Steward queue/CASE-000990
Steward case

CASE-000990

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

OpenCheckpointckpt-run-mvfoap9e-49934workflow paused, state held

Side-by-side comparison

Incoming TPA-63255 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-63255incoming
#1MBR-028087Martha Marquez
0.834 rec.
Best evidence: NameDate of birth
NameMartha MarquezMartha J Marquez
Date of birth2002-07-062002-07-06
Member ID—
NULL
UHC-95428-18
SSN—•••-••-7261
Phone—
-
8807405655
Email—martha.marquez@aol.com
Address—
-
6570 Mesa Dr
City / state / ZIP—
NULL
Phoenix, AZ, 85053
Group—GRP-4200
Plan—NAVIGATE-HMO
Sources, recordsTPA1 recordTPA ×2ENR ×24 records

Evidence detail

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

▶#1MBR-028087Martha Marquez0.83
Matched against TPA-63253, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • TPATPA-63253Martha Marquez2002-07-06Scored 1.00
  • TPATPA-63254Martha Marquez2002-07-06Scored 1.00
  • ENRENR-139371Martha Marquez2002-07-06Scored 1.00
  • ENRENR-139370Martha Marquez2002-07-06Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:39b36a7f88dc
    Escalated TPA-63255, top score 0.83, candidates MBR-028087

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-49934
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-032426
Opened
2026-10-19 19:54:36
Top score
0.83