Steward queue/CASE-002125
Steward case

CASE-002125

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

OpenCheckpointckpt-run-mvfoap9e-83188workflow paused, state held

Side-by-side comparison

Incoming TPA-52095 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-52095incoming
#1MBR-028381Roy Bennett
0.833 rec.
Best evidence: NameDate of birth
NameRoy Q Bennett
ROY Q. BENNETT
Roy Q Bennett
Date of birth1950-11-231950-11-23
Member ID—
null
UHC-17845-80
SSN—•••-••-6166
Phone—4639217582
Email—roy.bennett60@aol.com
Address—
NULL
4687 Central Ave # 706
City / state / ZIP—
-
Scottsdale, AZ, 85270
GroupGRP-4177GRP-4177
Plan—
N/A
SELECT-EPO
Sources, recordsTPA1 recordCLM ×2ENR ×13 records

Evidence detail

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

▶#1MBR-028381Roy Bennett0.83
Matched against CLM-404790, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:39c68192b49c
    Escalated TPA-52095, top score 0.83, candidates MBR-028381

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
At least 8 characters (0/8)
ActorJ. Okafor (Data Stewardship)
Choose an option
Checkpoint
ckpt-run-mvfoap9e-83188
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-043111
Opened
2026-10-19 19:54:36
Top score
0.83