Steward queue/CASE-001654
Steward case

CASE-001654

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

OpenCheckpointckpt-run-mvfoap9e-17581workflow paused, state held

Side-by-side comparison

Incoming TPA-52071 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-52071incoming
#1MBR-006750Anna Mason
0.833 rec.
Best evidence: NameDate of birth
#2MBR-001973Julia Mason
0.833 rec.
Best evidence: Date of birth
NameAnna I Mason
Mason, Anna I.
Anna I MasonJulia P Mason
Date of birth1972-01-02
01/02/1972
1972-01-021972-01-02
Member ID—
-
UHC-45165-10UHC-75209-77
SSN—
•••-••-N/A
—•••-••-4892
Phone—
N/A
31134388285192218721
Email—
NULL
anna.mason7@icloud.comjulia.mason37@outlook.com
Address—
N/A
1783 Main St2791 Elm St
City / state / ZIP—
UNKNOWN
Austin, TX, 78797Plano, TX, 75038
Group—GRP-7245GRP-2471
Plan—
UNKNOWN
CHOICE-PLUS-PPOCHOICE-PLUS-PPO
Sources, recordsTPA1 recordCLM ×33 recordsCLM ×2ENR ×13 records

Evidence detail

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

▶#1MBR-006750Anna Mason0.83
Matched against CLM-404734, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
▶#2MBR-001973Julia Mason0.83
Matched against ENR-126337, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.79350%
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 agent2026-10-19 19:54:391293839ca4
    Escalated TPA-52071, top score 0.83, candidates MBR-006750, MBR-001973

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-17581
Stage
human_steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-014736
Opened
2026-10-19 19:54:36
Top score
0.83