CASE-002088

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

OpenCheckpointckpt-run-mvfoap9e-94315workflow paused, state held

Side-by-side comparison

Incoming CLM-428589 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-428589incoming	#1MBR-009109Ana Carr 0.833 rec. Best evidence: NameDate of birth	#2MBR-023672Ana Carr 0.831 rec. Best evidence: NameDate of birth
Name	Ana Carr	Ana Carr	Ana Carr
Date of birth	1981-08-17 8/17/1981	1981-08-17	1981-08-17
Member ID	UHC-99021-58	—	—
SSN	—	—	—
Phone	— UNKNOWN	5898373919	—
Email	—	—	ana.carr@hotmail.com
Address	— -	3689 Pine Dr	—
City / state / ZIP	— -, NULL	Los Angeles, CA, 90074	—
Group	GRP-1099	—	—
Plan	—	—	NAVIGATE-HMO
Sources, records	CLM1 record	TPA ×2CLM ×13 records	TPA ×11 record

Evidence detail

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

▶#1MBR-009109Ana Carr0.83

Matched against TPA-62635, 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-62635Ana Carr1981-08-17Scored 1.00
TPATPA-62636Ana Carr1981-08-17Scored 1.00
CLMCLM-428588Ana Carr1981-08-17Scored 1.00

▶#2MBR-023672Ana Carr0.83

Matched against TPA-62634, 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-62634Ana Carr1981-08-17Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:391044d8271d
Escalated CLM-428589, top score 0.83, candidates MBR-009109, MBR-023672

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 Ana CarrMBR-009109, score 0.83, 3 recordsLinkLink to Ana CarrMBR-023672, score 0.83, 1 recordLinkConfirm as a distinct identityCLM-428589 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-94315
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-045661
Opened: 2026-10-19 19:54:36
Top score: 0.83