Steward queue/CASE-000799
Steward case

CASE-000799

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

OpenCheckpointckpt-run-mvfoap9e-31355workflow paused, state held

Side-by-side comparison

Incoming TPA-54252 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-54252incoming
#1MBR-019362Mei Johnson
0.835 rec.
Best evidence: NameDate of birth
NameMei JohnsonMei A Johnson
Date of birth1978-02-231978-02-23
Member ID—UHC-36165-09
SSN—•••-••-2527
Phone—
null
3637610823
Emailmei.johnson4@yahoo.com—
Address—4634 River Rd
City / state / ZIP—
NULL, N/A
Plano, TX, 75089
Group—GRP-9331
Plan—NAVIGATE-HMO
Sources, recordsTPA1 recordCLM ×1TPA ×1ENR ×2PRV ×15 records

Evidence detail

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

▶#1MBR-019362Mei Johnson0.83
Matched against CLM-409782, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
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 19:54:3999a83311cc
    Escalated TPA-54252, top score 0.83, candidates MBR-019362

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-31355
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-023508
Opened
2026-10-19 19:54:36
Top score
0.83