Steward queue/CASE-004222
Steward case

CASE-004222

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

OpenCheckpointckpt-run-mvfoap9e-66070workflow paused, state held

Side-by-side comparison

Incoming TPA-53053 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-53053incoming
#1MBR-005966Brian Contreras
0.833 rec.
Best evidence: Name
NameBrian ContrerasBrian P Contreras
Date of birth—
2005-20-15
1961-03-10
Member ID—UHC-53081-01
SSN—
•••-••-NULL
•••-••-9479
Phone72935885126579809121
Email—brian.contreras@yahoo.com
Address—
UNKNOWN
3766 Ridge Rd Apt 30
City / state / ZIP—
UNKNOWN
Houston, TX, 77024
Group—GRP-5944
Plan—
NULL
CORE-HMO
Sources, recordsTPA1 recordENR ×1CLM ×23 records

Evidence detail

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

▶#1MBR-005966Brian Contreras0.83
Matched against CLM-409240, 1 field compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.003100%
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 19:54:39388c3b00c9
    Escalated TPA-53053, top score 0.83, candidates MBR-005966

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-66070
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-038276
Opened
2026-10-19 19:54:36
Top score
0.83