Steward queue/CASE-003355
Steward case

CASE-003355

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

OpenCheckpointckpt-run-mvfoap9e-95404workflow paused, state held

Side-by-side comparison

Incoming CLM-415211 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-415211incoming
#1MBR-019290Lucia Holmes
0.834 rec.
Best evidence: NameDate of birth
NameLucia HolmesLucia L Holmes
Date of birth2007-02-042007-02-04
Member ID—
N/A
UHC-11141-74
SSN—
•••-••-null
•••-••-0501
Phone—7564792473
Email—
-
lucia.holmes19@gmail.com
Address—
NULL
8617 Highland Ave
City / state / ZIP—
-
Glendale, AZ, 85314
GroupGRP-6266GRP-6266
PlanCHOICE-PLUS-PPOCHOICE-PLUS-PPO
Sources, recordsCLM1 recordTPA ×1CLM ×34 records

Evidence detail

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

▶#1MBR-019290Lucia Holmes0.83
Matched against TPA-56697, 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 19:54:396662ee71be
    Escalated CLM-415211, top score 0.83, candidates MBR-019290

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-95404
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-045883
Opened
2026-10-19 19:54:36
Top score
0.83