Steward queue/CASE-001573
Steward case

CASE-001573

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

OpenCheckpointckpt-run-mvjj6udb-41225workflow paused, state held

Side-by-side comparison

Incoming TPA-61032 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-61032incoming
#1MBR-028258Willie Simmons
0.831 rec.
Best evidence: NameDate of birth
NameWillie SimmonsWillie Simmons
Date of birth1960-04-041960-04-04
Member ID—
-
UHC-03082-45
SSN——
Phone4342808770
(434) 280-8770
—
Email—
N/A
—
Address—
null
3985 Willow Ct
City / state / ZIP—
N/A, -, null
Sacramento, CA, 95837
Group—GRP-8795
Plan—MEDICARE-ADV-B
Sources, recordsTPA1 recordCLM ×11 record

Evidence detail

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

▶#1MBR-028258Willie Simmons0.83
Matched against CLM-425037, 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-425037Willie Simmons1960-04-04Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:555b2bd63830
    Escalated TPA-61032, top score 0.83, candidates MBR-028258

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-41225
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-028587
Opened
2026-10-22 12:43:43
Top score
0.83