Steward queue/CASE-003691
Steward case

CASE-003691

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

OpenCheckpointckpt-run-mvfoap9e-42527workflow paused, state held

Side-by-side comparison

Incoming TPA-63334 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-63334incoming
#1MBR-024433Larry Moreno
0.834 rec.
Best evidence: NameDate of birth
NameLarry MorenoLarry Moreno
Date of birth1959-04-271959-04-27
Member ID—UHC-74516-27
SSN—
•••-••-N/A
•••-••-2942
Phone—3194491091
Email—
null
larry.moreno82@icloud.com
Address—6676 Oak St Apt 5
City / state / ZIP—
N/A
Tempe, AZ, 85271
Group—GRP-7637
PlanMEDICARE-ADV-BMEDICARE-ADV-B
Sources, recordsTPA1 recordTPA ×1CLM ×1ENR ×24 records

Evidence detail

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

▶#1MBR-024433Larry Moreno0.83
Matched against TPA-63333, 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 19:54:3914788f7728
    Escalated TPA-63334, top score 0.83, candidates MBR-024433

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-42527
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-029175
Opened
2026-10-19 19:54:36
Top score
0.83