Steward case

CASE-002587

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

OpenCheckpointckpt-run-mvfoap9e-13157workflow paused, state held

Side-by-side comparison

Incoming TPA-62527 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-62527incoming	#1MBR-015043David Hernandez 0.835 rec. Best evidence: NameDate of birth	#2MBR-021220Vincent Hernandez 0.662 rec. Best evidence: none ≥ 0.90
Name	David Hernandez	David Q Hernandez	Vincent Hernandez
Date of birth	1970-11-07	1970-11-07	1970-11-27
Member ID	— -	UHC-97769-98	UHC-79184-35
SSN	— •••-••- NULL	•••-••-9794	•••-••-1220
Phone	— N/A	3464483781	5812268140
Email	—	—	vincent.hernandez58@gmail.com
Address	— null	5149 Bayshore Dr	4259 Canyon Rd
City / state / ZIP	— NULL	Columbus, OH, 43208	Chandler, AZ, 85217
Group	—	GRP-2545	GRP-6792
Plan	—	MEDICARE-ADV-B	MEDICARE-ADV-A
Sources, records	TPA1 record	CLM ×4ENR ×15 records	ENR ×1TPA ×12 records

Evidence detail

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

▶#1MBR-015043David Hernandez0.83

Matched against CLM-428376, 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

CLMCLM-428376David Hernandez1970-11-07Rule 0.97
CLMCLM-428374David Hernandez1970-11-07Rule 0.99
ENRENR-137223David Hernandez1970-11-07Rule 0.99
CLMCLM-428375David Hernandez1970-11-07Rule 0.99
CLMCLM-428377David Hernandez1970-11-07Rule 0.99

▶#2MBR-021220Vincent Hernandez0.66

Matched against ENR-103190, 2 fields compared, weighted score 0.662

Field	Similarity	Weight	Share	Note
Name	0.82	3	50%
Date of birth	0.50	3	50%	one_digit

Guard: noneConflicts: none

Records in this identity

ENRENR-103190Vincent Hernandez1970-11-27Scored 1.00
TPATPA-51058Vincent Hernandez1970-11-27Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:39995c927578
Escalated TPA-62527, top score 0.83, candidates MBR-015043, MBR-021220

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 David HernandezMBR-015043, score 0.83, 5 recordsLinkLink to Vincent HernandezMBR-021220, score 0.66, 2 recordsLinkConfirm as a distinct identityTPA-62527 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-13157
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-011426
Opened: 2026-10-19 19:54:36
Top score: 0.83