CASE-002045

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

OpenCheckpointckpt-run-mvfoap9e-94360workflow paused, state held

Side-by-side comparison

Incoming CLM-428929 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-428929incoming	#1MBR-035177Hannah Valdez 0.832 rec. Best evidence: NameDate of birth
Name	Hannah Valdez	Hannah Valdez
Date of birth	1969-03-27	1969-03-27
Member ID	—	UHC-12876-94
SSN	•••-••-5240	—
Phone	— UNKNOWN	—
Email	— null	—
Address	— N/A	4569 Baseline Rd
City / state / ZIP	— -, , -	Glendale, AZ, 85357
Group	—	GRP-9662
Plan	— null	CORE-HMO
Sources, records	CLM1 record	TPA ×1ENR ×12 records

Evidence detail

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

▶#1MBR-035177Hannah Valdez0.83

Matched against TPA-62786, 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

TPATPA-62786Hannah Valdez1969-03-27Scored 1.00
ENRENR-137919Hannah Valdez1969-03-27Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:395ee88b4183
Escalated CLM-428929, top score 0.83, candidates MBR-035177

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 Hannah ValdezMBR-035177, score 0.83, 2 recordsLinkConfirm as a distinct identityCLM-428929 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-94360
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-045674
Opened: 2026-10-19 19:54:36
Top score: 0.83