Steward queue/CASE-002551
Steward case

CASE-002551

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

OpenCheckpointckpt-run-mvfoap9e-52635workflow paused, state held

Side-by-side comparison

Incoming CLM-430727 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-430727incoming
#1MBR-016721Janice West
0.833 rec.
Best evidence: NameDate of birth
#2MBR-011048Brandon West
0.661 rec.
Best evidence: none ≥ 0.90
NameJanice WestJanice F WestBrandon T West
Date of birth1955-07-13
07/13/55
1955-07-131955-08-13
Member ID—
N/A
UHC-37336-21UHC-88633-23
SSN—
•••-••-NULL
•••-••-6384•••-••-7728
Phone—
N/A
59491530287359779486
Email———
Address—
N/A
6528 Main St3868 Palm Dr
City / state / ZIP—
null
Scottsdale, AZColumbus, OH, 43237
Group—GRP-8361GRP-5962
Plan—
UNKNOWN
CHOICE-PLUS-PPOCORE-HMO
Sources, recordsCLM1 recordCLM ×1TPA ×1ENR ×13 recordsENR ×11 record

Evidence detail

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

▶#1MBR-016721Janice West0.83
Matched against TPA-63577, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
▶#2MBR-011048Brandon West0.66
Matched against ENR-138936, 2 fields compared, weighted score 0.658
FieldSimilarityWeightShareNote
Name0.82350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
  • ENRENR-138936Brandon West1955-08-13Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:393ad95274c5
    Escalated CLM-430727, top score 0.83, candidates MBR-016721, MBR-011048

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-52635
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-033446
Opened
2026-10-19 19:54:36
Top score
0.83