Steward queue/CASE-000638
Steward case

CASE-000638

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

OpenCheckpointckpt-run-mvfoap9e-15475workflow paused, state held

Side-by-side comparison

Incoming TPA-63247 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-63247incoming
#1MBR-046064Denise Knight
0.831 rec.
Best evidence: NameDate of birth
NameDenise Knight
Knight, Denise
Denise W Knight
Date of birth2005-03-02
20050302
2005-03-02
Member ID—
-
UHC-58065-29
SSN—
•••-••-UNKNOWN
—
Phone—6477429661
Emaildenise.knight2@outlook.com—
Address7847 Central Ave—
City / state / ZIPSan Antonio, TX, 78282—
Group—
UNKNOWN
GRP-7273
Plan—
NULL
OPTIONS-PPO
Sources, recordsTPA1 recordCLM ×11 record

Evidence detail

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

▶#1MBR-046064Denise Knight0.83
Matched against CLM-430018, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • CLMCLM-430018Denise Knight2005-03-02Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:393d5104f6a2
    Escalated TPA-63247, top score 0.83, candidates MBR-046064

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-15475
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-013193
Opened
2026-10-19 19:54:36
Top score
0.83