CASE-002002

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

OpenCheckpointckpt-run-mvfoap9e-92283workflow paused, state held

Side-by-side comparison

Incoming CLM-417511 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-417511incoming	#1MBR-007863Debra Obrien 0.833 rec. Best evidence: NameDate of birth
Name	Debra Obrien	Debra J Obrien
Date of birth	2006-10-26	2006-10-26
Member ID	— N/A	UHC-76374-56
SSN	— •••-••--	•••-••-8627
Phone	— -	6177505686
Email	— null	—
Address	— N/A	6594 Forest Ave
City / state / ZIP	— N/A, -, NULL	Fresno, CA, 93775
Group	— null	GRP-1175
Plan	MEDICARE-ADV-A	MEDICARE-ADV-A
Sources, records	CLM1 record	ENR ×1CLM ×1TPA ×13 records

Evidence detail

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

▶#1MBR-007863Debra Obrien0.83

Matched against ENR-123075, 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

ENRENR-123075Debra Obrien2006-10-26Rule 0.99
CLMCLM-417512Debra Obrien2006-10-26Rule 0.99
TPATPA-57744Debra Obrien2006-10-26Rule 0.97

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:3968e24e4fe3
Escalated CLM-417511, top score 0.83, candidates MBR-007863

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 Debra ObrienMBR-007863, score 0.83, 3 recordsLinkConfirm as a distinct identityCLM-417511 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-92283
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-045237
Opened: 2026-10-19 19:54:36
Top score: 0.83