CASE-001969

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

OpenCheckpointckpt-run-mvfoap9e-59135workflow paused, state held

Side-by-side comparison

Incoming CLM-407569 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-407569incoming	#1MBR-033001Ahmed Sanders 0.831 rec. Best evidence: NameDate of birth	#2MBR-044175Ahmed Sanders 0.831 rec. Best evidence: NameDate of birth
Name	Ahmed Sanders	Ahmed Q Sanders	Ahmed Sanders
Date of birth	1950-04-11 19500411	1950-04-11	1950-04-11
Member ID	UHC-57673-12	—	—
SSN	— •••-••-NULL	—	•••-••-4482
Phone	—	2934774587	—
Email	— null	ahmed.sanders80@icloud.com	—
Address	—	—	—
City / state / ZIP	— UNKNOWN, UNKNOWN	—	—
Group	GRP-5989	GRP-5989	—
Plan	— NULL	—	MEDICARE-ADV-A
Sources, records	CLM1 record	CLM ×11 record	TPA ×11 record

Evidence detail

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

▶#1MBR-033001Ahmed Sanders0.83

Matched against CLM-407570, 2 fields compared, weighted score 0.830

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

Guard: No identifier agreesConflicts: none

Records in this identity

CLMCLM-407570Ahmed Sanders1950-04-11Single record 1.00

▶#2MBR-044175Ahmed Sanders0.83

Matched against TPA-53319, 2 fields compared, weighted score 0.830

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

Guard: No identifier agreesConflicts: none

Records in this identity

TPATPA-53319Ahmed Sanders1950-04-11Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:3948aaddb5ea
Escalated CLM-407569, top score 0.83, candidates MBR-033001, MBR-044175

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 Ahmed SandersMBR-033001, score 0.83, 1 recordLinkLink to Ahmed SandersMBR-044175, score 0.83, 1 recordLinkConfirm as a distinct identityCLM-407569 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-59135
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-035913
Opened: 2026-10-19 19:54:36
Top score: 0.83