Steward case

CASE-000974

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

OpenCheckpointckpt-run-mvjj6udb-78644workflow paused, state held

Side-by-side comparison

Incoming CLM-415560 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-415560incoming	#1MBR-003306Ryan Pena 0.833 rec. Best evidence: NameDate of birth	#2MBR-033135Denise Pena 0.693 rec. Best evidence: none ≥ 0.90
Name	Ryan Pena	Ryan Y Pena	Denise D Pena
Date of birth	2001-06-09 06/09/01	2001-06-09	2001-09-06
Member ID	—	UHC-20316-03	UHC-12515-52
SSN	— •••-••-null	•••-••-9618	•••-••-4361
Phone	— NULL	7308569872	6838444648
Email	— -	ryan.pena40@hotmail.com	denise.pena62@icloud.com
Address	—	4274 Washington St	5007 Pine Dr # 754
City / state / ZIP	— , N/A	Los Angeles, CA, 90057	Miami, FL, 33107
Group	GRP-8316	GRP-8316	GRP-1377
Plan	MEDICARE-ADV-B	MEDICARE-ADV-B	MEDICARE-ADV-B
Sources, records	CLM1 record	TPA ×1CLM ×1ENR ×13 records	PRV ×1TPA ×1ENR ×13 records

Evidence detail

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

▶#1MBR-003306Ryan Pena0.83

Matched against TPA-56822, 2 fields compared, weighted score 0.830

Field	Similarity	Weight	Share	Note
Name	1.00	3	50%
Date of birth	1.00	3	50%	exact

Guard: No identifier agreesConflicts: none

Records in this identity

TPATPA-56822Ryan Pena2001-06-09Scored 1.00
CLMCLM-415559Ryan PenaRule 0.96
ENRENR-120511Ryan Pena2001-06-09Scored 1.00

▶#2MBR-033135Denise Pena0.69

Matched against PRV-29197, 2 fields compared, weighted score 0.694

Field	Similarity	Weight	Share	Note
Name	0.79	3	50%
Date of birth	0.60	3	50%	transposition

Guard: noneConflicts: none

Records in this identity

PRVPRV-29197Denise Pena2001-09-06Scored 1.00
TPATPA-63884Denise Pena2001-09-06Scored 1.00
ENRENR-141284Denise Pena2001-09-06Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-22 12:43:555bdc5ccd6d
Escalated CLM-415560, top score 0.83, candidates MBR-003306, MBR-033135

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

Link to Ryan PenaMBR-003306, score 0.83, 3 recordsLinkLink to Denise PenaMBR-033135, score 0.69, 3 recordsLinkConfirm as a distinct identityCLM-415560 stays on its own golden identity, marked verified.New identityReject record (quarantine)The record's identity is quarantined; nothing downstream may act on it.Reject

Rationale *

At least 8 characters (0/8)

ActorJ. Okafor (Data Stewardship)

Choose an option

Checkpoint: ckpt-run-mvjj6udb-78644
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-041963
Opened: 2026-10-22 12:43:43
Top score: 0.83