Steward queue/CASE-001335
Steward case

CASE-001335

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

OpenCheckpointckpt-run-mvfoap9e-31048workflow paused, state held

Side-by-side comparison

Incoming CLM-425016 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-425016incoming
#1MBR-012385Julia Wright
0.834 rec.
Best evidence: NameDate of birth
NameJuliia WrightJulia V Wright
Date of birth1994-05-151994-05-15
Member ID—UHC-22171-70
SSN•••-••-9089—
Phone—6068452677
Email—
UNKNOWN
—
Address—5217 Main St
City / state / ZIP—
null
Dallas, TX, 75241
GroupGRP-3133GRP-3133
Plan—CORE-HMO
Sources, recordsCLM1 recordCLM ×1TPA ×1ENR ×1PRV ×14 records

Evidence detail

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

▶#1MBR-012385Julia Wright0.83
Matched against TPA-61024, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.99350%
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 19:54:39f6ac3b2a27
    Escalated CLM-425016, top score 0.83, candidates MBR-012385

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-31048
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-023335
Opened
2026-10-19 19:54:36
Top score
0.83