CASE-001975

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

OpenCheckpointckpt-run-mvjj6udb-48655workflow paused, state held

Side-by-side comparison

Incoming TPA-56812 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-56812incoming	#1MBR-013544Jacob Young 0.832 rec. Best evidence: NameDate of birth
Name	Jacob Young	Jacob Young
Date of birth	2000-11-25	2000-11-25
Member ID	— N/A	UHC-81162-01
SSN	—	•••-••-6013
Phone	— -	9792463169
Email	—	jacob.young@icloud.com
Address	— UNKNOWN	8831 Grand Ave Apt 34
City / state / ZIP	— N/A, null	Atlanta, GA, 30339
Group	GRP-1106	GRP-1106
Plan	—	MEDICARE-ADV-B
Sources, records	TPA1 record	CLM ×1ENR ×12 records

Evidence detail

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

▶#1MBR-013544Jacob Young0.83

Matched against CLM-415520, 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-415520Jacob Young2000-11-25Rule 0.99
ENRENR-120468Jacob Young2000-11-25Rule 0.99

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-22 12:43:5569186ea461
Escalated TPA-56812, top score 0.83, candidates MBR-013544

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 Jacob YoungMBR-013544, score 0.83, 2 recordsLinkConfirm as a distinct identityTPA-56812 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-48655
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-031890
Opened: 2026-10-22 12:43:43
Top score: 0.83