Steward queue/CASE-002483
Steward case

CASE-002483

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

OpenCheckpointckpt-run-mvfoap9e-85987workflow paused, state held

Side-by-side comparison

Incoming TPA-53765 against 3 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-53765incoming
#1MBR-039899Olivia Banks
0.831 rec.
Best evidence: NameDate of birth
#2MBR-010751Roger Banks
0.643 rec.
Best evidence: none ≥ 0.90
#3MBR-039466Roger Banks
0.641 rec.
Best evidence: none ≥ 0.90
NameOlivia BanksOlivia P BanksRoger W BanksRoger Banks
Date of birth1974-05-061974-05-061974-05-261974-05-26
Member ID—
null
UHC-70286-03UHC-95733-48—
SSN—
•••-••--
•••-••-9959——
Phone—
UNKNOWN
48573133085458052054—
Email—olivia.banks31@hotmail.com——
Address—
NULL
6119 Bayshore Dr4937 Sage Ct—
City / state / ZIP—Orlando, FL, 32823Scottsdale, AZ, 85262—
Group—GRP-0373——
Plan—NAVIGATE-HMOMEDICARE-ADV-BMEDICARE-ADV-B
Sources, recordsTPA1 recordENR ×11 recordTPA ×2CLM ×13 recordsCLM ×11 record

Evidence detail

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

▶#1MBR-039899Olivia Banks0.83
Matched against ENR-111288, 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-111288Olivia Banks1974-05-06Single record 1.00
▶#2MBR-010751Roger Banks0.64
Matched against TPA-61778, 2 fields compared, weighted score 0.641
FieldSimilarityWeightShareNote
Name0.78350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
▶#3MBR-039466Roger Banks0.64
Matched against CLM-426665, 2 fields compared, weighted score 0.641
FieldSimilarityWeightShareNote
Name0.78350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
  • CLMCLM-426665Roger Banks1974-05-26Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:396a38ccc7d8
    Escalated TPA-53765, top score 0.83, candidates MBR-039899, MBR-010751, MBR-039466

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-85987
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-043772
Opened
2026-10-19 19:54:36
Top score
0.83