Steward queue/CASE-003142
Steward case

CASE-003142

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

OpenCheckpointckpt-run-mvjj6udb-42528workflow paused, state held

Side-by-side comparison

Incoming TPA-57231 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-57231incoming
#1MBR-016418Olivia Maldonado
0.832 rec.
Best evidence: NameDate of birth
NameOlyvia MaldonadoOlivia W Maldonado
Date of birth1959-04-02
02-04-1959
1959-04-02
Member ID—
-
UHC-73748-47
SSN—•••-••-7755
Phone—8716659768
Email—olivia.maldonado88@outlook.com
Address—
N/A
3376 Washington St
City / state / ZIP—
null
Gilbert, AZ, 85285
Group—
null
GRP-6996
Plan—CORE-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-016418Olivia Maldonado0.83
Matched against CLM-416486, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.94350%
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 12:43:55f8e71c48cf
    Escalated TPA-57231, top score 0.83, candidates MBR-016418

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-42528
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-029176
Opened
2026-10-22 12:43:43
Top score
0.83