Steward queue/CASE-002989
Steward case

CASE-002989

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

OpenCheckpointckpt-run-mvjj6udb-78929workflow paused, state held

Side-by-side comparison

Incoming TPA-53254 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-53254incoming
#1MBR-027125Anthony Holmes
0.832 rec.
Best evidence: NameDate of birth
NameTony HolmesAnthony Holmes
Date of birth1960-04-26
04/26/1960
1960-04-26
Member ID—
-
UHC-49793-91
SSN—
•••-••--
•••-••-8597
Phone—8869719833
Email—anthony.holmes@outlook.com
Address—
UNKNOWN
6000 Sunset Blvd
City / state / ZIP—
null , N/A, null
Austin, TX, 78770
GroupGRP-8582GRP-8582
Plan—NAVIGATE-HMO
Sources, recordsTPA1 recordCLM ×1ENR ×12 records

Evidence detail

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

▶#1MBR-027125Anthony Holmes0.83
Matched against CLM-407404, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:5538cc4045b5
    Escalated TPA-53254, top score 0.83, candidates MBR-027125

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-78929
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-042026
Opened
2026-10-22 12:43:43
Top score
0.83