Steward queue/CASE-003344
Steward case

CASE-003344

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

OpenCheckpointckpt-run-mvfoap9e-53481workflow paused, state held

Side-by-side comparison

Incoming TPA-54006 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-54006incoming
#1MBR-030328Olivia Ramos
0.833 rec.
Best evidence: NameDate of birth
NameOlivia Ramos
Ramos, Olivia
Olivia G Ramos
Date of birth1998-07-18
07/18/1998
1998-07-18
Member ID—UHC-74736-34
SSN—
•••-••-null
•••-••-5897
Phone—
UNKNOWN
3836580335
Email—
UNKNOWN
olivia.ramos@yahoo.com
Address—6004 Harbor Blvd
City / state / ZIP—Los Angeles, CA, 90046
GroupGRP-8955GRP-8955
Plan—
-
CORE-HMO
Sources, recordsTPA1 recordENR ×1CLM ×23 records

Evidence detail

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

▶#1MBR-030328Olivia Ramos0.83
Matched against ENR-112162, 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 agent2026-10-19 19:54:39ff4ed333bb
    Escalated TPA-54006, top score 0.83, candidates MBR-030328

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-53481
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-033780
Opened
2026-10-19 19:54:36
Top score
0.83