Steward queue/CASE-001898
Steward case

CASE-001898

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

OpenCheckpointckpt-run-mvfoap9e-47546workflow paused, state held

Side-by-side comparison

Incoming CLM-412079 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-412079incoming
#1MBR-037864Greg Moreno
0.833 rec.
Best evidence: NameDate of birth
NameGregory T MorenoGreg T Moreno
Date of birth1991-02-061991-02-06
Member ID—
null
UHC-44248-84
SSN•••-••-9090—
Phone—2103692644
Email——
Address—2887 Apache Blvd
City / state / ZIP—Fresno, CA, 93727
Group—GRP-3351
PlanMEDICARE-ADV-BSELECT-EPO
Sources, recordsCLM1 recordTPA ×1CLM ×1ENR ×13 records

Evidence detail

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

▶#1MBR-037864Greg Moreno0.83
Matched against TPA-55319, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%nickname
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:39bc73b37238
    Escalated CLM-412079, top score 0.83, candidates MBR-037864

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-47546
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-031391
Opened
2026-10-19 19:54:36
Top score
0.83