Identities/MBR-028124
Gold, golden identity

Betty Pena

3 source records from 1 feed.

MBR-028124Verified3 records

Golden record

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

First nameCLM
Betty
Middle name—
—
Last nameCLM
Pena
Date of birthCLM
1979-03-21
GenderCLM
M
Member IDCLM
UHC-94994-59
SSNCLM
•••-••-6687
PhoneCLM
6775151078
Email—
—
AddressCLM
9749 Pine Dr
CityCLM
Jacksonville
StateCLM
FL
ZIPCLM
32230
GroupCLM
GRP-6212
Plan—
—
Min confidence
0.99
Sources
CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.99CLMCLM-426677CLMCLM-426676CLMCLM-426678IDMBR-028124
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-426677CLM2026-04-28Betty Penaflagged——6775151078—Scored1.00—
CLM-426676CLM2026-05-31Betty Penaflagged1979-03-21UHC-94994-5967751510789749 Pine Dr, Jacksonville, FLScored1.00—
CLM-426678CLM2026-09-25Batty Penaflagged1979-03-21UHC-94994-5967751510789749 Pine Dr, Jacksonville, FLRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-426677CLMCLM-426676CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426676CLMCLM-426678CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-426677CLMCLM-426678CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.953
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-426677 → UHC-94994-59 (Betty Pena)
    ACT-007236, Claims processor
  • Care coordination outreachProposed
    Betty Pena: 3 claims, no attributed provider
    ACT-019399, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallya59027d1d0
    matching_agent, CLM-426678, identity id MBR-028124, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426676
  • 2026-10-19 19:54:38Record linked automatically3a600fc311
    scoring_agent, CLM-426676, identity id MBR-028124, confidence 1, method probabilistic, matched record CLM-426677, policy version 1
  • 2026-10-19 19:54:38Record linked automatically655de8feca
    scoring_agent, CLM-426677, identity id MBR-028124, confidence 1, method probabilistic, matched record CLM-426676, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya92f7ff18e
    matching_agent, CLM-426678, identity id MBR-028124, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426676
  • 2026-10-19 19:52:09Record linked automaticallyee06f54aa9
    scoring_agent, CLM-426676, identity id MBR-028124, confidence 1, method probabilistic, matched record CLM-426677, policy version 1
  • 2026-10-19 19:52:09Record linked automatically10cc35ccbd
    scoring_agent, CLM-426677, identity id MBR-028124, confidence 1, method probabilistic, matched record CLM-426676, policy version 1
  • 2026-10-19 19:45:42Record linked automatically58bad8398a
    matching_agent, CLM-426678, identity id MBR-028124, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426676
  • 2026-10-19 19:45:42Record linked automatically4add777ecb
    scoring_agent, CLM-426676, identity id MBR-028124, confidence 1, method probabilistic, matched record CLM-426677, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd201d2d7be
    scoring_agent, CLM-426677, identity id MBR-028124, confidence 1, method probabilistic, matched record CLM-426676, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8c965ae201
    matching_agent, CLM-426678, identity id MBR-028124, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426676
  • 2026-10-19 19:32:31Record linked automatically7497aec918
    scoring_agent, CLM-426676, identity id MBR-028124, confidence 1, method probabilistic, matched record CLM-426677, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd3fb45661b
    scoring_agent, CLM-426677, identity id MBR-028124, confidence 1, method probabilistic, matched record CLM-426676, policy version 1
  • 2026-10-19 19:31:28Record linked automatically383bb84b42
    matching_agent, CLM-426678, identity id MBR-020238, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426679
  • 2026-10-19 19:31:28Record linked automaticallya985fe9c32
    matching_agent, CLM-426677, identity id MBR-010589, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135287
  • 2026-10-19 19:31:28Record linked automaticallyb4ad8b1edd
    matching_agent, CLM-426676, identity id MBR-007219, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135286

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0136702026-09-02Harbor Clinical Laboratories
out of network
80053, 80061$119.00$0.00ApprovedApproved
CLM-2026-0264752026-05-03Summit Community Hospital
in network
99285$3,128.00$1,570.40ApprovedApproved
CLM-2026-0222802026-04-05Summit Clinical Laboratories
in network
70553$2,250.00—Needs reviewNeeds review