Steward queue/CASE-000193
Steward case

CASE-000193

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

OpenCheckpointckpt-run-mvfoap9e-24735workflow paused, state held

Side-by-side comparison

Incoming CLM-432178 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-432178incoming
#1MBR-002297Keith Rice
0.833 rec.
Best evidence: NameDate of birth
NameKeith RiceKeith F Rice
Date of birth1991-07-181991-07-18
Member ID—UHC-84777-32
SSN—
•••-••-UNKNOWN
•••-••-5550
Phone—5092057851
Email—keith.rice74@hotmail.com
Address—
NULL
1580 Lake View Rd
City / state / ZIP—
UNKNOWN, -, null
Tampa, FL, 33675
GroupGRP-8319GRP-8319
PlanMEDICARE-ADV-AMEDICARE-ADV-A
Sources, recordsCLM1 recordENR ×1CLM ×1TPA ×13 records

Evidence detail

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

▶#1MBR-002297Keith Rice0.83
Matched against ENR-142266, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.95350%
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 19:54:39aa30c57a89
    Escalated CLM-432178, top score 0.83, candidates MBR-002297

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-24735
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-019570
Opened
2026-10-19 19:54:36
Top score
0.83