Steward case

CASE-000242

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

OpenCheckpointckpt-run-mvfoap9e-671workflow paused, state held

Side-by-side comparison

Incoming TPA-54185 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-54185incoming	#1MBR-011061Albert Hayes 0.834 rec. Best evidence: NameDate of birth
Name	Albert Hayes	Albert P Hayes
Date of birth	1944-07-03 7/3/1944	1944-07-03
Member ID	— null	UHC-70330-92
SSN	— •••-••-null	•••-••-8214
Phone	—	7195431617
Email	— null	albert.hayes91@icloud.com
Address	— N/A	7339 Hillcrest Rd Apt 9
City / state / ZIP	— -, -	Plano, TX, 75091
Group	—	GRP-6652
Plan	—	MEDICARE-ADV-B
Sources, records	TPA1 record	CLM ×2PRV ×1ENR ×14 records

Evidence detail

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

▶#1MBR-011061Albert Hayes0.83

Matched against CLM-409618, 2 fields compared, weighted score 0.830

Field	Similarity	Weight	Share	Note
Name	0.94	3	50%
Date of birth	1.00	3	50%	exact

Guard: No identifier agreesConflicts: none

Records in this identity

CLMCLM-409618Albert Haies1944-07-03Scored 0.98
PRVPRV-22800Alert Hayes1944-07-03Scored 0.99
ENRENR-112664Albert Hayes1944-07-03Scored 1.00
CLMCLM-409617Albert Hayes1944-07-03Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:3930418442a4
Escalated TPA-54185, top score 0.83, candidates MBR-011061

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

Link to Albert HayesMBR-011061, score 0.83, 4 recordsLinkConfirm as a distinct identityTPA-54185 stays on its own golden identity, marked verified.New identityReject record (quarantine)The record's identity is quarantined; nothing downstream may act on it.Reject

Rationale *

At least 8 characters (0/8)

ActorJ. Okafor (Data Stewardship)

Choose an option

Checkpoint: ckpt-run-mvfoap9e-671
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-000654
Opened: 2026-10-19 19:54:36
Top score: 0.83