Steward queue/CASE-003501
Steward case

CASE-003501

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

OpenCheckpointckpt-run-mvjj6udb-27580workflow paused, state held

Side-by-side comparison

Incoming CLM-415383 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-415383incoming
#1MBR-028945Santiago Taylor
0.832 rec.
Best evidence: NameDate of birth
#2MBR-034625Teresa Taylor
0.651 rec.
Best evidence: none ≥ 0.90
NameSantiago Tayllor
Tayllor, Santiago
Santiago Q TaylorTeresa Taylor
Date of birth2007-08-182007-08-182007-08-11
Member ID—
NULL
UHC-97677-88UHC-76093-82
SSN—
•••-••-NULL
—•••-••-9045
Phone—
6325400
87163254004685133749
Email——teresa.taylor@hotmail.com
Address—3821 Elm St3498 Bayshore Dr
City / state / ZIP—
UNKNOWN, -, -
Scottsdale, AZ, 85273Tampa, FL
Group—
null
GRP-5774GRP-1583
Plan—CHOICE-PLUS-PPOMEDICARE-ADV-B
Sources, recordsCLM1 recordCLM ×1ENR ×12 recordsENR ×11 record

Evidence detail

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

▶#1MBR-028945Santiago Taylor0.83
Matched against ENR-120259, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.98350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
▶#2MBR-034625Teresa Taylor0.65
Matched against ENR-116655, 2 fields compared, weighted score 0.647
FieldSimilarityWeightShareNote
Name0.79350%
Date of birth0.50350%one_digit
Guard: noneConflicts: none
Records in this identity
  • ENRENR-116655Teresa Taylor2007-08-11Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:55046c7e5aa4
    Escalated CLM-415383, top score 0.83, candidates MBR-028945, MBR-034625

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-27580
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-021352
Opened
2026-10-22 12:43:43
Top score
0.83