Steward queue/CASE-000984
Steward case

CASE-000984

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

OpenCheckpointckpt-run-mvfoap9e-76233workflow paused, state held

Side-by-side comparison

Incoming TPA-56726 against 3 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-56726incoming
#1MBR-003340Brittany Kelley
0.834 rec.
Best evidence: NameDate of birth
#2MBR-033419Brittany Kelley
0.831 rec.
Best evidence: NameDate of birth
#3MBR-003451Virginia Kelley
0.651 rec.
Best evidence: none ≥ 0.90
NameBrittny Kelley
Kelley, Brittny
Brittany KelleyBrittany KelleyVirginia E Kelley
Date of birth1943-09-131943-09-131943-09-131943-09-03
Member ID—
N/A
UHC-07098-28—UHC-83659-27
SSN—
•••-••-null
•••-••-8435—•••-••-7293
Phone—
NULL
3189762810—2712190202
Email—
N/A
——virginia.kelley@icloud.com
Address—9482 Meadow Ln—830 Baseline Rd
City / state / ZIP—
UNKNOWN,
Dallas, TX, 75224—Plano, TX, 75015
Group—GRP-0774GRP-0774GRP-4012
PlanMEDICARE-ADV-BMEDICARE-ADV-B—MEDICARE-ADV-B
Sources, recordsTPA1 recordPRV ×1ENR ×34 recordsCLM ×11 recordENR ×11 record

Evidence detail

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

▶#1MBR-003340Brittany Kelley0.83
Matched against PRV-24513, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.99350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
▶#2MBR-033419Brittany Kelley0.83
Matched against CLM-415306, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.99350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • CLMCLM-415306Brittany Kelley1943-09-13Single record 1.00
▶#3MBR-003451Virginia Kelley0.65
Matched against ENR-115450, 2 fields compared, weighted score 0.648
FieldSimilarityWeightShareNote
Name0.80350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
  • ENRENR-115450Virginia Kelley1943-09-03Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:3962454fdac6
    Escalated TPA-56726, top score 0.83, candidates MBR-003340, MBR-033419, MBR-003451

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-mvfoap9e-76233
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-041306
Opened
2026-10-19 19:54:36
Top score
0.83