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-023317
Duplicate member record retired
Member services
Frances Grant: 2 enrollment records collapsed into UHC-79512-87
Enrollment records
2
Member id
UHC-79512-87
MBR-010555
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023318
Duplicate member record retired
Member services
Brittany Reyes: 2 enrollment records collapsed into UHC-87647-23
Enrollment records
2
Member id
UHC-87647-23
MBR-010562
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023319
Duplicate member record retired
Member services
Andrew Edwards: 2 enrollment records collapsed into UHC-43496-82
Enrollment records
2
Member id
UHC-43496-82
MBR-010568
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023320
Duplicate member record retired
Member services
Joseph Schultz: 2 enrollment records collapsed into UHC-92693-54
Enrollment records
2
Member id
UHC-92693-54
MBR-010572
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023321
Duplicate member record retired
Member services
Elizabeth Clark: 2 enrollment records collapsed into UHC-08079-45
Enrollment records
2
Member id
UHC-08079-45
MBR-010576
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023322
Duplicate member record retired
Member services
Susan Alvarez: 2 enrollment records collapsed into UHC-58484-22
Enrollment records
2
Member id
UHC-58484-22
MBR-010579
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023323
Duplicate member record retired
Member services
Carol Muphy: 2 enrollment records collapsed into UHC-59734-80
Enrollment records
2
Member id
UHC-59734-80
MBR-010582
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023324
Duplicate member record retired
Member services
Rebecca Salazar: 2 enrollment records collapsed into UHC-63213-69
Enrollment records
2
Member id
UHC-63213-69
MBR-010589
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023325
Duplicate member record retired
Member services
Jean Ramirez: 2 enrollment records collapsed into UHC-02634-12
Enrollment records
2
Member id
UHC-02634-12
MBR-010591
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023326
Duplicate member record retired
Member services
Philip Harer: 3 enrollment records collapsed into UHC-80108-67
Enrollment records
3
Member id
UHC-80108-67
MBR-010593
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023327
Duplicate member record retired
Member services
Russell Dean: 3 enrollment records collapsed into UHC-69426-13
Enrollment records
3
Member id
UHC-69426-13
MBR-010594
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023328
Duplicate member record retired
Member services
Sandra Valdez: 2 enrollment records collapsed into UHC-60659-14
Enrollment records
2
Member id
UHC-60659-14
MBR-010613
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023329
Duplicate member record retired
Member services
Linda Wilson: 2 enrollment records collapsed into UHC-89184-84
Enrollment records
2
Member id
UHC-89184-84
MBR-010624
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023330
Duplicate member record retired
Member services
Michelle Harper: 2 enrollment records collapsed into UHC-59426-45
Enrollment records
2
Member id
UHC-59426-45
MBR-010628
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023331
Duplicate member record retired
Member services
Jeremy Stephens: 2 enrollment records collapsed into UHC-19456-06
Enrollment records
2
Member id
UHC-19456-06
MBR-010640
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023332
Duplicate member record retired
Member services
Julia Estrada: 2 enrollment records collapsed into UHC-94226-56
Enrollment records
2
Member id
UHC-94226-56
MBR-010644
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023333
Duplicate member record retired
Member services
Austin Schmidt: 2 enrollment records collapsed into UHC-21559-49
Enrollment records
2
Member id
UHC-21559-49
MBR-010657
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023334
Duplicate member record retired
Member services
Jacqueline Daniels: 2 enrollment records collapsed into UHC-36475-82
Enrollment records
2
Member id
UHC-36475-82
MBR-010663
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023335
Duplicate member record retired
Member services
Scott Singh: 2 enrollment records collapsed into UHC-17288-43
Enrollment records
2
Member id
UHC-17288-43
MBR-010664
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023336
Duplicate member record retired
Member services
Theresa McDonald: 2 enrollment records collapsed into UHC-67029-07
Enrollment records
2
Member id
UHC-67029-07
MBR-010665
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023337
Duplicate member record retired
Member services
Edward Sanchez: 2 enrollment records collapsed into UHC-11141-16
Enrollment records
2
Member id
UHC-11141-16
MBR-010666
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023338
Duplicate member record retired
Member services
Melissa Vasquez: 2 enrollment records collapsed into UHC-30778-66
Enrollment records
2
Member id
UHC-30778-66
MBR-010672
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023339
Duplicate member record retired
Member services
Steven Vazquez: 2 enrollment records collapsed into UHC-56994-16
Enrollment records
2
Member id
UHC-56994-16
MBR-010676
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023340
Duplicate member record retired
Member services
George Dominguez: 2 enrollment records collapsed into UHC-82930-52
Enrollment records
2
Member id
UHC-82930-52
MBR-010684
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023341
Duplicate member record retired
Member services
Hannah Stewart: 2 enrollment records collapsed into UHC-02990-02
Enrollment records
2
Member id
UHC-02990-02
MBR-010723
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023342
Duplicate member record retired
Member services
Evelyn Coleman: 2 enrollment records collapsed into UHC-59991-62
Enrollment records
2
Member id
UHC-59991-62
MBR-010737
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023343
Duplicate member record retired
Member services
Tyler Hughes: 2 enrollment records collapsed into UHC-11147-61
Enrollment records
2
Member id
UHC-11147-61
MBR-010742
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023344
Duplicate member record retired
Member services
Janice Cox: 2 enrollment records collapsed into UHC-66627-67
Enrollment records
2
Member id
UHC-66627-67
MBR-010743
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023345
Duplicate member record retired
Member services
Janet Ferguson: 2 enrollment records collapsed into UHC-23654-46
Enrollment records
2
Member id
UHC-23654-46
MBR-010748
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023346
Duplicate member record retired
Member services
Gary Miller: 2 enrollment records collapsed into UHC-58590-92
Enrollment records
2
Member id
UHC-58590-92
MBR-010750
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023347
Duplicate member record retired
Member services
Vincent Roberts: 3 enrollment records collapsed into UHC-46711-68
Enrollment records
3
Member id
UHC-46711-68
MBR-010755
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023348
Duplicate member record retired
Member services
Natalie Obrien: 2 enrollment records collapsed into UHC-10176-82
Enrollment records
2
Member id
UHC-10176-82
MBR-010764
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023349
Duplicate member record retired
Member services
Aisha Lawson: 2 enrollment records collapsed into UHC-24582-90
Enrollment records
2
Member id
UHC-24582-90
MBR-010767
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023350
Duplicate member record retired
Member services
Valentina Baker: 2 enrollment records collapsed into UHC-81231-41
Enrollment records
2
Member id
UHC-81231-41
MBR-010770
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023351
Duplicate member record retired
Member services
Roger Chhavez: 2 enrollment records collapsed into UHC-06007-39
Enrollment records
2
Member id
UHC-06007-39
MBR-010773
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023352
Duplicate member record retired
Member services
Madison Jenssen: 2 enrollment records collapsed into UHC-93265-26
Enrollment records
2
Member id
UHC-93265-26
MBR-010777
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023353
Duplicate member record retired
Member services
Joshua Jenkins: 2 enrollment records collapsed into UHC-51257-13
Enrollment records
2
Member id
UHC-51257-13
MBR-010789
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023354
Duplicate member record retired
Member services
Bobby Payne: 2 enrollment records collapsed into UHC-54861-76
Enrollment records
2
Member id
UHC-54861-76
MBR-010817
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023355
Duplicate member record retired
Member services
Christina Lewis: 2 enrollment records collapsed into UHC-10969-44
Enrollment records
2
Member id
UHC-10969-44
MBR-010832
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023356
Duplicate member record retired
Member services
Frank Fernandez: 2 enrollment records collapsed into UHC-22171-96
Enrollment records
2
Member id
UHC-22171-96
MBR-010836
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023357
Duplicate member record retired
Member services
Patrick Sanchez: 2 enrollment records collapsed into UHC-04893-31
Enrollment records
2
Member id
UHC-04893-31
MBR-010837
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023358
Duplicate member record retired
Member services
Philip Day: 2 enrollment records collapsed into UHC-75752-29
Enrollment records
2
Member id
UHC-75752-29
MBR-010841
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023359
Duplicate member record retired
Member services
Jose Brooks: 3 enrollment records collapsed into UHC-69339-04
Enrollment records
3
Member id
UHC-69339-04
MBR-010850
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023360
Duplicate member record retired
Member services
Brenda Porter: 2 enrollment records collapsed into UHC-42540-74
Enrollment records
2
Member id
UHC-42540-74
MBR-010854
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023361
Duplicate member record retired
Member services
Ahmed Davis: 2 enrollment records collapsed into UHC-93970-69
Enrollment records
2
Member id
UHC-93970-69
MBR-010857
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023362
Duplicate member record retired
Member services
Andrew Foster: 2 enrollment records collapsed into UHC-85895-32
Enrollment records
2
Member id
UHC-85895-32
MBR-010862
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023363
Duplicate member record retired
Member services
Joshua Patel: 2 enrollment records collapsed into UHC-70657-78
Enrollment records
2
Member id
UHC-70657-78
MBR-010872
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023364
Duplicate member record retired
Member services
Richard Webb: 2 enrollment records collapsed into UHC-90379-15
Enrollment records
2
Member id
UHC-90379-15
MBR-010877
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023365
Duplicate member record retired
Member services
Alice Walsh: 2 enrollment records collapsed into UHC-38676-90
Enrollment records
2
Member id
UHC-38676-90
MBR-010892
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023366
Duplicate member record retired
Member services
Walter Ward: 2 enrollment records collapsed into UHC-00600-28
Enrollment records
2
Member id
UHC-00600-28
MBR-010897
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 34 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.