Steward queue/CASE-000352
Steward case

CASE-000352

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

OpenCheckpointckpt-run-mvfoap9e-1076workflow paused, state held

Side-by-side comparison

Incoming TPA-62792 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-62792incoming
#1MBR-044412Gregory Gonzales
0.831 rec.
Best evidence: NameDate of birth
NameGregory GonzalesGregory Gonzales
Date of birth1961-02-081961-02-08
Member ID—UHC-76342-42
SSN——
Phone8606465190
(860) 646-5190
—
Emailgregory.gonzales75@hotmail.com—
Address2432 Highland Ave—
City / state / ZIPScottsdale, AZ, 85294—
GroupGRP-5571GRP-5571
PlanCHOICE-PLUS-PPOCHOICE-PLUS-PPO
Sources, recordsTPA1 recordCLM ×11 record

Evidence detail

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

▶#1MBR-044412Gregory Gonzales0.83
Matched against CLM-428949, 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-428949Gregory Gonzales1961-02-08Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:39f37f35f1ab
    Escalated TPA-62792, top score 0.83, candidates MBR-044412

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-1076
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-001039
Opened
2026-10-19 19:54:36
Top score
0.83