Steward queue/CASE-000249
Steward case

CASE-000249

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

OpenCheckpointckpt-run-mvfoap9e-93137workflow paused, state held

Side-by-side comparison

Incoming TPA-50439 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-50439incoming
#1MBR-018971Justin Ortiz
0.832 rec.
Best evidence: NameDate of birth
NameJustin OrtizJustin Ortiz
Date of birth1956-12-05
Dec 5, 1956
1956-12-05
Member ID—
UNKNOWN
UHC-24168-07
SSN—
•••-••-UNKNOWN
•••-••-6819
Phone—
NULL
5466747824
Email——
Address—
NULL
8585 Maple Ave
City / state / ZIP—Columbus, OH, 43263
GroupGRP-8488GRP-8488
Plan—
UNKNOWN
NAVIGATE-HMO
Sources, recordsTPA1 recordENR ×1CLM ×12 records

Evidence detail

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

▶#1MBR-018971Justin Ortiz0.83
Matched against ENR-101266, 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 19:54:3954f53fcb79
    Escalated TPA-50439, top score 0.83, candidates MBR-018971

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-93137
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-045421
Opened
2026-10-19 19:54:36
Top score
0.83