Steward queue/CASE-001553
Steward case

CASE-001553

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

OpenCheckpointckpt-run-mvjj6udb-6226workflow paused, state held

Side-by-side comparison

Incoming TPA-51593 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-51593incoming
#1MBR-029011Gerald Ford
0.832 rec.
Best evidence: NameDate of birth
NameGerald FordGerald Ford
Date of birth1951-09-221951-09-22
Member ID—UHC-48495-37
SSN—
•••-••-NULL
•••-••-7723
Phone—
null
5188659389
Email—gerald.ford@yahoo.com
Address—
UNKNOWN
6239 Oak St
City / state / ZIP—
-
Phoenix, AZ, 85053
Group—GRP-9557
PlanCHOICE-PLUS-PPOCHOICE-PLUS-PPO
Sources, recordsTPA1 recordCLM ×1ENR ×12 records

Evidence detail

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

▶#1MBR-029011Gerald Ford0.83
Matched against CLM-403676, 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 12:43:559c06a4f07e
    Escalated TPA-51593, top score 0.83, candidates MBR-029011

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-6226
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-005733
Opened
2026-10-22 12:43:43
Top score
0.83