Steward queue/CASE-001588
Steward case

CASE-001588

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

OpenCheckpointckpt-run-mvjj6udb-45287workflow paused, state held

Side-by-side comparison

Incoming CLM-413095 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-413095incoming
#1MBR-037591Joe Rojas
0.832 rec.
Best evidence: NameDate of birth
#2MBR-043106Willie Rojas
0.641 rec.
Best evidence: none ≥ 0.90
NameJoe RojasJoe RojasWillie X Rojas
Date of birth1948-12-201948-12-201948-12-25
Member ID—
UNKNOWN
UHC-74508-69UHC-26172-09
SSN—
•••-••-UNKNOWN
•••-••-9136•••-••-5674
Phone—65720633437754532546
Email—
-
joe.rojas14@outlook.comwillie.rojas89@proton.me
Address—
NULL
8160 Spring St2316 Highland Ave
City / state / ZIP—
-, null
Eden Prairie, MN, 55362Eden Prairie, MN, 55329
GroupGRP-9498GRP-9498GRP-5517
Plan—NAVIGATE-HMOMEDICARE-ADV-A
Sources, recordsCLM1 recordCLM ×1ENR ×12 recordsENR ×11 record

Evidence detail

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

▶#1MBR-037591Joe Rojas0.83
Matched against CLM-413096, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.96350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
▶#2MBR-043106Willie Rojas0.64
Matched against ENR-137322, 2 fields compared, weighted score 0.639
FieldSimilarityWeightShareNote
Name0.78350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
  • ENRENR-137322Willie Rojas1948-12-25Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:558f750a6122
    Escalated CLM-413095, top score 0.83, candidates MBR-037591, MBR-043106

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-45287
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-030442
Opened
2026-10-22 12:43:43
Top score
0.83