CASE-002080

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

OpenCheckpointckpt-run-mvjj6udb-67917workflow paused, state held

Side-by-side comparison

Incoming TPA-53946 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-53946incoming	#1MBR-009698Alan Ortiz 0.832 rec. Best evidence: NameDate of birth	#2MBR-037742Brandon Ortega 0.611 rec. Best evidence: none ≥ 0.90
Name	Alan Ortiz	Alan Ortiz	Brandon Ortega
Date of birth	2008-07-18	2008-07-18	2008-07-14
Member ID	— UNKNOWN	UHC-87483-95	—
SSN	—	•••-••-8237	—
Phone	—	3786024767	—
Email	— UNKNOWN	alan.ortiz19@gmail.com	brandon.ortega47@gmail.com
Address	—	8517 Highland Ave	5578 Pine Dr
City / state / ZIP	— null, UNKNOWN, null	Columbus, OH, 43203	Tempe, AZ, 85298
Group	GRP-1874	GRP-1874	—
Plan	NAVIGATE-HMO	MEDICARE-ADV-B	—
Sources, records	TPA1 record	ENR ×1CLM ×12 records	TPA ×11 record

Evidence detail

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

▶#1MBR-009698Alan Ortiz0.83

Matched against ENR-111908, 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-111908Alan Ortiz2008-07-18Rule 0.99
CLMCLM-409000Alan Ortiz2008-07-18Rule 0.99

▶#2MBR-037742Brandon Ortega0.61

Matched against TPA-54524, 2 fields compared, weighted score 0.606

Field	Similarity	Weight	Share	Note
Name	0.71	3	50%
Date of birth	0.50	3	50%	one_digit

Guard: noneConflicts: none

Records in this identity

TPATPA-54524Brandon Ortega2008-07-14Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-22 12:43:55f9cb05f53e
Escalated TPA-53946, top score 0.83, candidates MBR-009698, MBR-037742

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 Alan OrtizMBR-009698, score 0.83, 2 recordsLinkLink to Brandon OrtegaMBR-037742, score 0.61, 1 recordLinkConfirm as a distinct identityTPA-53946 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-67917
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-038879
Opened: 2026-10-22 12:43:43
Top score: 0.83