Steward queue/CASE-003427
Steward case

CASE-003427

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

OpenCheckpointckpt-run-mvjj6udb-53628workflow paused, state held

Side-by-side comparison

Incoming CLM-413971 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-413971incoming
#1MBR-020438Kelly Duncan
0.832 rec.
Best evidence: NameDate of birth
NameKelly E Duncan
Kelly E. Duncan
Kelly E Duncan
Date of birth1978-09-201978-09-20
Member IDUHC-48040-86—
SSN—
•••-••-N/A
—
Phone—6864764460
Email—
-
kelly.duncan@hotmail.com
Address—
NULL
9867 Oak St
City / state / ZIP—
UNKNOWN , N/A
Tampa, FL, 33688
GroupGRP-8319—
PlanOPTIONS-PPOCORE-HMO
Sources, recordsCLM1 recordTPA ×1PRV ×12 records

Evidence detail

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

▶#1MBR-020438Kelly Duncan0.83
Matched against TPA-56166, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • TPATPA-56166Kelly Duncan1978-09-20Scored 1.00
  • PRVPRV-24045Kelly Duncan1978-09-20Scored 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:55e2f5c5d76d
    Escalated CLM-413971, top score 0.83, candidates MBR-020438

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-53628
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-033847
Opened
2026-10-22 12:43:43
Top score
0.83