Steward queue/CASE-003163
Steward case

CASE-003163

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

OpenCheckpointckpt-run-mvjj6udb-81477workflow paused, state held

Side-by-side comparison

Incoming CLM-426027 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-426027incoming
#1MBR-035535John Hayes
0.832 rec.
Best evidence: NameDate of birth
NameJohn HayesJohn M Hayes
Date of birth2002-11-20
11/20/2002
2002-11-20
Member ID—
N/A
UHC-59901-87
SSN—
•••-••--
•••-••-2629
Phone—
N/A
8908777429
Email—
N/A
—
Address—
-
2300 Broadway
City / state / ZIP—
-, NULL
Tampa, FL, 33631
Group—GRP-3610
Plan—NAVIGATE-HMO
Sources, recordsCLM1 recordCLM ×1PRV ×12 records

Evidence detail

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

▶#1MBR-035535John Hayes0.83
Matched against CLM-426028, 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 12:43:554c0beeb830
    Escalated CLM-426027, top score 0.83, candidates MBR-035535

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-81477
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-042680
Opened
2026-10-22 12:43:43
Top score
0.83