Steward queue/CASE-002563
Steward case

CASE-002563

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

OpenCheckpointckpt-run-mvjj6udb-63214workflow paused, state held

Side-by-side comparison

Incoming CLM-414023 against 3 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-414023incoming
#1MBR-017153Arthur Vega
0.831 rec.
Best evidence: NameDate of birth
#2MBR-029148Gary Vega
0.673 rec.
Best evidence: none ≥ 0.90
#3MBR-017590Joshua Vega
0.661 rec.
Best evidence: none ≥ 0.90
NameArthur E VegaArthur E VegaGary X VegaJoshua E Vega
Date of birth1996-03-07
19960307
1996-03-071996-03-011996-03-27
Member ID—
null
UHC-36270-21UHC-43920-25UHC-02385-47
SSN—
•••-••-NULL
•••-••-3053•••-••-0253•••-••-1294
Phone—
UNKNOWN
726455553395536313053669159001
Email—
null
—gary.vega21@hotmail.comjoshua.vega@outlook.com
Address—8131 Church St6269 Canyon Rd # 2452246 Mesa Dr
City / state / ZIP—
UNKNOWN,
Houston, TX, 77092Denver, CO, 80277Dallas, TX, 75209
GroupGRP-2934GRP-2934GRP-9858GRP-1710
Plan—MEDICARE-ADV-ACORE-HMOCHOICE-PLUS-PPO
Sources, recordsCLM1 recordENR ×11 recordENR ×1TPA ×1CLM ×13 recordsENR ×11 record

Evidence detail

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

▶#1MBR-017153Arthur Vega0.83
Matched against ENR-118360, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • ENRENR-118360Arthur Vega1996-03-07Single record 1.00
▶#2MBR-029148Gary Vega0.67
Matched against ENR-124689, 2 fields compared, weighted score 0.672
FieldSimilarityWeightShareNote
Name0.84350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
▶#3MBR-017590Joshua Vega0.66
Matched against ENR-105658, 2 fields compared, weighted score 0.661
FieldSimilarityWeightShareNote
Name0.82350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
  • ENRENR-105658Joshua Vega1996-03-27Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:55648c3ba9ab
    Escalated CLM-414023, top score 0.83, candidates MBR-017153, MBR-029148, MBR-017590

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-63214
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-037310
Opened
2026-10-22 12:43:43
Top score
0.83