Steward queue/CASE-001211
Steward case

CASE-001211

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

OpenCheckpointckpt-run-mvfoap9e-84758workflow paused, state held

Side-by-side comparison

Incoming CLM-410090 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-410090incoming
#1MBR-004125Aisha Chen
0.833 rec.
Best evidence: NameDate of birth
#2MBR-024318Aisha Chen
0.832 rec.
Best evidence: NameDate of birth
NameAisha ChenAisha ChenAisha Chen
Date of birth1944-10-03
10/3/1944
1944-10-031944-10-03
Member ID—
null
UHC-11222-74—
SSN—
•••-••- UNKNOWN
•••-••-4187—
Phone—
N/A
74099945297409994529
Email—aisha.chen93@yahoo.com—
Address—8555 Main St5831 Sage Ct
City / state / ZIP—
NULL, NULL, UNKNOWN
Plano, TX, 75076Sacramento, CA, 95808
GroupGRP-1380GRP-1380GRP-1380
Plan—SELECT-EPOSELECT-EPO
Sources, recordsCLM1 recordTPA ×1CLM ×1ENR ×13 recordsCLM ×1TPA ×12 records

Evidence detail

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

▶#1MBR-004125Aisha Chen0.83
Matched against TPA-54418, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
▶#2MBR-024318Aisha Chen0.83
Matched against CLM-410089, 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 19:54:3951cc027b97
    Escalated CLM-410090, top score 0.83, candidates MBR-004125, MBR-024318

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-84758
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-043499
Opened
2026-10-19 19:54:36
Top score
0.83