Steward queue/CASE-003442
Steward case

CASE-003442

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

OpenCheckpointckpt-run-mvjj6udb-71477workflow paused, state held

Side-by-side comparison

Incoming CLM-409800 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-409800incoming
#1MBR-020578Santiago Munoz
0.832 rec.
Best evidence: NameDate of birth
NameSantiago MunozSantiago M Munoz
Date of birth2005-03-192005-03-19
Member ID—
N/A
UHC-00179-07
SSN—•••-••-0002
Phone—3053367010
Email—santiago.munoz@icloud.com
Address—6165 Palm Dr
City / state / ZIP—
-
Chandler, AZ, 85262
Group—
-
GRP-5039
Plan—MEDICARE-ADV-A
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-020578Santiago Munoz0.83
Matched against PRV-22855, 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 12:43:558f3f673c99
    Escalated CLM-409800, top score 0.83, candidates MBR-020578

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-71477
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-039963
Opened
2026-10-22 12:43:43
Top score
0.83