Steward case

CASE-001655

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

OpenCheckpointckpt-run-mvfoap9e-75544workflow paused, state held

Side-by-side comparison

Incoming CLM-416611 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-416611incoming	#1MBR-017597Frank Kelley 0.833 rec. Best evidence: NameDate of birth
Name	Frank M Kelley	Frank M Kelley
Date of birth	1942-02-28 2/28/1942	1942-02-28
Member ID	—	UHC-40168-92
SSN	— •••-••-NULL	•••-••-7532
Phone	— UNKNOWN	4224129873
Email	— UNKNOWN	frank.kelley@outlook.com
Address	— N/A	4477 Sunset Blvd
City / state / ZIP	— N/A, UNKNOWN	Jacksonville, FL, 32204
Group	GRP-5333	GRP-5333
Plan	— NULL	CHOICE-PLUS-PPO
Sources, records	CLM1 record	TPA ×2ENR ×13 records

Evidence detail

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

▶#1MBR-017597Frank Kelley0.83

Matched against TPA-57303, 2 fields compared, weighted score 0.830

Field	Similarity	Weight	Share	Note
Name	0.98	3	50%
Date of birth	1.00	3	50%	exact

Guard: No identifier agreesConflicts: none

Records in this identity

TPATPA-57303Frnk Kelley1942-02-28Rule 0.99
TPATPA-57304Kelley Frank1942-02-28Scored 0.98
ENRENR-121823Frank Kelley1942-02-28Rule 0.99

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:39a7e9a59007
Escalated CLM-416611, top score 0.83, candidates MBR-017597

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

Link to Frank KelleyMBR-017597, score 0.83, 3 recordsLinkConfirm as a distinct identityCLM-416611 stays on its own golden identity, marked verified.New identityReject record (quarantine)The record's identity is quarantined; nothing downstream may act on it.Reject

Rationale *

At least 8 characters (0/8)

ActorJ. Okafor (Data Stewardship)

Choose an option

Checkpoint: ckpt-run-mvfoap9e-75544
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-041125
Opened: 2026-10-19 19:54:36
Top score: 0.83