Steward case

CASE-000376

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

OpenCheckpointckpt-run-mvfoap9e-98609workflow paused, state held

Side-by-side comparison

Incoming TPA-50102 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-50102incoming	#1MBR-017663Angela Espinoza 0.834 rec. Best evidence: NameDate of birth
Name	Angela Ezpinoza	Angela E Espinoza
Date of birth	1979-07-09 Jul 9, 1979	1979-07-09
Member ID	—	UHC-96990-15
SSN	—	•••-••-4174
Phone	— -	2506932916
Email	— -	angela.espinoza@gmail.com
Address	— UNKNOWN	6531 Ocean Ave
City / state / ZIP	— null, N/A, UNKNOWN	Fresno, CA, 93743
Group	— NULL	GRP-5088
Plan	NAVIGATE-HMO	NAVIGATE-HMO
Sources, records	TPA1 record	CLM ×44 records

Evidence detail

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

▶#1MBR-017663Angela Espinoza0.83

Matched against CLM-400236, 2 fields compared, weighted score 0.830

Field	Similarity	Weight	Share	Note
Name	0.95	3	50%
Date of birth	1.00	3	50%	exact

Guard: No identifier agreesConflicts: none

Records in this identity

CLMCLM-400236Angela Espinoza1979-07-09Scored 0.99
CLMCLM-400235Angela Espinoza1979-07-09Scored 0.99
CLMCLM-400237Angela Espinooza1979-07-09Scored 0.99
CLMCLM-400234Espinoza Angela1979-07-09Scored 0.99

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:39a5df799c4b
Escalated TPA-50102, top score 0.83, candidates MBR-017663

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 Angela EspinozaMBR-017663, score 0.83, 4 recordsLinkConfirm as a distinct identityTPA-50102 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-98609
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-046576
Opened: 2026-10-19 19:54:36
Top score: 0.83