Steward queue/CASE-002885
Steward case

CASE-002885

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

OpenCheckpointckpt-run-mvjj6udb-16581workflow paused, state held

Side-by-side comparison

Incoming CLM-401103 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-401103incoming
#1MBR-040868Jacqueline Kelley
0.832 rec.
Best evidence: NameDate of birth
NameJacqueline KelleyJacqueline E Kelley
Date of birth1980-06-051980-06-05
Member ID—UHC-56860-91
SSN—•••-••-1605
Phone—
null
4042030074
Email—jacqueline.kelley@gmail.com
Address—4235 Highland Ave
City / state / ZIP—
N/A, null
Houston, TX, 77014
Group—GRP-3860
Plan—
-
OPTIONS-PPO
Sources, recordsCLM1 recordTPA ×1ENR ×12 records

Evidence detail

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

▶#1MBR-040868Jacqueline Kelley0.83
Matched against TPA-50491, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • TPATPA-50491Jacqueline Kelley1980-06-05Scored 1.00
  • ENRENR-101433Jacqueline Kelley1980-06-05Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:552e85452ead
    Escalated CLM-401103, top score 0.83, candidates MBR-040868

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-mvjj6udb-16581
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-014003
Opened
2026-10-22 12:43:43
Top score
0.83