Steward queue/CASE-000494
Steward case

CASE-000494

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

OpenCheckpointckpt-run-mvjj6udb-71551workflow paused, state held

Side-by-side comparison

Incoming TPA-52075 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-52075incoming
#1MBR-038885Camila Perez
0.831 rec.
Best evidence: NameDate of birth
NameCamila PerezCamila Perez
Date of birth1965-07-281965-07-28
Member ID—
-
UHC-96510-95
SSN•••-••-1230—
Phone—
N/A
4872784926
Email—
-
—
Address3706 Jefferson Ave
3706 Jefferson Avenue
—
City / state / ZIPSan Antonio, TX, 78253—
Group—
-
—
PlanOPTIONS-PPO—
Sources, recordsTPA1 recordCLM ×11 record

Evidence detail

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

▶#1MBR-038885Camila Perez0.83
Matched against CLM-404745, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • CLMCLM-404745Camila Perez1965-07-28Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:551d10ff462b
    Escalated TPA-52075, top score 0.83, candidates MBR-038885

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-mvjj6udb-71551
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-039978
Opened
2026-10-22 12:43:43
Top score
0.83