Steward queue/CASE-001092
Steward case

CASE-001092

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

OpenCheckpointckpt-run-mvjj6udb-81971workflow paused, state held

Side-by-side comparison

Incoming TPA-51640 against 3 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-51640incoming
#1MBR-035696Ryan Rose
0.831 rec.
Best evidence: NameDate of birth
#2MBR-026969Ryan Rose
0.752 rec.
Best evidence: Name
#3MBR-019626Hlen Rios
0.662 rec.
Best evidence: none ≥ 0.90
NameRyan RoseRyan M RoseRyan RoseHlen Rios
Date of birth1964-12-201964-12-201962-12-201964-12-02
Member ID—UHC-82883-13UHC-27369-05UHC-06308-99
SSN—
•••-••--
——•••-••-0767
Phone—866221136452654454664718544729
Email—
N/A
ryan.rose@proton.me——
Address—2981 Central Ave6663 Highland Ave4173 Ocean Ave
City / state / ZIP—
UNKNOWN, NULL
Columbus, OH, 43266Houston, TX, 77093Columbus, OH, 43219
Group—
null
GRP-7012GRP-3890GRP-9229
Plan—MEDICARE-ADV-BMEDICARE-ADV-AMEDICARE-ADV-B
Sources, recordsTPA1 recordENR ×11 recordCLM ×1TPA ×12 recordsENR ×1CLM ×12 records

Evidence detail

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

▶#1MBR-035696Ryan Rose0.83
Matched against ENR-104900, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • ENRENR-104900Ryan Rose1964-12-20Single record 1.00
▶#2MBR-026969Ryan Rose0.75
Matched against CLM-418103, 2 fields compared, weighted score 0.750
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
▶#3MBR-019626Hlen Rios0.66
Matched against ENR-103155, 2 fields compared, weighted score 0.655
FieldSimilarityWeightShareNote
Name0.71350%
Date of birth0.60350%transposition
Guard: noneConflicts: none
Records in this identity

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:555a3885174c
    Escalated TPA-51640, top score 0.83, candidates MBR-035696, MBR-026969, MBR-019626

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-mvjj6udb-81971
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-042812
Opened
2026-10-22 12:43:43
Top score
0.83