Steward queue/CASE-000919
Steward case

CASE-000919

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

OpenCheckpointckpt-run-mvjj6udb-76292workflow paused, state held

Side-by-side comparison

Incoming TPA-58169 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-58169incoming
#1MBR-031982Bruce Jones
0.832 rec.
Best evidence: NameDate of birth
NameBruce JonesBruce Jones
Date of birth1974-06-191974-06-19
Member ID—UHC-24551-84
SSN•••-••-3986•••-••-3986
Phone—4538808599
Email—
N/A
bruce.jones34@yahoo.com
Address—
N/A
6757 Church St
City / state / ZIP—
N/A,
Gilbert, AZ, 85254
Group—GRP-9004
Plan—OPTIONS-PPO
Sources, recordsTPA1 recordCLM ×1ENR ×12 records

Evidence detail

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

▶#1MBR-031982Bruce Jones0.83
Matched against CLM-418513, 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 12:43:553c50014624
    Escalated TPA-58169, top score 0.83, candidates MBR-031982

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-76292
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-041326
Opened
2026-10-22 12:43:43
Top score
0.83