Steward queue/CASE-000196
Steward case

CASE-000196

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

OpenCheckpointckpt-run-mvfoap9e-54565workflow paused, state held

Side-by-side comparison

Incoming CLM-414958 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-414958incoming
#1MBR-016063Billy Holmes
0.831 rec.
Best evidence: NameDate of birth
NameBilly HolmesBilly L Holmes
Date of birth1977-12-26
12/26/1977
1977-12-26
Member ID—
null
UHC-73539-72
SSN—
•••-••--
•••-••-4772
Phone—5999754796
Email—
N/A
billy.holmes30@yahoo.com
Address—
UNKNOWN
6689 Washington St
City / state / ZIP—
UNKNOWN, N/A
Houston, TX, 77031
GroupGRP-8545GRP-8545
Plan—
UNKNOWN
MEDICARE-ADV-A
Sources, recordsCLM1 recordENR ×11 record

Evidence detail

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

▶#1MBR-016063Billy Holmes0.83
Matched against ENR-119677, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • ENRENR-119677Billy Holmes1977-12-26Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:39f52eabb29f
    Escalated CLM-414958, top score 0.83, candidates MBR-016063

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-54565
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-034206
Opened
2026-10-19 19:54:36
Top score
0.83