Steward case

CASE-001015

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

OpenCheckpointckpt-run-mvfoap9e-71010workflow paused, state held

Side-by-side comparison

Incoming TPA-53479 against 3 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-53479incoming	#1MBR-003489Scott Santos 0.832 rec. Best evidence: NameDate of birth	#2MBR-026876Scott Santos 0.831 rec. Best evidence: NameDate of birth	#3MBR-037031Scott Santos 0.601 rec. Best evidence: Name
Name	Scott Santos Santos, Scott	Scott Santos	Scott I Santos	Scott Santos
Date of birth	1961-03-20	1961-03-20	1961-03-20	1961-01-22
Member ID	— null	—	UHC-17213-41	—
SSN	•••-••-0965	—	—	—
Phone	— null	—	5182202106	4492652066
Email	— N/A	—	—	—
Address	—	3753 Pine Dr	7425 Jefferson Ave	9274 Maple Ave
City / state / ZIP	— -, N/A	Orlando, FL, 32864	Eden Prairie, MN, 55304	Chandler, AZ, 85287
Group	—	GRP-7926	GRP-7926	—
Plan	— UNKNOWN	—	NAVIGATE-HMO	—
Sources, records	TPA1 record	CLM ×1TPA ×12 records	CLM ×11 record	PRV ×11 record

Evidence detail

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

▶#1MBR-003489Scott Santos0.83

Matched against CLM-407880, 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

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

▶#2MBR-026876Scott Santos0.83

Matched against CLM-407879, 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

CLMCLM-407879Scott Santos1961-03-20Single record 1.00

▶#3MBR-037031Scott Santos0.60

Matched against PRV-21759, 2 fields compared, weighted score 0.600

Field	Similarity	Weight	Share	Note
Name	1.00	3	50%
Date of birth	0.20	3	50%	year_only

Guard: noneConflicts: none

Records in this identity

PRVPRV-21759Scott Santos1961-01-22Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:399a3f384a49
Escalated TPA-53479, top score 0.83, candidates MBR-003489, MBR-026876, MBR-037031

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-003489, score 0.83, 2 recordsLinkLink to Scott SantosMBR-026876, score 0.83, 1 recordLinkLink to Scott SantosMBR-037031, score 0.60, 1 recordLinkConfirm as a distinct identityTPA-53479 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-71010
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-039832
Opened: 2026-10-19 19:54:36
Top score: 0.83