Steward queue/CASE-000429
Steward case

CASE-000429

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

OpenCheckpointckpt-run-mvfoap9e-70101workflow paused, state held

Side-by-side comparison

Incoming CLM-427223 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-427223incoming
#1MBR-007145Teresa Sims
0.834 rec.
Best evidence: NameDate of birth
NameTeresa V SimsTeresa V Sims
Date of birth1981-01-251981-01-25
Member ID—
UNKNOWN
UHC-68801-10
SSN—
•••-••-UNKNOWN
•••-••-7662
Phone—
7185091
3847185091
Email—
UNKNOWN
teresa.sims@outlook.com
Address—
-
9302 Meadow Ln
City / state / ZIP—
N/A, null
Houston, TX, 77045
Group—GRP-7517
Plan—
N/A
MEDICARE-ADV-A
Sources, recordsCLM1 recordENR ×2PRV ×1CLM ×14 records

Evidence detail

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

▶#1MBR-007145Teresa Sims0.83
Matched against ENR-135701, 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 19:54:399b0e24aacc
    Escalated CLM-427223, top score 0.83, candidates MBR-007145

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-70101
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-039552
Opened
2026-10-19 19:54:36
Top score
0.83