Steward queue/CASE-003602
Steward case

CASE-003602

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

OpenCheckpointckpt-run-mvfoap9e-95622workflow paused, state held

Side-by-side comparison

Incoming TPA-50385 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-50385incoming
#1MBR-033024Carl Obrien
0.833 rec.
Best evidence: NameDate of birth
NameCrl Obrien
OBrien, Crl
Carl Obrien
Date of birth1976-10-12
Oct 12, 1976
1976-10-12
Member ID—
null
UHC-87879-70
SSN——
Phone—
-
3207359504
Email—
null
carl.obrien@gmail.com
Address—
NULL
3482 Jefferson Ave
City / state / ZIP—
UNKNOWN , null, UNKNOWN
Minneapolis, MN, 55456
Group—GRP-9229
Plan—MEDICARE-ADV-B
Sources, recordsTPA1 recordCLM ×1ENR ×23 records

Evidence detail

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

▶#1MBR-033024Carl Obrien0.83
Matched against CLM-400822, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name0.97350%
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 19:54:391b7589fbb8
    Escalated TPA-50385, top score 0.83, candidates MBR-033024

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-95622
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-045942
Opened
2026-10-19 19:54:36
Top score
0.83