Denise D Padilla

3 source records from 3 feeds.

MBR-027596Verified3 records

Golden record

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

First nameENR: Denise
Middle nameENR: D
Last nameENR: Padilla
Date of birthCLM: 1970-09-21
GenderENR: F
Member IDENR: UHC-91088-69
SSNENR: •••-••-1590
PhoneENR: 9065685160
Email—: —
AddressENR: 3946 Union St
CityENR: San Antonio
StateENR: TX
ZIPENR: 78296
GroupENR: GRP-8270
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.96

Sources

TPA ×1CLM ×1ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
TPA-57984	TPA	2026-04-25	Denise Padillaflagged	1970-09-21	—	—	5052 Church St, Phoenix, AZ	Rule	0.97	D2 ssn4 + dob + last name
CLM-418071	CLM	2026-06-17	Denise Padillaflagged	1970-09-21	UHC-91088-69	—	3946 Union St, San Antonio, TX	Rule	0.97	D2 ssn4 + dob + last name
ENR-123755	ENR	2026-08-07	Denise Padillaflagged	—	UHC-91088-69	9065685160	3946 Union St, San Antonio, TX	Rule	0.96	D3 member id + name

Evidence

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

Score

Method

Rule

Decision

▶TPA-57984TPACLM-418071CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-418071CLMENR-123755ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallycd0366d3ec
matching_agent, ENR-123755, identity id MBR-027596, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-418071
2026-10-22 12:43:54Record linked automatically89fdd91426
matching_agent, CLM-418071, identity id MBR-027596, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-57984
2026-10-22 12:43:54Record linked automatically7d060048af
matching_agent, TPA-57984, identity id MBR-027596, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418071
2026-10-19 19:54:38Record linked automaticallyf286da2dff
matching_agent, ENR-123755, identity id MBR-027596, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-418071
2026-10-19 19:54:38Record linked automaticallybfcef03357
matching_agent, CLM-418071, identity id MBR-027596, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-57984
2026-10-19 19:54:38Record linked automatically23dab9895d
matching_agent, TPA-57984, identity id MBR-027596, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418071
2026-10-19 19:52:09Record linked automatically1bca358845
matching_agent, ENR-123755, identity id MBR-027596, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-418071
2026-10-19 19:52:09Record linked automatically38a62d387a
matching_agent, CLM-418071, identity id MBR-027596, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-57984
2026-10-19 19:52:09Record linked automatically4dff8e2efd
matching_agent, TPA-57984, identity id MBR-027596, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418071
2026-10-19 19:45:42Record linked automatically86757f12e1
matching_agent, ENR-123755, identity id MBR-027596, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-418071
2026-10-19 19:45:42Record linked automatically8ade6d31b3
matching_agent, CLM-418071, identity id MBR-027596, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-57984
2026-10-19 19:45:42Record linked automaticallyc121c1c024
matching_agent, TPA-57984, identity id MBR-027596, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418071
2026-10-19 19:32:31Record linked automatically3112347b63
matching_agent, ENR-123755, identity id MBR-027596, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-418071
2026-10-19 19:32:31Record linked automatically0dde82a902
matching_agent, CLM-418071, identity id MBR-027596, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-57984
2026-10-19 19:32:31Record linked automaticallyca05b686e7
matching_agent, TPA-57984, identity id MBR-027596, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418071
2026-10-19 19:31:28Record linked automaticallyc6e07bc148
scoring_agent, ENR-123755, identity id MBR-041229, confidence 1, method probabilistic, matched record PRV-25298, policy version 1
2026-10-19 19:31:28Record linked automaticallye932c1d639
scoring_agent, TPA-57984, identity id MBR-013394, confidence 0.93, method probabilistic, matched record CLM-418266, policy version 1
2026-10-19 19:31:28Record linked automatically247039b163
matching_agent, CLM-418071, identity id MBR-002644, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-25276

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-2026-006280	2026-06-12	Evergreen Dermatology Clinic out of network	99213	$180.00	$31.00	Approved	Approved