CASE-002051

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

OpenCheckpointckpt-run-mvjj6udb-51229workflow paused, state held

Side-by-side comparison

Incoming CLM-421828 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-421828incoming	#1MBR-008157Karen Mills 0.832 rec. Best evidence: NameDate of birth
Name	Karen R Mills	Karen Mills
Date of birth	1992-07-13	1992-07-13
Member ID	— N/A	UHC-92482-67
SSN	— •••-••--	•••-••-6783
Phone	— null	4169909506
Email	—	karen.mills@proton.me
Address	—	4749 Highland Ave
City / state / ZIP	— -, NULL	Denver, CO, 80234
Group	— NULL	GRP-6534
Plan	NAVIGATE-HMO	NAVIGATE-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-008157Karen Mills0.83

Matched against TPA-59586, 2 fields compared, weighted score 0.830

Field	Similarity	Weight	Share	Note
Name	0.98	3	50%
Date of birth	1.00	3	50%	exact

Guard: No identifier agreesConflicts: none

Records in this identity

TPATPA-59586Kaen Mills1992-07-13Scored 0.99
ENRENR-128560Karen Mills1992-07-13Scored 0.99

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-22 12:43:55aae4298409
Escalated CLM-421828, top score 0.83, candidates MBR-008157

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 Karen MillsMBR-008157, score 0.83, 2 recordsLinkConfirm as a distinct identityCLM-421828 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-51229
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-032925
Opened: 2026-10-22 12:43:43
Top score: 0.83