Steward queue/CASE-000070
Steward case

CASE-000070

Name and date of birth agree but no identifier (member ID, SSN, phone, email or address) confirms it.

OpenCheckpointckpt-run-mvfoap9e-62068workflow paused, state held

Side-by-side comparison

Incoming CLM-431350 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-431350incoming
#1MBR-003420Richard Medina
0.834 rec.
Best evidence: NameDate of birth
#2MBR-017072Anna Medina
0.643 rec.
Best evidence: none ≥ 0.90
NameRichard Medina
Medina, Richard
Richard MedinaAnna Medina
Date of birth1972-05-091972-05-091972-05-06
Member ID—
UNKNOWN
UHC-46415-43UHC-37749-59
SSN—•••-••-2574•••-••-8316
Phone—
null
93641357088437414462
Email—
NULL
richard.medina78@icloud.com—
Address—3811 Mesa Dr7443 Desert Sky Blvd
City / state / ZIP—
N/A, UNKNOWN, NULL
Chandler, AZ, 85214Tampa, FL
Group—
null
GRP-2329GRP-1134
Plan—
N/A
OPTIONS-PPOMEDICARE-ADV-B
Sources, recordsCLM1 recordCLM ×1TPA ×1ENR ×24 recordsCLM ×1TPA ×1ENR ×13 records

Evidence detail

How the scoring agent compared the incoming record to the record it matched inside each candidate

▶#1MBR-003420Richard Medina0.83
Matched against CLM-431351, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%nickname
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
▶#2MBR-017072Anna Medina0.64
Matched against CLM-411975, 2 fields compared, weighted score 0.643
FieldSimilarityWeightShareNote
Name0.79350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:395ee2dd2a06
    Escalated CLM-431350, top score 0.83, candidates MBR-003420, MBR-017072

AI recommendation

Advisory only; the steward decides

The model can read the same side-by-side evidence and suggest link, new or reject with a rationale. It never decides.

Steward decision

Recording a decision resumes the paused workflow and updates the graph immediately

Decision
At least 8 characters (0/8)
ActorJ. Okafor (Data Stewardship)
Choose an option
Checkpoint
ckpt-run-mvfoap9e-62068
Stage
human_steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-036911
Opened
2026-10-19 19:54:36
Top score
0.83