Steward queue/CASE-002432
Steward case

CASE-002432

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

OpenCheckpointckpt-run-mvjj6udb-12300workflow paused, state held

Side-by-side comparison

Incoming TPA-63264 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-63264incoming
#1MBR-012580Billy Medina
0.832 rec.
Best evidence: NameDate of birth
NameBilly MedinaBilly Q Medina
Date of birth1980-05-23
19800523
1980-05-23
Member ID—
N/A
UHC-03106-77
SSN—
•••-••- NULL
•••-••-3492
Phone—
-
—
Email—
NULL
billy.medina42@yahoo.com
Address—
null
2742 Church St # 462
City / state / ZIP—
N/A, -
Jacksonville, FL, 32293
GroupGRP-6504GRP-6504
Plan—
NULL
CHOICE-PLUS-PPO
Sources, recordsTPA1 recordENR ×1CLM ×12 records

Evidence detail

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

▶#1MBR-012580Billy Medina0.83
Matched against ENR-139393, 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 agent2026-10-22 12:43:55422709e341
    Escalated TPA-63264, top score 0.83, candidates MBR-012580

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-mvjj6udb-12300
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-010763
Opened
2026-10-22 12:43:43
Top score
0.83