Steward case

CASE-000805

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

OpenCheckpointckpt-run-mvfoap9e-83271workflow paused, state held

Side-by-side comparison

Incoming CLM-416189 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-416189incoming	#1MBR-008360Marcus Valdez 0.832 rec. Best evidence: NameDate of birth	#2MBR-029826Marcus Valdez 0.831 rec. Best evidence: NameDate of birth
Name	Marcus U Valdez MARCUS U. VALDEZ	Marcus Valdez	Marcus Valdez
Date of birth	1994-01-05	1994-01-05	1994-01-05
Member ID	— NULL	UHC-18011-42	—
SSN	— •••-••-NULL	•••-••-9532	—
Phone	— -	5282052210	—
Email	— -	marcus.valdez@yahoo.com	—
Address	—	6287 Broadway	—
City / state / ZIP	— null	Denver, CO, 80221	—
Group	GRP-4486	GRP-4486	—
Plan	—	MEDICARE-ADV-B	—
Sources, records	CLM1 record	ENR ×1TPA ×12 records	TPA ×11 record

Evidence detail

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

▶#1MBR-008360Marcus Valdez0.83

Matched against ENR-121314, 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

ENRENR-121314Marcus Valdez1994-01-05Scored 1.00
TPATPA-57093Marcus Valdez1994-01-05Scored 1.00

▶#2MBR-029826Marcus Valdez0.83

Matched against TPA-57094, 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-57094Marcus Valdez1994-01-05Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:390174a67ee8
Escalated CLM-416189, top score 0.83, candidates MBR-008360, MBR-029826

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 Marcus ValdezMBR-008360, score 0.83, 2 recordsLinkLink to Marcus ValdezMBR-029826, score 0.83, 1 recordLinkConfirm as a distinct identityCLM-416189 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-83271
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-043134
Opened: 2026-10-19 19:54:36
Top score: 0.83