Steward case

CASE-002355

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

OpenCheckpointckpt-run-mvfoap9e-68361workflow paused, state held

Side-by-side comparison

Incoming CLM-425932 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-425932incoming	#1MBR-043974Theresa Ortiz 0.831 rec. Best evidence: NameDate of birth	#2MBR-044170Sara Ortiz 0.642 rec. Best evidence: none ≥ 0.90
Name	Theresa Q Ortiz	Theresa Q Ortiz	Sara Ortiz
Date of birth	1979-04-04	1979-04-04	1979-04-07
Member ID	—	UHC-80394-40	UHC-96234-58
SSN	•••-••-8626	—	•••-••-6625
Phone	—	8204822968	3052494046
Email	— UNKNOWN	theresa.ortiz73@yahoo.com	—
Address	— null	8075 Mesa Dr	6585 Lake View Rd
City / state / ZIP	— N/A	Atlanta, GA, 30340	Minneapolis, MN, 55411
Group	GRP-0230	GRP-0230	GRP-3531
Plan	—	MEDICARE-ADV-A	CORE-HMO
Sources, records	CLM1 record	ENR ×11 record	TPA ×1CLM ×12 records

Evidence detail

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

▶#1MBR-043974Theresa Ortiz0.83

Matched against ENR-133938, 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

ENRENR-133938Theresa Ortiz1979-04-04Single record 1.00

▶#2MBR-044170Sara Ortiz0.64

Matched against CLM-410584, 2 fields compared, weighted score 0.643

Field	Similarity	Weight	Share	Note
Name	0.79	3	50%
Date of birth	0.50	3	50%	one_digit

Guard: noneConflicts: none

Records in this identity

TPATPA-54640Sara Ortiz1979-04-07Scored 1.00
CLMCLM-410584Sara Ortiz1979-04-07Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:39458b4a1039
Escalated CLM-425932, top score 0.83, candidates MBR-043974, MBR-044170

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 Theresa OrtizMBR-043974, score 0.83, 1 recordLinkLink to Sara OrtizMBR-044170, score 0.64, 2 recordsLinkConfirm as a distinct identityCLM-425932 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-68361
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-039016
Opened: 2026-10-19 19:54:36
Top score: 0.83