Steward case

CASE-000270

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

OpenCheckpointckpt-run-mvfoap9e-68243workflow paused, state held

Side-by-side comparison

Incoming TPA-50721 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-50721incoming	#1MBR-008213Christina Sandoval 0.835 rec. Best evidence: NameDate of birth	#2MBR-036669Robert Sandoval 0.651 rec. Best evidence: none ≥ 0.90
Name	Christina Sandoval	Christina Sandoval	Robert K Sandoval
Date of birth	1983-12-28 12/28/1983	1983-12-28	1983-10-28
Member ID	— null	UHC-51663-15	UHC-65139-83
SSN	—	•••-••-3925	•••-••-9880
Phone	— -	6713807910	2917441160
Email	— UNKNOWN	—	robert.sandoval@hotmail.com
Address	—	257 Meadow Ln	1782 Mountain View Dr
City / state / ZIP	— N/A,	Fresno, CA, 93762	Fresno, CA, 93776
Group	— UNKNOWN	GRP-0237	GRP-3051
Plan	—	MEDICARE-ADV-B	MEDICARE-ADV-A
Sources, records	TPA1 record	CLM ×4PRV ×15 records	ENR ×11 record

Evidence detail

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

▶#1MBR-008213Christina Sandoval0.83

Matched against CLM-401661, 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-401661Christina Sandoval1983-12-28Scored 1.00
CLMCLM-401660Christina Sandoval1983-12-28Scored 1.00
PRVPRV-20508Christina Sandoval1983-12-28Scored 1.00
CLMCLM-401663Christina Sandoval1982-12-28Rule 0.96
CLMCLM-401662Christina Sandoval1983-12-28Rule 0.99

▶#2MBR-036669Robert Sandoval0.65

Matched against ENR-122642, 2 fields compared, weighted score 0.654

Field	Similarity	Weight	Share	Note
Name	0.81	3	50%
Date of birth	0.50	3	50%	one_digit

Guard: noneConflicts: none

Records in this identity

ENRENR-122642Robert Sandoval1983-10-28Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:391d63e606d5
Escalated TPA-50721, top score 0.83, candidates MBR-008213, MBR-036669

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 Christina SandovalMBR-008213, score 0.83, 5 recordsLinkLink to Robert SandovalMBR-036669, score 0.65, 1 recordLinkConfirm as a distinct identityTPA-50721 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-68243
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-038976
Opened: 2026-10-19 19:54:36
Top score: 0.83