Steward queue/CASE-004244
Steward case

CASE-004244

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

OpenCheckpointckpt-run-mvfoap9e-70153workflow paused, state held

Side-by-side comparison

Incoming TPA-59657 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-59657incoming
#1MBR-042827Alice Mills
0.832 rec.
Best evidence: NameDate of birth
NameAlice U MillsAlice U Mills
Date of birth1965-02-251965-02-25
Member ID—
NULL
UHC-67408-86
SSN—•••-••-4809
Phone—3602908120
Email—
-
alice.mills@aol.com
Address—
-
8784 Ridge Rd
City / state / ZIP—
UNKNOWN , N/A
Tucson, AZ, 85768
GroupGRP-9023GRP-9023
Plan—MEDICARE-ADV-A
Sources, recordsTPA1 recordENR ×1CLM ×12 records

Evidence detail

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

▶#1MBR-042827Alice Mills0.83
Matched against ENR-128801, 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 19:54:395c1ee0f685
    Escalated TPA-59657, top score 0.83, candidates MBR-042827

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-70153
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-039570
Opened
2026-10-19 19:54:36
Top score
0.83