Steward queue/CASE-003356
Steward case

CASE-003356

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

OpenCheckpointckpt-run-mvfoap9e-24295workflow paused, state held

Side-by-side comparison

Incoming CLM-428016 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-428016incoming
#1MBR-038810Jack Chen
0.832 rec.
Best evidence: NameDate of birth
NameJack ChenJack Chen
Date of birth1959-04-171959-04-17
Member ID—
-
UHC-51556-12
SSN—
•••-••-NULL
—
Phone—
N/A
9696147099
Emailjack.chen33@yahoo.com—
Address—1301 Apache Blvd
City / state / ZIP—Gilbert, AZ
GroupGRP-3297GRP-3297
Plan—
NULL
CORE-HMO
Sources, recordsCLM1 recordPRV ×1ENR ×12 records

Evidence detail

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

▶#1MBR-038810Jack Chen0.83
Matched against PRV-28220, 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 19:54:39f6376bd263
    Escalated CLM-428016, top score 0.83, candidates MBR-038810

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-24295
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-019297
Opened
2026-10-19 19:54:36
Top score
0.83