Steward queue/CASE-003956
Steward case

CASE-003956

Confidence 0.81 is below the policy threshold 0.85.

OpenCheckpointckpt-run-mvfoap9e-45016workflow paused, state held

Side-by-side comparison

Incoming TPA-61891 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-61891incoming
#1MBR-029779Frank Garcia
0.814 rec.
Best evidence: NameAddress
NameFrank GarciaFrank G Garcia
Date of birth1941-07-011940-07-01
Member ID—UHC-99822-51
SSN—
•••-••-NULL
—
Phone—
-
7367514389
Email—
-
—
Address9059 Market St
9059 Market Street
9059 Market St # 371
City / state / ZIPDenver, CO, 80268
Denver, Colorado, 80268
Denver, CO
Group—
UNKNOWN
GRP-0844
PlanCHOICE-PLUS-PPOCHOICE-PLUS-PPO
Sources, recordsTPA1 recordCLM ×2TPA ×1ENR ×14 records

Evidence detail

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

▶#1MBR-029779Frank Garcia0.81
Matched against CLM-426907, 3 fields compared, weighted score 0.813
FieldSimilarityWeightShareNote
Name1.00338%
Date of birth0.50338%one_digit
Address1.00225%exact
Guard: noneConflicts: none
Records in this identity

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:39a8fb16d51a
    Escalated TPA-61891, top score 0.81, candidates MBR-029779

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-45016
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-030315
Opened
2026-10-19 19:54:36
Top score
0.81