-10-14 | Juile Penaflagged | 1994-12-14 | UHC-64751-19 | 8296431839 | 9289 Ridge Rd, Atlanta, GA | Rule | 0.99 | D1 member id + dob exact |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-429881CLMCLM-429880CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-139180ENRCLM-429880CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 4Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-429881CLMENR-139180ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-429879CLMCLM-429880CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-429879CLMCLM-429881CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-429879CLMENR-139180ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-429879 → UHC-64751-19 (Julie Pena)ACT-001826, Claims processor
- Care coordination outreachProposedJulie Pena: 3 claims, no attributed providerACT-019294, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically1c1087dc8bmatching_agent, CLM-429880, identity id MBR-025241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429881
- 2026-10-19 19:54:38Record linked automaticallya94fb2e5fcmatching_agent, ENR-139180, identity id MBR-025241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429881
- 2026-10-19 19:54:38Record linked automatically696b5d805amatching_agent, CLM-429881, identity id MBR-025241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139180
- 2026-10-19 19:54:38Record linked automaticallyd930b29b13matching_agent, CLM-429879, identity id MBR-025241, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429881
- 2026-10-19 19:52:09Record linked automaticallybcdef6f842matching_agent, CLM-429880, identity id MBR-025241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429881
- 2026-10-19 19:52:09Record linked automatically7527c3de43matching_agent, ENR-139180, identity id MBR-025241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429881
- 2026-10-19 19:52:09Record linked automatically09aef83261matching_agent, CLM-429881, identity id MBR-025241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139180
- 2026-10-19 19:52:09Record linked automatically802cfc9cd0matching_agent, CLM-429879, identity id MBR-025241, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429881
- 2026-10-19 19:45:42Record linked automatically80bd500ee7matching_agent, CLM-429880, identity id MBR-025241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429881
- 2026-10-19 19:45:42Record linked automatically1365b5b778matching_agent, ENR-139180, identity id MBR-025241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429881
- 2026-10-19 19:45:42Record linked automaticallyd60ae885aamatching_agent, CLM-429881, identity id MBR-025241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139180
- 2026-10-19 19:45:42Record linked automaticallyb36f553d36matching_agent, CLM-429879, identity id MBR-025241, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429881
- 2026-10-19 19:32:31Record linked automatically51e008ee2fmatching_agent, CLM-429880, identity id MBR-025241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429881
- 2026-10-19 19:32:31Record linked automaticallyf9e4a1db8cmatching_agent, ENR-139180, identity id MBR-025241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429881
- 2026-10-19 19:32:31Record linked automatically6728ed41eematching_agent, CLM-429881, identity id MBR-025241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139180
- 2026-10-19 19:32:31Record linked automaticallye1b36af9afmatching_agent, CLM-429879, identity id MBR-025241, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429881
- 2026-10-19 19:31:28Record linked automatically3ee3e878e4matching_agent, ENR-139180, identity id MBR-043654, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139181
- 2026-10-19 19:31:28Record linked automatically8473e01aa3scoring_agent, CLM-429880, identity id MBR-033315, confidence 1, method probabilistic, matched record CLM-429881, policy version 1
- 2026-10-19 19:31:28Record linked automatically0eb4df57e6scoring_agent, CLM-429881, identity id MBR-033315, confidence 1, method probabilistic, matched record CLM-429880, policy version 1
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-2026-028154 | 2026-10-08 | Canyon Medical Group in network | 99215 | $336.00 | $178.32 | Approved | Approved |
| CLM-2026-028927 | 2026-04-13 | Sunrise Cardiovascular Associates in network | 93306 | $1,423.00 | $421.77 | Approved | Approved |
| CLM-2026-001946 | 2026-03-08 | Canyon Reference Lab in network | 87086 | $48.00 | $0.00 | Approved | Approved |