Steward queue/CASE-004196
Steward case

CASE-004196

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

OpenCheckpointckpt-run-mvfoap9e-89421workflow paused, state held

Side-by-side comparison

Incoming TPA-56189 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-56189incoming
#1MBR-037307Fatima Boyd
0.831 rec.
Best evidence: NameDate of birth
NameFatima BoydFatima Boyd
Date of birth1985-07-281985-07-28
Member ID—UHC-18372-48
SSN—
•••-••-NULL
—
Phone7457946116
17457946116
—
Email—
null
—
Address7311 Sage Ct
7311 SAGE COURT
—
City / state / ZIPFresno, CA, 93791—
Group——
Plan—
-
MEDICARE-ADV-B
Sources, recordsTPA1 recordCLM ×11 record

Evidence detail

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

▶#1MBR-037307Fatima Boyd0.83
Matched against CLM-414020, 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-414020Fatima 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 19:54:39272c074011
    Escalated TPA-56189, top score 0.83, candidates MBR-037307

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-89421
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-044565
Opened
2026-10-19 19:54:36
Top score
0.83