Steward queue/CASE-002611
Steward case

CASE-002611

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

OpenCheckpointckpt-run-mvfoap9e-50498workflow paused, state held

Side-by-side comparison

Incoming TPA-60500 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-60500incoming
#1MBR-027505Lauren Johnston
0.833 rec.
Best evidence: NameDate of birth
#2MBR-011558Ralph Johnston
0.636 rec.
Best evidence: none ≥ 0.90
NameLauren L JohnstonLauren L JohnstonRalph Johnston
Date of birth1983-11-271983-11-271983-01-27
Member ID—
NULL
UHC-59566-95UHC-71172-51
SSN—•••-••-3332•••-••-7383
Phone—
NULL
67834631282245358748
Email—
-
lauren.johnston42@yahoo.comralph.johnston98@proton.me
Address5404 Jefferson Ave7541 Mountain View Dr1083 Sage Ct
City / state / ZIPTempe, AZ, 85225
Tempe, AZ, 85225-3051
San Antonio, TX, 78201Minneapolis, MN, 55490
Group—GRP-3803GRP-1535
Plan—NAVIGATE-HMOCHOICE-PLUS-PPO
Sources, recordsTPA1 recordENR ×1CLM ×23 recordsPRV ×1CLM ×3ENR ×26 records

Evidence detail

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

▶#1MBR-027505Lauren Johnston0.83
Matched against CLM-423872, 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-011558Ralph Johnston0.63
Matched against CLM-408483, 2 fields compared, weighted score 0.632
FieldSimilarityWeightShareNote
Name0.76350%
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 19:54:39b4eccb5b09
    Escalated TPA-60500, top score 0.83, candidates MBR-027505, MBR-011558

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-50498
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-032648
Opened
2026-10-19 19:54:36
Top score
0.83