Steward queue/CASE-000609
Steward case

CASE-000609

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

OpenCheckpointckpt-run-mvjj6udb-89846workflow paused, state held

Side-by-side comparison

Incoming TPA-51375 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-51375incoming
#1MBR-001931Samantha Watson
0.831 rec.
Best evidence: NameDate of birth
#2MBR-009542Jona Watson
0.631 rec.
Best evidence: none ≥ 0.90
NameSam WatsonSamantha WatsonJona Watson
Date of birth1998-11-081998-11-081998-11-06
Member ID—UHC-51081-81UHC-11397-20
SSN—
•••-••--
•••-••-2906•••-••-0153
Phone—69141935977533333706
Email—samantha.watson@gmail.comjoan.watson1@yahoo.com
Address—3602 Ocean Ave—
City / state / ZIP—
NULL , null
Phoenix, AZ, 85006—
Group—
null
GRP-0244GRP-0358
PlanCHOICE-PLUS-PPONAVIGATE-HMOCHOICE-PLUS-PPO
Sources, recordsTPA1 recordCLM ×11 recordENR ×11 record

Evidence detail

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

▶#1MBR-001931Samantha Watson0.83
Matched against CLM-403200, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%nickname
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • CLMCLM-403200Samantha Watson1998-11-08Single record 1.00
▶#2MBR-009542Jona Watson0.63
Matched against ENR-115970, 2 fields compared, weighted score 0.633
FieldSimilarityWeightShareNote
Name0.77350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
  • ENRENR-115970Jona Watson1998-11-06Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:553e959bac97
    Escalated TPA-51375, top score 0.83, candidates MBR-001931, MBR-009542

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-89846
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-044669
Opened
2026-10-22 12:43:43
Top score
0.83