Steward queue/CASE-001172
Steward case

CASE-001172

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

OpenCheckpointckpt-run-mvjj6udb-37301workflow paused, state held

Side-by-side comparison

Incoming TPA-55231 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-55231incoming
#1MBR-003989Amanda Richards
0.833 rec.
Best evidence: NameDate of birth
#2MBR-007825Ryan Richards
0.671 rec.
Best evidence: none ≥ 0.90
NameAmanda RichardsAmanda J RichardsRyan Richards
Date of birth1978-03-091978-03-091978-06-09
Member ID—
N/A
UHC-87362-49UHC-25214-36
SSN—•••-••-6918•••-••-5691
Phone—69054622003646159985
Email—amanda.richards70@proton.meryan.richards75@gmail.com
Address—
NULL
1062 River Rd4533 Mesa Dr # 596
City / state / ZIP—
null
Chandler, AZ, 85203Los Angeles, CA, 90039
GroupGRP-2551GRP-2551GRP-3057
PlanMEDICARE-ADV-BMEDICARE-ADV-BCHOICE-PLUS-PPO
Sources, recordsTPA1 recordCLM ×2ENR ×13 recordsENR ×11 record

Evidence detail

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

▶#1MBR-003989Amanda Richards0.83
Matched against CLM-411878, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.99350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
▶#2MBR-007825Ryan Richards0.67
Matched against ENR-136872, 2 fields compared, weighted score 0.672
FieldSimilarityWeightShareNote
Name0.84350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
  • ENRENR-136872Ryan Richards1978-06-09Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:5582e90da24b
    Escalated TPA-55231, top score 0.83, candidates MBR-003989, MBR-007825

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-37301
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-026681
Opened
2026-10-22 12:43:43
Top score
0.83