Steward queue/CASE-000212
Steward case

CASE-000212

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

OpenCheckpointckpt-run-mvfoap9e-34482workflow paused, state held

Side-by-side comparison

Incoming TPA-51551 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-51551incoming
#1MBR-040245Donald Hill
0.831 rec.
Best evidence: NameDate of birth
#2MBR-004294Richard Hall
0.613 rec.
Best evidence: none ≥ 0.90
NameDonald HillDonald V HillRichard X Hall
Date of birth1968-09-21
9/21/1968
1968-09-211968-05-21
Member ID—
-
UHC-44776-54UHC-80730-48
SSN—•••-••-5881•••-••-3247
Phone—
-
37773063953653793998
Email—donald.hill67@outlook.com—
Address—
null
2961 Hillcrest Rd1642 Mountain View Dr
City / state / ZIP—
NULL
Sacramento, CA, 95875Dallas, TX, 75294
Group—
-
GRP-8121GRP-7495
PlanSELECT-EPOSELECT-EPOCHOICE-PLUS-PPO
Sources, recordsTPA1 recordENR ×11 recordENR ×1CLM ×1PRV ×13 records

Evidence detail

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

▶#1MBR-040245Donald Hill0.83
Matched against ENR-104639, 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-104639Donald Hill1968-09-21Single record 1.00
▶#2MBR-004294Richard Hall0.61
Matched against ENR-142458, 2 fields compared, weighted score 0.613
FieldSimilarityWeightShareNote
Name0.73350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:3980592a825e
    Escalated TPA-51551, top score 0.83, candidates MBR-040245, MBR-004294

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-34482
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-025225
Opened
2026-10-19 19:54:36
Top score
0.83