Steward queue/CASE-000073
Steward case

CASE-000073

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

OpenCheckpointckpt-run-mvfoap9e-83212workflow paused, state held

Side-by-side comparison

Incoming TPA-56071 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-56071incoming
#1MBR-031028Betty Kelly
0.833 rec.
Best evidence: NameDate of birth
NameBetyt KellyBetty Kelly
Date of birth1961-06-07
Jun 7, 1961
1961-06-07
Member ID—UHC-64201-19
SSN—
•••-••-NULL
•••-••-4629
Phone—
NULL
4507602702
Email—
null
—
Address338 Meadow Ln
338 Meadow Lane
9481 Church St
City / state / ZIPSan Diego, CA, 92165Austin, TX, 78780
Group—
N/A
GRP-0627
Plan—
-
CORE-HMO
Sources, recordsTPA1 recordCLM ×1ENR ×23 records

Evidence detail

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

▶#1MBR-031028Betty Kelly0.83
Matched against CLM-413825, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.98350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:394a0ecac48f
    Escalated TPA-56071, top score 0.83, candidates MBR-031028

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-83212
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-043119
Opened
2026-10-19 19:54:36
Top score
0.83