CASE-001970

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

OpenCheckpointckpt-run-mvfoap9e-87808workflow paused, state held

Side-by-side comparison

Incoming TPA-53319 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-53319incoming	#1MBR-033001Ahmed Sanders 0.831 rec. Best evidence: NameDate of birth	#2MBR-035913Ahmed Sanders 0.831 rec. Best evidence: NameDate of birth
Name	Ahmed Sanders	Ahmed Q Sanders	Ahmed Sanders
Date of birth	1950-04-11 04/11/50	1950-04-11	1950-04-11
Member ID	—	—	UHC-57673-12
SSN	•••-••-4482	—	—
Phone	— UNKNOWN	2934774587	—
Email	—	ahmed.sanders80@icloud.com	—
Address	—	—	—
City / state / ZIP	— null	—	—
Group	— NULL	GRP-5989	GRP-5989
Plan	MEDICARE-ADV-A	—	—
Sources, records	TPA1 record	CLM ×11 record	CLM ×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-035913Ahmed Sanders0.83

Matched against CLM-407569, 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-407569Ahmed Sanders1950-04-11Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:39d4cee331b1
Escalated TPA-53319, top score 0.83, candidates MBR-033001, MBR-035913

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-035913, score 0.83, 1 recordLinkConfirm as a distinct identityTPA-53319 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-87808
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-044175
Opened: 2026-10-19 19:54:36
Top score: 0.83