Steward queue/CASE-004117
Steward case

CASE-004117

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

OpenCheckpointckpt-run-mvfoap9e-54763workflow paused, state held

Side-by-side comparison

Incoming TPA-59287 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-59287incoming
#1MBR-036938Eric Castillo
0.831 rec.
Best evidence: NameDate of birth
NameEric CastilloEric Castillo
Date of birth1941-01-03
1/3/1941
1941-01-03
Member ID—
UNKNOWN
UHC-84548-13
SSN—•••-••-9419
Phone—
NULL
—
Email—
null
—
Address3675 Broadway—
City / state / ZIPAustin, TX
Austin, TX, NULL
—
GroupGRP-7501GRP-7501
Plan—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-036938Eric Castillo0.83
Matched against CLM-421113, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • CLMCLM-421113Eric Castillo1941-01-03Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:398e5adb6f54
    Escalated TPA-59287, top score 0.83, candidates MBR-036938

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-54763
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-034282
Opened
2026-10-19 19:54:36
Top score
0.83