Steward queue/CASE-000745
Steward case

CASE-000745

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

OpenCheckpointckpt-run-mvjj6udb-19111workflow paused, state held

Side-by-side comparison

Incoming TPA-63340 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-63340incoming
#1MBR-030380Judith Delgado
0.832 rec.
Best evidence: NameDate of birth
#2MBR-002400Jonathan Delgado
0.681 rec.
Best evidence: none ≥ 0.90
NameJudith DelgadoJudith U DelgadoJonathan B Delgado
Date of birth1972-05-251972-05-251972-05-23
Member ID—
null
UHC-80944-63UHC-28899-94
SSN—
•••-••--
•••-••-3462•••-••-5630
Phone—29888519404855058023
Email—
UNKNOWN
judith.delgado23@icloud.comjonathan.delgado@gmail.com
Address—
UNKNOWN
6836 Camelback Rd5209 Park Pl
City / state / ZIP—
null, UNKNOWN, N/A
Los Angeles, CA, 90065Minneapolis, MN, 55407
GroupGRP-2358GRP-2358GRP-8607
PlanSELECT-EPOSELECT-EPOCHOICE-PLUS-PPO
Sources, recordsTPA1 recordCLM ×1ENR ×12 recordsENR ×11 record

Evidence detail

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

▶#1MBR-030380Judith Delgado0.83
Matched against CLM-430225, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
▶#2MBR-002400Jonathan Delgado0.68
Matched against ENR-119675, 2 fields compared, weighted score 0.683
FieldSimilarityWeightShareNote
Name0.86350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
  • ENRENR-119675Jonathan Delgado1972-05-23Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:555fd10a0e23
    Escalated TPA-63340, top score 0.83, candidates MBR-030380, MBR-002400

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-19111
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-015803
Opened
2026-10-22 12:43:43
Top score
0.83