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-022867
Duplicate member record retired
Member services
Mateo Gonzales: 2 enrollment records collapsed into UHC-83490-21
Enrollment records
2
Member id
UHC-83490-21
MBR-007643
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022868
Duplicate member record retired
Member services
Eric Myers: 3 enrollment records collapsed into UHC-64051-96
Enrollment records
3
Member id
UHC-64051-96
MBR-007660
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022869
Duplicate member record retired
Member services
Hannah Yang: 3 enrollment records collapsed into UHC-38205-90
Enrollment records
3
Member id
UHC-38205-90
MBR-007667
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022870
Duplicate member record retired
Member services
Elijah Li: 2 enrollment records collapsed into UHC-84641-40
Enrollment records
2
Member id
UHC-84641-40
MBR-007669
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022871
Duplicate member record retired
Member services
Megan Davis: 2 enrollment records collapsed into UHC-00007-16
Enrollment records
2
Member id
UHC-00007-16
MBR-007683
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022872
Duplicate member record retired
Member services
Susan Yang: 2 enrollment records collapsed into UHC-21009-42
Enrollment records
2
Member id
UHC-21009-42
MBR-007685
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022873
Duplicate member record retired
Member services
Gloria Rogers: 2 enrollment records collapsed into UHC-45329-47
Enrollment records
2
Member id
UHC-45329-47
MBR-007687
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022874
Duplicate member record retired
Member services
Thomas Meeyr: 3 enrollment records collapsed into UHC-55702-01
Enrollment records
3
Member id
UHC-55702-01
MBR-007694
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022875
Duplicate member record retired
Member services
Helen Luna: 3 enrollment records collapsed into UHC-77657-84
Enrollment records
3
Member id
UHC-77657-84
MBR-007697
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022876
Duplicate member record retired
Member services
Cheryl Harvey: 2 enrollment records collapsed into UHC-06347-28
Enrollment records
2
Member id
UHC-06347-28
MBR-007702
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022877
Duplicate member record retired
Member services
Isabella Padilla: 2 enrollment records collapsed into UHC-80057-92
Enrollment records
2
Member id
UHC-80057-92
MBR-007717
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022878
Duplicate member record retired
Member services
Christian Estrada: 2 enrollment records collapsed into UHC-18584-05
Enrollment records
2
Member id
UHC-18584-05
MBR-007733
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022879
Duplicate member record retired
Member services
Saara Gutierrez: 2 enrollment records collapsed into UHC-38363-25
Enrollment records
2
Member id
UHC-38363-25
MBR-007754
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022880
Duplicate member record retired
Member services
Kayla Patel: 2 enrollment records collapsed into UHC-00656-58
Enrollment records
2
Member id
UHC-00656-58
MBR-007762
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022881
Duplicate member record retired
Member services
Dylan Nelson: 2 enrollment records collapsed into UHC-87086-65
Enrollment records
2
Member id
UHC-87086-65
MBR-007775
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022882
Duplicate member record retired
Member services
Vincent Ramirez: 2 enrollment records collapsed into UHC-41583-48
Enrollment records
2
Member id
UHC-41583-48
MBR-007777
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022883
Duplicate member record retired
Member services
Lucia Hernandez: 2 enrollment records collapsed into UHC-88709-12
Enrollment records
2
Member id
UHC-88709-12
MBR-007784
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022884
Duplicate member record retired
Member services
Susan Bennett: 2 enrollment records collapsed into UHC-83289-11
Enrollment records
2
Member id
UHC-83289-11
MBR-007785
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022885
Duplicate member record retired
Member services
Katherine Lucas: 2 enrollment records collapsed into UHC-29115-96
Enrollment records
2
Member id
UHC-29115-96
MBR-007786
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022886
Duplicate member record retired
Member services
Jacob Jacobs: 2 enrollment records collapsed into UHC-55658-02
Enrollment records
2
Member id
UHC-55658-02
MBR-007787
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022887
Duplicate member record retired
Member services
Barbara Brooks: 2 enrollment records collapsed into UHC-35893-48
Enrollment records
2
Member id
UHC-35893-48
MBR-007813
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022888
Duplicate member record retired
Member services
Kimberly Stewart: 3 enrollment records collapsed into UHC-36132-22
Enrollment records
3
Member id
UHC-36132-22
MBR-007815
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022889
Duplicate member record retired
Member services
Judy Ward: 2 enrollment records collapsed into UHC-61206-39
Enrollment records
2
Member id
UHC-61206-39
MBR-007819
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022890
Duplicate member record retired
Member services
Nancy Murray: 4 enrollment records collapsed into UHC-72199-70
Enrollment records
4
Member id
UHC-72199-70
MBR-007820
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022891
Duplicate member record retired
Member services
Stephen Weber: 2 enrollment records collapsed into UHC-21855-17
Enrollment records
2
Member id
UHC-21855-17
MBR-007821
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022892
Duplicate member record retired
Member services
James Sanders: 2 enrollment records collapsed into UHC-81882-91
Enrollment records
2
Member id
UHC-81882-91
MBR-007823
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022893
Duplicate member record retired
Member services
Gerald Valdez: 2 enrollment records collapsed into UHC-29944-62
Enrollment records
2
Member id
UHC-29944-62
MBR-007824
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022894
Duplicate member record retired
Member services
Jerry Richards: 2 enrollment records collapsed into UHC-20592-54
Enrollment records
2
Member id
UHC-20592-54
MBR-007826
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022895
Duplicate member record retired
Member services
Barbara Lynch: 2 enrollment records collapsed into UHC-29653-61
Enrollment records
2
Member id
UHC-29653-61
MBR-007831
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022896
Duplicate member record retired
Member services
Andrew Burton: 3 enrollment records collapsed into UHC-88406-12
Enrollment records
3
Member id
UHC-88406-12
MBR-007833
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022897
Duplicate member record retired
Member services
Jesse McCoy: 2 enrollment records collapsed into UHC-92772-95
Enrollment records
2
Member id
UHC-92772-95
MBR-007839
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022898
Duplicate member record retired
Member services
Walter Washington: 3 enrollment records collapsed into UHC-34661-92
Enrollment records
3
Member id
UHC-34661-92
MBR-007842
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022899
Duplicate member record retired
Member services
Philip Wright: 2 enrollment records collapsed into UHC-98948-34
Enrollment records
2
Member id
UHC-98948-34
MBR-007845
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022900
Duplicate member record retired
Member services
Kyle Boyd: 2 enrollment records collapsed into UHC-18267-54
Enrollment records
2
Member id
UHC-18267-54
MBR-007847
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022901
Duplicate member record retired
Member services
Juan Graham: 2 enrollment records collapsed into UHC-15294-97
Enrollment records
2
Member id
UHC-15294-97
MBR-007858
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022902
Duplicate member record retired
Member services
Gloria Lnua: 2 enrollment records collapsed into UHC-66011-86
Enrollment records
2
Member id
UHC-66011-86
MBR-007868
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022903
Duplicate member record retired
Member services
Christine Wagner: 2 enrollment records collapsed into UHC-57021-61
Enrollment records
2
Member id
UHC-57021-61
MBR-007869
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022904
Duplicate member record retired
Member services
Danielle Bradley: 2 enrollment records collapsed into UHC-78142-72
Enrollment records
2
Member id
UHC-78142-72
MBR-007872
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022905
Duplicate member record retired
Member services
Lauren Castro: 2 enrollment records collapsed into UHC-22462-88
Enrollment records
2
Member id
UHC-22462-88
MBR-007883
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022906
Duplicate member record retired
Member services
Madison Reyes: 2 enrollment records collapsed into UHC-15905-97
Enrollment records
2
Member id
UHC-15905-97
MBR-007893
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022907
Duplicate member record retired
Member services
Ahmed Carter: 2 enrollment records collapsed into UHC-42546-68
Enrollment records
2
Member id
UHC-42546-68
MBR-007894
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022908
Duplicate member record retired
Member services
Robert Porter: 2 enrollment records collapsed into UHC-64616-58
Enrollment records
2
Member id
UHC-64616-58
MBR-007905
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022909
Duplicate member record retired
Member services
Doris Gilbert: 2 enrollment records collapsed into UHC-87880-23
Enrollment records
2
Member id
UHC-87880-23
MBR-007909
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022910
Duplicate member record retired
Member services
Dennis Harper: 2 enrollment records collapsed into UHC-08307-55
Enrollment records
2
Member id
UHC-08307-55
MBR-007911
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022911
Duplicate member record retired
Member services
Roger Wang: 2 enrollment records collapsed into UHC-97290-31
Enrollment records
2
Member id
UHC-97290-31
MBR-007914
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022912
Duplicate member record retired
Member services
Judith Gardner: 2 enrollment records collapsed into UHC-21987-43
Enrollment records
2
Member id
UHC-21987-43
MBR-007916
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022913
Duplicate member record retired
Member services
Gloria Lopez: 2 enrollment records collapsed into UHC-27080-04
Enrollment records
2
Member id
UHC-27080-04
MBR-007919
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022914
Duplicate member record retired
Member services
Omar Rios: 2 enrollment records collapsed into UHC-74123-52
Enrollment records
2
Member id
UHC-74123-52
MBR-007925
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022915
Duplicate member record retired
Member services
Scott Guzman: 2 enrollment records collapsed into UHC-03230-14
Enrollment records
2
Member id
UHC-03230-14
MBR-007927
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022916
Duplicate member record retired
Member services
Alexander Robertson: 3 enrollment records collapsed into UHC-20832-08
Enrollment records
3
Member id
UHC-20832-08
MBR-007934
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 25 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.