Steward case

CASE-000684

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

OpenCheckpointckpt-run-mvfoap9e-29899workflow paused, state held

Side-by-side comparison

Incoming CLM-418766 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-418766incoming	#1MBR-013478Tyler Vargas 0.834 rec. Best evidence: NameDate of birth
Name	Tyler Vargas	Tyler Vargas
Date of birth	1980-01-13	1980-01-13
Member ID	— NULL	UHC-54913-54
SSN	— •••-••-N/A	•••-••-0166
Phone	— NULL	4346315874
Email	— UNKNOWN	tyler.vargas46@aol.com
Address	—	6278 Highland Ave
City / state / ZIP	— null, -	Atlanta, GA
Group	— NULL	GRP-2525
Plan	—	MEDICARE-ADV-A
Sources, records	CLM1 record	TPA ×1ENR ×1CLM ×24 records

Evidence detail

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

▶#1MBR-013478Tyler Vargas0.83

Matched against TPA-58310, 2 fields compared, weighted score 0.830

Field	Similarity	Weight	Share	Note
Name	1.00	3	50%
Date of birth	1.00	3	50%	exact

Guard: No identifier agreesConflicts: none

Records in this identity

TPATPA-58310Tyler Vargas1980-01-13Scored 1.00
ENRENR-124692Tyler Vargas1980-01-13Scored 1.00
CLMCLM-418764Tyler Vargas1980-01-13Rule 0.99
CLMCLM-418765Tyler Vargas1980-01-13Scored 0.94

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:3996252ed3bb
Escalated CLM-418766, top score 0.83, candidates MBR-013478

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

Link to Tyler VargasMBR-013478, score 0.83, 4 recordsLinkConfirm as a distinct identityCLM-418766 stays on its own golden identity, marked verified.New identityReject record (quarantine)The record's identity is quarantined; nothing downstream may act on it.Reject

Rationale *

At least 8 characters (0/8)

ActorJ. Okafor (Data Stewardship)

Choose an option

Checkpoint: ckpt-run-mvfoap9e-29899
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-022686
Opened: 2026-10-19 19:54:36
Top score: 0.83