Steward queue/CASE-001863
Steward case

CASE-001863

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

OpenCheckpointckpt-run-mvjj6udb-7812workflow paused, state held

Side-by-side comparison

Incoming CLM-414486 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-414486incoming
#1MBR-036124Sandra Guzman
0.832 rec.
Best evidence: NameDate of birth
NameSandra M Guzman
Guzman, Sandra M
Sandra Guzman
Date of birth1941-03-22
22-03-1941
1941-03-22
Member ID—
UNKNOWN
UHC-31025-05
SSN—
•••-••- UNKNOWN
—
Phone—
-
3099403596
Email—
-
—
Address—
null
1098 Central Ave
City / state / ZIP—
null, N/A
Chandler, AZ, 85241
GroupGRP-8851GRP-8851
Plan—MEDICARE-ADV-B
Sources, recordsCLM1 recordTPA ×22 records

Evidence detail

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

▶#1MBR-036124Sandra Guzman0.83
Matched against TPA-56390, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • TPATPA-56390Sandra Guzman1941-03-22Scored 1.00
  • TPATPA-56391Sandra Guzman1941-03-22Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:55665b164894
    Escalated CLM-414486, top score 0.83, candidates MBR-036124

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-7812
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-007088
Opened
2026-10-22 12:43:43
Top score
0.83