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-026205
Duplicate member record retired
Member services
Michael Olson: 3 enrollment records collapsed into UHC-99283-82
Enrollment records
3
Member id
UHC-99283-82
MBR-036600
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026206
Duplicate member record retired
Member services
Valentina Bishop: 2 enrollment records collapsed into UHC-77430-04
Enrollment records
2
Member id
UHC-77430-04
MBR-036605
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026207
Duplicate member record retired
Member services
Luis Powell: 2 enrollment records collapsed into UHC-83291-95
Enrollment records
2
Member id
UHC-83291-95
MBR-036611
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026208
Duplicate member record retired
Member services
Kenneth Schmidt: 2 enrollment records collapsed into UHC-63880-62
Enrollment records
2
Member id
UHC-63880-62
MBR-036701
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026209
Duplicate member record retired
Member services
Margaret Yang: 2 enrollment records collapsed into UHC-97427-60
Enrollment records
2
Member id
UHC-97427-60
MBR-036707
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026210
Duplicate member record retired
Member services
Nicole Lee: 2 enrollment records collapsed into UHC-13335-65
Enrollment records
2
Member id
UHC-13335-65
MBR-036711
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026211
Duplicate member record retired
Member services
Samuel Castro: 2 enrollment records collapsed into UHC-38821-19
Enrollment records
2
Member id
UHC-38821-19
MBR-036731
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026212
Duplicate member record retired
Member services
Roger Kelley: 2 enrollment records collapsed into UHC-99844-35
Enrollment records
2
Member id
UHC-99844-35
MBR-036732
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026213
Duplicate member record retired
Member services
William Ryan: 3 enrollment records collapsed into UHC-34641-99
Enrollment records
3
Member id
UHC-34641-99
MBR-036768
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026214
Duplicate member record retired
Member services
Jerry Stevens: 3 enrollment records collapsed into UHC-69450-06
Enrollment records
3
Member id
UHC-69450-06
MBR-036788
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026215
Duplicate member record retired
Member services
Beverly Crawford: 2 enrollment records collapsed into UHC-90671-22
Enrollment records
2
Member id
UHC-90671-22
MBR-036799
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026216
Duplicate member record retired
Member services
Douglas Fernandez: 2 enrollment records collapsed into UHC-20086-55
Enrollment records
2
Member id
UHC-20086-55
MBR-036815
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026217
Duplicate member record retired
Member services
Randy Castro: 2 enrollment records collapsed into UHC-12260-95
Enrollment records
2
Member id
UHC-12260-95
MBR-036844
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026218
Duplicate member record retired
Member services
Tuny Sims: 2 enrollment records collapsed into UHC-91881-23
Enrollment records
2
Member id
UHC-91881-23
MBR-036876
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026219
Duplicate member record retired
Member services
Cheryl Graham: 2 enrollment records collapsed into UHC-03529-67
Enrollment records
2
Member id
UHC-03529-67
MBR-036893
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026220
Duplicate member record retired
Member services
Sara Hawkins: 3 enrollment records collapsed into UHC-71970-99
Enrollment records
3
Member id
UHC-71970-99
MBR-036919
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026221
Duplicate member record retired
Member services
Alice Bishop: 2 enrollment records collapsed into UHC-10447-33
Enrollment records
2
Member id
UHC-10447-33
MBR-036963
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026222
Duplicate member record retired
Member services
Willie Robertson: 2 enrollment records collapsed into UHC-50774-33
Enrollment records
2
Member id
UHC-50774-33
MBR-036972
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026223
Duplicate member record retired
Member services
Brian Carter: 2 enrollment records collapsed into UHC-24566-93
Enrollment records
2
Member id
UHC-24566-93
MBR-036977
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026224
Duplicate member record retired
Member services
Harold Marquez: 2 enrollment records collapsed into UHC-83460-01
Enrollment records
2
Member id
UHC-83460-01
MBR-036978
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026225
Duplicate member record retired
Member services
Henry Campbell: 2 enrollment records collapsed into UHC-45214-87
Enrollment records
2
Member id
UHC-45214-87
MBR-037017
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026226
Duplicate member record retired
Member services
Carl Watson: 3 enrollment records collapsed into UHC-95329-89
Enrollment records
3
Member id
UHC-95329-89
MBR-037032
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026227
Duplicate member record retired
Member services
Yuki Woods: 2 enrollment records collapsed into UHC-67985-55
Enrollment records
2
Member id
UHC-67985-55
MBR-037043
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026228
Duplicate member record retired
Member services
Aisha Miller: 2 enrollment records collapsed into UHC-31707-73
Enrollment records
2
Member id
UHC-31707-73
MBR-037052
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026229
Duplicate member record retired
Member services
Aisha Moreno: 2 enrollment records collapsed into UHC-22386-72
Enrollment records
2
Member id
UHC-22386-72
MBR-037071
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026230
Duplicate member record retired
Member services
Kyle Mason: 2 enrollment records collapsed into UHC-06799-94
Enrollment records
2
Member id
UHC-06799-94
MBR-037108
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026231
Duplicate member record retired
Member services
Douglas Cooper: 2 enrollment records collapsed into UHC-28409-19
Enrollment records
2
Member id
UHC-28409-19
MBR-037135
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026232
Duplicate member record retired
Member services
Bruce Sandoval: 2 enrollment records collapsed into UHC-23741-56
Enrollment records
2
Member id
UHC-23741-56
MBR-037161
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026233
Duplicate member record retired
Member services
Douglas Russell: 2 enrollment records collapsed into UHC-97092-57
Enrollment records
2
Member id
UHC-97092-57
MBR-037177
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026234
Duplicate member record retired
Member services
Olivia Parker: 2 enrollment records collapsed into UHC-73080-77
Enrollment records
2
Member id
UHC-73080-77
MBR-037192
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026235
Duplicate member record retired
Member services
Eugene Weaver: 2 enrollment records collapsed into UHC-66805-28
Enrollment records
2
Member id
UHC-66805-28
MBR-037220
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026236
Duplicate member record retired
Member services
Diane Jimenez: 2 enrollment records collapsed into UHC-02910-16
Enrollment records
2
Member id
UHC-02910-16
MBR-037245
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026237
Duplicate member record retired
Member services
Danny Richards: 2 enrollment records collapsed into UHC-49911-56
Enrollment records
2
Member id
UHC-49911-56
MBR-037316
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026238
Duplicate member record retired
Member services
Nick Fuller: 2 enrollment records collapsed into UHC-33001-85
Enrollment records
2
Member id
UHC-33001-85
MBR-037317
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026239
Duplicate member record retired
Member services
Jess Yang: 2 enrollment records collapsed into UHC-62594-53
Enrollment records
2
Member id
UHC-62594-53
MBR-037327
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026240
Duplicate member record retired
Member services
Ryan Hansen: 2 enrollment records collapsed into UHC-08451-93
Enrollment records
2
Member id
UHC-08451-93
MBR-037341
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026241
Duplicate member record retired
Member services
Laura Dunn: 3 enrollment records collapsed into UHC-26938-12
Enrollment records
3
Member id
UHC-26938-12
MBR-037343
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026242
Duplicate member record retired
Member services
Kathleen Fisher: 2 enrollment records collapsed into UHC-76265-13
Enrollment records
2
Member id
UHC-76265-13
MBR-037361
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026243
Duplicate member record retired
Member services
Madison Bowman: 2 enrollment records collapsed into UHC-02625-97
Enrollment records
2
Member id
UHC-02625-97
MBR-037363
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026244
Duplicate member record retired
Member services
Bryan Gibson: 2 enrollment records collapsed into UHC-97590-49
Enrollment records
2
Member id
UHC-97590-49
MBR-037392
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026245
Duplicate member record retired
Member services
Hiroshi Tucker: 2 enrollment records collapsed into UHC-97146-79
Enrollment records
2
Member id
UHC-97146-79
MBR-037429
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026246
Duplicate member record retired
Member services
Steven Ford: 2 enrollment records collapsed into UHC-81992-05
Enrollment records
2
Member id
UHC-81992-05
MBR-037433
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026247
Duplicate member record retired
Member services
Nathan Williamson: 2 enrollment records collapsed into UHC-01647-59
Enrollment records
2
Member id
UHC-01647-59
MBR-037453
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026248
Duplicate member record retired
Member services
Mason Dominguez: 2 enrollment records collapsed into UHC-48582-03
Enrollment records
2
Member id
UHC-48582-03
MBR-037462
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026249
Duplicate member record retired
Member services
Arthur Lopez: 3 enrollment records collapsed into UHC-09569-22
Enrollment records
3
Member id
UHC-09569-22
MBR-037522
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026250
Duplicate member record retired
Member services
Charlotte James: 2 enrollment records collapsed into UHC-14077-28
Enrollment records
2
Member id
UHC-14077-28
MBR-037548
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026251
Duplicate member record retired
Member services
Ruth Meyer: 2 enrollment records collapsed into UHC-75609-19
Enrollment records
2
Member id
UHC-75609-19
MBR-037557
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026252
Duplicate member record retired
Member services
Sophia Yang: 2 enrollment records collapsed into UHC-00889-59
Enrollment records
2
Member id
UHC-00889-59
MBR-037566
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026253
Duplicate member record retired
Member services
Abigail Reynolds: 2 enrollment records collapsed into UHC-28564-21
Enrollment records
2
Member id
UHC-28564-21
MBR-037604
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026254
Duplicate member record retired
Member services
Alexander Moore: 2 enrollment records collapsed into UHC-19433-71
Enrollment records
2
Member id
UHC-19433-71
MBR-037605
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 274 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.