Steward queue/CASE-001323
Steward case

CASE-001323

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

OpenCheckpointckpt-run-mvfoap9e-85341workflow paused, state held

Side-by-side comparison

Incoming CLM-431027 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-431027incoming
#1MBR-027429Daniel Mejia
0.833 rec.
Best evidence: NameDate of birth
NameDanel W Mejia
Danel W. Mejia
Daniel W Mejia
Date of birth1965-07-171965-07-17
Member ID—
-
UHC-18153-42
SSN—•••-••-1926
Phone—
NULL
8766420344
Email—
NULL
daniel.mejia@gmail.com
Address—
N/A
7763 Ocean Ave # 518
City / state / ZIP—
, N/A, -
Columbus, OH, 43222
GroupGRP-7512GRP-7512
Plan—MEDICARE-ADV-B
Sources, recordsCLM1 recordPRV ×1ENR ×1TPA ×13 records

Evidence detail

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

▶#1MBR-027429Daniel Mejia0.83
Matched against PRV-29070, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.98350%
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 19:54:3907349c9d7b
    Escalated CLM-431027, top score 0.83, candidates MBR-027429

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-85341
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-043643
Opened
2026-10-19 19:54:36
Top score
0.83