Identities/MBR-028567
Gold, golden identity

Heather K Pena

3 source records from 3 feeds.

MBR-028567Verified3 records

Golden record

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

First nameENR
Heather
Middle nameENR
K
Last nameENR
Pena
Date of birthTPA
2004-03-26
GenderENR
M
Member IDENR
UHC-96232-44
SSNENR
•••-••-0973
PhoneENR
9155561340
EmailENR
heather.pena@hotmail.com
AddressENR
6554 Baseline Rd
CityENR
Tucson
StateENR
AZ
ZIPENR
85708
GroupENR
GRP-8285
PlanENR
SELECT-EPO
Min confidence
1.00
Sources
TPA ×1ENR ×1CLM ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.001.00TPATPA-61647ENRENR-134565CLMCLM-426371IDMBR-028567
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
TPA-61647TPA2026-05-01Heather Penaflagged2004-03-26——6554 Baseline Rd, Tucson, AZScored1.00—
ENR-134565ENR2026-06-02Heather Penaflagged—UHC-96232-4491555613406554 Baseline Rd, Tucson, AZScored1.00—
CLM-426371CLM2026-06-18Heather Penaflagged——91555613406554 Baseline Rd, Tucson, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-134565ENRCLM-426371CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-61647TPAENR-134565ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-61647TPACLM-426371CLM 0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-426371 → UHC-96232-44 (Heather Pena)
    ACT-003459, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyb807b7af14
    scoring_agent, CLM-426371, identity id MBR-028567, confidence 1, method probabilistic, matched record ENR-134565, policy version 1
  • 2026-10-22 12:43:54Record linked automatically03d9c84753
    scoring_agent, ENR-134565, identity id MBR-028567, confidence 1, method probabilistic, matched record TPA-61647, policy version 1
  • 2026-10-22 12:43:54Record linked automatically2c5741c359
    scoring_agent, TPA-61647, identity id MBR-028567, confidence 1, method probabilistic, matched record ENR-134565, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyccccf7320f
    scoring_agent, CLM-426371, identity id MBR-028567, confidence 1, method probabilistic, matched record ENR-134565, policy version 1
  • 2026-10-19 19:54:38Record linked automatically241f768003
    scoring_agent, ENR-134565, identity id MBR-028567, confidence 1, method probabilistic, matched record TPA-61647, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5e01187ba1
    scoring_agent, TPA-61647, identity id MBR-028567, confidence 1, method probabilistic, matched record ENR-134565, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2a58dc7123
    scoring_agent, CLM-426371, identity id MBR-028567, confidence 1, method probabilistic, matched record ENR-134565, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye4133386e3
    scoring_agent, ENR-134565, identity id MBR-028567, confidence 1, method probabilistic, matched record TPA-61647, policy version 1
  • 2026-10-19 19:52:09Record linked automatically64cc069a61
    scoring_agent, TPA-61647, identity id MBR-028567, confidence 1, method probabilistic, matched record ENR-134565, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyed6845a8a4
    scoring_agent, CLM-426371, identity id MBR-028567, confidence 1, method probabilistic, matched record ENR-134565, policy version 1
  • 2026-10-19 19:45:42Record linked automatically15ad697a9b
    scoring_agent, ENR-134565, identity id MBR-028567, confidence 1, method probabilistic, matched record TPA-61647, policy version 1
  • 2026-10-19 19:45:42Record linked automatically43e26005aa
    scoring_agent, TPA-61647, identity id MBR-028567, confidence 1, method probabilistic, matched record ENR-134565, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallycac0a310b5
    scoring_agent, CLM-426371, identity id MBR-028567, confidence 1, method probabilistic, matched record ENR-134565, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd9c7511217
    scoring_agent, ENR-134565, identity id MBR-028567, confidence 1, method probabilistic, matched record TPA-61647, policy version 1
  • 2026-10-19 19:32:31Record linked automatically076c7ae78c
    scoring_agent, TPA-61647, identity id MBR-028567, confidence 1, method probabilistic, matched record ENR-134565, policy version 1
  • 2026-10-19 19:31:28Record linked automatically24a6540bfe
    matching_agent, CLM-426371, identity id MBR-005495, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134861
  • 2026-10-19 19:31:28Record linked automatically3a1fda3809
    matching_agent, ENR-134565, identity id MBR-004978, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27694

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0080392026-06-01Sunrise Orthopedic Specialists
in network
73721$2,253.00—DeniedDenied