CASE-002000

Confidence 0.78 is below the policy threshold 0.85.

OpenCheckpointckpt-run-mvjj6udb-68193workflow paused, state held

Side-by-side comparison

Incoming TPA-55573 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-55573incoming	#1MBR-007851Kimberly Roberts 0.783 rec. Best evidence: NameDate of birthPhone
Name	Kimberly Rooberts	Kimberly Roberts
Date of birth	1944-04-27	1944-04-27
Member ID	—	UHC-33561-79
SSN	— •••-••-N/A	•••-••-4602
Phone	6697220304	6697220304
Email	— -	kimberly.roberts@yahoo.com
Address	5474 Indian School Rd 5474 INDIAN SCHOOL ROAD	6613 Harbor Blvd
City / state / ZIP	Atlanta, GA, 30369	Chandler, AZ, 85249
Group	— null	GRP-5901
Plan	MEDICARE-ADV-B	MEDICARE-ADV-B
Sources, records	TPA1 record	ENR ×1CLM ×23 records

Evidence detail

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

▶#1MBR-007851Kimberly Roberts0.78

Matched against ENR-116650, 4 fields compared, weighted score 0.783

Field	Similarity	Weight	Share	Note
Name	0.98	3	32%	nickname
Date of birth	1.00	3	32%	exact
Phone	1.00	1.5	16%
Address	0.00	2	21%	different

Guard: noneConflicts: none

Records in this identity

ENRENR-116650Kim Roberts1944-04-27Rule 0.99
CLMCLM-412676Kimberly Roberts1944-04-27Rule 0.99
CLMCLM-412677Kimberly Roberts1944-04-27Rule 0.99

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-22 12:43:55e7a7d96d54
Escalated TPA-55573, top score 0.78, candidates MBR-007851

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 Kimberly RobertsMBR-007851, score 0.78, 3 recordsLinkConfirm as a distinct identityTPA-55573 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-68193
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-038963
Opened: 2026-10-22 12:43:43
Top score: 0.78