Steward queue/CASE-000545
Steward case

CASE-000545

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

OpenCheckpointckpt-run-mvfoap9e-34252workflow paused, state held

Side-by-side comparison

Incoming CLM-419297 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-419297incoming
#1MBR-022899Isabella Walsh
0.836 rec.
Best evidence: NameDate of birth
#2MBR-037423Heather Welch
0.635 rec.
Best evidence: none ≥ 0.90
NameIsabella WalshIsabella H WalshHeather T Welch
Date of birth1979-06-041979-06-041979-04-06
Member ID—UHC-12076-16UHC-33964-15
SSN—•••-••-5267•••-••-4470
Phone—
NULL
21320244172082019606
Email—isabella.walsh@icloud.com—
Address—
NULL
8165 Camelback Rd4656 Pine Dr
City / state / ZIP—
-, null
Orlando, FL, 32827Fresno, CA, 93790
GroupGRP-8847GRP-8847GRP-0795
PlanMEDICARE-ADV-BMEDICARE-ADV-BMEDICARE-ADV-B
Sources, recordsCLM1 recordTPA ×1CLM ×4ENR ×16 recordsCLM ×55 records

Evidence detail

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

▶#1MBR-022899Isabella Walsh0.83
Matched against TPA-58532, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.97350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
▶#2MBR-037423Heather Welch0.63
Matched against CLM-409573, 2 fields compared, weighted score 0.626
FieldSimilarityWeightShareNote
Name0.65350%
Date of birth0.60350%transposition
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 19:54:3903a06675cb
    Escalated CLM-419297, top score 0.83, candidates MBR-022899, MBR-037423

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-34252
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-025103
Opened
2026-10-19 19:54:36
Top score
0.83