Steward case

CASE-001036

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

OpenCheckpointckpt-run-mvfoap9e-3783workflow paused, state held

Side-by-side comparison

Incoming TPA-58448 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-58448incoming	#1MBR-020724Donna Stone 0.833 rec. Best evidence: NameDate of birth	#2MBR-020465Donna Stone 0.811 rec. Best evidence: NameAddress
Name	Donna Stone	Donna H Stone	Donna Stone
Date of birth	1996-10-18 18-10-1996	1996-10-18	1997-10-18
Member ID	— UNKNOWN	UHC-98920-26	—
SSN	— •••-••-UNKNOWN	•••-••-0311	—
Phone	— N/A	3296110299	3296110299
Email	— -	donna.stone91@proton.me	—
Address	8866 Grand Ave # 816 8866 Grand Avenue #816	2725 Apache Blvd	8866 Grand Ave
City / state / ZIP	Jacksonville, FL, 32259	Minneapolis, MN, 55425	Jacksonville, FL, 32259
Group	— UNKNOWN	GRP-2778	—
Plan	MEDICARE-ADV-B	MEDICARE-ADV-B	MEDICARE-ADV-B
Sources, records	TPA1 record	ENR ×1CLM ×23 records	PRV ×11 record

Evidence detail

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

▶#1MBR-020724Donna Stone0.83

Matched against CLM-419060, 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

ENRENR-125133Stone Donna1996-10-18Rule 0.99
CLMCLM-419061Donna Stone1996-11-08Scored 0.86
CLMCLM-419060Donna Stone1996-10-18Rule 0.99

▶#2MBR-020465Donna Stone0.81

Matched against PRV-25677, 3 fields compared, weighted score 0.813

Field	Similarity	Weight	Share	Note
Name	1.00	3	38%
Date of birth	0.50	3	38%	one_digit
Address	1.00	2	25%	exact

Guard: noneConflicts: none

Records in this identity

PRVPRV-25677Donna Stone1997-10-18Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:395c216ef2b3
Escalated TPA-58448, top score 0.83, candidates MBR-020724, MBR-020465

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 Donna StoneMBR-020724, score 0.83, 3 recordsLinkLink to Donna StoneMBR-020465, score 0.81, 1 recordLinkConfirm as a distinct identityTPA-58448 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-3783
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-003568
Opened: 2026-10-19 19:54:36
Top score: 0.83