Steward case

CASE-000466

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

OpenCheckpointckpt-run-mvfoap9e-27352workflow paused, state held

Side-by-side comparison

Incoming TPA-52758 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-52758incoming	#1MBR-025115Pamela Hill 0.832 rec. Best evidence: NameDate of birth	#2MBR-020057Gabriel Howell 0.613 rec. Best evidence: none ≥ 0.90
Name	Pamela Hill	Pamela Hill	Gabriel R Howell
Date of birth	1943-02-01 02/01/1943	1943-02-01	1943-02-05
Member ID	—	UHC-49585-16	UHC-87332-44
SSN	— •••-••-null	—	•••-••-6060
Phone	—	6119927648	5866676679
Email	— null	—	gabriel.howell58@outlook.com
Address	— NULL	2806 Forest Ave	2866 Harbor Blvd
City / state / ZIP	— UNKNOWN, -	Fresno, CA, 93749	Seattle, WA, 98157
Group	—	—	GRP-1260
Plan	— -	—	NAVIGATE-HMO
Sources, records	TPA1 record	PRV ×1CLM ×12 records	PRV ×1CLM ×1ENR ×13 records

Evidence detail

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

▶#1MBR-025115Pamela Hill0.83

Matched against PRV-21813, 2 fields compared, weighted score 0.830

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

Guard: No identifier agreesConflicts: none

Records in this identity

PRVPRV-21813Pamela Hill1943-02-01Rule 0.99
CLMCLM-406211Pamela Hill1943-02-01Rule 0.99

▶#2MBR-020057Gabriel Howell0.61

Matched against PRV-28695, 2 fields compared, weighted score 0.611

Field	Similarity	Weight	Share	Note
Name	0.72	3	50%
Date of birth	0.50	3	50%	one_digit

Guard: noneConflicts: none

Records in this identity

PRVPRV-28695Gabriel Howell1943-02-05Rule 0.99
CLMCLM-429697Gabriel Howell1943-02-05Rule 0.99
ENRENR-138959Gabriel Howell1943-02-05Rule 0.99

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:39d23a1a31ee
Escalated TPA-52758, top score 0.83, candidates MBR-025115, MBR-020057

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 Pamela HillMBR-025115, score 0.83, 2 recordsLinkLink to Gabriel HowellMBR-020057, score 0.61, 3 recordsLinkConfirm as a distinct identityTPA-52758 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-27352
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-021209
Opened: 2026-10-19 19:54:36
Top score: 0.83