Steward queue/CASE-000838
Steward case

CASE-000838

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

OpenCheckpointckpt-run-mvjj6udb-2863workflow paused, state held

Side-by-side comparison

Incoming TPA-59197 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-59197incoming
#1MBR-017282Denise Lucas
0.834 rec.
Best evidence: NameDate of birth
NameDenise LucasDenise J Lucas
Date of birth1997-06-101997-06-10
Member ID—UHC-21721-41
SSN—
•••-••-UNKNOWN
—
Phone——
Email—
-
—
Address—
null
1042 Sunset Blvd
City / state / ZIP—
UNKNOWN
Tampa, FL, 33607
Group—
UNKNOWN
GRP-6446
Plan—
null
MEDICARE-ADV-A
Sources, recordsTPA1 recordCLM ×2TPA ×24 records

Evidence detail

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

▶#1MBR-017282Denise Lucas0.83
Matched against CLM-420921, 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 agent2026-10-22 12:43:559d51c1dc14
    Escalated TPA-59197, top score 0.83, candidates MBR-017282

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-2863
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-002725
Opened
2026-10-22 12:43:43
Top score
0.83