Steward queue/CASE-003187
Steward case

CASE-003187

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

OpenCheckpointckpt-run-mvjj6udb-63293workflow paused, state held

Side-by-side comparison

Incoming CLM-403069 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-403069incoming
#1MBR-027164Phlip Reynolds
0.831 rec.
Best evidence: NameDate of birth
NamePhilip ReynoldsPhlip Y Reynolds
Date of birth1954-06-131954-06-13
Member ID—
N/A
UHC-22824-91
SSN—•••-••-1390
Phone—
2241947
4042241947
Email—
NULL
philip.reynolds3@yahoo.com
Address—
UNKNOWN
6356 Spring St
City / state / ZIP—
NULL, , UNKNOWN
Los Angeles, CA, 90062
GroupGRP-4913GRP-4913
Plan—
NULL
MEDICARE-ADV-A
Sources, recordsCLM1 recordENR ×11 record

Evidence detail

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

▶#1MBR-027164Phlip Reynolds0.83
Matched against ENR-103970, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.96350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • ENRENR-103970Phlip Reynolds1954-06-13Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:5552d2f0c76c
    Escalated CLM-403069, top score 0.83, candidates MBR-027164

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-63293
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-037342
Opened
2026-10-22 12:43:43
Top score
0.83