Steward queue/CASE-003546
Steward case

CASE-003546

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

OpenCheckpointckpt-run-mvjj6udb-30514workflow paused, state held

Side-by-side comparison

Incoming TPA-62242 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-62242incoming
#1MBR-042078Jennifer McCoy
0.831 rec.
Best evidence: NameDate of birth
NameJen McCoyJennifer McCoy
Date of birth1950-09-261950-09-26
Member ID—
-
UHC-92337-58
SSN—•••-••-6402
Phone——
Email——
Address—
UNKNOWN
8713 Main St
City / state / ZIP—
UNKNOWN, NULL
Nashville, TN, 37208
Group——
Plan—
UNKNOWN
SELECT-EPO
Sources, recordsTPA1 recordCLM ×11 record

Evidence detail

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

▶#1MBR-042078Jennifer McCoy0.83
Matched against CLM-427713, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%nickname
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • CLMCLM-427713Jennifer McCoy1950-09-26Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:55f60954e6b7
    Escalated TPA-62242, top score 0.83, candidates MBR-042078

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-30514
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-023045
Opened
2026-10-22 12:43:43
Top score
0.83