CASE-002092

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

OpenCheckpointckpt-run-mvfoap9e-66573workflow paused, state held

Side-by-side comparison

Incoming TPA-61579 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-61579incoming	#1MBR-019686Samantha Morris 0.833 rec. Best evidence: NameDate of birth
Name	Samantha Morris	Samantha Morris
Date of birth	2004-09-22	2004-09-22
Member ID	—	UHC-72872-02
SSN	— •••-••-NULL	•••-••-9145
Phone	— NULL	8475354994
Email	— N/A	—
Address	— UNKNOWN	3973 Baseline Rd
City / state / ZIP	— null, NULL	Houston, TX
Group	—	GRP-6780
Plan	— null	OPTIONS-PPO
Sources, records	TPA1 record	CLM ×33 records

Evidence detail

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

▶#1MBR-019686Samantha Morris0.83

Matched against CLM-426229, 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-426229Samantha Morris2004-09-22Scored 0.93
CLMCLM-426227Samantha Morris2004-09-22Rule 0.97
CLMCLM-426228Sam Morris2004-09-22Rule 0.97

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:3917bcec4e36
Escalated TPA-61579, top score 0.83, candidates MBR-019686

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 Samantha MorrisMBR-019686, score 0.83, 3 recordsLinkConfirm as a distinct identityTPA-61579 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-66573
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-038440
Opened: 2026-10-19 19:54:36
Top score: 0.83