Steward queue/CASE-000840
Steward case

CASE-000840

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

OpenCheckpointckpt-run-mvjj6udb-2884workflow paused, state held

Side-by-side comparison

Incoming TPA-53106 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-53106incoming
#1MBR-034252Maria Collins
0.833 rec.
Best evidence: NameDate of birth
NameMaria CollinsMaria L Collins
Date of birth1938-11-13
19381113
1938-11-13
Member ID—
null
UHC-92321-89
SSN—
•••-••-NULL
•••-••-5689
Phone—
-
6362104997
Emailmaria.collins7@hotmail.com—
Address—
N/A
9590 Central Ave
City / state / ZIP—
, N/A, null
Mesa, AZ, 85261
Group—
null
GRP-8831
Plan—
UNKNOWN
NAVIGATE-HMO
Sources, recordsTPA1 recordCLM ×2ENR ×13 records

Evidence detail

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

▶#1MBR-034252Maria Collins0.83
Matched against CLM-407107, 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 12:43:559c9b4a8dd0
    Escalated TPA-53106, top score 0.83, candidates MBR-034252

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-2884
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-002745
Opened
2026-10-22 12:43:43
Top score
0.83