Steward queue/CASE-001114
Steward case

CASE-001114

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

OpenCheckpointckpt-run-mvfoap9e-9366workflow paused, state held

Side-by-side comparison

Incoming TPA-62366 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-62366incoming
#1MBR-012289Helen Garcia
0.834 rec.
Best evidence: NameDate of birth
NameHelen GarciaHelen Garcia
Date of birth1973-01-28
19730128
1973-01-28
Member ID—UHC-38530-83
SSN—•••-••-3873
Phone—9082605200
Email—
-
—
Address—
NULL
8801 Forest Ave
City / state / ZIP—
- , UNKNOWN
Fresno, CA, 93720
Group—GRP-1225
Plan—
N/A
CHOICE-PLUS-PPO
Sources, recordsTPA1 recordENR ×1PRV ×1CLM ×24 records

Evidence detail

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

▶#1MBR-012289Helen Garcia0.83
Matched against ENR-136701, 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 19:54:3963164914d8
    Escalated TPA-62366, top score 0.83, candidates MBR-012289

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-9366
Stage
human_steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-008386
Opened
2026-10-19 19:54:36
Top score
0.83