CASE-002011

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

OpenCheckpointckpt-run-mvfoap9e-63183workflow paused, state held

Side-by-side comparison

Incoming CLM-422728 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-422728incoming	#1MBR-021063Benjamin Fuller 0.836 rec. Best evidence: NameDate of birth
Name	Benjamin Fuller	Benjamin V Fuller
Date of birth	1964-03-15 Mar 15, 1964	1964-03-15
Member ID	— UNKNOWN	UHC-11971-67
SSN	— •••-••-null	•••-••-9885
Phone	— N/A	2162739017
Email	benjamin.fuller81@gmail.com	—
Address	— UNKNOWN	4702 Spring St
City / state / ZIP	— null, NULL, -	Nashville, TN, 37237
Group	GRP-7658	GRP-7658
Plan	— UNKNOWN	MEDICARE-ADV-A
Sources, records	CLM1 record	CLM ×5PRV ×16 records

Evidence detail

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

▶#1MBR-021063Benjamin Fuller0.83

Matched against CLM-422727, 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-422727Benjamin Fuller1964-03-15Scored 1.00
CLMCLM-422731Benjamin Fuller1964-03-15Scored 1.00
CLMCLM-422732Benjamin Fuller1964-03-15Scored 1.00
CLMCLM-422729Benjamin Fuller1964-03-15Scored 1.00
PRVPRV-26720Ben Fuller1964-03-15Scored 1.00
CLMCLM-422730Benjamin Fuller1964-03-15Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:3955ea9885b6
Escalated CLM-422728, top score 0.83, candidates MBR-021063

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 Benjamin FullerMBR-021063, score 0.83, 6 recordsLinkConfirm as a distinct identityCLM-422728 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-63183
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-037299
Opened: 2026-10-19 19:54:36
Top score: 0.83