Identities/MBR-025966
Gold, golden identity

Jose Pena

4 source records from 2 feeds.

MBR-025966Verified4 records

Golden record

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

First nameENR
Jose
Middle name—
—
Last nameENR
Pena
Date of birthENR
1972-04-18
GenderENR
M
Member IDENR
UHC-68169-21
SSNENR
•••-••-5831
PhoneENR
3673780961
EmailENR
jose.pena@proton.me
AddressENR
1513 Indian School Rd
CityENR
Los Angeles
StateENR
CA
ZIPENR
90056
GroupENR
GRP-3216
PlanENR
OPTIONS-PPO
Min confidence
0.96
Sources
CLM ×2ENR ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.980.990.960.99CLMCLM-430908CLMCLM-430909ENRENR-140606ENRENR-140607IDMBR-025966
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
CLM-430908CLM2026-04-15Juse Penaflagged1972-04-18—36737809611513 Indian School Rd, Los Angeles, CAScored0.98—
CLM-430909CLM2026-04-19Jose Penaflagged1972-04-18UHC-68169-21—1513 Indian School Rd, Los Angeles, CARule0.99D1 member id + dob exact
ENR-140606ENR2026-05-11Jose Penaflagged—UHC-68169-2136737809611513 Indian School Rd, Los Angeles, CARule0.96D3 member id + name
ENR-140607ENR2026-06-23Jose Penaflagged1972-04-18UHC-68169-2136737809611513 Indian School Rd, Los Angeles, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-430909CLMENR-140607ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-430908CLMENR-140607ENR0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-430908CLMCLM-430909CLM0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-430909CLMENR-140606ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-140606ENRENR-140607ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-430908CLMENR-140606ENR0.88Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.943
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Jose Pena: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-001033, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-430908 → UHC-68169-21 (Jose Pena)
    ACT-007349, Claims processor
  • Duplicate member record retiredExecuted
    Jose Pena: 2 enrollment records collapsed into UHC-68169-21
    ACT-025258, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically066dadf5f2
    matching_agent, ENR-140607, identity id MBR-025966, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430909
  • 2026-10-19 19:54:38Record linked automaticallyb5b68ed0e6
    matching_agent, ENR-140606, identity id MBR-025966, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-140607
  • 2026-10-19 19:54:38Record linked automatically140967d2c5
    matching_agent, CLM-430909, identity id MBR-025966, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140607
  • 2026-10-19 19:54:38Record linked automaticallya9d10eecae
    scoring_agent, CLM-430908, identity id MBR-025966, confidence 0.98, method probabilistic, matched record ENR-140607, policy version 1
  • 2026-10-19 19:52:09Record linked automatically86aa78e186
    matching_agent, ENR-140607, identity id MBR-025966, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430909
  • 2026-10-19 19:52:09Record linked automaticallye804983b3e
    matching_agent, ENR-140606, identity id MBR-025966, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-140607
  • 2026-10-19 19:52:09Record linked automaticallyd9cf1af4f0
    matching_agent, CLM-430909, identity id MBR-025966, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140607
  • 2026-10-19 19:52:09Record linked automaticallycc930959d0
    scoring_agent, CLM-430908, identity id MBR-025966, confidence 0.98, method probabilistic, matched record ENR-140607, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8c2a24da38
    matching_agent, ENR-140607, identity id MBR-025966, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430909
  • 2026-10-19 19:45:42Record linked automaticallyf679fb9a4a
    matching_agent, ENR-140606, identity id MBR-025966, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-140607
  • 2026-10-19 19:45:42Record linked automatically11df5e1060
    matching_agent, CLM-430909, identity id MBR-025966, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140607
  • 2026-10-19 19:45:42Record linked automaticallyfc0fdd0ea8
    scoring_agent, CLM-430908, identity id MBR-025966, confidence 0.98, method probabilistic, matched record ENR-140607, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1b9555af2e
    matching_agent, ENR-140607, identity id MBR-025966, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430909
  • 2026-10-19 19:32:31Record linked automatically1d9464ee78
    matching_agent, ENR-140606, identity id MBR-025966, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-140607
  • 2026-10-19 19:32:31Record linked automatically9d183a9752
    matching_agent, CLM-430909, identity id MBR-025966, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140607
  • 2026-10-19 19:32:31Record linked automaticallyc08a72bf57
    scoring_agent, CLM-430908, identity id MBR-025966, confidence 0.98, method probabilistic, matched record ENR-140607, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc7698cc7a1
    matching_agent, ENR-140606, identity id MBR-030482, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29004
  • 2026-10-19 19:31:28Record linked automatically94454749a7
    scoring_agent, CLM-430908, identity id MBR-025339, confidence 1, method probabilistic, matched record PRV-29043, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallydbff9add68
    matching_agent, CLM-430909, identity id MBR-015134, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-140797
  • 2026-10-19 19:31:28Record linked automatically4d247467c9
    matching_agent, ENR-140607, identity id MBR-010623, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140608

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0227232026-03-22Cornerstone Family Practice
out of network
99395$299.00—Needs reviewNeeds review
CLM-2026-0142442025-11-13Lakeside Bone and Joint Center
in network
20610$205.00—DeniedDenied
CLM-2026-0227222026-03-22Meadow Family Practice
in network
99395$299.00$165.38ApprovedApproved