Steward queue/CASE-000931
Steward case

CASE-000931

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

OpenCheckpointckpt-run-mvjj6udb-51304workflow paused, state held

Side-by-side comparison

Incoming TPA-55222 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-55222incoming
#1MBR-020318Patrick Le
0.835 rec.
Best evidence: NameDate of birth
NamePatrick LePatrick Le
Date of birth2007-07-13
7/13/2007
2007-07-13
Member ID—
-
UHC-86550-30
SSN—
•••-••-NULL
•••-••-9618
Phone—
NULL
7813629188
Email—
null
patrick.le@yahoo.com
Address—
N/A
5819 Washington St
City / state / ZIP—
-, UNKNOWN
Gilbert, AZ
GroupGRP-8650GRP-8650
Plan—MEDICARE-ADV-A
Sources, recordsTPA1 recordCLM ×3ENR ×25 records

Evidence detail

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

▶#1MBR-020318Patrick Le0.83
Matched against CLM-411844, 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 12:43:55f76c66d520
    Escalated TPA-55222, top score 0.83, candidates MBR-020318

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-51304
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-032953
Opened
2026-10-22 12:43:43
Top score
0.83