Steward queue/CASE-002591
Steward case

CASE-002591

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

OpenCheckpointckpt-run-mvfoap9e-57054workflow paused, state held

Side-by-side comparison

Incoming TPA-52828 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-52828incoming
#1MBR-011460Abby Vazquez
0.834 rec.
Best evidence: NameDate of birth
#2MBR-015340Joshua Vasquez
0.614 rec.
Best evidence: none ≥ 0.90
NameAbigail VazquezAbby A VazquezJoshua N Vasquez
Date of birth1966-07-01
Jul 1, 1966
1966-07-011966-07-05
Member ID—UHC-43328-08UHC-78452-70
SSN—
•••-••--
•••-••-1383•••-••-6003
Phone—67747593526376371994
Email—
N/A
abigail.vazquez67@outlook.comjoshua.vasquez34@proton.me
Address—8198 Mesa Dr9356 Park Pl
City / state / ZIP—
NULL, null
Jacksonville, FL, 32255Atlanta, GA, 30380
Group—
null
GRP-5748GRP-6974
Plan—
UNKNOWN
OPTIONS-PPOCORE-HMO
Sources, recordsTPA1 recordCLM ×3ENR ×14 recordsENR ×1PRV ×1CLM ×24 records

Evidence detail

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

▶#1MBR-011460Abby Vazquez0.83
Matched against CLM-406444, 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-015340Joshua Vasquez0.61
Matched against ENR-131574, 2 fields compared, weighted score 0.614
FieldSimilarityWeightShareNote
Name0.73350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:3949bb8bc0f6
    Escalated TPA-52828, top score 0.83, candidates MBR-011460, MBR-015340

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-57054
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-035143
Opened
2026-10-19 19:54:36
Top score
0.83