Steward case

CASE-001238

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

OpenCheckpointckpt-run-mvfoap9e-95626workflow paused, state held

Side-by-side comparison

Incoming CLM-423878 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-423878incoming	#1MBR-004261Ashley Nunez 0.831 rec. Best evidence: NameDate of birth	#2MBR-008099Samantha Nunez 0.626 rec. Best evidence: none ≥ 0.90
Name	Ashley Nunez	Ashley Nunez	Samantha D Nunez
Date of birth	1990-04-28	1990-04-28	1990-02-28
Member ID	UHC-90338-03	—	UHC-31120-14
SSN	—	—	•••-••-3773
Phone	—	—	5365474717
Email	ashley.nunez@yahoo.com	—	samantha.nunez@icloud.com
Address	8208 Park Pl Apt 10	—	3542 Hillcrest Rd
City / state / ZIP	Nashville, TN, 37279	—	Los Angeles, CA, 90035
Group	— UNKNOWN	GRP-4718	GRP-8102
Plan	MEDICARE-ADV-A	MEDICARE-ADV-A	SELECT-EPO
Sources, records	CLM1 record	TPA ×11 record	TPA ×1CLM ×4ENR ×16 records

Evidence detail

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

▶#1MBR-004261Ashley Nunez0.83

Matched against TPA-60504, 2 fields compared, weighted score 0.830

Field	Similarity	Weight	Share	Note
Name	1.00	3	50%
Date of birth	1.00	3	50%	exact

Guard: No identifier agreesConflicts: none

Records in this identity

TPATPA-60504Ashley Nunez1990-04-28Single record 1.00

▶#2MBR-008099Samantha Nunez0.62

Matched against CLM-407992, 2 fields compared, weighted score 0.622

Field	Similarity	Weight	Share	Note
Name	0.74	3	50%
Date of birth	0.50	3	50%	one_digit

Guard: noneConflicts: none

Records in this identity

TPATPA-53525Samantha Nunez1990-02-28Scored 1.00
CLMCLM-407993Samantha Nunez1990-02-28Rule 0.99
CLMCLM-407990Samantha Nunez1990-02-28Scored 1.00
CLMCLM-407991Samantha NunezScored 1.00
ENRENR-110553Samantha Nunez1990-02-28Scored 1.00
CLMCLM-407992Samantha Nunez1990-02-28Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:39eb83736c27
Escalated CLM-423878, top score 0.83, candidates MBR-004261, MBR-008099

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

Link to Ashley NunezMBR-004261, score 0.83, 1 recordLinkLink to Samantha NunezMBR-008099, score 0.62, 6 recordsLinkConfirm as a distinct identityCLM-423878 stays on its own golden identity, marked verified.New identityReject record (quarantine)The record's identity is quarantined; nothing downstream may act on it.Reject

Rationale *

At least 8 characters (0/8)

ActorJ. Okafor (Data Stewardship)

Choose an option

Checkpoint: ckpt-run-mvfoap9e-95626
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-045943
Opened: 2026-10-19 19:54:36
Top score: 0.83