Steward queue/CASE-001091
Steward case

CASE-001091

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

OpenCheckpointckpt-run-mvfoap9e-86377workflow paused, state held

Side-by-side comparison

Incoming CLM-410787 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-410787incoming
#1MBR-018171Marilyn Reyes
0.831 rec.
Best evidence: NameDate of birth
NameMarilyn G ReyesMarilyn Reyes
Date of birth1964-03-28
Mar 28, 1964
1964-03-28
Member IDUHC-39493-80—
SSN——
Phone——
Email——
Address—
NULL
8962 Elm St
City / state / ZIP—
-, NULL
Houston, TX, 77055
GroupGRP-5783—
PlanSELECT-EPO—
Sources, recordsCLM1 recordTPA ×11 record

Evidence detail

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

▶#1MBR-018171Marilyn Reyes0.83
Matched against TPA-54731, 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-54731Marilyn Reyes1964-03-28Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:39225b35894e
    Escalated CLM-410787, top score 0.83, candidates MBR-018171

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-86377
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-043857
Opened
2026-10-19 19:54:36
Top score
0.83