Steward case

CASE-002490

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

OpenCheckpointckpt-run-mvfoap9e-62782workflow paused, state held

Side-by-side comparison

Incoming TPA-52213 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-52213incoming	#1MBR-040042Donna Torres 0.832 rec. Best evidence: NameDate of birth	#2MBR-044596Donna Torres 0.831 rec. Best evidence: NameDate of birth
Name	Donna Torres	Donna Torres	Donna Torres
Date of birth	1978-02-11 2/11/1978	1978-02-11	1978-02-11
Member ID	—	UHC-22870-14	—
SSN	—	•••-••-5338	—
Phone	—	7664553844	—
Email	— N/A	donna.torres@yahoo.com	—
Address	—	5372 Bayshore Dr Apt 18	—
City / state / ZIP	— , N/A, N/A	Los Angeles, CA, 90045	—
Group	— -	GRP-2831	GRP-2831
Plan	—	MEDICARE-ADV-A	MEDICARE-ADV-A
Sources, records	TPA1 record	ENR ×22 records	CLM ×11 record

Evidence detail

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

▶#1MBR-040042Donna Torres0.83

Matched against ENR-106667, 2 fields compared, weighted score 0.830

Field	Similarity	Weight	Share	Note
Name	0.98	3	50%
Date of birth	1.00	3	50%	exact

Guard: No identifier agreesConflicts: none

Records in this identity

ENRENR-106667Donna Torrres1978-02-11Rule 0.99
ENRENR-106666Donna Torres1978-02-11Rule 0.99

▶#2MBR-044596Donna Torres0.83

Matched against CLM-405066, 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

CLMCLM-405066Donna Torres1978-02-11Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:39a7f54359ce
Escalated TPA-52213, top score 0.83, candidates MBR-040042, MBR-044596

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 Donna TorresMBR-040042, score 0.83, 2 recordsLinkLink to Donna TorresMBR-044596, score 0.83, 1 recordLinkConfirm as a distinct identityTPA-52213 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-62782
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-037157
Opened: 2026-10-19 19:54:36
Top score: 0.83