Steward queue/CASE-003352
Steward case

CASE-003352

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

OpenCheckpointckpt-run-mvfoap9e-90772workflow paused, state held

Side-by-side comparison

Incoming TPA-56193 against 3 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-56193incoming
#1MBR-040524Brian Anderson
0.831 rec.
Best evidence: NameDate of birth
#2MBR-023128Joan Anderson
0.683 rec.
Best evidence: none ≥ 0.90
#3MBR-030415Joan Anderson
0.681 rec.
Best evidence: none ≥ 0.90
NameBrian Y AndersonBrian AndersonJoan X AndersonJoan Anderson
Date of birth1968-07-141968-07-141968-07-171968-07-17
Member ID—UHC-99057-57UHC-17288-64—
SSN—
•••-••-null
—•••-••-7401—
Phone3617623191
(361) 762-3191
—3468447514—
Email—
NULL
—joan.anderson5@gmail.com—
Address—
-
4807 Central Ave3501 Washington St—
City / state / ZIP—
-, NULL
Sacramento, CA, 95868Orlando, FL, 32868—
GroupGRP-6793GRP-6793GRP-4357—
PlanNAVIGATE-HMONAVIGATE-HMOCHOICE-PLUS-PPOCHOICE-PLUS-PPO
Sources, recordsTPA1 recordCLM ×11 recordCLM ×2ENR ×13 recordsPRV ×11 record

Evidence detail

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

▶#1MBR-040524Brian Anderson0.83
Matched against CLM-414028, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • CLMCLM-414028Brian Anderson1968-07-14Single record 1.00
▶#2MBR-023128Joan Anderson0.68
Matched against CLM-418317, 2 fields compared, weighted score 0.677
FieldSimilarityWeightShareNote
Name0.85350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
▶#3MBR-030415Joan Anderson0.68
Matched against PRV-25429, 2 fields compared, weighted score 0.677
FieldSimilarityWeightShareNote
Name0.85350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
  • PRVPRV-25429Joan Anderson1968-07-17Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:396e54be6a52
    Escalated TPA-56193, top score 0.83, candidates MBR-040524, MBR-023128, MBR-030415

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-90772
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-044878
Opened
2026-10-19 19:54:36
Top score
0.83