Steward case

CASE-003575

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

OpenCheckpointckpt-run-mvfoap9e-59847workflow paused, state held

Side-by-side comparison

Incoming TPA-60983 against 2 candidate identities, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

Field	TPATPA-60983incoming	#1MBR-022834Nicole Gilbert 0.835 rec. Best evidence: NameDate of birth	#2MBR-044244Sofia Gilbert 0.631 rec. Best evidence: none ≥ 0.90
Name	Nicole Gilbert	Nicole Gilbert	Sofia Gilbert
Date of birth	1951-01-25	1951-01-25	1951-09-25
Member ID	— NULL	UHC-93489-42	UHC-44786-24
SSN	— •••-••--	•••-••-7682	•••-••-9418
Phone	— NULL	7702818360	8483629635
Email	—	nicole.gilbert@outlook.com	sofia.gilbert38@gmail.com
Address	—	6879 Market St	4420 Central Ave
City / state / ZIP	— NULL	Orlando, FL, 32853	Glendale, AZ
Group	— N/A	GRP-1466	GRP-7313
Plan	—	NAVIGATE-HMO	OPTIONS-PPO
Sources, records	TPA1 record	ENR ×1PRV ×2CLM ×25 records	ENR ×11 record

Evidence detail

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

▶#1MBR-022834Nicole Gilbert0.83

Matched against ENR-132559, 2 fields compared, weighted score 0.830

Field	Similarity	Weight	Share	Note
Name	1.00	3	50%
Date of birth	1.00	3	50%	exact

Guard: No identifier agreesConflicts: none

Records in this identity

ENRENR-132559Nicole Gilbert1951-01-25Rule 0.99
PRVPRV-27314Nicole Gilbert1951-01-25Rule 0.99
PRVPRV-27315Nicole Gilbert1951-01-25Rule 0.99
CLMCLM-424919Nicole Gilbert1951-01-25Rule 0.99
CLMCLM-424920Nicole Gilbert1951-01-25Rule 0.99

▶#2MBR-044244Sofia Gilbert0.63

Matched against ENR-124928, 2 fields compared, weighted score 0.632

Field	Similarity	Weight	Share	Note
Name	0.76	3	50%
Date of birth	0.50	3	50%	one_digit

Guard: noneConflicts: none

Records in this identity

ENRENR-124928Sofia Gilbert1951-09-25Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

Steward case openedEscalation agent2026-10-19 19:54:398203e68173
Escalated TPA-60983, top score 0.83, candidates MBR-022834, MBR-044244

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

Link to Nicole GilbertMBR-022834, score 0.83, 5 recordsLinkLink to Sofia GilbertMBR-044244, score 0.63, 1 recordLinkConfirm as a distinct identityTPA-60983 stays on its own golden identity, marked verified.New identityReject record (quarantine)The record's identity is quarantined; nothing downstream may act on it.Reject

Rationale *

At least 8 characters (0/8)

ActorJ. Okafor (Data Stewardship)

Choose an option

Checkpoint: ckpt-run-mvfoap9e-59847
Stage: Human steward
Policy version: v1, threshold 0.85, floor 0.6
Provisional identity: MBR-036153
Opened: 2026-10-19 19:54:36
Top score: 0.83