Steward queue/CASE-000322
Steward case

CASE-000322

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

OpenCheckpointckpt-run-mvfoap9e-15682workflow paused, state held

Side-by-side comparison

Incoming TPA-57467 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-57467incoming
#1MBR-014510Nathan Gonzales
0.833 rec.
Best evidence: NameDate of birth
NameNathan Gonzales
Gonzales, Nathan
Nathan Gonzales
Date of birth2006-02-182006-02-18
Member ID—UHC-41893-36
SSN—
•••-••-N/A
•••-••-4690
Phone—6422183948
Email—nathan.gonzales53@aol.com
Address4173 Desert Sky Blvd4173 Desert Sky Blvd
City / state / ZIPOrlando, FL, 32875Orlando, FL, 32875
Group——
Plan—
UNKNOWN
CHOICE-PLUS-PPO
Sources, recordsTPA1 recordCLM ×2PRV ×13 records

Evidence detail

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

▶#1MBR-014510Nathan Gonzales0.83
Matched against CLM-416930, 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 19:54:398de4782b8e
    Escalated TPA-57467, top score 0.83, candidates MBR-014510

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-15682
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-013335
Opened
2026-10-19 19:54:36
Top score
0.83