Steward queue/CASE-000263
Steward case

CASE-000263

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

OpenCheckpointckpt-run-mvfoap9e-66196workflow paused, state held

Side-by-side comparison

Incoming TPA-60507 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-60507incoming
#1MBR-024329Diana Porter
0.832 rec.
Best evidence: NameDate of birth
#2MBR-006151Sofia Porter
0.645 rec.
Best evidence: none ≥ 0.90
NameDiana PorterDiana PorterSofia I Porter
Date of birth2002-07-09
07/09/2002
2002-07-092002-07-04
Member ID—UHC-20161-23UHC-53417-68
SSN—
•••-••-NULL
•••-••-8962•••-••-7247
Phone—56961276552304349910
Email—diana.porter@outlook.comsofia.porter@gmail.com
Address—6812 Union St1396 Apache Blvd
City / state / ZIP—
N/A, N/A
Miami, FL, 33165Austin, TX, 78708
Group—
-
GRP-1136GRP-8834
PlanSELECT-EPOSELECT-EPOCHOICE-PLUS-PPO
Sources, recordsTPA1 recordCLM ×1ENR ×12 recordsTPA ×1PRV ×2CLM ×1ENR ×15 records

Evidence detail

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

▶#1MBR-024329Diana Porter0.83
Matched against CLM-423883, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
▶#2MBR-006151Sofia Porter0.64
Matched against TPA-53577, 2 fields compared, weighted score 0.643
FieldSimilarityWeightShareNote
Name0.79350%
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 19:54:39541343faa4
    Escalated TPA-60507, top score 0.83, candidates MBR-024329, MBR-006151

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-66196
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-038310
Opened
2026-10-19 19:54:36
Top score
0.83