Steward queue/CASE-000772
Steward case

CASE-000772

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

OpenCheckpointckpt-run-mvfoap9e-96649workflow paused, state held

Side-by-side comparison

Incoming TPA-51224 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-51224incoming
#1MBR-002475Olivia Chapman
0.832 rec.
Best evidence: NameDate of birth
NameOlivia ChpmanOlivia Chapman
Date of birth1975-01-18
1/18/1975
1975-01-18
Member ID—
UNKNOWN
UHC-16038-21
SSN—
•••-••-NULL
•••-••-3560
Phone—6167377091
Email—
null
olivia.chapman@hotmail.com
Address—
N/A
9683 Market St
City / state / ZIP—
N/A
Eden Prairie, MN, 55397
GroupGRP-0269GRP-0269
Plan—MEDICARE-ADV-B
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-002475Olivia Chapman0.83
Matched against CLM-402851, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.94350%
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 19:54:399fdbe7afdf
    Escalated TPA-51224, top score 0.83, candidates MBR-002475

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-96649
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-046177
Opened
2026-10-19 19:54:36
Top score
0.83