Steward case

CASE-000477

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

OpenCheckpointckpt-run-mvfoap9e-61763workflow paused, state held

Side-by-side comparison

Incoming TPA-58501 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-58501incoming	#1MBR-001445Gabriel Esipnoza 0.832 rec. Best evidence: NameDate of birth
Name	Gabriel Espinoza	Gabriel Z Esipnoza
Date of birth	1939-11-25	1939-11-25
Member ID	—	UHC-49887-40
SSN	—	•••-••-0856
Phone	— -	2397741239
Email	gabriel.espinoza@aol.com	—
Address	—	6048 Lake View Rd
City / state / ZIP	— -	Glendale, AZ, 85330
Group	— N/A	GRP-7848
Plan	— NULL	NAVIGATE-HMO
Sources, records	TPA1 record	CLM ×1TPA ×12 records

Evidence detail

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

▶#1MBR-001445Gabriel Esipnoza0.83

Matched against CLM-419231, 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

CLMCLM-419231Gabriel Esipnoza1939-11-25Rule 0.99
TPATPA-58500Gabriel Espinoza1939-11-25Rule 0.99

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:39081cbf0ecf
Escalated TPA-58501, top score 0.83, candidates MBR-001445

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 Gabriel EsipnozaMBR-001445, score 0.83, 2 recordsLinkConfirm as a distinct identityTPA-58501 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-61763
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-036797
Opened: 2026-10-19 19:54:36
Top score: 0.83