Steward queue/CASE-000552
Steward case

CASE-000552

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

OpenCheckpointckpt-run-mvfoap9e-5365workflow paused, state held

Side-by-side comparison

Incoming TPA-51124 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-51124incoming
#1MBR-021710Donna Torres
0.833 rec.
Best evidence: NameDate of birth
NameDonna TorresDonna G Torres
Date of birth1981-10-11
11-10-1981
1981-10-11
Member ID—
NULL
UHC-70484-11
SSN—
•••-••-N/A
•••-••-8064
Phone—
UNKNOWN
4119959668
Email—
N/A
donna.torres70@proton.me
Address—
NULL
8447 Willow Ct Apt 11
City / state / ZIP—
UNKNOWN , null
Orlando, FL, 32879
Group—
-
GRP-8174
PlanCHOICE-PLUS-PPONAVIGATE-HMO
Sources, recordsTPA1 recordCLM ×1PRV ×1ENR ×13 records

Evidence detail

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

▶#1MBR-021710Donna Torres0.83
Matched against CLM-402638, 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 19:54:39e11dd786b0
    Escalated TPA-51124, top score 0.83, candidates MBR-021710

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-5365
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-004990
Opened
2026-10-19 19:54:36
Top score
0.83