Steward queue/CASE-001557
Steward case

CASE-001557

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

OpenCheckpointckpt-run-mvfoap9e-97177workflow paused, state held

Side-by-side comparison

Incoming CLM-409185 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-409185incoming
#1MBR-045986Bryan Ortiz
0.831 rec.
Best evidence: NameDate of birth
#2MBR-017905Bryan Ortiz
0.751 rec.
Best evidence: NameDate of birth
NameBryan K OrtizBryan K OrtizBryan Ortiz
Date of birth1965-07-06
Jul 6, 1965
1965-07-061965-07-06
Member IDUHC-46023-57——
SSN—
•••-••-UNKNOWN
•••-••-3418—
Phone—
-
——
Email———
Address4415 Canyon Rd
4415 Canyon Road
—3376 Market St
City / state / ZIPLas Vegas, NV, 89163—Chandler, AZ, 85230
GroupGRP-3597——
Plan——MEDICARE-ADV-B
Sources, recordsCLM1 recordCLM ×11 recordTPA ×11 record

Evidence detail

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

▶#1MBR-045986Bryan Ortiz0.83
Matched against CLM-409184, 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-409184Bryan Ortiz1965-07-06Single record 1.00
▶#2MBR-017905Bryan Ortiz0.75
Matched against TPA-54001, 3 fields compared, weighted score 0.750
FieldSimilarityWeightShareNote
Name1.00338%
Date of birth1.00338%exact
Address0.00225%different
Guard: noneConflicts: none
Records in this identity
  • TPATPA-54001Bryan Ortiz1965-07-06Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:394533b1e4cd
    Escalated CLM-409185, top score 0.83, candidates MBR-045986, MBR-017905

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-97177
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-046294
Opened
2026-10-19 19:54:36
Top score
0.83