Steward case

CASE-001014

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

OpenCheckpointckpt-run-mvfoap9e-37685workflow paused, state held

Side-by-side comparison

Incoming CLM-407879 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-407879incoming	#1MBR-039832Scott Santos 0.831 rec. Best evidence: NameDate of birth	#2MBR-003489Scott Santos 0.752 rec. Best evidence: NameDate of birth
Name	Scott I Santos	Scott Santos	Scott Santos
Date of birth	1961-03-20	1961-03-20	1961-03-20
Member ID	UHC-17213-41	—	—
SSN	— •••-••-N/A	•••-••-0965	—
Phone	5182202106 (518) 220-2106	—	—
Email	— N/A	—	—
Address	7425 Jefferson Ave	—	3753 Pine Dr
City / state / ZIP	Eden Prairie, MN, 55304	—	Orlando, FL, 32864
Group	GRP-7926	—	GRP-7926
Plan	NAVIGATE-HMO	—	—
Sources, records	CLM1 record	TPA ×11 record	CLM ×1TPA ×12 records

Evidence detail

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

▶#1MBR-039832Scott Santos0.83

Matched against TPA-53479, 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-53479Scott Santos1961-03-20Single record 1.00

▶#2MBR-003489Scott Santos0.75

Matched against CLM-407880, 3 fields compared, weighted score 0.750

Field	Similarity	Weight	Share	Note
Name	1.00	3	38%
Date of birth	1.00	3	38%	exact
Address	0.00	2	25%	different

Guard: noneConflicts: none

Records in this identity

CLMCLM-407880Scott Santos1961-03-20Scored 1.00
TPATPA-53480Scott Santos1961-03-20Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:39f1d1056be0
Escalated CLM-407879, top score 0.83, candidates MBR-039832, MBR-003489

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 Scott SantosMBR-039832, score 0.83, 1 recordLinkLink to Scott SantosMBR-003489, score 0.75, 2 recordsLinkConfirm as a distinct identityCLM-407879 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-mvfoap9e-37685
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-026876
Opened: 2026-10-19 19:54:36
Top score: 0.83