Steward queue/CASE-001475
Steward case

CASE-001475

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

OpenCheckpointckpt-run-mvjj6udb-8999workflow paused, state held

Side-by-side comparison

Incoming TPA-59839 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-59839incoming
#1MBR-005348Isabella Lopez
0.831 rec.
Best evidence: NameDate of birth
NameIsabella LopezIsabella Lopez
Date of birth1960-01-051960-01-05
Member ID—
null
UHC-82562-05
SSN—
•••-••-UNKNOWN
•••-••-0051
Phone—
N/A
—
Email—
-
—
Address—
NULL
3478 Bayshore Dr
City / state / ZIP—
N/A, N/A
Seattle, WA, 98194
Group——
PlanCHOICE-PLUS-PPO—
Sources, recordsTPA1 recordCLM ×11 record

Evidence detail

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

▶#1MBR-005348Isabella Lopez0.83
Matched against CLM-422409, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • CLMCLM-422409Isabella Lopez1960-01-05Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:55daba0b7834
    Escalated TPA-59839, top score 0.83, candidates MBR-005348

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-mvjj6udb-8999
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-008088
Opened
2026-10-22 12:43:43
Top score
0.83