Steward queue/CASE-001257
Steward case

CASE-001257

Confidence 0.60 is below the policy threshold 0.85.

OpenCheckpointckpt-run-mvfoap9e-4669workflow paused, state held

Side-by-side comparison

Incoming TPA-54632 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-54632incoming
#1MBR-033313Harold Rojas
0.603 rec.
Best evidence: Name
NameHarold RojasHarold Rojas
Date of birth—
-
1996-10-25
Member ID—
N/A
UHC-16881-88
SSN—
•••-••-NULL
•••-••-2425
Phone—7497236364
Email—harold.rojas@gmail.com
Address1296 Forest Ave
1296 Forest Avenue
4310 Ridge Rd
City / state / ZIPSan Antonio, TX, 78283Fresno, CA, 93794
Group—
NULL
GRP-4368
Plan—
-
MEDICARE-ADV-B
Sources, recordsTPA1 recordCLM ×2ENR ×13 records

Evidence detail

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

▶#1MBR-033313Harold Rojas0.60
Matched against CLM-416403, 2 fields compared, weighted score 0.600
FieldSimilarityWeightShareNote
Name1.00360%
Address0.00240%different
Guard: noneConflicts: none
Records in this identity

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:39312f35494a
    Escalated TPA-54632, top score 0.60, candidates MBR-033313

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-4669
Stage
human_steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-004352
Opened
2026-10-19 19:54:36
Top score
0.60