Steward case

CASE-002618

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

OpenCheckpointckpt-run-mvfoap9e-86824workflow paused, state held

Side-by-side comparison

Incoming CLM-430452 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	CLMCLM-430452incoming	#1MBR-011640Juan Munoz 0.831 rec. Best evidence: NameDate of birth	#2MBR-038289Juan Munoz 0.752 rec. Best evidence: NameDate of birth
Name	Juan Munoz	Juan M Munoz	Juan Munoz
Date of birth	1945-07-17 19450717	1945-07-17	1945-07-17
Member ID	UHC-06071-85	—	—
SSN	— •••-••-NULL	—	—
Phone	— 4939692	—	—
Email	juan.munoz@aol.com	—	—
Address	7445 Washington St	—	9843 Central Ave
City / state / ZIP	Houston, TX, 77064	—	Tempe, AZ, 85215
Group	GRP-4840	—	—
Plan	—	—	MEDICARE-ADV-A
Sources, records	CLM1 record	TPA ×11 record	TPA ×22 records

Evidence detail

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

▶#1MBR-011640Juan Munoz0.83

Matched against TPA-63445, 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

TPATPA-63445Juan Munoz1945-07-17Single record 1.00

▶#2MBR-038289Juan Munoz0.75

Matched against TPA-63446, 3 fields compared, weighted score 0.750

Field	Similarity	Weight	Share	Note
Name	1.00	3	38%
Date of birth	1.00	3	38%	exact
Address	0.00	2	25%	different

Guard: noneConflicts: none

Records in this identity

TPATPA-63446Juan Munoz1945-07-17Scored 1.00
TPATPA-63447Juan Munoz1945-07-17Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:3927dc65eb71
Escalated CLM-430452, top score 0.83, candidates MBR-011640, MBR-038289

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 Juan MunozMBR-011640, score 0.83, 1 recordLinkLink to Juan MunozMBR-038289, score 0.75, 2 recordsLinkConfirm as a distinct identityCLM-430452 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-86824
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-043966
Opened: 2026-10-19 19:54:36
Top score: 0.83