Steward queue/CASE-000315
Steward case

CASE-000315

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

OpenCheckpointckpt-run-mvfoap9e-82278workflow paused, state held

Side-by-side comparison

Incoming CLM-430146 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-430146incoming
#1MBR-000922Fatima Anderson
0.831 rec.
Best evidence: NameDate of birth
#2MBR-024967Fatima Anderson
0.831 rec.
Best evidence: NameDate of birth
NameFatima AndersonFatima AndersonFatima Anderson
Date of birth1996-07-03
07/03/1996
1996-07-031996-07-03
Member ID—
null
——
SSN———
Phone———
Email———
Address—1168 Grand Ave—
City / state / ZIP—Charlotte, NC, 28245—
GroupGRP-4101——
Plan—
NULL
MEDICARE-ADV-A—
Sources, recordsCLM1 recordCLM ×11 recordTPA ×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
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • CLMCLM-430147Fatima Anderson1996-07-03Single record 1.00
▶#2MBR-024967Fatima Anderson0.83
Matched against TPA-63307, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • TPATPA-63307Fatima Anderson1996-07-03Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:39e9f6785f41
    Escalated CLM-430146, top score 0.83, candidates MBR-000922, MBR-024967

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-82278
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-042887
Opened
2026-10-19 19:54:36
Top score
0.83