Steward queue/CASE-002367
Steward case

CASE-002367

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

OpenCheckpointckpt-run-mvfoap9e-29629workflow paused, state held

Side-by-side comparison

Incoming CLM-405856 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-405856incoming
#1MBR-006235Dylan Gibson
0.832 rec.
Best evidence: NameDate of birth
#2MBR-022833Melissa Gibson
0.644 rec.
Best evidence: none ≥ 0.90
NameDylan Gibson
Gibson, Dylan
Dylan I GibsonMelissa Gibson
Date of birth1946-04-151946-04-151946-03-15
Member ID—UHC-91430-31UHC-27893-59
SSN—•••-••-3140•••-••-1342
Phone—
-
23384022039548196908
Email—dylan.gibson@proton.memelissa.gibson@aol.com
Address—
null
3146 Forest Ave8469 Oak St
City / state / ZIP—
NULL, N/A
Phoenix, AZ, 85098Columbus, OH, 43204
GroupGRP-2797GRP-2797GRP-2973
Plan—
-
MEDICARE-ADV-ACORE-HMO
Sources, recordsCLM1 recordENR ×1CLM ×12 recordsPRV ×2ENR ×1CLM ×14 records

Evidence detail

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

▶#1MBR-006235Dylan Gibson0.83
Matched against CLM-405857, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
▶#2MBR-022833Melissa Gibson0.64
Matched against PRV-29461, 2 fields compared, weighted score 0.640
FieldSimilarityWeightShareNote
Name0.78350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
  • PRVPRV-29461Melissa Gibson1946-03-15Scored 1.00
  • PRVPRV-29460Melissa Gibson1946-03-15Scored 1.00
  • ENRENR-142507Melissa Gibson1946-03-15Scored 1.00
  • CLMCLM-432379Melissa Gibson1946-03-15Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:39124cc2ada9
    Escalated CLM-405856, top score 0.83, candidates MBR-006235, MBR-022833

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-29629
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-022540
Opened
2026-10-19 19:54:36
Top score
0.83