Steward case

CASE-000550

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

OpenCheckpointckpt-run-mvfoap9e-87728workflow paused, state held

Side-by-side comparison

Incoming TPA-53251 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-53251incoming	#1MBR-026520Madison Moreno 0.833 rec. Best evidence: NameDate of birth
Name	Madison Moreno	Madison I Moreno
Date of birth	1969-01-04 Jan 4, 1969	1969-01-04
Member ID	—	UHC-82109-72
SSN	— •••-••-null	•••-••-7960
Phone	—	5789631746
Email	— null	—
Address	3424 Jefferson Ave 3424 Jefferson Avenue	4876 Broadway
City / state / ZIP	Fresno, CA, 93703 Fresno , ca, 93703	Las Vegas, NV, 89140
Group	—	GRP-8386
Plan	—	CORE-HMO
Sources, records	TPA1 record	CLM ×2ENR ×13 records

Evidence detail

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

▶#1MBR-026520Madison Moreno0.83

Matched against ENR-109685, 2 fields compared, weighted score 0.830

Field	Similarity	Weight	Share	Note
Name	1.00	3	50%
Date of birth	1.00	3	50%	exact

Guard: No identifier agreesConflicts: none

Records in this identity

CLMCLM-407394Madson Morneo1969-01-04Scored 0.99
CLMCLM-407395Madison Moreno1969-01-04Scored 0.99
ENRENR-109685Madison Moreno1969-01-04Rule 0.97

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:39c1282da768
Escalated TPA-53251, top score 0.83, candidates MBR-026520

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 Madison MorenoMBR-026520, score 0.83, 3 recordsLinkConfirm as a distinct identityTPA-53251 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-87728
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-044161
Opened: 2026-10-19 19:54:36
Top score: 0.83