Steward queue/CASE-002343
Steward case

CASE-002343

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

OpenCheckpointckpt-run-mvfoap9e-11360workflow paused, state held

Side-by-side comparison

Incoming CLM-400017 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-400017incoming
#1MBR-018208Nancy Campbell
0.832 rec.
Best evidence: NameDate of birth
NameNancy CampbellNancy O Campbell
Date of birth1991-05-20
05/20/1991
1991-05-20
Member ID—UHC-10392-04
SSN—
•••-••-NULL
•••-••-4605
Phone—
N/A
7332381159
Email—
N/A
nancy.campbell16@gmail.com
Address—3517 Baseline Rd
City / state / ZIP—
N/A, NULL
Jacksonville, FL, 32266
Group—
NULL
GRP-5012
Plan—
null
MEDICARE-ADV-B
Sources, recordsCLM1 recordENR ×1PRV ×12 records

Evidence detail

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

▶#1MBR-018208Nancy Campbell0.83
Matched against ENR-100026, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • ENRENR-100026Nancy Campbell1991-05-20Scored 1.00
  • PRVPRV-20007Nancy Campbell1991-05-20Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:391c4fe47b96
    Escalated CLM-400017, top score 0.83, candidates MBR-018208

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-11360
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-010007
Opened
2026-10-19 19:54:36
Top score
0.83