Steward queue/CASE-000539
Steward case

CASE-000539

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

OpenCheckpointckpt-run-mvfoap9e-95799workflow paused, state held

Side-by-side comparison

Incoming TPA-63475 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-63475incoming
#1MBR-001634Sara Hicks
0.835 rec.
Best evidence: NameDate of birth
NameSara HicksSara Hicks
Date of birth2001-12-232001-12-23
Member ID—
NULL
UHC-24394-15
SSN—
•••-••-null
•••-••-7820
Phone—
null
4745795639
Email—sara.hicks54@aol.com
Address—
null
2890 Mountain View Dr
City / state / ZIP—
N/A , UNKNOWN
Sacramento, CA, 95867
Group—GRP-4697
Plan—SELECT-EPO
Sources, recordsTPA1 recordENR ×2CLM ×35 records

Evidence detail

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

▶#1MBR-001634Sara Hicks0.83
Matched against ENR-140052, 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 19:54:39d2218439a0
    Escalated TPA-63475, top score 0.83, candidates MBR-001634

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-95799
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-045983
Opened
2026-10-19 19:54:36
Top score
0.83