Steward queue/CASE-004195
Steward case

CASE-004195

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

OpenCheckpointckpt-run-mvfoap9e-63209workflow paused, state held

Side-by-side comparison

Incoming CLM-414020 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-414020incoming
#1MBR-044565Fatima Boyd
0.831 rec.
Best evidence: NameDate of birth
NameFatima BoydFatima Boyd
Date of birth1985-07-28
28-07-1985
1985-07-28
Member IDUHC-18372-48—
SSN—
•••-••-null
—
Phone—7457946116
Email——
Address—
UNKNOWN
7311 Sage Ct
City / state / ZIP—
NULL
Fresno, CA, 93791
Group——
PlanMEDICARE-ADV-B—
Sources, recordsCLM1 recordTPA ×11 record

Evidence detail

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

▶#1MBR-044565Fatima Boyd0.83
Matched against TPA-56189, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • TPATPA-56189Fatima Boyd1985-07-28Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:394e76f5e8a2
    Escalated CLM-414020, top score 0.83, candidates MBR-044565

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-63209
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-037307
Opened
2026-10-19 19:54:36
Top score
0.83