Steward queue/CASE-003903
Steward case

CASE-003903

Confidence 0.80 is below the policy threshold 0.85.

OpenCheckpointckpt-run-mvjj6udb-41270workflow paused, state held

Side-by-side comparison

Incoming TPA-53483 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-53483incoming
#1MBR-033873Teresa Gutierrez
0.801 rec.
Best evidence: NamePhone
NameTeresa GutierrezTeresa Gutierrez
Date of birth2000-03-212001-03-21
Member ID—
null
UHC-30469-27
SSN—
•••-••--
•••-••-6935
Phone84065531038406553103
Email——
Address6977 Hillcrest Rd—
City / state / ZIPMiami, FL, 33170—
Group—
NULL
GRP-2514
Plan—
NULL
MEDICARE-ADV-A
Sources, recordsTPA1 recordCLM ×11 record

Evidence detail

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

▶#1MBR-033873Teresa Gutierrez0.80
Matched against CLM-407895, 3 fields compared, weighted score 0.800
FieldSimilarityWeightShareNote
Name1.00340%
Date of birth0.50340%one_digit
Phone1.001.520%
Guard: noneConflicts: none
Records in this identity
  • CLMCLM-407895Teresa Gutierrez2001-03-21Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-22 12:43:55fd2508ddce
    Escalated TPA-53483, top score 0.80, candidates MBR-033873

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-41270
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-028609
Opened
2026-10-22 12:43:43
Top score
0.80