Steward queue/CASE-000473
Steward case

CASE-000473

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

OpenCheckpointckpt-run-mvfoap9e-55432workflow paused, state held

Side-by-side comparison

Incoming CLM-400930 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-400930incoming
#1MBR-001786Lsa Campbell
0.832 rec.
Best evidence: NameDate of birth
NameLisa Campbell
Campbell, Lisa
Lsa K Campbell
Date of birth1982-04-21
04/21/82
1982-04-21
Member ID—
N/A
UHC-60740-82
SSN—
•••-••-null
•••-••-8037
Phone—
-
7533744759
Email—
UNKNOWN
lisa.campbell21@proton.me
Address—
N/A
4118 Highland Ave
City / state / ZIP—
null
Nashville, TN, 37289
GroupGRP-7599GRP-7599
PlanCHOICE-PLUS-PPOCHOICE-PLUS-PPO
Sources, recordsCLM1 recordTPA ×1ENR ×12 records

Evidence detail

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

▶#1MBR-001786Lsa Campbell0.83
Matched against TPA-50426, 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 19:54:3947083d944c
    Escalated CLM-400930, top score 0.83, candidates MBR-001786

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-55432
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-034545
Opened
2026-10-19 19:54:36
Top score
0.83