Steward queue/CASE-001776
Steward case

CASE-001776

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

OpenCheckpointckpt-run-mvfoap9e-15021workflow paused, state held

Side-by-side comparison

Incoming CLM-423038 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-423038incoming
#1MBR-012561Kelly Silva
0.832 rec.
Best evidence: NameDate of birth
#2MBR-009233Bobby Silva
0.643 rec.
Best evidence: none ≥ 0.90
NameKelly Silva
Silva, Kelly
Kelly SilvaBobby X Silva
Date of birth1965-06-28
28-06-1965
1965-06-281966-06-25
Member ID—
N/A
—UHC-38822-20
SSN—
•••-••--
•••-••-0537•••-••-3830
Phone—
N/A
—5197957190
Email—
-
kelly.silva99@gmail.combobby.silva@outlook.com
Address—
UNKNOWN
5859 Spring St2830 Main St
City / state / ZIP—
, UNKNOWN
Eden Prairie, MN, 55313Glendale, AZ, 85360
GroupGRP-3697GRP-3697GRP-8051
Plan—
null
CHOICE-PLUS-PPONAVIGATE-HMO
Sources, recordsCLM1 recordTPA ×1CLM ×12 recordsCLM ×2ENR ×13 records

Evidence detail

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

▶#1MBR-012561Kelly Silva0.83
Matched against TPA-60124, 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-009233Bobby Silva0.64
Matched against CLM-400116, 2 fields compared, weighted score 0.641
FieldSimilarityWeightShareNote
Name0.78350%
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 agent2026-10-19 19:54:39bed63745d9
    Escalated CLM-423038, top score 0.83, candidates MBR-012561, MBR-009233

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-15021
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-012860
Opened
2026-10-19 19:54:36
Top score
0.83