Steward queue/CASE-004055
Steward case

CASE-004055

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

OpenCheckpointckpt-run-mvfoap9e-74601workflow paused, state held

Side-by-side comparison

Incoming TPA-51212 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-51212incoming
#1MBR-032122Joyce Guerrero
0.832 rec.
Best evidence: NameDate of birth
NameJoyce P GuerreroJoyce P Guerrero
Date of birth1962-03-271962-03-27
Member ID—
-
UHC-29388-20
SSN—
•••-••-N/A
—
Phone8584789486
(858) 478-9486
—
Email—
N/A
—
Address—549 Washington St
City / state / ZIP—
null, null, UNKNOWN
Nashville, TN, 37220
GroupGRP-1383GRP-1383
Plan—
NULL
CHOICE-PLUS-PPO
Sources, recordsTPA1 recordCLM ×22 records

Evidence detail

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

▶#1MBR-032122Joyce Guerrero0.83
Matched against CLM-402808, 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 19:54:39e3960eb847
    Escalated TPA-51212, top score 0.83, candidates MBR-032122

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-74601
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-040878
Opened
2026-10-19 19:54:36
Top score
0.83