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
ActionTypeTitleDetailLinked toStatusExecuted
ACT-022505
Duplicate member record retired
Member services
Roger Pena: 2 enrollment records collapsed into UHC-93843-32
Enrollment records
2
Member id
UHC-93843-32
MBR-005164
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022506
Duplicate member record retired
Member services
Alexis Allen: 3 enrollment records collapsed into UHC-33958-06
Enrollment records
3
Member id
UHC-33958-06
MBR-005167
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022507
Duplicate member record retired
Member services
Mariana Austin: 2 enrollment records collapsed into UHC-60247-95
Enrollment records
2
Member id
UHC-60247-95
MBR-005173
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022508
Duplicate member record retired
Member services
Sean Price: 2 enrollment records collapsed into UHC-86068-88
Enrollment records
2
Member id
UHC-86068-88
MBR-005185
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022509
Duplicate member record retired
Member services
Mark Espinoza: 2 enrollment records collapsed into UHC-64946-78
Enrollment records
2
Member id
UHC-64946-78
MBR-005189
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022510
Duplicate member record retired
Member services
Philip Nichols: 2 enrollment records collapsed into UHC-60512-53
Enrollment records
2
Member id
UHC-60512-53
MBR-005197
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022511
Duplicate member record retired
Member services
Santiago Lynch: 2 enrollment records collapsed into UHC-94650-08
Enrollment records
2
Member id
UHC-94650-08
MBR-005198
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022512
Duplicate member record retired
Member services
Keith Lawrence: 3 enrollment records collapsed into UHC-56811-34
Enrollment records
3
Member id
UHC-56811-34
MBR-005202
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022513
Duplicate member record retired
Member services
Sandra Rose: 2 enrollment records collapsed into UHC-24784-55
Enrollment records
2
Member id
UHC-24784-55
MBR-005203
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022514
Duplicate member record retired
Member services
Riley Mary: 3 enrollment records collapsed into UHC-59201-69
Enrollment records
3
Member id
UHC-59201-69
MBR-005214
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022515
Duplicate member record retired
Member services
Carolyn Ortega: 2 enrollment records collapsed into UHC-89704-73
Enrollment records
2
Member id
UHC-89704-73
MBR-005217
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022516
Duplicate member record retired
Member services
Cheryl Wagner: 2 enrollment records collapsed into UHC-60739-16
Enrollment records
2
Member id
UHC-60739-16
MBR-005218
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022517
Duplicate member record retired
Member services
Christine Dixon: 2 enrollment records collapsed into UHC-34283-65
Enrollment records
2
Member id
UHC-34283-65
MBR-005228
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022518
Duplicate member record retired
Member services
Richard Tran: 2 enrollment records collapsed into UHC-09404-57
Enrollment records
2
Member id
UHC-09404-57
MBR-005231
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022519
Duplicate member record retired
Member services
Kathleen Day: 2 enrollment records collapsed into UHC-04206-33
Enrollment records
2
Member id
UHC-04206-33
MBR-005235
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022520
Duplicate member record retired
Member services
Laura Thomas: 2 enrollment records collapsed into UHC-63477-40
Enrollment records
2
Member id
UHC-63477-40
MBR-005238
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022521
Duplicate member record retired
Member services
Arjun Hanson: 3 enrollment records collapsed into UHC-47578-88
Enrollment records
3
Member id
UHC-47578-88
MBR-005239
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022522
Duplicate member record retired
Member services
Nathan Chavez: 2 enrollment records collapsed into UHC-16858-20
Enrollment records
2
Member id
UHC-16858-20
MBR-005241
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022523
Duplicate member record retired
Member services
Kathleen Baker: 2 enrollment records collapsed into UHC-40436-49
Enrollment records
2
Member id
UHC-40436-49
MBR-005244
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022524
Duplicate member record retired
Member services
Scott Anderson: 2 enrollment records collapsed into UHC-38641-40
Enrollment records
2
Member id
UHC-38641-40
MBR-005245
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022525
Duplicate member record retired
Member services
Gary Vazquez: 2 enrollment records collapsed into UHC-43078-98
Enrollment records
2
Member id
UHC-43078-98
MBR-005247
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022526
Duplicate member record retired
Member services
Dennis Hamilton: 2 enrollment records collapsed into UHC-00203-27
Enrollment records
2
Member id
UHC-00203-27
MBR-005265
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022527
Duplicate member record retired
Member services
Mariana Valdez: 2 enrollment records collapsed into UHC-86395-54
Enrollment records
2
Member id
UHC-86395-54
MBR-005267
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022528
Duplicate member record retired
Member services
Kimberly Henry: 2 enrollment records collapsed into UHC-62023-38
Enrollment records
2
Member id
UHC-62023-38
MBR-005275
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022529
Duplicate member record retired
Member services
Phhilip Hill: 2 enrollment records collapsed into UHC-58500-48
Enrollment records
2
Member id
UHC-58500-48
MBR-005288
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022530
Duplicate member record retired
Member services
Arjun Gutierrez: 2 enrollment records collapsed into UHC-35844-53
Enrollment records
2
Member id
UHC-35844-53
MBR-005302
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022531
Duplicate member record retired
Member services
Mason Morales: 2 enrollment records collapsed into UHC-64421-02
Enrollment records
2
Member id
UHC-64421-02
MBR-005312
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022532
Duplicate member record retired
Member services
Teresa Payne: 2 enrollment records collapsed into UHC-81632-20
Enrollment records
2
Member id
UHC-81632-20
MBR-005314
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022533
Duplicate member record retired
Member services
Karen Rose: 3 enrollment records collapsed into UHC-41271-45
Enrollment records
3
Member id
UHC-41271-45
MBR-005315
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022534
Duplicate member record retired
Member services
Jessica Baker: 2 enrollment records collapsed into UHC-47501-58
Enrollment records
2
Member id
UHC-47501-58
MBR-005320
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022535
Duplicate member record retired
Member services
Ashley Mitchell: 2 enrollment records collapsed into UHC-16625-75
Enrollment records
2
Member id
UHC-16625-75
MBR-005325
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022536
Duplicate member record retired
Member services
Evelyn Vargas: 3 enrollment records collapsed into UHC-34654-11
Enrollment records
3
Member id
UHC-34654-11
MBR-005331
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022537
Duplicate member record retired
Member services
Zachary Hicks: 2 enrollment records collapsed into UHC-79456-85
Enrollment records
2
Member id
UHC-79456-85
MBR-005349
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022538
Duplicate member record retired
Member services
Abigail Luna: 3 enrollment records collapsed into UHC-36079-65
Enrollment records
3
Member id
UHC-36079-65
MBR-005360
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022539
Duplicate member record retired
Member services
Charles Ortiz: 2 enrollment records collapsed into UHC-92395-20
Enrollment records
2
Member id
UHC-92395-20
MBR-005373
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022540
Duplicate member record retired
Member services
Danielle Pierce: 2 enrollment records collapsed into UHC-91432-68
Enrollment records
2
Member id
UHC-91432-68
MBR-005376
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022541
Duplicate member record retired
Member services
Nathan Dominguez: 3 enrollment records collapsed into UHC-21901-45
Enrollment records
3
Member id
UHC-21901-45
MBR-005380
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022542
Duplicate member record retired
Member services
Sofia Richards: 2 enrollment records collapsed into UHC-38846-21
Enrollment records
2
Member id
UHC-38846-21
MBR-005403
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022543
Duplicate member record retired
Member services
Carlos Perry: 2 enrollment records collapsed into UHC-74538-98
Enrollment records
2
Member id
UHC-74538-98
MBR-005414
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022544
Duplicate member record retired
Member services
Anna Bryant: 2 enrollment records collapsed into UHC-91893-88
Enrollment records
2
Member id
UHC-91893-88
MBR-005419
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022545
Duplicate member record retired
Member services
Frances Pena: 2 enrollment records collapsed into UHC-11201-26
Enrollment records
2
Member id
UHC-11201-26
MBR-005420
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022546
Duplicate member record retired
Member services
Arjun Harris: 2 enrollment records collapsed into UHC-71965-17
Enrollment records
2
Member id
UHC-71965-17
MBR-005433
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022547
Duplicate member record retired
Member services
Rebecca Bailey: 2 enrollment records collapsed into UHC-60552-85
Enrollment records
2
Member id
UHC-60552-85
MBR-005437
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022548
Duplicate member record retired
Member services
Lauren Washington: 2 enrollment records collapsed into UHC-74755-05
Enrollment records
2
Member id
UHC-74755-05
MBR-005444
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022549
Duplicate member record retired
Member services
Jerry Butler: 2 enrollment records collapsed into UHC-90087-88
Enrollment records
2
Member id
UHC-90087-88
MBR-005445
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022550
Duplicate member record retired
Member services
Dorothy Spencer: 2 enrollment records collapsed into UHC-83167-50
Enrollment records
2
Member id
UHC-83167-50
MBR-005447
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022551
Duplicate member record retired
Member services
Kevin Price: 2 enrollment records collapsed into UHC-73391-84
Enrollment records
2
Member id
UHC-73391-84
MBR-005483
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022552
Duplicate member record retired
Member services
Anthony Henderson: 2 enrollment records collapsed into UHC-92935-47
Enrollment records
2
Member id
UHC-92935-47
MBR-005485
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022553
Duplicate member record retired
Member services
Rebecca Park: 2 enrollment records collapsed into UHC-63041-07
Enrollment records
2
Member id
UHC-63041-07
MBR-005486
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022554
Duplicate member record retired
Member services
Joshua Young: 2 enrollment records collapsed into UHC-95779-94
Enrollment records
2
Member id
UHC-95779-94
MBR-005492
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 200 of 282PreviousNext

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.