Steward queue/CASE-000384
Steward case

CASE-000384

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

OpenCheckpointckpt-run-mvfoap9e-2726workflow paused, state held

Side-by-side comparison

Incoming CLM-407690 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-407690incoming
#1MBR-023654Eugene Kelly
0.833 rec.
Best evidence: NameDate of birth
NameEugene KellyEugene H Kelly
Date of birth1976-07-071976-07-07
Member ID—
UNKNOWN
UHC-59154-82
SSN•••-••-1838—
Phone—
null
8614086016
Email——
Address—1751 Valley View Dr
City / state / ZIP—
null
Miami, FL, 33148
GroupGRP-1415GRP-1415
PlanNAVIGATE-HMO—
Sources, recordsCLM1 recordTPA ×1PRV ×1CLM ×13 records

Evidence detail

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

▶#1MBR-023654Eugene Kelly0.83
Matched against TPA-53374, 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 19:54:39d263aaf650
    Escalated CLM-407690, top score 0.83, candidates MBR-023654

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-2726
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-002595
Opened
2026-10-19 19:54:36
Top score
0.83