Steward case

CASE-000259

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

OpenCheckpointckpt-run-mvfoap9e-8893workflow paused, state held

Side-by-side comparison

Incoming TPA-53034 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-53034incoming	#1MBR-005974Priya Barnes 0.831 rec. Best evidence: NameDate of birth	#2MBR-031807Priya Barnes 0.691 rec. Best evidence: NameEmail
Name	Priya Barnes	Priya Barnes	Priya Barnes
Date of birth	2006-09-24 9/24/2006	2006-09-24	—
Member ID	— UNKNOWN	UHC-69445-73	—
SSN	— •••-••-NULL	—	—
Phone	— UNKNOWN	—	—
Email	priya.barnes@outlook.com	—	priya.barnes@outlook.com
Address	7208 Indian School Rd	—	4086 Ocean Ave
City / state / ZIP	Austin, TX, 78709 Austin, TX, 78709-2164	—	Tampa, FL
Group	—	GRP-5082	GRP-5082
Plan	OPTIONS-PPO	—	OPTIONS-PPO
Sources, records	TPA1 record	CLM ×11 record	CLM ×11 record

Evidence detail

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

▶#1MBR-005974Priya Barnes0.83

Matched against CLM-406913, 2 fields compared, weighted score 0.830

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

Guard: No identifier agreesConflicts: none

Records in this identity

CLMCLM-406913Priya Barnes2006-09-24Single record 1.00

▶#2MBR-031807Priya Barnes0.69

Matched against CLM-406912, 3 fields compared, weighted score 0.692

Field	Similarity	Weight	Share	Note
Name	1.00	3	46%
Email	1.00	1.5	23%
Address	0.00	2	31%	different

Guard: noneConflicts: none

Records in this identity

CLMCLM-406912Priya BarnesSingle record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:391efd110104
Escalated TPA-53034, top score 0.83, candidates MBR-005974, MBR-031807

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 Priya BarnesMBR-005974, score 0.83, 1 recordLinkLink to Priya BarnesMBR-031807, score 0.69, 1 recordLinkConfirm as a distinct identityTPA-53034 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-8893
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-007994
Opened: 2026-10-19 19:54:36
Top score: 0.83