Steward case

CASE-003079

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

OpenCheckpointckpt-run-mvjj6udb-26309workflow paused, state held

Side-by-side comparison

Incoming TPA-52063 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-52063incoming	#1MBR-018230Harold Ortega 0.831 rec. Best evidence: NameDate of birth	#2MBR-032024Victoria Ortiz 0.812 rec. Best evidence: Date of birth
Name	Harold Ortega	Harold B Ortega	Victoria T Ortiz
Date of birth	1974-01-26	1974-01-26	1974-01-26
Member ID	—	UHC-31718-01	UHC-94538-28
SSN	— •••-••-N/A	—	•••-••-1297
Phone	— UNKNOWN	5055759303	4844674215
Email	—	—	victoria.ortiz25@proton.me
Address	— null	9698 Ridge Rd	6449 River Rd
City / state / ZIP	— null , UNKNOWN	San Diego, CA, 92118	Miami, FL, 33171
Group	GRP-9255	GRP-9255	GRP-5417
Plan	— NULL	MEDICARE-ADV-B	NAVIGATE-HMO
Sources, records	TPA1 record	ENR ×11 record	ENR ×1CLM ×12 records

Evidence detail

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

▶#1MBR-018230Harold Ortega0.83

Matched against ENR-106215, 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

ENRENR-106215Harold Ortega1974-01-26Single record 1.00

▶#2MBR-032024Victoria Ortiz0.81

Matched against ENR-134006, 2 fields compared, weighted score 0.809

Field	Similarity	Weight	Share	Note
Name	0.62	3	50%
Date of birth	1.00	3	50%	exact

Guard: noneConflicts: none

Records in this identity

ENRENR-134006Victoria Ortiz1974-01-26Rule 0.99
CLMCLM-425978Victoria Ortiz1974-01-26Rule 0.99

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-22 12:43:55ad5ab6901a
Escalated TPA-52063, top score 0.83, candidates MBR-018230, MBR-032024

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 Harold OrtegaMBR-018230, score 0.83, 1 recordLinkLink to Victoria OrtizMBR-032024, score 0.81, 2 recordsLinkConfirm as a distinct identityTPA-52063 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-mvjj6udb-26309
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-020563
Opened: 2026-10-22 12:43:43
Top score: 0.83