CASE-002047

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

OpenCheckpointckpt-run-mvjj6udb-81179workflow paused, state held

Side-by-side comparison

Incoming CLM-417975 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-417975incoming	#1MBR-008121Pual Herrera 0.831 rec. Best evidence: NameDate of birth	#2MBR-043316Paul Herrera 0.601 rec. Best evidence: Name
Name	Paul Herrera	Pual G Herrera	Paul Herrera
Date of birth	1994-07-28 28-07-1994	1994-07-28	1994-10-15
Member ID	— UNKNOWN	UHC-71796-43	UHC-49772-88
SSN	— •••-••-N/A	•••-••-7369	•••-••-4572
Phone	—	9452659708	8872767298
Email	— N/A	—	—
Address	— UNKNOWN	248 Palm Dr Apt 7	2380 Broadway
City / state / ZIP	— null, N/A, UNKNOWN	Los Angeles, CA, 90072	Seattle, WA
Group	—	GRP-2705	GRP-1878
Plan	—	MEDICARE-ADV-A	NAVIGATE-HMO
Sources, records	CLM1 record	ENR ×11 record	ENR ×11 record

Evidence detail

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

▶#1MBR-008121Pual Herrera0.83

Matched against ENR-123651, 2 fields compared, weighted score 0.830

Field	Similarity	Weight	Share	Note
Name	0.97	3	50%
Date of birth	1.00	3	50%	exact

Guard: No identifier agreesConflicts: none

Records in this identity

ENRENR-123651Pual Herrera1994-07-28Single record 1.00

▶#2MBR-043316Paul Herrera0.60

Matched against ENR-108476, 2 fields compared, weighted score 0.600

Field	Similarity	Weight	Share	Note
Name	1.00	3	50%
Date of birth	0.20	3	50%	year_only

Guard: noneConflicts: none

Records in this identity

ENRENR-108476Paul Herrera1994-10-15Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-22 12:43:5522d4f3269d
Escalated CLM-417975, top score 0.83, candidates MBR-008121, MBR-043316

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 Pual HerreraMBR-008121, score 0.83, 1 recordLinkLink to Paul HerreraMBR-043316, score 0.60, 1 recordLinkConfirm as a distinct identityCLM-417975 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-81179
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-042593
Opened: 2026-10-22 12:43:43
Top score: 0.83