CASE-002094

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

OpenCheckpointckpt-run-mvjj6udb-64044workflow paused, state held

Side-by-side comparison

Incoming TPA-53561 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-53561incoming	#1MBR-030338Nancy Moraales 0.832 rec. Best evidence: NameDate of birth	#2MBR-037607Nancy Morales 0.831 rec. Best evidence: NameDate of birth
Name	Nancy Morales	Nancy Moraales	Nancy Morales
Date of birth	2004-10-22	2004-10-22	2004-10-22
Member ID	— UNKNOWN	UHC-83703-84	—
SSN	— •••-••-NULL	•••-••-8128	—
Phone	— NULL	8393092767	—
Email	— UNKNOWN	nancy.morales94@icloud.com	—
Address	—	6401 Ridge Rd	—
City / state / ZIP	— , -	Dallas, TX, 75268	—
Group	—	GRP-2347	—
Plan	— NULL	OPTIONS-PPO	—
Sources, records	TPA1 record	ENR ×22 records	TPA ×11 record

Evidence detail

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

▶#1MBR-030338Nancy Moraales0.83

Matched against ENR-110656, 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

ENRENR-110656Nancy Moralees2004-10-22Rule 0.99
ENRENR-110655Nancy Moraales2004-10-22Rule 0.99

▶#2MBR-037607Nancy Morales0.83

Matched against TPA-53560, 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-53560Nancy Morales2004-10-22Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-22 12:43:55b7372ef07d
Escalated TPA-53561, top score 0.83, candidates MBR-030338, MBR-037607

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 Nancy MoraalesMBR-030338, score 0.83, 2 recordsLinkLink to Nancy MoralesMBR-037607, score 0.83, 1 recordLinkConfirm as a distinct identityTPA-53561 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-64044
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-037608
Opened: 2026-10-22 12:43:43
Top score: 0.83