Steward queue/CASE-003716
Steward case

CASE-003716

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

OpenCheckpointckpt-run-mvjj6udb-34141workflow paused, state held

Side-by-side comparison

Incoming TPA-56003 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-56003incoming
#1MBR-025762Jerry Phillips
0.832 rec.
Best evidence: NameDate of birth
NameJerry PhillipsJerry Phillips
Date of birth1959-10-23
19591023
1959-10-23
Member ID—UHC-98316-08
SSN—
•••-••-N/A
•••-••-8680
Phone—8419976554
Email—
-
—
Address—
NULL
5337 Forest Ave
City / state / ZIP—
-
Miami, FL, 33159
GroupGRP-4457GRP-4457
PlanCHOICE-PLUS-PPOCHOICE-PLUS-PPO
Sources, recordsTPA1 recordCLM ×1ENR ×12 records

Evidence detail

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

▶#1MBR-025762Jerry Phillips0.83
Matched against CLM-413673, 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 agent2026-10-22 12:43:55a016e4c86e
    Escalated TPA-56003, top score 0.83, candidates MBR-025762

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-mvjj6udb-34141
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-025049
Opened
2026-10-22 12:43:43
Top score
0.83