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-024317
Duplicate member record retired
Member services
Jesse Hernandez: 2 enrollment records collapsed into UHC-29195-03
Enrollment records
2
Member id
UHC-29195-03
MBR-017638
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024318
Duplicate member record retired
Member services
Jerry Dunn: 2 enrollment records collapsed into UHC-68186-75
Enrollment records
2
Member id
UHC-68186-75
MBR-017668
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024319
Duplicate member record retired
Member services
Russell Smith: 2 enrollment records collapsed into UHC-62805-28
Enrollment records
2
Member id
UHC-62805-28
MBR-017676
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024320
Duplicate member record retired
Member services
Peter Gray: 2 enrollment records collapsed into UHC-33256-68
Enrollment records
2
Member id
UHC-33256-68
MBR-017680
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024321
Duplicate member record retired
Member services
Elijah Morgan: 2 enrollment records collapsed into UHC-00837-05
Enrollment records
2
Member id
UHC-00837-05
MBR-017683
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024322
Duplicate member record retired
Member services
Madion Castro: 2 enrollment records collapsed into UHC-28128-60
Enrollment records
2
Member id
UHC-28128-60
MBR-017703
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024323
Duplicate member record retired
Member services
Kathryn Dunn: 2 enrollment records collapsed into UHC-91234-39
Enrollment records
2
Member id
UHC-91234-39
MBR-017717
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024324
Duplicate member record retired
Member services
Angela Woods: 2 enrollment records collapsed into UHC-24555-87
Enrollment records
2
Member id
UHC-24555-87
MBR-017728
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024325
Duplicate member record retired
Member services
Eric Simons: 2 enrollment records collapsed into UHC-33620-91
Enrollment records
2
Member id
UHC-33620-91
MBR-017730
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024326
Duplicate member record retired
Member services
Frank Roberts: 2 enrollment records collapsed into UHC-23833-14
Enrollment records
2
Member id
UHC-23833-14
MBR-017735
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024327
Duplicate member record retired
Member services
Sharon Masson: 3 enrollment records collapsed into UHC-64168-51
Enrollment records
3
Member id
UHC-64168-51
MBR-017743
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024328
Duplicate member record retired
Member services
Austin Knight: 2 enrollment records collapsed into UHC-16690-66
Enrollment records
2
Member id
UHC-16690-66
MBR-017746
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024329
Duplicate member record retired
Member services
Doorthy Mejia: 2 enrollment records collapsed into UHC-72778-55
Enrollment records
2
Member id
UHC-72778-55
MBR-017748
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024330
Duplicate member record retired
Member services
Jeremy Fernandez: 2 enrollment records collapsed into UHC-82545-81
Enrollment records
2
Member id
UHC-82545-81
MBR-017749
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024331
Duplicate member record retired
Member services
Charles Aguilar: 2 enrollment records collapsed into UHC-47926-59
Enrollment records
2
Member id
UHC-47926-59
MBR-017758
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024332
Duplicate member record retired
Member services
Charlotte Guzman: 2 enrollment records collapsed into UHC-27658-01
Enrollment records
2
Member id
UHC-27658-01
MBR-017759
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024333
Duplicate member record retired
Member services
Brenda Bennett: 2 enrollment records collapsed into UHC-75741-56
Enrollment records
2
Member id
UHC-75741-56
MBR-017760
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024334
Duplicate member record retired
Member services
Anthony Herrera: 2 enrollment records collapsed into UHC-04422-46
Enrollment records
2
Member id
UHC-04422-46
MBR-017769
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024335
Duplicate member record retired
Member services
Lawrence Grant: 2 enrollment records collapsed into UHC-64977-89
Enrollment records
2
Member id
UHC-64977-89
MBR-017773
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024336
Duplicate member record retired
Member services
Jack Wheeler: 3 enrollment records collapsed into UHC-27972-26
Enrollment records
3
Member id
UHC-27972-26
MBR-017787
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024337
Duplicate member record retired
Member services
Linda Richardson: 2 enrollment records collapsed into UHC-26607-58
Enrollment records
2
Member id
UHC-26607-58
MBR-017795
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024338
Duplicate member record retired
Member services
Robert Dunn: 3 enrollment records collapsed into UHC-94097-91
Enrollment records
3
Member id
UHC-94097-91
MBR-017810
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024339
Duplicate member record retired
Member services
Santiago Dominguez: 2 enrollment records collapsed into UHC-05052-57
Enrollment records
2
Member id
UHC-05052-57
MBR-017812
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024340
Duplicate member record retired
Member services
Terry Arnold: 2 enrollment records collapsed into UHC-90021-63
Enrollment records
2
Member id
UHC-90021-63
MBR-017823
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024341
Duplicate member record retired
Member services
Daniel Hunter: 2 enrollment records collapsed into UHC-08541-87
Enrollment records
2
Member id
UHC-08541-87
MBR-017826
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024342
Duplicate member record retired
Member services
Brandon Flores: 2 enrollment records collapsed into UHC-82145-28
Enrollment records
2
Member id
UHC-82145-28
MBR-017839
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024343
Duplicate member record retired
Member services
Terry Coleman: 2 enrollment records collapsed into UHC-28889-03
Enrollment records
2
Member id
UHC-28889-03
MBR-017841
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024344
Duplicate member record retired
Member services
Natalie Nguyen: 2 enrollment records collapsed into UHC-95171-02
Enrollment records
2
Member id
UHC-95171-02
MBR-017849
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024345
Duplicate member record retired
Member services
Kevin Foster: 2 enrollment records collapsed into UHC-75040-45
Enrollment records
2
Member id
UHC-75040-45
MBR-017865
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024346
Duplicate member record retired
Member services
Adam Edwards: 2 enrollment records collapsed into UHC-29702-93
Enrollment records
2
Member id
UHC-29702-93
MBR-017874
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024347
Duplicate member record retired
Member services
Patricia Garza: 2 enrollment records collapsed into UHC-24445-51
Enrollment records
2
Member id
UHC-24445-51
MBR-017877
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024348
Duplicate member record retired
Member services
Alexander Crawford: 2 enrollment records collapsed into UHC-69787-09
Enrollment records
2
Member id
UHC-69787-09
MBR-017893
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024349
Duplicate member record retired
Member services
Walter Robertson: 2 enrollment records collapsed into UHC-87465-35
Enrollment records
2
Member id
UHC-87465-35
MBR-017900
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024350
Duplicate member record retired
Member services
Kein Wilson: 2 enrollment records collapsed into UHC-38865-86
Enrollment records
2
Member id
UHC-38865-86
MBR-017904
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024351
Duplicate member record retired
Member services
Betty Griffin: 2 enrollment records collapsed into UHC-23779-75
Enrollment records
2
Member id
UHC-23779-75
MBR-017907
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024352
Duplicate member record retired
Member services
Jean Scott: 2 enrollment records collapsed into UHC-25460-52
Enrollment records
2
Member id
UHC-25460-52
MBR-017917
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024353
Duplicate member record retired
Member services
Frank Parker: 2 enrollment records collapsed into UHC-46530-32
Enrollment records
2
Member id
UHC-46530-32
MBR-017919
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024354
Duplicate member record retired
Member services
Luis Vega: 2 enrollment records collapsed into UHC-18828-56
Enrollment records
2
Member id
UHC-18828-56
MBR-017929
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024355
Duplicate member record retired
Member services
Debra Marshall: 2 enrollment records collapsed into UHC-06922-26
Enrollment records
2
Member id
UHC-06922-26
MBR-017930
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024356
Duplicate member record retired
Member services
Keith Russel: 2 enrollment records collapsed into UHC-55391-37
Enrollment records
2
Member id
UHC-55391-37
MBR-017931
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024357
Duplicate member record retired
Member services
Charles George: 2 enrollment records collapsed into UHC-68001-45
Enrollment records
2
Member id
UHC-68001-45
MBR-017938
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024358
Duplicate member record retired
Member services
Diane Snyder: 3 enrollment records collapsed into UHC-24704-03
Enrollment records
3
Member id
UHC-24704-03
MBR-017945
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024359
Duplicate member record retired
Member services
Ethan Welch: 2 enrollment records collapsed into UHC-61196-41
Enrollment records
2
Member id
UHC-61196-41
MBR-017947
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024360
Duplicate member record retired
Member services
Carlos Payne: 2 enrollment records collapsed into UHC-37293-70
Enrollment records
2
Member id
UHC-37293-70
MBR-017952
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024361
Duplicate member record retired
Member services
Nicholas Johnson: 2 enrollment records collapsed into UHC-82744-56
Enrollment records
2
Member id
UHC-82744-56
MBR-017954
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024362
Duplicate member record retired
Member services
Robert Maldonado: 2 enrollment records collapsed into UHC-70978-88
Enrollment records
2
Member id
UHC-70978-88
MBR-017956
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024363
Duplicate member record retired
Member services
Hannah Dominguez: 2 enrollment records collapsed into UHC-10928-36
Enrollment records
2
Member id
UHC-10928-36
MBR-017968
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024364
Duplicate member record retired
Member services
Gloria Brooks: 2 enrollment records collapsed into UHC-73625-05
Enrollment records
2
Member id
UHC-73625-05
MBR-017971
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024365
Duplicate member record retired
Member services
Priya Price: 2 enrollment records collapsed into UHC-37982-54
Enrollment records
2
Member id
UHC-37982-54
MBR-017974
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024366
Duplicate member record retired
Member services
Albert Kelley: 3 enrollment records collapsed into UHC-77237-65
Enrollment records
3
Member id
UHC-77237-65
MBR-017975
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 54 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.