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-022605
Duplicate member record retired
Member services
Jordan Richards: 2 enrollment records collapsed into UHC-06514-86
Enrollment records
2
Member id
UHC-06514-86
MBR-005881
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022606
Duplicate member record retired
Member services
Stephen Butler: 3 enrollment records collapsed into UHC-23462-93
Enrollment records
3
Member id
UHC-23462-93
MBR-005882
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022607
Duplicate member record retired
Member services
Logan Taylor: 2 enrollment records collapsed into UHC-41442-10
Enrollment records
2
Member id
UHC-41442-10
MBR-005889
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022608
Duplicate member record retired
Member services
Douglas Arnold: 2 enrollment records collapsed into UHC-22169-60
Enrollment records
2
Member id
UHC-22169-60
MBR-005910
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022609
Duplicate member record retired
Member services
Theresa Mitchell: 2 enrollment records collapsed into UHC-76361-55
Enrollment records
2
Member id
UHC-76361-55
MBR-005918
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022610
Duplicate member record retired
Member services
Benjamin Gibson: 2 enrollment records collapsed into UHC-15397-39
Enrollment records
2
Member id
UHC-15397-39
MBR-005934
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022611
Duplicate member record retired
Member services
Jerry Morales: 2 enrollment records collapsed into UHC-11560-49
Enrollment records
2
Member id
UHC-11560-49
MBR-005937
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022612
Duplicate member record retired
Member services
Austin Robertson: 2 enrollment records collapsed into UHC-38894-44
Enrollment records
2
Member id
UHC-38894-44
MBR-005940
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022613
Duplicate member record retired
Member services
Ana Burns: 2 enrollment records collapsed into UHC-41549-61
Enrollment records
2
Member id
UHC-41549-61
MBR-005941
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022614
Duplicate member record retired
Member services
Thomas Palmer: 2 enrollment records collapsed into UHC-62672-33
Enrollment records
2
Member id
UHC-62672-33
MBR-005946
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022615
Duplicate member record retired
Member services
Hiroshi Harrison: 2 enrollment records collapsed into UHC-09174-09
Enrollment records
2
Member id
UHC-09174-09
MBR-005948
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022616
Duplicate member record retired
Member services
Gabriel Vazquez: 3 enrollment records collapsed into UHC-21481-63
Enrollment records
3
Member id
UHC-21481-63
MBR-005952
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022617
Duplicate member record retired
Member services
Gary Price: 2 enrollment records collapsed into UHC-09967-57
Enrollment records
2
Member id
UHC-09967-57
MBR-005953
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022618
Duplicate member record retired
Member services
Sean Holmes: 2 enrollment records collapsed into UHC-34874-09
Enrollment records
2
Member id
UHC-34874-09
MBR-005970
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022619
Duplicate member record retired
Member services
Jon Simmons: 2 enrollment records collapsed into UHC-58238-94
Enrollment records
2
Member id
UHC-58238-94
MBR-005971
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022620
Duplicate member record retired
Member services
Ralph Gibson: 2 enrollment records collapsed into UHC-51268-55
Enrollment records
2
Member id
UHC-51268-55
MBR-005988
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022621
Duplicate member record retired
Member services
Melissa White: 2 enrollment records collapsed into UHC-89869-69
Enrollment records
2
Member id
UHC-89869-69
MBR-005996
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022622
Duplicate member record retired
Member services
Charles Burke: 3 enrollment records collapsed into UHC-65217-11
Enrollment records
3
Member id
UHC-65217-11
MBR-005997
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022623
Duplicate member record retired
Member services
Charlotte Bryant: 2 enrollment records collapsed into UHC-51096-97
Enrollment records
2
Member id
UHC-51096-97
MBR-006002
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022624
Duplicate member record retired
Member services
Noah Willis: 2 enrollment records collapsed into UHC-78154-98
Enrollment records
2
Member id
UHC-78154-98
MBR-006007
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022625
Duplicate member record retired
Member services
Omar Lee: 2 enrollment records collapsed into UHC-17270-62
Enrollment records
2
Member id
UHC-17270-62
MBR-006008
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022626
Duplicate member record retired
Member services
Jordan Ellis: 2 enrollment records collapsed into UHC-92342-99
Enrollment records
2
Member id
UHC-92342-99
MBR-006017
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022627
Duplicate member record retired
Member services
Amanda King: 2 enrollment records collapsed into UHC-82173-56
Enrollment records
2
Member id
UHC-82173-56
MBR-006022
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022628
Duplicate member record retired
Member services
Mateo Taylor: 2 enrollment records collapsed into UHC-48830-68
Enrollment records
2
Member id
UHC-48830-68
MBR-006025
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022629
Duplicate member record retired
Member services
Bobby Gray: 3 enrollment records collapsed into UHC-31950-26
Enrollment records
3
Member id
UHC-31950-26
MBR-006029
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022630
Duplicate member record retired
Member services
Luis Fernandez: 2 enrollment records collapsed into UHC-36488-55
Enrollment records
2
Member id
UHC-36488-55
MBR-006032
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022631
Duplicate member record retired
Member services
Elizabeth Fox: 2 enrollment records collapsed into UHC-85549-30
Enrollment records
2
Member id
UHC-85549-30
MBR-006039
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022632
Duplicate member record retired
Member services
Joshua Rios: 2 enrollment records collapsed into UHC-07268-37
Enrollment records
2
Member id
UHC-07268-37
MBR-006041
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022633
Duplicate member record retired
Member services
Carl George: 2 enrollment records collapsed into UHC-98825-70
Enrollment records
2
Member id
UHC-98825-70
MBR-006043
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022634
Duplicate member record retired
Member services
Diego Bradley: 2 enrollment records collapsed into UHC-19523-90
Enrollment records
2
Member id
UHC-19523-90
MBR-006048
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022635
Duplicate member record retired
Member services
Lucia Cox: 2 enrollment records collapsed into UHC-14104-68
Enrollment records
2
Member id
UHC-14104-68
MBR-006058
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022636
Duplicate member record retired
Member services
Joe Williamson: 2 enrollment records collapsed into UHC-73466-21
Enrollment records
2
Member id
UHC-73466-21
MBR-006074
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022637
Duplicate member record retired
Member services
Priya Spencer: 2 enrollment records collapsed into UHC-46670-64
Enrollment records
2
Member id
UHC-46670-64
MBR-006081
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022638
Duplicate member record retired
Member services
Lauren Simpson: 2 enrollment records collapsed into UHC-92848-17
Enrollment records
2
Member id
UHC-92848-17
MBR-006093
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022639
Duplicate member record retired
Member services
Santiago Johnston: 2 enrollment records collapsed into UHC-34055-28
Enrollment records
2
Member id
UHC-34055-28
MBR-006105
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022640
Duplicate member record retired
Member services
Robert Welch: 2 enrollment records collapsed into UHC-71028-83
Enrollment records
2
Member id
UHC-71028-83
MBR-006106
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022641
Duplicate member record retired
Member services
Martha Castro: 2 enrollment records collapsed into UHC-41311-30
Enrollment records
2
Member id
UHC-41311-30
MBR-006110
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022642
Duplicate member record retired
Member services
Alice Murphy: 2 enrollment records collapsed into UHC-19582-46
Enrollment records
2
Member id
UHC-19582-46
MBR-006115
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022643
Duplicate member record retired
Member services
Jeffrey Jenkins: 2 enrollment records collapsed into UHC-38887-29
Enrollment records
2
Member id
UHC-38887-29
MBR-006123
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022644
Duplicate member record retired
Member services
Debra Schmidt: 2 enrollment records collapsed into UHC-39182-52
Enrollment records
2
Member id
UHC-39182-52
MBR-006150
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022645
Duplicate member record retired
Member services
Timothy Tran: 2 enrollment records collapsed into UHC-04978-95
Enrollment records
2
Member id
UHC-04978-95
MBR-006154
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022646
Duplicate member record retired
Member services
Dennis Murphy: 2 enrollment records collapsed into UHC-72122-15
Enrollment records
2
Member id
UHC-72122-15
MBR-006160
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022647
Duplicate member record retired
Member services
Charles Rice: 3 enrollment records collapsed into UHC-28560-68
Enrollment records
3
Member id
UHC-28560-68
MBR-006164
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022648
Duplicate member record retired
Member services
Sara Aguilar: 2 enrollment records collapsed into UHC-97394-26
Enrollment records
2
Member id
UHC-97394-26
MBR-006166
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022649
Duplicate member record retired
Member services
Ashley Arnold: 3 enrollment records collapsed into UHC-00958-18
Enrollment records
3
Member id
UHC-00958-18
MBR-006173
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022650
Duplicate member record retired
Member services
Sara Schmidt: 3 enrollment records collapsed into UHC-29342-37
Enrollment records
3
Member id
UHC-29342-37
MBR-006175
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022651
Duplicate member record retired
Member services
Kevin Gibson: 2 enrollment records collapsed into UHC-37151-31
Enrollment records
2
Member id
UHC-37151-31
MBR-006180
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022652
Duplicate member record retired
Member services
Martha Soto: 2 enrollment records collapsed into UHC-33703-56
Enrollment records
2
Member id
UHC-33703-56
MBR-006181
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022653
Duplicate member record retired
Member services
Austin Stevens: 2 enrollment records collapsed into UHC-43550-76
Enrollment records
2
Member id
UHC-43550-76
MBR-006184
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022654
Duplicate member record retired
Member services
Rebecca Buter: 2 enrollment records collapsed into UHC-82111-65
Enrollment records
2
Member id
UHC-82111-65
MBR-006186
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 202 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.