CASE-001916

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

OpenCheckpointckpt-run-mvfoap9e-36081workflow paused, state held

Side-by-side comparison

Incoming CLM-408082 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-408082incoming	#1MBR-044747Randy Wood 0.832 rec. Best evidence: NameDate of birth	#2MBR-024213Randy Wod 0.721 rec. Best evidence: Name
Name	Ranyd Wood	Randy Wood	Randy H Wod
Date of birth	1981-05-19 May 19, 1981	1981-05-19	1980-05-19
Member ID	— NULL	UHC-10379-19	—
SSN	—	•••-••-1825	—
Phone	— 7520739	7357520739	7357520739
Email	— null	—	—
Address	—	4592 Desert Sky Blvd	4592 Desert Sky Blvd Apt 6
City / state / ZIP	— UNKNOWN, UNKNOWN, null	Glendale, AZ, 85346	Glendale, AZ, 85346
Group	GRP-4453	GRP-4453	GRP-4453
Plan	SELECT-EPO	MEDICARE-ADV-B	MEDICARE-ADV-B
Sources, records	CLM1 record	ENR ×1CLM ×12 records	CLM ×11 record

Evidence detail

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

▶#1MBR-044747Randy Wood0.83

Matched against ENR-110645, 2 fields compared, weighted score 0.830

Field	Similarity	Weight	Share	Note
Name	0.98	3	50%
Date of birth	1.00	3	50%	exact

Guard: No identifier agreesConflicts: none

Records in this identity

ENRENR-110645Randy Wood1981-05-19Scored 0.94
CLMCLM-408083Randy Wood1981-05-19Scored 0.94

▶#2MBR-024213Randy Wod0.72

Matched against CLM-408084, 2 fields compared, weighted score 0.721

Field	Similarity	Weight	Share	Note
Name	0.94	3	50%
Date of birth	0.50	3	50%	one_digit

Guard: noneConflicts: none

Records in this identity

CLMCLM-408084Randy Wod1980-05-19Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:39861dfcc31b
Escalated CLM-408082, top score 0.83, candidates MBR-044747, MBR-024213

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

Link to Randy WoodMBR-044747, score 0.83, 2 recordsLinkLink to Randy WodMBR-024213, score 0.72, 1 recordLinkConfirm as a distinct identityCLM-408082 stays on its own golden identity, marked verified.New identityReject record (quarantine)The record's identity is quarantined; nothing downstream may act on it.Reject

Rationale *

At least 8 characters (0/8)

ActorJ. Okafor (Data Stewardship)

Choose an option

Checkpoint: ckpt-run-mvfoap9e-36081
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-026062
Opened: 2026-10-19 19:54:36
Top score: 0.83