Steward queue/CASE-000127
Steward case

CASE-000127

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

OpenCheckpointckpt-run-mvfoap9e-85439workflow paused, state held

Side-by-side comparison

Incoming TPA-52231 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-52231incoming
#1MBR-000385Valentina Alvarado
0.833 rec.
Best evidence: NameDate of birth
#2MBR-032543Valentina Alvarado
0.751 rec.
Best evidence: Name
NameValentina AlvaradoValentina J AlvaradoValentina J Alvarado
Date of birth1953-06-201953-06-201954-06-20
Member ID—
NULL
UHC-32928-11—
SSN—
•••-••-UNKNOWN
•••-••-5447—
Phone—
4603363
24946033632494603363
Email—
NULL
valentina.alvarado63@outlook.com—
Address—2353 Palm Dr2353 Palm Dr
City / state / ZIP—
null, UNKNOWN
Orlando, FL, 32831Orlando, FL, 32831
GroupGRP-1386GRP-1386GRP-1386
Plan—
NULL
OPTIONS-PPO—
Sources, recordsTPA1 recordENR ×1CLM ×23 recordsCLM ×11 record

Evidence detail

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

▶#1MBR-000385Valentina Alvarado0.83
Matched against ENR-106699, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.99350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • ENRENR-106699Valenina Alvarado1953-06-20Rule 0.99
  • CLMCLM-405095Valentina Alvarado1953-06-20Scored 1.00
  • CLMCLM-405094Valentina Alvarado1953-06-20Scored 1.00
▶#2MBR-032543Valentina Alvarado0.75
Matched against CLM-405093, 2 fields compared, weighted score 0.750
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
  • CLMCLM-405093Valentina Alvarado1954-06-20Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:393124e70d82
    Escalated TPA-52231, top score 0.83, candidates MBR-000385, MBR-032543

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-85439
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-043659
Opened
2026-10-19 19:54:36
Top score
0.83