Steward queue/CASE-001409
Steward case

CASE-001409

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

OpenCheckpointckpt-run-mvfoap9e-94394workflow paused, state held

Side-by-side comparison

Incoming TPA-58211 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-58211incoming
#1MBR-026252Debra Ortega
0.833 rec.
Best evidence: NameDate of birth
NameDebra OrtegaDebra Y Ortega
Date of birth1998-11-091998-11-09
Member ID—
NULL
UHC-53202-94
SSN—•••-••-1681
Phone—2993726462
Email—
UNKNOWN
debra.ortega@aol.com
Address—3452 Meadow Ln
City / state / ZIP—
null, UNKNOWN
Orlando, FL, 32813
Group—GRP-9290
Plan—SELECT-EPO
Sources, recordsTPA1 recordENR ×2CLM ×13 records

Evidence detail

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

▶#1MBR-026252Debra Ortega0.83
Matched against ENR-124461, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
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 19:54:39fe4f53c3f6
    Escalated TPA-58211, top score 0.83, candidates MBR-026252

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-94394
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-045684
Opened
2026-10-19 19:54:36
Top score
0.83