Steward case

CASE-000829

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

OpenCheckpointckpt-run-mvfoap9e-89599workflow paused, state held

Side-by-side comparison

Incoming TPA-53969 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-53969incoming	#1MBR-025803Billy Le 0.832 rec. Best evidence: NameDate of birth
Name	Billy Le	Billy R Le
Date of birth	1940-01-19 19400119	1940-01-19
Member ID	—	UHC-22687-90
SSN	— •••-••-null	•••-••-2596
Phone	—	7982733512
Email	— NULL	billy.le@proton.me
Address	5795 Baseline Rd 5795 Baseline Road	1390 Mesa Dr
City / state / ZIP	Glendale, AZ	Phoenix, AZ, 85003
Group	GRP-6426	GRP-6426
Plan	— N/A	CHOICE-PLUS-PPO
Sources, records	TPA1 record	ENR ×1CLM ×12 records

Evidence detail

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

▶#1MBR-025803Billy Le0.83

Matched against CLM-409088, 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-112007Billy Le1940-01-19Rule 0.99
CLMCLM-409088Billy Le1940-01-19Rule 0.99

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:391eb2ffd993
Escalated TPA-53969, top score 0.83, candidates MBR-025803

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 Billy LeMBR-025803, score 0.83, 2 recordsLinkConfirm as a distinct identityTPA-53969 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-89599
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-044613
Opened: 2026-10-19 19:54:36
Top score: 0.83