Steward queue/CASE-000320
Steward case

CASE-000320

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

OpenCheckpointckpt-run-mvfoap9e-65256workflow paused, state held

Side-by-side comparison

Incoming TPA-55242 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-55242incoming
#1MBR-023565Keith Mills
0.833 rec.
Best evidence: NameDate of birth
NameKeith MillsKeith Mills
Date of birth1969-12-071969-12-07
Member ID—
UNKNOWN
UHC-47029-94
SSN—
•••-••-null
•••-••-0971
Phone—8646607825
Emailkeith.mills47@hotmail.com—
Address—
null
278 Hillcrest Rd
City / state / ZIP—
-, UNKNOWN, N/A
Seattle, WA, 98106
Group——
PlanCHOICE-PLUS-PPOCHOICE-PLUS-PPO
Sources, recordsTPA1 recordPRV ×2CLM ×13 records

Evidence detail

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

▶#1MBR-023565Keith Mills0.83
Matched against PRV-23429, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:3990bdfb0823
    Escalated TPA-55242, top score 0.83, candidates MBR-023565

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-65256
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-038011
Opened
2026-10-19 19:54:36
Top score
0.83