Steward case

CASE-000394

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

OpenCheckpointckpt-run-mvfoap9e-11507workflow paused, state held

Side-by-side comparison

Incoming CLM-423425 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-423425incoming	#1MBR-025024Evelyn Mendez 0.831 rec. Best evidence: NameDate of birth	#2MBR-012350Billy Mendez 0.643 rec. Best evidence: none ≥ 0.90
Name	Evlyn Mendez	Evelyn Mendez	Billy F Mendez
Date of birth	1978-12-23	1978-12-23	1978-12-26
Member ID	—	UHC-76939-77	UHC-22489-73
SSN	— •••-••-N/A	—	—
Phone	—	6123965463	5932209619
Email	— null	evelyn.mendez@outlook.com	billy.mendez@proton.me
Address	— null	1285 Sage Ct	3385 Desert Sky Blvd
City / state / ZIP	— UNKNOWN, N/A	Gilbert, AZ, 85232	Chandler, AZ, 85223
Group	—	GRP-7920	GRP-3238
Plan	—	CORE-HMO	CHOICE-PLUS-PPO
Sources, records	CLM1 record	ENR ×11 record	TPA ×1PRV ×1ENR ×13 records

Evidence detail

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

▶#1MBR-025024Evelyn Mendez0.83

Matched against ENR-130631, 2 fields compared, weighted score 0.830

Field	Similarity	Weight	Share	Note
Name	0.98	3	50%
Date of birth	1.00	3	50%	exact

Guard: No identifier agreesConflicts: none

Records in this identity

ENRENR-130631Evelyn Mendez1978-12-23Single record 1.00

▶#2MBR-012350Billy Mendez0.64

Matched against TPA-54394, 2 fields compared, weighted score 0.640

Field	Similarity	Weight	Share	Note
Name	0.78	3	50%
Date of birth	0.50	3	50%	one_digit

Guard: noneConflicts: none

Records in this identity

TPATPA-54394Billy Mendez1978-12-26Rule 0.99
PRVPRV-22920Billy Mendez1978-12-26Scored 0.93
ENRENR-113237Billy Mendez1978-12-26Rule 0.99

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:39ca9fef5f49
Escalated CLM-423425, top score 0.83, candidates MBR-025024, MBR-012350

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 Evelyn MendezMBR-025024, score 0.83, 1 recordLinkLink to Billy MendezMBR-012350, score 0.64, 3 recordsLinkConfirm as a distinct identityCLM-423425 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-11507
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-010126
Opened: 2026-10-19 19:54:36
Top score: 0.83