CASE-002001

Confidence 0.84 is below the policy threshold 0.85.

OpenCheckpointckpt-run-mvfoap9e-98465workflow paused, state held

Side-by-side comparison

Incoming CLM-425369 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-425369incoming	#1MBR-007858Juan Graham 0.843 rec. Best evidence: NamePhoneAddress
Name	Juan Graham	Juan A Graham
Date of birth	1937-06-16	1938-06-16
Member ID	— UNKNOWN	UHC-15294-97
SSN	—	•••-••-5184
Phone	8819876906 881-987-6906	8819876906
Email	—	juan.graham@icloud.com
Address	4334 Harbor Blvd 4334 Harbor Boulevard	4334 Harbor Blvd
City / state / ZIP	Fresno, CA, 93733 Fresno, CA , 93733-9784	Fresno, CA, 93733
Group	GRP-9519	GRP-9519
Plan	CORE-HMO	CORE-HMO
Sources, records	CLM1 record	TPA ×1ENR ×23 records

Evidence detail

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

▶#1MBR-007858Juan Graham0.84

Matched against ENR-133186, 4 fields compared, weighted score 0.842

Field	Similarity	Weight	Share	Note
Name	1.00	3	32%
Date of birth	0.50	3	32%	one_digit
Phone	1.00	1.5	16%
Address	1.00	2	21%	exact

Guard: noneConflicts: none

Records in this identity

TPATPA-61198Juan Graham1938-06-16Scored 1.00
ENRENR-133186Juan Graham1938-06-16Scored 1.00
ENRENR-133187Juan Graham1938-06-16Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:39d4aa765ec6
Escalated CLM-425369, top score 0.84, candidates MBR-007858

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 Juan GrahamMBR-007858, score 0.84, 3 recordsLinkConfirm as a distinct identityCLM-425369 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-98465
Stage: human_steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-046549
Opened: 2026-10-19 19:54:36
Top score: 0.84