Steward queue/CASE-001062
Steward case

CASE-001062

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

OpenCheckpointckpt-run-mvfoap9e-3856workflow paused, state held

Side-by-side comparison

Incoming TPA-55630 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-55630incoming
#1MBR-015753Alice Perkins
0.833 rec.
Best evidence: NameDate of birth
NameAlice PerkinsAlice G Perkins
Date of birth1993-01-281993-01-28
Member ID—
null
UHC-87615-02
SSN—•••-••-7491
Phone—
-
8239453032
Email—alice.perkins@outlook.com
Address—951 Palm Dr
City / state / ZIP—
NULL, N/A
Orlando, FL, 32833
Group—GRP-4201
Plan—
N/A
NAVIGATE-HMO
Sources, recordsTPA1 recordENR ×1CLM ×23 records

Evidence detail

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

▶#1MBR-015753Alice Perkins0.83
Matched against ENR-116825, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:39e4e7443ea3
    Escalated TPA-55630, top score 0.83, candidates MBR-015753

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-3856
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-003632
Opened
2026-10-19 19:54:36
Top score
0.83