Steward queue/CASE-003599
Steward case

CASE-003599

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

OpenCheckpointckpt-run-mvfoap9e-40636workflow paused, state held

Side-by-side comparison

Incoming CLM-402205 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-402205incoming
#1MBR-036390Lucia Sims
0.832 rec.
Best evidence: NameDate of birth
NameLucia SimsLucia S Sims
Date of birth2001-05-28
05/28/01
2001-05-28
Member ID—
N/A
UHC-14376-95
SSN—•••-••-9132
Phone—
UNKNOWN
4246702928
Email—
N/A
—
Address—2837 Spring St
City / state / ZIP—Dallas, TX, 75256
Group—GRP-7882
PlanOPTIONS-PPOOPTIONS-PPO
Sources, recordsCLM1 recordENR ×1CLM ×12 records

Evidence detail

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

▶#1MBR-036390Lucia Sims0.83
Matched against ENR-102805, 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 19:54:39de4ae4cb84
    Escalated CLM-402205, top score 0.83, candidates MBR-036390

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-40636
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-028294
Opened
2026-10-19 19:54:36
Top score
0.83