CASE-001938

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

OpenCheckpointckpt-run-mvjj6udb-40004workflow paused, state held

Side-by-side comparison

Incoming CLM-403405 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-403405incoming	#1MBR-007531Vicky Hughes 0.831 rec. Best evidence: NameDate of birth
Name	Victoria Hughes	Vicky Hughes
Date of birth	1949-09-21	1949-09-21
Member ID	— NULL	UHC-95800-59
SSN	— •••-••-null	•••-••-4978
Phone	9807376597 +1 980 737 6597	—
Email	—	victoria.hughes87@aol.com
Address	—	267 Willow Ct
City / state / ZIP	— -, NULL, null	Minneapolis, MN, 55444
Group	GRP-1185	—
Plan	—	—
Sources, records	CLM1 record	TPA ×11 record

Evidence detail

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

▶#1MBR-007531Vicky Hughes0.83

Matched against TPA-51480, 2 fields compared, weighted score 0.830

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

Guard: No identifier agreesConflicts: none

Records in this identity

TPATPA-51480Vicky Hughes1949-09-21Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-22 12:43:5583f787f5c5
Escalated CLM-403405, top score 0.83, candidates MBR-007531

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 Vicky HughesMBR-007531, score 0.83, 1 recordLinkConfirm as a distinct identityCLM-403405 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-mvjj6udb-40004
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-028006
Opened: 2026-10-22 12:43:43
Top score: 0.83