Steward case

CASE-000314

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

OpenCheckpointckpt-run-mvfoap9e-33954workflow paused, state held

Side-by-side comparison

Incoming TPA-63307 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-63307incoming	#1MBR-000922Fatima Anderson 0.831 rec. Best evidence: NameDate of birth	#2MBR-042887Fatima Anderson 0.831 rec. Best evidence: NameDate of birth
Name	Fatima Anderson	Fatima Anderson	Fatima Anderson
Date of birth	1996-07-03	1996-07-03	1996-07-03
Member ID	— UNKNOWN	—	—
SSN	— •••-••-N/A	—	—
Phone	— N/A	—	—
Email	— UNKNOWN	—	—
Address	— null	1168 Grand Ave	—
City / state / ZIP	— N/A, null	Charlotte, NC, 28245	—
Group	—	—	GRP-4101
Plan	—	MEDICARE-ADV-A	—
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-000922Fatima Anderson0.83

Matched against CLM-430147, 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-430147Fatima Anderson1996-07-03Single record 1.00

▶#2MBR-042887Fatima Anderson0.83

Matched against CLM-430146, 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-430146Fatima Anderson1996-07-03Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:3936c63ec3c3
Escalated TPA-63307, top score 0.83, candidates MBR-000922, MBR-042887

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 Fatima AndersonMBR-000922, score 0.83, 1 recordLinkLink to Fatima AndersonMBR-042887, score 0.83, 1 recordLinkConfirm as a distinct identityTPA-63307 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-33954
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-024967
Opened: 2026-10-19 19:54:36
Top score: 0.83