Steward queue/CASE-000243
Steward case

CASE-000243

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

OpenCheckpointckpt-run-mvfoap9e-21059workflow paused, state held

Side-by-side comparison

Incoming CLM-423220 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-423220incoming
#1MBR-029993Rachel Coleman
0.833 rec.
Best evidence: NameDate of birth
NameRachel ColemanRachel T Coleman
Date of birth1971-12-27
19711227
1971-12-27
Member ID—
N/A
UHC-90276-54
SSN—
•••-••-N/A
•••-••-6659
Phone—
N/A
9782889687
Email—rachel.coleman@outlook.com
Address—
NULL
6858 Sunset Blvd
City / state / ZIP—
,
Jacksonville, FL, 32204
Group—
N/A
GRP-2465
Plan—
-
MEDICARE-ADV-A
Sources, recordsCLM1 recordCLM ×2ENR ×13 records

Evidence detail

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

▶#1MBR-029993Rachel Coleman0.83
Matched against CLM-423221, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
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 19:54:39c40af4a6d4
    Escalated CLM-423220, top score 0.83, candidates MBR-029993

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-21059
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-017142
Opened
2026-10-19 19:54:36
Top score
0.83