Steward queue/CASE-003498
Steward case

CASE-003498

Confidence 0.81 is below the policy threshold 0.85.

OpenCheckpointckpt-run-mvfoap9e-27539workflow paused, state held

Side-by-side comparison

Incoming TPA-55403 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-55403incoming
#1MBR-022426David Hansen
0.814 rec.
Best evidence: NameAddress
NameDavid HansenDavid W Hansen
Date of birth2003-02-202004-02-20
Member ID—
-
UHC-62023-76
SSN—
•••-••-null
•••-••-0453
Phone—
NULL
8323597913
Email—
-
david.hansen87@aol.com
Address8251 Apache Blvd
8251 Apache Boulevard
8251 Apache Blvd
City / state / ZIPJacksonville, FL, 32255Jacksonville, FL, 32255
Group—
null
GRP-7286
Plan—
null
CHOICE-PLUS-PPO
Sources, recordsTPA1 recordCLM ×3ENR ×14 records

Evidence detail

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

▶#1MBR-022426David Hansen0.81
Matched against CLM-412270, 3 fields compared, weighted score 0.813
FieldSimilarityWeightShareNote
Name1.00338%
Date of birth0.50338%one_digit
Address1.00225%exact
Guard: noneConflicts: none
Records in this identity

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:3999f43d4349
    Escalated TPA-55403, top score 0.81, candidates MBR-022426

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-27539
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-021326
Opened
2026-10-19 19:54:36
Top score
0.81