Steward queue/CASE-003711
Steward case

CASE-003711

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

OpenCheckpointckpt-run-mvfoap9e-55289workflow paused, state held

Side-by-side comparison

Incoming CLM-416158 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-416158incoming
#1MBR-024989Megan Diaz
0.833 rec.
Best evidence: NameDate of birth
NameMegan Diaz
Diaz, Megan
Megan Diaz
Date of birth1959-07-04
19590704
1959-07-04
Member ID—UHC-14111-62
SSN—•••-••-0794
Phone—
-
2518813448
Email—
NULL
megan.diaz65@icloud.com
Address—6636 Market St
City / state / ZIP—
NULL
Plano, TX
GroupGRP-4886GRP-4886
PlanCHOICE-PLUS-PPOCHOICE-PLUS-PPO
Sources, recordsCLM1 recordCLM ×1TPA ×1ENR ×13 records

Evidence detail

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

▶#1MBR-024989Megan Diaz0.83
Matched against CLM-416157, 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 19:54:39d9a3adb8c9
    Escalated CLM-416158, top score 0.83, candidates MBR-024989

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-55289
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-034488
Opened
2026-10-19 19:54:36
Top score
0.83