Operate, actions

Actions

Downstream actions derived from the resolved identities. Proposed actions wait for an operator; suppressed actions wait for a steward decision.

Eligibility engine
1,339
Eligibility conflict resolved
1,339 proposed
Claims processor
9,112
Orphan claim re-pointed
9,112 executed
Outreach
7,319
Outreach address corrected, Outreach suppressed pending steward
2,993 proposed4,326 held
Next-best-action
3,896
Care coordination outreach, New member onboarding
3,896 proposed
Member services
4,974
Duplicate member record retired
4,974 executed

Actions

26,640 derived from the last resolution run

TypeAllEligibility conflict resolved1,339Orphan claim re-pointed9,112Outreach address corrected2,993Outreach suppressed pending steward4,326Care coordination outreach1,815New member onboarding2,081Duplicate member record retired4,974
StatusAllProposed8,228Executed14,086Held4,326Released0
Duplicate member record retired, Member services, 0 proposed
ActionTypeTitleDetailLinked toStatusExecuted
ACT-022217
Duplicate member record retired
Member services
Sofia Mitchell: 2 enrollment records collapsed into UHC-13416-69
Enrollment records
2
Member id
UHC-13416-69
MBR-003337
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022218
Duplicate member record retired
Member services
Brittany Kelley: 3 enrollment records collapsed into UHC-07098-28
Enrollment records
3
Member id
UHC-07098-28
MBR-003340
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022219
Duplicate member record retired
Member services
Vincent Hudson: 2 enrollment records collapsed into UHC-97933-52
Enrollment records
2
Member id
UHC-97933-52
MBR-003342
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022220
Duplicate member record retired
Member services
Roy Hill: 2 enrollment records collapsed into UHC-26981-69
Enrollment records
2
Member id
UHC-26981-69
MBR-003343
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022221
Duplicate member record retired
Member services
Ruth Rose: 2 enrollment records collapsed into UHC-78815-46
Enrollment records
2
Member id
UHC-78815-46
MBR-003347
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022222
Duplicate member record retired
Member services
Alan Lynch: 2 enrollment records collapsed into UHC-34481-19
Enrollment records
2
Member id
UHC-34481-19
MBR-003349
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022223
Duplicate member record retired
Member services
Dennis Park: 3 enrollment records collapsed into UHC-17765-89
Enrollment records
3
Member id
UHC-17765-89
MBR-003350
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022224
Duplicate member record retired
Member services
Camila Castillo: 2 enrollment records collapsed into UHC-26142-58
Enrollment records
2
Member id
UHC-26142-58
MBR-003351
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022225
Duplicate member record retired
Member services
Sarah Tucker: 2 enrollment records collapsed into UHC-97286-29
Enrollment records
2
Member id
UHC-97286-29
MBR-003357
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022226
Duplicate member record retired
Member services
Isabella Crawford: 2 enrollment records collapsed into UHC-64929-99
Enrollment records
2
Member id
UHC-64929-99
MBR-003360
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022227
Duplicate member record retired
Member services
Lawrence George: 3 enrollment records collapsed into UHC-17614-13
Enrollment records
3
Member id
UHC-17614-13
MBR-003368
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022228
Duplicate member record retired
Member services
Emily Nguyen: 2 enrollment records collapsed into UHC-56018-98
Enrollment records
2
Member id
UHC-56018-98
MBR-003371
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022229
Duplicate member record retired
Member services
Alexis Sandoval: 3 enrollment records collapsed into UHC-93415-14
Enrollment records
3
Member id
UHC-93415-14
MBR-003379
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022230
Duplicate member record retired
Member services
Diego Willis: 3 enrollment records collapsed into UHC-87330-63
Enrollment records
3
Member id
UHC-87330-63
MBR-003389
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022231
Duplicate member record retired
Member services
Stephanie Mejia: 2 enrollment records collapsed into UHC-10286-01
Enrollment records
2
Member id
UHC-10286-01
MBR-003399
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022232
Duplicate member record retired
Member services
Steven Holmes: 2 enrollment records collapsed into UHC-19554-84
Enrollment records
2
Member id
UHC-19554-84
MBR-003401
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022233
Duplicate member record retired
Member services
Laura Schmidt: 2 enrollment records collapsed into UHC-96464-76
Enrollment records
2
Member id
UHC-96464-76
MBR-003410
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022234
Duplicate member record retired
Member services
Richard Medina: 2 enrollment records collapsed into UHC-46415-43
Enrollment records
2
Member id
UHC-46415-43
MBR-003420
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022235
Duplicate member record retired
Member services
Martha Sullivan: 3 enrollment records collapsed into UHC-67909-78
Enrollment records
3
Member id
UHC-67909-78
MBR-003437
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022236
Duplicate member record retired
Member services
Sandra Johnston: 2 enrollment records collapsed into UHC-41175-12
Enrollment records
2
Member id
UHC-41175-12
MBR-003445
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022237
Duplicate member record retired
Member services
Juan Watkins: 3 enrollment records collapsed into UHC-15347-49
Enrollment records
3
Member id
UHC-15347-49
MBR-003448
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022238
Duplicate member record retired
Member services
Amanda Gibson: 2 enrollment records collapsed into UHC-89438-32
Enrollment records
2
Member id
UHC-89438-32
MBR-003465
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022239
Duplicate member record retired
Member services
Joan Gonzales: 2 enrollment records collapsed into UHC-02734-71
Enrollment records
2
Member id
UHC-02734-71
MBR-003469
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022240
Duplicate member record retired
Member services
Ethan Gilbert: 2 enrollment records collapsed into UHC-51622-74
Enrollment records
2
Member id
UHC-51622-74
MBR-003474
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022241
Duplicate member record retired
Member services
Jeremy Garrett: 2 enrollment records collapsed into UHC-85404-26
Enrollment records
2
Member id
UHC-85404-26
MBR-003477
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022242
Duplicate member record retired
Member services
Frank Ramirez: 2 enrollment records collapsed into UHC-29023-35
Enrollment records
2
Member id
UHC-29023-35
MBR-003482
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022243
Duplicate member record retired
Member services
Victoria Cooper: 2 enrollment records collapsed into UHC-00539-49
Enrollment records
2
Member id
UHC-00539-49
MBR-003485
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022244
Duplicate member record retired
Member services
Mark Dean: 2 enrollment records collapsed into UHC-46621-13
Enrollment records
2
Member id
UHC-46621-13
MBR-003486
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022245
Duplicate member record retired
Member services
Jordan Murphy: 2 enrollment records collapsed into UHC-04857-22
Enrollment records
2
Member id
UHC-04857-22
MBR-003487
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022246
Duplicate member record retired
Member services
Carolyn Bennett: 2 enrollment records collapsed into UHC-05367-86
Enrollment records
2
Member id
UHC-05367-86
MBR-003500
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022247
Duplicate member record retired
Member services
Gabriel Nguyen: 2 enrollment records collapsed into UHC-08946-13
Enrollment records
2
Member id
UHC-08946-13
MBR-003510
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022248
Duplicate member record retired
Member services
Ethan Vazquez: 2 enrollment records collapsed into UHC-36033-31
Enrollment records
2
Member id
UHC-36033-31
MBR-003530
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022249
Duplicate member record retired
Member services
Brian Larson: 3 enrollment records collapsed into UHC-88524-21
Enrollment records
3
Member id
UHC-88524-21
MBR-003536
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022250
Duplicate member record retired
Member services
Gabriel Bradley: 2 enrollment records collapsed into UHC-00034-62
Enrollment records
2
Member id
UHC-00034-62
MBR-003537
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022251
Duplicate member record retired
Member services
Rachel Hughes: 2 enrollment records collapsed into UHC-06997-78
Enrollment records
2
Member id
UHC-06997-78
MBR-003538
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022252
Duplicate member record retired
Member services
Emma Perez: 2 enrollment records collapsed into UHC-52568-47
Enrollment records
2
Member id
UHC-52568-47
MBR-003550
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022253
Duplicate member record retired
Member services
Jennifer Moore: 2 enrollment records collapsed into UHC-97321-05
Enrollment records
2
Member id
UHC-97321-05
MBR-003553
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022254
Duplicate member record retired
Member services
Evelyn Hansen: 2 enrollment records collapsed into UHC-97559-91
Enrollment records
2
Member id
UHC-97559-91
MBR-003565
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022255
Duplicate member record retired
Member services
Sophia Roberts: 2 enrollment records collapsed into UHC-64051-25
Enrollment records
2
Member id
UHC-64051-25
MBR-003586
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022256
Duplicate member record retired
Member services
Dorothy Bishop: 2 enrollment records collapsed into UHC-06383-25
Enrollment records
2
Member id
UHC-06383-25
MBR-003591
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022257
Duplicate member record retired
Member services
Doris Brooks: 3 enrollment records collapsed into UHC-60379-29
Enrollment records
3
Member id
UHC-60379-29
MBR-003600
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022258
Duplicate member record retired
Member services
Gerald Harris: 2 enrollment records collapsed into UHC-40919-46
Enrollment records
2
Member id
UHC-40919-46
MBR-003603
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022259
Duplicate member record retired
Member services
Stephen Valdez: 2 enrollment records collapsed into UHC-30831-40
Enrollment records
2
Member id
UHC-30831-40
MBR-003608
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022260
Duplicate member record retired
Member services
Walter Guzman: 2 enrollment records collapsed into UHC-84623-41
Enrollment records
2
Member id
UHC-84623-41
MBR-003619
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022261
Duplicate member record retired
Member services
Alice McDonald: 2 enrollment records collapsed into UHC-51908-02
Enrollment records
2
Member id
UHC-51908-02
MBR-003627
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022262
Duplicate member record retired
Member services
Lori Foster: 2 enrollment records collapsed into UHC-94326-05
Enrollment records
2
Member id
UHC-94326-05
MBR-003630
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022263
Duplicate member record retired
Member services
Katherine Gonzalez: 2 enrollment records collapsed into UHC-99110-29
Enrollment records
2
Member id
UHC-99110-29
MBR-003635
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022264
Duplicate member record retired
Member services
Stephanie Flores: 2 enrollment records collapsed into UHC-94918-95
Enrollment records
2
Member id
UHC-94918-95
MBR-003640
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022265
Duplicate member record retired
Member services
Gregory Palmer: 2 enrollment records collapsed into UHC-49414-59
Enrollment records
2
Member id
UHC-49414-59
MBR-003660
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022266
Duplicate member record retired
Member services
Andrea Weaver: 2 enrollment records collapsed into UHC-37102-61
Enrollment records
2
Member id
UHC-37102-61
MBR-003667
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 12 of 100PreviousNext

Derivation rules

Evaluated after every gold rebuild

  1. 1
    Eligibility conflict resolved
    The records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
  2. 2
    Orphan claim re-pointed
    A claim arrived without a member ID. Resolution attached it to an identity that has one, so the claims processor can now pay it against the right member.
  3. 3
    Outreach address corrected
    The most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
  4. 4
    Outreach suppressed pending steward
    The record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
  5. 5
    Care coordination outreach
    Three or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
  6. 6
    New member onboarding
    A single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
  7. 7
    Duplicate member record retired
    Two or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.