Steward queue/CASE-001653
Steward case

CASE-001653

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

OpenCheckpointckpt-run-mvjj6udb-43549workflow paused, state held

Side-by-side comparison

Incoming TPA-62404 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-62404incoming
#1MBR-013625Kayla Jensen
0.832 rec.
Best evidence: NameDate of birth
#2MBR-027098Santiago Jensen
0.663 rec.
Best evidence: none ≥ 0.90
NameKayla JensenKayla JensenSantiago Jensen
Date of birth1992-05-061992-05-061992-05-26
Member ID——UHC-40660-07
SSN—•••-••-7783•••-••-6249
Phone6499027116—7917563574
Email—
N/A
kayla.jensen@yahoo.com—
Address—
N/A
3522 Park Pl8713 Meadow Ln
City / state / ZIP—
N/A, -
Phoenix, AZ, 85045Seattle, WA, 98137
GroupGRP-3697—GRP-6666
PlanOPTIONS-PPO—CORE-HMO
Sources, recordsTPA1 recordTPA ×22 recordsCLM ×2ENR ×13 records

Evidence detail

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

▶#1MBR-013625Kayla Jensen0.83
Matched against TPA-62405, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • TPATPA-62405Kayla Jensen1992-05-06Scored 1.00
  • TPATPA-62406Kayla Jensen1992-05-06Scored 1.00
▶#2MBR-027098Santiago Jensen0.66
Matched against CLM-416274, 2 fields compared, weighted score 0.660
FieldSimilarityWeightShareNote
Name0.82350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:556510302f55
    Escalated TPA-62404, top score 0.83, candidates MBR-013625, MBR-027098

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-43549
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-029629
Opened
2026-10-22 12:43:43
Top score
0.83