Steward queue/CASE-002192
Steward case

CASE-002192

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

OpenCheckpointckpt-run-mvfoap9e-10331workflow paused, state held

Side-by-side comparison

Incoming CLM-416969 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-416969incoming
#1MBR-014695Sara Burton
0.832 rec.
Best evidence: NameDate of birth
NameSara C BurtonSara C Burton
Date of birth1941-10-241941-10-24
Member ID—
N/A
UHC-23295-30
SSN—
•••-••-UNKNOWN
•••-••-0380
Phone—4926145177
Email—
N/A
—
Address9018 Bayshore Dr9018 Bayshore Dr
City / state / ZIPGilbert, AZ, 85285Gilbert, AZ, 85285
GroupGRP-9996GRP-9996
Plan—
N/A
MEDICARE-ADV-A
Sources, recordsCLM1 recordTPA ×1ENR ×12 records

Evidence detail

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

▶#1MBR-014695Sara Burton0.83
Matched against TPA-57485, 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 19:54:39e89b6f9c2e
    Escalated CLM-416969, top score 0.83, candidates MBR-014695

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-10331
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-009157
Opened
2026-10-19 19:54:36
Top score
0.83