Steward queue/CASE-003424
Steward case

CASE-003424

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

OpenCheckpointckpt-run-mvjj6udb-41148workflow paused, state held

Side-by-side comparison

Incoming TPA-63404 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-63404incoming
#1MBR-040211Burns Arthur
0.832 rec.
Best evidence: NameDate of birth
NameArthur BurnsBurns Arthur
Date of birth1985-09-271985-09-27
Member ID—
-
UHC-86304-70
SSN—
•••-••-UNKNOWN
•••-••-0714
Phone—
UNKNOWN
6458777364
Email—arthur.burns2@aol.com
Address4680 Desert Sky Blvd
4680 Desert Sky Boulevard
3021 Main St
City / state / ZIPMiami, FL, 33165Tucson, AZ, 85714
Group—
N/A
GRP-9730
Plan—CHOICE-PLUS-PPO
Sources, recordsTPA1 recordCLM ×1ENR ×12 records

Evidence detail

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

▶#1MBR-040211Burns Arthur0.83
Matched against CLM-430369, 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 12:43:551c02abb3d7
    Escalated TPA-63404, top score 0.83, candidates MBR-040211

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-41148
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-028546
Opened
2026-10-22 12:43:43
Top score
0.83