Steward queue/CASE-003486
Steward case

CASE-003486

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

OpenCheckpointckpt-run-mvfoap9e-93112workflow paused, state held

Side-by-side comparison

Incoming CLM-406295 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-406295incoming
#1MBR-021170Sarah Smith
0.832 rec.
Best evidence: NameDate of birth
NameSarah SmithSarah N Smith
Date of birth1994-11-13
Nov 13, 1994
1994-11-13
Member ID—
N/A
UHC-83635-97
SSN—
•••-••-NULL
—
Phone—9709227611
Email——
Address—486 Camelback Rd
City / state / ZIP—
-
Fresno, CA, 93787
GroupGRP-1236GRP-1236
Plan—
N/A
OPTIONS-PPO
Sources, recordsCLM1 recordENR ×1PRV ×12 records

Evidence detail

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

▶#1MBR-021170Sarah Smith0.83
Matched against ENR-108272, 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 19:54:399b0641ec80
    Escalated CLM-406295, top score 0.83, candidates MBR-021170

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-93112
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-045413
Opened
2026-10-19 19:54:36
Top score
0.83