Steward queue/CASE-000565
Steward case

CASE-000565

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

OpenCheckpointckpt-run-mvfoap9e-15941workflow paused, state held

Side-by-side comparison

Incoming CLM-415612 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-415612incoming
#1MBR-015571Beverly Hunter
0.831 rec.
Best evidence: NameDate of birth
#2MBR-017559Beverly Hunter
0.836 rec.
Best evidence: NameDate of birth
NameBeverly HunterBeverly HunterBeverly Hunter
Date of birth1996-11-15
11/15/1996
1996-11-151996-11-15
Member ID—
NULL
—UHC-61579-57
SSN——•••-••-8654
Phone—
NULL
—7736722371
Email——beverly.hunter48@yahoo.com
Address—
NULL
—121 Desert Sky Blvd
City / state / ZIP—
N/A, N/A
—Plano, TX, 75041
GroupGRP-6340—GRP-6340
Plan——NAVIGATE-HMO
Sources, recordsCLM1 recordTPA ×11 recordENR ×1TPA ×2CLM ×1PRV ×26 records

Evidence detail

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

▶#1MBR-015571Beverly Hunter0.83
Matched against TPA-56842, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • TPATPA-56842Beverly Hunter1996-11-15Single record 1.00
▶#2MBR-017559Beverly Hunter0.83
Matched against ENR-120578, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • ENRENR-120578Beverly Hunter1996-11-15Scored 1.00
  • TPATPA-56841Beverly Hunter1996-11-15Rule 0.99
  • TPATPA-56840Beverly Hunter1996-11-15Rule 0.99
  • CLMCLM-415613Beverly Hunter1996-11-15Scored 1.00
  • PRVPRV-24618Beverly Hunter1996-11-15Scored 1.00
  • PRVPRV-24617Beverly Hunter1996-11-15Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:39a86381a792
    Escalated CLM-415612, top score 0.83, candidates MBR-015571, MBR-017559

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-15941
Stage
human_steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-013521
Opened
2026-10-19 19:54:36
Top score
0.83