Steward queue/CASE-003206
Steward case

CASE-003206

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

OpenCheckpointckpt-run-mvjj6udb-74501workflow paused, state held

Side-by-side comparison

Incoming TPA-59106 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-59106incoming
#1MBR-022971Nicole Larson
0.832 rec.
Best evidence: NameDate of birth
NameNicole X Larson
nicole X. larson
Nicole Larson
Date of birth1949-01-241949-01-24
Member ID—
NULL
UHC-63811-69
SSN—•••-••-6437
Phone—
UNKNOWN
2174414087
Email—
UNKNOWN
nicole.larson@hotmail.com
Address—3049 Highland Ave
City / state / ZIP—
-, -
Los Angeles, CA, 90094
Group—GRP-2399
Plan—
NULL
CHOICE-PLUS-PPO
Sources, recordsTPA1 recordENR ×1CLM ×12 records

Evidence detail

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

▶#1MBR-022971Nicole Larson0.83
Matched against ENR-127301, 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 12:43:55ad99d6bcae
    Escalated TPA-59106, top score 0.83, candidates MBR-022971

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-74501
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-040851
Opened
2026-10-22 12:43:43
Top score
0.83