Steward queue/CASE-000594
Steward case

CASE-000594

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

OpenCheckpointckpt-run-mvfoap9e-66153workflow paused, state held

Side-by-side comparison

Incoming TPA-59487 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-59487incoming
#1MBR-039030Natalie Johnson
0.832 rec.
Best evidence: NameDate of birth
NameNatalie JohnsonNatalie E Johnson
Date of birth1968-10-031968-10-03
Member ID—UHC-69553-31
SSN—•••-••-0612
Phone—4204837222
Email—natalie.johnson@yahoo.com
Address3759 Forest Ave
3759 Forest Avenue
3534 Sunset Blvd
City / state / ZIPMesa, AZ, 85212
Mesa, AZ, 85212-4041
Los Angeles, CA
Group—
NULL
GRP-7151
Plan—
-
NAVIGATE-HMO
Sources, recordsTPA1 recordCLM ×1ENR ×12 records

Evidence detail

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

▶#1MBR-039030Natalie Johnson0.83
Matched against CLM-421591, 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 19:54:39f1cfa2b026
    Escalated TPA-59487, top score 0.83, candidates MBR-039030

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-66153
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-038298
Opened
2026-10-19 19:54:36
Top score
0.83