Steward queue/CASE-001338
Steward case

CASE-001338

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

OpenCheckpointckpt-run-mvfoap9e-5103workflow paused, state held

Side-by-side comparison

Incoming TPA-52286 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-52286incoming
#1MBR-006753Dorothy Gray
0.834 rec.
Best evidence: NameDate of birth
NameDorothy GryDorothy A Gray
Date of birth1945-08-201945-08-20
Member ID—UHC-28039-87
SSN—
•••-••-N/A
•••-••-1134
Phone—7976634776
Email—dorothy.gray@outlook.com
Address—
UNKNOWN
9607 Meadow Ln
City / state / ZIP—
N/A, null
Las Vegas, NV, 89155
Group—
UNKNOWN
GRP-6117
PlanMEDICARE-ADV-BMEDICARE-ADV-B
Sources, recordsTPA1 recordCLM ×1TPA ×1ENR ×24 records

Evidence detail

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

▶#1MBR-006753Dorothy Gray0.83
Matched against CLM-405215, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.96350%
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 19:54:39fd19ce1363
    Escalated TPA-52286, top score 0.83, candidates MBR-006753

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-5103
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-004750
Opened
2026-10-19 19:54:36
Top score
0.83