Steward queue/CASE-000913
Steward case

CASE-000913

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

OpenCheckpointckpt-run-mvjj6udb-53708workflow paused, state held

Side-by-side comparison

Incoming TPA-60285 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-60285incoming
#1MBR-013378Charles Li
0.833 rec.
Best evidence: NameDate of birth
NameCharles LiCharles Li
Date of birth1987-12-151987-12-15
Member ID—UHC-11969-12
SSN—
•••-••--
•••-••-9087
Phone—
N/A
2623569623
Email—
null
charles.li34@outlook.com
Address—
-
9323 Camelback Rd
City / state / ZIP—
UNKNOWN, UNKNOWN, NULL
Glendale, AZ, 85320
GroupGRP-8496GRP-8496
Plan—CORE-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-013378Charles Li0.83
Matched against CLM-423368, 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 12:43:552a3e8e0682
    Escalated TPA-60285, top score 0.83, candidates MBR-013378

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-53708
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-033881
Opened
2026-10-22 12:43:43
Top score
0.83