Steward queue/CASE-001476
Steward case

CASE-001476

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

OpenCheckpointckpt-run-mvjj6udb-34228workflow paused, state held

Side-by-side comparison

Incoming CLM-418148 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-418148incoming
#1MBR-027580Nancy Larson
0.832 rec.
Best evidence: NameDate of birth
NameNancy LarsonNancy Larson
Date of birth1977-02-14
14-02-1977
1977-02-14
Member ID—
N/A
UHC-35561-06
SSN—•••-••-2937
Phone—
null
9628209125
Email—
NULL
—
Address—4282 Park Pl
City / state / ZIP—
null, -
Nashville, TN, 37292
Group—
UNKNOWN
GRP-5243
Plan—
-
CORE-HMO
Sources, recordsCLM1 recordENR ×1TPA ×12 records

Evidence detail

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

▶#1MBR-027580Nancy Larson0.83
Matched against ENR-123854, 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 agent2026-10-22 12:43:55441231112e
    Escalated CLM-418148, top score 0.83, candidates MBR-027580

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-34228
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-025092
Opened
2026-10-22 12:43:43
Top score
0.83