Steward case

CASE-002491

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

OpenCheckpointckpt-run-mvfoap9e-89557workflow paused, state held

Side-by-side comparison

Incoming CLM-405066 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-405066incoming	#1MBR-037157Donna Torres 0.831 rec. Best evidence: NameDate of birth	#2MBR-040042Donna Torres 0.832 rec. Best evidence: NameDate of birth
Name	Donna Torres	Donna Torres	Donna Torres
Date of birth	1978-02-11 Feb 11, 1978	1978-02-11	1978-02-11
Member ID	—	—	UHC-22870-14
SSN	— •••-••-NULL	—	•••-••-5338
Phone	— N/A	—	7664553844
Email	—	—	donna.torres@yahoo.com
Address	— N/A	—	5372 Bayshore Dr Apt 18
City / state / ZIP	— - , UNKNOWN, null	—	Los Angeles, CA, 90045
Group	GRP-2831	—	GRP-2831
Plan	MEDICARE-ADV-A	—	MEDICARE-ADV-A
Sources, records	CLM1 record	TPA ×11 record	ENR ×22 records

Evidence detail

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

▶#1MBR-037157Donna Torres0.83

Matched against TPA-52213, 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

TPATPA-52213Donna Torres1978-02-11Single record 1.00

▶#2MBR-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

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:39e26a3f345b
Escalated CLM-405066, top score 0.83, candidates MBR-037157, MBR-040042

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-037157, score 0.83, 1 recordLinkLink to Donna TorresMBR-040042, score 0.83, 2 recordsLinkConfirm as a distinct identityCLM-405066 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-89557
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-044596
Opened: 2026-10-19 19:54:36
Top score: 0.83