Steward queue/CASE-000562
Steward case

CASE-000562

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

OpenCheckpointckpt-run-mvfoap9e-90995workflow paused, state held

Side-by-side comparison

Incoming CLM-400295 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-400295incoming
#1MBR-016702Valentina Austin
0.833 rec.
Best evidence: NameDate of birth
#2MBR-030314Raymond Austin
0.641 rec.
Best evidence: none ≥ 0.90
NameValentina AusstinValentina AustinRaymond Austin
Date of birth1980-11-051980-11-051980-11-07
Member ID—
N/A
UHC-16705-36UHC-70748-51
SSN—•••-••-9240—
Phone—
UNKNOWN
42589318392546782802
Email—
null
valentina.austin54@aol.com—
Address—6663 Highland Ave—
City / state / ZIP—
-
Gilbert, AZ—
GroupGRP-4903GRP-4903GRP-7251
PlanSELECT-EPOMEDICARE-ADV-ASELECT-EPO
Sources, recordsCLM1 recordCLM ×2TPA ×13 recordsCLM ×11 record

Evidence detail

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

▶#1MBR-016702Valentina Austin0.83
Matched against CLM-400294, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.98350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • CLMCLM-400294Valentina Austin1980-11-05Scored 1.00
  • TPATPA-50124Valentina Austin1980-11-05Scored 1.00
  • CLMCLM-400293Valentina Austin1980-11-05Scored 0.94
▶#2MBR-030314Raymond Austin0.64
Matched against CLM-420261, 2 fields compared, weighted score 0.641
FieldSimilarityWeightShareNote
Name0.78350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
  • CLMCLM-420261Raymond Austin1980-11-07Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:399d4d8bd5ad
    Escalated CLM-400295, top score 0.83, candidates MBR-016702, MBR-030314

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-90995
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-044942
Opened
2026-10-19 19:54:36
Top score
0.83