Steward queue/CASE-003147
Steward case

CASE-003147

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

OpenCheckpointckpt-run-mvfoap9e-22431workflow paused, state held

Side-by-side comparison

Incoming CLM-401995 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-401995incoming
#1MBR-031364Vincent Salazar
0.831 rec.
Best evidence: NameDate of birth
#2MBR-036716Vincent Salazar
0.832 rec.
Best evidence: NameDate of birth
NameVincent SalazarVincent SalazarVincent Salazar
Date of birth1995-11-20
11/20/1995
1995-11-201995-11-20
Member ID—
NULL
UHC-71244-09—
SSN—•••-••-3841—
Phone—
null
84036563688403656368
Email—
-
—vincent.salazar71@aol.com
Address—
NULL
1012 Union St5492 Meadow Ln
City / state / ZIP—
-, -, -
Tucson, AZ, 85712Eden Prairie, MN, 55335
GroupGRP-4008GRP-4008GRP-4008
PlanSELECT-EPOCORE-HMO—
Sources, recordsCLM1 recordENR ×11 recordTPA ×22 records

Evidence detail

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

▶#1MBR-031364Vincent Salazar0.83
Matched against ENR-102564, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • ENRENR-102564Vincent Salazar1995-11-20Single record 1.00
▶#2MBR-036716Vincent Salazar0.83
Matched against TPA-50863, 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-50863Vincent Salazar1995-11-20Scored 1.00
  • TPATPA-50864Vincent Salazar1995-11-20Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:3906d6f142ad
    Escalated CLM-401995, top score 0.83, candidates MBR-031364, MBR-036716

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-mvfoap9e-22431
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-018065
Opened
2026-10-19 19:54:36
Top score
0.83