Steward queue/CASE-002489
Steward case

CASE-002489

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

OpenCheckpointckpt-run-mvjj6udb-12308workflow paused, state held

Side-by-side comparison

Incoming TPA-64464 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-64464incoming
#1MBR-030232Jennifer Cunningham
0.832 rec.
Best evidence: NameDate of birth
NameJennifer CunninghamJennifer S Cunningham
Date of birth1940-02-251940-02-25
Member ID—
UNKNOWN
UHC-08687-94
SSN—•••-••-5106
Phone—6513695982
Email—
-
jennifer.cunningham5@yahoo.com
Address—9866 Harbor Blvd
City / state / ZIP—
N/A
Gilbert, AZ, 85228
Group—
null
GRP-3963
Plan—MEDICARE-ADV-B
Sources, recordsTPA1 recordCLM ×1ENR ×12 records

Evidence detail

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

▶#1MBR-030232Jennifer Cunningham0.83
Matched against CLM-432810, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • CLMCLM-432810Jennifer Cunningham1940-02-25Scored 1.00
  • ENRENR-143077Jennifer Cunningham1940-02-25Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:55eedd1ef713
    Escalated TPA-64464, top score 0.83, candidates MBR-030232

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-12308
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-010769
Opened
2026-10-22 12:43:43
Top score
0.83