Steward queue/CASE-000180
Steward case

CASE-000180

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

OpenCheckpointckpt-run-mvfoap9e-59901workflow paused, state held

Side-by-side comparison

Incoming CLM-429916 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-429916incoming
#1MBR-008363Melissa Soto
0.833 rec.
Best evidence: NameDate of birth
#2MBR-043744Melissa Soto
0.831 rec.
Best evidence: NameDate of birth
NameMelissa O SotoMelissa O SotoMelissa Soto
Date of birth1979-06-251979-06-251979-06-25
Member ID—
N/A
UHC-47899-58—
SSN—
•••-••-NULL
•••-••-9251—
Phone—2323469411—
Email—
-
melissa.soto@aol.com—
Address—4356 Jefferson Ave—
City / state / ZIP—
UNKNOWN, UNKNOWN
Fresno, CA, 93723—
GroupGRP-6367GRP-6367—
PlanSELECT-EPOMEDICARE-ADV-ASELECT-EPO
Sources, recordsCLM1 recordCLM ×1ENR ×23 recordsCLM ×11 record

Evidence detail

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

▶#1MBR-008363Melissa Soto0.83
Matched against CLM-429917, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
▶#2MBR-043744Melissa Soto0.83
Matched against CLM-429915, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • CLMCLM-429915Melissa Soto1979-06-25Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:3971d41cc1b5
    Escalated CLM-429916, top score 0.83, candidates MBR-008363, MBR-043744

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-59901
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-036176
Opened
2026-10-19 19:54:36
Top score
0.83