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-023105
Duplicate member record retired
Member services
Larry Stephens: 2 enrollment records collapsed into UHC-87488-26
Enrollment records
2
Member id
UHC-87488-26
MBR-009096
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023106
Duplicate member record retired
Member services
Douglas Castillo: 2 enrollment records collapsed into UHC-86309-17
Enrollment records
2
Member id
UHC-86309-17
MBR-009101
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023107
Duplicate member record retired
Member services
Thomas Matthews: 2 enrollment records collapsed into UHC-58466-91
Enrollment records
2
Member id
UHC-58466-91
MBR-009119
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023108
Duplicate member record retired
Member services
Christine Morales: 2 enrollment records collapsed into UHC-18121-75
Enrollment records
2
Member id
UHC-18121-75
MBR-009126
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023109
Duplicate member record retired
Member services
Janice Holmes: 2 enrollment records collapsed into UHC-79640-77
Enrollment records
2
Member id
UHC-79640-77
MBR-009133
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023110
Duplicate member record retired
Member services
Ryan Davis: 3 enrollment records collapsed into UHC-16030-43
Enrollment records
3
Member id
UHC-16030-43
MBR-009138
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023111
Duplicate member record retired
Member services
Albert Delgado: 2 enrollment records collapsed into UHC-47612-02
Enrollment records
2
Member id
UHC-47612-02
MBR-009146
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023112
Duplicate member record retired
Member services
Nathan Hughes: 2 enrollment records collapsed into UHC-87775-37
Enrollment records
2
Member id
UHC-87775-37
MBR-009148
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023113
Duplicate member record retired
Member services
Catherine Fuller: 2 enrollment records collapsed into UHC-08698-57
Enrollment records
2
Member id
UHC-08698-57
MBR-009156
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023114
Duplicate member record retired
Member services
Julie Hughes: 2 enrollment records collapsed into UHC-21646-21
Enrollment records
2
Member id
UHC-21646-21
MBR-009165
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023115
Duplicate member record retired
Member services
Michelle Wong: 2 enrollment records collapsed into UHC-75999-90
Enrollment records
2
Member id
UHC-75999-90
MBR-009167
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023116
Duplicate member record retired
Member services
Melissa Andrews: 3 enrollment records collapsed into UHC-49025-89
Enrollment records
3
Member id
UHC-49025-89
MBR-009171
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023117
Duplicate member record retired
Member services
Ahmed Jackson: 2 enrollment records collapsed into UHC-85837-40
Enrollment records
2
Member id
UHC-85837-40
MBR-009174
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023118
Duplicate member record retired
Member services
Elizabeth Myers: 2 enrollment records collapsed into UHC-25672-92
Enrollment records
2
Member id
UHC-25672-92
MBR-009176
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023119
Duplicate member record retired
Member services
Bobby Castro: 3 enrollment records collapsed into UHC-60624-22
Enrollment records
3
Member id
UHC-60624-22
MBR-009179
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023120
Duplicate member record retired
Member services
Adam Williamson: 2 enrollment records collapsed into UHC-78870-26
Enrollment records
2
Member id
UHC-78870-26
MBR-009183
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023121
Duplicate member record retired
Member services
Valentina Castillo: 2 enrollment records collapsed into UHC-20623-84
Enrollment records
2
Member id
UHC-20623-84
MBR-009188
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023122
Duplicate member record retired
Member services
Arthur Peterson: 2 enrollment records collapsed into UHC-63949-28
Enrollment records
2
Member id
UHC-63949-28
MBR-009202
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023123
Duplicate member record retired
Member services
Scott Robertson: 2 enrollment records collapsed into UHC-77048-48
Enrollment records
2
Member id
UHC-77048-48
MBR-009205
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023124
Duplicate member record retired
Member services
Josh Payne: 2 enrollment records collapsed into UHC-46227-21
Enrollment records
2
Member id
UHC-46227-21
MBR-009211
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023125
Duplicate member record retired
Member services
Nancy Smith: 2 enrollment records collapsed into UHC-23880-95
Enrollment records
2
Member id
UHC-23880-95
MBR-009228
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023126
Duplicate member record retired
Member services
Ann Lewis: 2 enrollment records collapsed into UHC-60179-60
Enrollment records
2
Member id
UHC-60179-60
MBR-009241
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023127
Duplicate member record retired
Member services
Jason Ortega: 2 enrollment records collapsed into UHC-48110-72
Enrollment records
2
Member id
UHC-48110-72
MBR-009245
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023128
Duplicate member record retired
Member services
Kevin Rios: 2 enrollment records collapsed into UHC-15324-69
Enrollment records
2
Member id
UHC-15324-69
MBR-009254
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023129
Duplicate member record retired
Member services
Michael Mills: 2 enrollment records collapsed into UHC-22066-20
Enrollment records
2
Member id
UHC-22066-20
MBR-009259
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023130
Duplicate member record retired
Member services
Debra Bishop: 2 enrollment records collapsed into UHC-74782-94
Enrollment records
2
Member id
UHC-74782-94
MBR-009260
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023131
Duplicate member record retired
Member services
Karen Warren: 2 enrollment records collapsed into UHC-82850-96
Enrollment records
2
Member id
UHC-82850-96
MBR-009266
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023132
Duplicate member record retired
Member services
Tyler Adams: 2 enrollment records collapsed into UHC-63894-92
Enrollment records
2
Member id
UHC-63894-92
MBR-009269
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023133
Duplicate member record retired
Member services
Keith Garcia: 3 enrollment records collapsed into UHC-31785-44
Enrollment records
3
Member id
UHC-31785-44
MBR-009270
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023134
Duplicate member record retired
Member services
Anna Thompson: 2 enrollment records collapsed into UHC-22617-58
Enrollment records
2
Member id
UHC-22617-58
MBR-009286
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023135
Duplicate member record retired
Member services
Charles Kelly: 2 enrollment records collapsed into UHC-86006-63
Enrollment records
2
Member id
UHC-86006-63
MBR-009297
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023136
Duplicate member record retired
Member services
Sarah Hawkins: 2 enrollment records collapsed into UHC-51608-50
Enrollment records
2
Member id
UHC-51608-50
MBR-009298
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023137
Duplicate member record retired
Member services
Jonathan McDonald: 2 enrollment records collapsed into UHC-49847-15
Enrollment records
2
Member id
UHC-49847-15
MBR-009301
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023138
Duplicate member record retired
Member services
Roger Vazquez: 3 enrollment records collapsed into UHC-14553-33
Enrollment records
3
Member id
UHC-14553-33
MBR-009312
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023139
Duplicate member record retired
Member services
Therresa Mills: 2 enrollment records collapsed into UHC-05427-33
Enrollment records
2
Member id
UHC-05427-33
MBR-009321
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023140
Duplicate member record retired
Member services
Maria Perkins: 2 enrollment records collapsed into UHC-18060-30
Enrollment records
2
Member id
UHC-18060-30
MBR-009322
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023141
Duplicate member record retired
Member services
Anna Armstrong: 2 enrollment records collapsed into UHC-24555-91
Enrollment records
2
Member id
UHC-24555-91
MBR-009329
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023142
Duplicate member record retired
Member services
Teresa Hunt: 2 enrollment records collapsed into UHC-72508-09
Enrollment records
2
Member id
UHC-72508-09
MBR-009334
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023143
Duplicate member record retired
Member services
Jessica Rice: 2 enrollment records collapsed into UHC-70139-88
Enrollment records
2
Member id
UHC-70139-88
MBR-009335
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023144
Duplicate member record retired
Member services
Tyler Barnes: 2 enrollment records collapsed into UHC-01576-41
Enrollment records
2
Member id
UHC-01576-41
MBR-009338
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023145
Duplicate member record retired
Member services
Helen Chen: 2 enrollment records collapsed into UHC-44782-12
Enrollment records
2
Member id
UHC-44782-12
MBR-009346
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023146
Duplicate member record retired
Member services
Jesse Reyes: 2 enrollment records collapsed into UHC-88973-05
Enrollment records
2
Member id
UHC-88973-05
MBR-009347
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023147
Duplicate member record retired
Member services
Amber Amber: 2 enrollment records collapsed into UHC-65231-24
Enrollment records
2
Member id
UHC-65231-24
MBR-009352
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023148
Duplicate member record retired
Member services
Jonathan Richards: 2 enrollment records collapsed into UHC-51651-96
Enrollment records
2
Member id
UHC-51651-96
MBR-009361
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023149
Duplicate member record retired
Member services
Grace Garza: 3 enrollment records collapsed into UHC-70601-88
Enrollment records
3
Member id
UHC-70601-88
MBR-009365
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023150
Duplicate member record retired
Member services
William Spencer: 2 enrollment records collapsed into UHC-77918-24
Enrollment records
2
Member id
UHC-77918-24
MBR-009366
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023151
Duplicate member record retired
Member services
Sophia Carroll: 2 enrollment records collapsed into UHC-64413-52
Enrollment records
2
Member id
UHC-64413-52
MBR-009374
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023152
Duplicate member record retired
Member services
Yuki Dominguez: 2 enrollment records collapsed into UHC-43448-72
Enrollment records
2
Member id
UHC-43448-72
MBR-009376
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023153
Duplicate member record retired
Member services
Zachary Mendez: 2 enrollment records collapsed into UHC-28618-02
Enrollment records
2
Member id
UHC-28618-02
MBR-009380
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023154
Duplicate member record retired
Member services
Brandon Jacobs: 2 enrollment records collapsed into UHC-10592-72
Enrollment records
2
Member id
UHC-10592-72
MBR-009393
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 212 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.