Steward queue/CASE-004266
Steward case

CASE-004266

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

OpenCheckpointckpt-run-mvfoap9e-97458workflow paused, state held

Side-by-side comparison

Incoming TPA-50207 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldTPATPA-50207incoming
#1MBR-040461Andrea Jordan
0.831 rec.
Best evidence: NameDate of birth
NameAndrea JordanAndrea Jordan
Date of birth1938-12-181938-12-18
Member ID—UHC-03898-53
SSN•••-••-0260—
Phone——
Email——
Address9521 Ocean Ave
9521 Ocean Avenue
—
City / state / ZIPFresno, CA, 93755—
Group—
N/A
GRP-6852
Plan—
null
OPTIONS-PPO
Sources, recordsTPA1 recordCLM ×11 record

Evidence detail

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

▶#1MBR-040461Andrea Jordan0.83
Matched against CLM-400485, 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-400485Andrea Jordan1938-12-18Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:39240859af98
    Escalated TPA-50207, top score 0.83, candidates MBR-040461

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-97458
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-046345
Opened
2026-10-19 19:54:36
Top score
0.83