Steward queue/CASE-001849
Steward case

CASE-001849

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

OpenCheckpointckpt-run-mvfoap9e-90726workflow paused, state held

Side-by-side comparison

Incoming CLM-402565 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-402565incoming
#1MBR-027611Janice Rose
0.831 rec.
Best evidence: NameDate of birth
#2MBR-018682Frances Ross
0.663 rec.
Best evidence: none ≥ 0.90
NameJanice RoseJanice RoseFrances B Ross
Date of birth1987-12-141987-12-141987-12-11
Member ID—
N/A
—UHC-49985-38
SSN•••-••-3542—•••-••-8404
Phone—
NULL
—3023838491
Email—
NULL
—frances.ross21@icloud.com
Address—6492 Palm Dr379 Washington St
City / state / ZIP—
N/A, -, UNKNOWN
Denver, CO, 80290Las Vegas, NV, 89188
Group—
null
—GRP-6384
Plan—
NULL
CORE-HMOMEDICARE-ADV-A
Sources, recordsCLM1 recordCLM ×11 recordENR ×1CLM ×23 records

Evidence detail

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

▶#1MBR-027611Janice Rose0.83
Matched against CLM-402566, 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-402566Janice Rose1987-12-14Single record 1.00
▶#2MBR-018682Frances Ross0.66
Matched against CLM-426688, 2 fields compared, weighted score 0.664
FieldSimilarityWeightShareNote
Name0.83350%
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 19:54:394fe7aa6b5c
    Escalated CLM-402565, top score 0.83, candidates MBR-027611, MBR-018682

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-90726
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-044861
Opened
2026-10-19 19:54:36
Top score
0.83