Steward queue/CASE-000564
Steward case

CASE-000564

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

OpenCheckpointckpt-run-mvjj6udb-1789workflow paused, state held

Side-by-side comparison

Incoming TPA-52079 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-52079incoming
#1MBR-037835Katherine Knight
0.833 rec.
Best evidence: NameDate of birth
NameKatherine Knight
Knight, Katherine
Katherine Knight
Date of birth2001-03-26
03/26/2001
2001-03-26
Member ID—UHC-38850-15
SSN—
•••-••--
•••-••-0649
Phone—
NULL
8915077707
Email—
null
—
Address—7895 Willow Ct
City / state / ZIP—
NULL
Plano, TX, 75049
Group—
NULL
GRP-5539
Plan—
UNKNOWN
SELECT-EPO
Sources, recordsTPA1 recordCLM ×1ENR ×1PRV ×13 records

Evidence detail

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

▶#1MBR-037835Katherine Knight0.83
Matched against CLM-404753, 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 agent2026-10-22 12:43:551d9c3a8144
    Escalated TPA-52079, top score 0.83, candidates MBR-037835

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-mvjj6udb-1789
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-001721
Opened
2026-10-22 12:43:43
Top score
0.83