Steward queue/CASE-000499
Steward case

CASE-000499

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

OpenCheckpointckpt-run-mvfoap9e-1598workflow paused, state held

Side-by-side comparison

Incoming TPA-58424 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-58424incoming
#1MBR-013763Nicole Peterson
0.831 rec.
Best evidence: NameDate of birth
#2MBR-009556Harold Patterson
0.625 rec.
Best evidence: none ≥ 0.90
NameNicole PetersonNicole PetersonHarold P Patterson
Date of birth1940-03-251940-03-251940-03-26
Member ID—
NULL
—UHC-04603-36
SSN—
•••-••-UNKNOWN
—•••-••-8241
Phone—40454055483754075325
Email—
UNKNOWN
——
Address4591 Jefferson Ave
4591 JEFFERSON AVENUE
—226 Harbor Blvd
City / state / ZIPPhoenix, AZ, 85095
PHOENIX, AZ, 85095-4913
—San Antonio, TX, 78260
Group—
N/A
—GRP-8993
PlanCORE-HMO—SELECT-EPO
Sources, recordsTPA1 recordTPA ×11 recordCLM ×4ENR ×15 records

Evidence detail

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

▶#1MBR-013763Nicole Peterson0.83
Matched against TPA-58423, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • TPATPA-58423Nicole Peterson1940-03-25Single record 1.00
▶#2MBR-009556Harold Patterson0.62
Matched against CLM-412740, 2 fields compared, weighted score 0.617
FieldSimilarityWeightShareNote
Name0.73350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:39dd0582f702
    Escalated TPA-58424, top score 0.83, candidates MBR-013763, MBR-009556

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-1598
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-001537
Opened
2026-10-19 19:54:36
Top score
0.83