Steward queue/CASE-001723
Steward case

CASE-001723

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

OpenCheckpointckpt-run-mvjj6udb-57140workflow paused, state held

Side-by-side comparison

Incoming TPA-52514 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-52514incoming
#1MBR-026193Santiago Mendoza
0.833 rec.
Best evidence: NameDate of birth
NameSantiago MendozaSantiago A Mendoza
Date of birth1939-10-25
10/25/1939
1939-10-25
Member ID—
UNKNOWN
UHC-87845-70
SSN——
Phone—8258697914
Email—santiago.mendoza@gmail.com
Address—
NULL
4106 Central Ave Apt 14
City / state / ZIP—
null, NULL, null
San Diego, CA
Group—GRP-2717
PlanCHOICE-PLUS-PPOCHOICE-PLUS-PPO
Sources, recordsTPA1 recordCLM ×2ENR ×13 records

Evidence detail

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

▶#1MBR-026193Santiago Mendoza0.83
Matched against CLM-405691, 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-405691Santiago Mendoza1939-10-25Scored 1.00
  • CLMCLM-405692Santiago Mendoza1939-10-25Scored 1.00
  • ENRENR-107488Santiago Mendoza1939-10-25Scored 0.94

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:55f3303c0143
    Escalated TPA-52514, top score 0.83, candidates MBR-026193

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-57140
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-035175
Opened
2026-10-22 12:43:43
Top score
0.83