CASE-002089

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

OpenCheckpointckpt-run-mvjj6udb-63432workflow paused, state held

Side-by-side comparison

Incoming TPA-64368 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-64368incoming	#1MBR-011999Cheryl Carr 0.832 rec. Best evidence: NameDate of birth	#2MBR-023200Cheryl Carr 0.832 rec. Best evidence: NameDate of birth
Name	Cheryl Carr	Cheryl Carr	Cheryl Carr
Date of birth	1981-12-11	1981-12-11	1981-12-11
Member ID	— N/A	—	UHC-85484-89
SSN	—	—	—
Phone	— N/A	6254293747	—
Email	—	cheryl.carr96@aol.com	—
Address	— N/A	—	1403 Sunset Blvd
City / state / ZIP	— NULL, NULL	—	Orlando, FL, 32891
Group	GRP-6956	—	GRP-6956
Plan	— N/A	—	OPTIONS-PPO
Sources, records	TPA1 record	PRV ×22 records	CLM ×22 records

Evidence detail

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

▶#1MBR-011999Cheryl Carr0.83

Matched against PRV-29514, 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

PRVPRV-29514Cheryl Carr1981-12-11Scored 1.00
PRVPRV-29515Cheryl Carr1981-12-11Scored 1.00

▶#2MBR-023200Cheryl Carr0.83

Matched against CLM-432565, 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

CLMCLM-432566Cheryl Crar1981-12-11Rule 0.99
CLMCLM-432565Cheryl Carr1981-12-11Rule 0.99

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-22 12:43:55eca87e50aa
Escalated TPA-64368, top score 0.83, candidates MBR-011999, MBR-023200

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 Cheryl CarrMBR-011999, score 0.83, 2 recordsLinkLink to Cheryl CarrMBR-023200, score 0.83, 2 recordsLinkConfirm as a distinct identityTPA-64368 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-63432
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-037383
Opened: 2026-10-22 12:43:43
Top score: 0.83