Steward case

CASE-001336

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

OpenCheckpointckpt-run-mvfoap9e-5095workflow paused, state held

Side-by-side comparison

Incoming TPA-54314 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-54314incoming	#1MBR-028885Bruce Alverez 0.832 rec. Best evidence: NameDate of birth	#2MBR-030514Bruce Alvarez 0.831 rec. Best evidence: NameDate of birth
Name	Bruce C Alvarez	Bruce Alverez	Bruce Alvarez
Date of birth	1981-05-04	1981-05-04	1981-05-04
Member ID	— N/A	—	UHC-31238-59
SSN	— •••-••--	—	—
Phone	— UNKNOWN	—	2425836681
Email	— N/A	—	—
Address	—	8112 Main St	—
City / state / ZIP	— -	Dallas, TX, 75291	—
Group	—	GRP-6343	GRP-6343
Plan	— NULL	—	—
Sources, records	TPA1 record	CLM ×1TPA ×12 records	CLM ×11 record

Evidence detail

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

▶#1MBR-028885Bruce Alverez0.83

Matched against CLM-409881, 2 fields compared, weighted score 0.830

Field	Similarity	Weight	Share	Note
Name	0.94	3	50%
Date of birth	1.00	3	50%	exact

Guard: No identifier agreesConflicts: none

Records in this identity

CLMCLM-409881Bruce Alverez1981-05-04Scored 0.98
TPATPA-54313Bruce Alvarez1981-05-04Scored 0.98

▶#2MBR-030514Bruce Alvarez0.83

Matched against CLM-409880, 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

CLMCLM-409880Bruce Alvarez1981-05-04Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:396f3dba0524
Escalated TPA-54314, top score 0.83, candidates MBR-028885, MBR-030514

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 Bruce AlverezMBR-028885, score 0.83, 2 recordsLinkLink to Bruce AlvarezMBR-030514, score 0.83, 1 recordLinkConfirm as a distinct identityTPA-54314 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-5095
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-004743
Opened: 2026-10-19 19:54:36
Top score: 0.83