Steward queue/CASE-001464
Steward case

CASE-001464

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

OpenCheckpointckpt-run-mvfoap9e-96648workflow paused, state held

Side-by-side comparison

Incoming CLM-405767 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-405767incoming
#1MBR-029760Ralph Burns
0.833 rec.
Best evidence: NameDate of birth
NameRalph BurnsRalph Burns
Date of birth1949-01-141949-01-14
Member ID—
-
UHC-63658-24
SSN—
•••-••-N/A
•••-••-2760
Phone—8579749999
Email——
Address—
NULL
6961 Meadow Ln
City / state / ZIP—
null, N/A
Tucson, AZ, 85760
GroupGRP-0130GRP-0130
PlanCORE-HMOCORE-HMO
Sources, recordsCLM1 recordTPA ×1CLM ×1ENR ×13 records

Evidence detail

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

▶#1MBR-029760Ralph Burns0.83
Matched against TPA-52551, 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 19:54:398443f5a884
    Escalated CLM-405767, top score 0.83, candidates MBR-029760

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-96648
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-046176
Opened
2026-10-19 19:54:36
Top score
0.83