Steward queue/CASE-002570
Steward case

CASE-002570

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

OpenCheckpointckpt-run-mvfoap9e-95123workflow paused, state held

Side-by-side comparison

Incoming TPA-59901 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-59901incoming
#1MBR-027370Arthur Sandoval
0.832 rec.
Best evidence: Date of birth
NameSsan Q SandovalArthur Q Sandoval
Date of birth1987-02-16
02/16/87
1987-02-16
Member ID—UHC-82816-42
SSN•••-••-5792•••-••-4418
Phone—7716850817
Emailsusan.sandoval@hotmail.comarthur.sandoval93@gmail.com
Address5988 River Rd683 Mesa Dr
City / state / ZIPTempe, AZ, 85250
Tempe, Arizona, 85250
Jacksonville, FL, 32256
Group—
-
GRP-5931
PlanCHOICE-PLUS-PPOCHOICE-PLUS-PPO
Sources, recordsTPA1 recordENR ×1CLM ×12 records

Evidence detail

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

▶#1MBR-027370Arthur Sandoval0.83
Matched against CLM-408649, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.77350%
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 19:54:3977a802a5a5
    Escalated TPA-59901, top score 0.83, candidates MBR-027370

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-95123
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-045833
Opened
2026-10-19 19:54:36
Top score
0.83