Steward queue/CASE-000412
Steward case

CASE-000412

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

OpenCheckpointckpt-run-mvfoap9e-43327workflow paused, state held

Side-by-side comparison

Incoming TPA-63140 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-63140incoming
#1MBR-022382Lauren Franklin
0.833 rec.
Best evidence: NameDate of birth
NameLauren Franklin
Franklin, Lauren
Lauren M Franklin
Date of birth1954-12-22
19541222
1954-12-22
Member ID—
N/A
UHC-18434-28
SSN—
•••-••-UNKNOWN
•••-••-0774
Phone—
UNKNOWN
7653473374
Emaillauren.franklin@aol.com—
Address—
-
506 Elm St
City / state / ZIP—
N/A , null
San Antonio, TX, 78212
GroupGRP-4369GRP-4369
Plan—MEDICARE-ADV-A
Sources, recordsTPA1 recordCLM ×2TPA ×13 records

Evidence detail

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

▶#1MBR-022382Lauren Franklin0.83
Matched against CLM-429747, 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 19:54:391437bba634
    Escalated TPA-63140, top score 0.83, candidates MBR-022382

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-43327
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-029542
Opened
2026-10-19 19:54:36
Top score
0.83