Steward queue/CASE-002541
Steward case

CASE-002541

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

OpenCheckpointckpt-run-mvfoap9e-13599workflow paused, state held

Side-by-side comparison

Incoming TPA-53995 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-53995incoming
#1MBR-011017Billy Bailey
0.832 rec.
Best evidence: Date of birth
NameKelly F Bailye
KELLY F. BAILYE
Billy Bailey
Date of birth1971-02-271971-02-27
Member ID—
-
—
SSN•••-••-6306—
Phone—4442507929
Email—
UNKNOWN
—
Address—
N/A
2261 Pine Dr
City / state / ZIP—
, NULL,
Nashville, TN, 37292
Group——
Plan—
UNKNOWN
OPTIONS-PPO
Sources, recordsTPA1 recordTPA ×1CLM ×12 records

Evidence detail

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

▶#1MBR-011017Billy Bailey0.83
Matched against TPA-64451, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.80350%
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 agent2026-10-19 19:54:39b4ed72e427
    Escalated TPA-53995, top score 0.83, candidates MBR-011017

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-13599
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-011768
Opened
2026-10-19 19:54:36
Top score
0.83