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-024617
Duplicate member record retired
Member services
Virginia Harris: 2 enrollment records collapsed into UHC-58262-17
Enrollment records
2
Member id
UHC-58262-17
MBR-019903
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024618
Duplicate member record retired
Member services
Stephen Palmer: 2 enrollment records collapsed into UHC-65719-03
Enrollment records
2
Member id
UHC-65719-03
MBR-019904
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024619
Duplicate member record retired
Member services
Stephen Hicks: 2 enrollment records collapsed into UHC-10555-56
Enrollment records
2
Member id
UHC-10555-56
MBR-019905
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024620
Duplicate member record retired
Member services
Doris Ford: 2 enrollment records collapsed into UHC-09446-73
Enrollment records
2
Member id
UHC-09446-73
MBR-019908
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024621
Duplicate member record retired
Member services
Stephen Singh: 2 enrollment records collapsed into UHC-50438-03
Enrollment records
2
Member id
UHC-50438-03
MBR-019914
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024622
Duplicate member record retired
Member services
Garry Lawrence: 2 enrollment records collapsed into UHC-89643-06
Enrollment records
2
Member id
UHC-89643-06
MBR-019916
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024623
Duplicate member record retired
Member services
David Moreno: 2 enrollment records collapsed into UHC-59966-46
Enrollment records
2
Member id
UHC-59966-46
MBR-019922
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024624
Duplicate member record retired
Member services
Frank Howard: 2 enrollment records collapsed into UHC-33748-51
Enrollment records
2
Member id
UHC-33748-51
MBR-019927
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024625
Duplicate member record retired
Member services
Brian Syder: 2 enrollment records collapsed into UHC-67952-09
Enrollment records
2
Member id
UHC-67952-09
MBR-019933
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024626
Duplicate member record retired
Member services
Priya Ried: 2 enrollment records collapsed into UHC-91776-87
Enrollment records
2
Member id
UHC-91776-87
MBR-019937
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024627
Duplicate member record retired
Member services
Edward Wilson: 2 enrollment records collapsed into UHC-81351-96
Enrollment records
2
Member id
UHC-81351-96
MBR-019938
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024628
Duplicate member record retired
Member services
Ann Henry: 2 enrollment records collapsed into UHC-47061-95
Enrollment records
2
Member id
UHC-47061-95
MBR-019946
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024629
Duplicate member record retired
Member services
Luis Ramos: 2 enrollment records collapsed into UHC-28626-89
Enrollment records
2
Member id
UHC-28626-89
MBR-019949
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024630
Duplicate member record retired
Member services
Randy Foster: 2 enrollment records collapsed into UHC-46657-20
Enrollment records
2
Member id
UHC-46657-20
MBR-019956
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024631
Duplicate member record retired
Member services
Ashley Singh: 3 enrollment records collapsed into UHC-07698-10
Enrollment records
3
Member id
UHC-07698-10
MBR-019957
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024632
Duplicate member record retired
Member services
Stephanie Patterson: 2 enrollment records collapsed into UHC-56178-98
Enrollment records
2
Member id
UHC-56178-98
MBR-019970
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024633
Duplicate member record retired
Member services
Lawrence Morales: 2 enrollment records collapsed into UHC-63515-18
Enrollment records
2
Member id
UHC-63515-18
MBR-019980
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024634
Duplicate member record retired
Member services
Abigail Peters: 2 enrollment records collapsed into UHC-38914-38
Enrollment records
2
Member id
UHC-38914-38
MBR-019993
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024635
Duplicate member record retired
Member services
Gloria Woods: 2 enrollment records collapsed into UHC-53226-29
Enrollment records
2
Member id
UHC-53226-29
MBR-019997
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024636
Duplicate member record retired
Member services
John Hernandez: 2 enrollment records collapsed into UHC-72048-32
Enrollment records
2
Member id
UHC-72048-32
MBR-020004
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024637
Duplicate member record retired
Member services
Margaret Bailey: 2 enrollment records collapsed into UHC-09162-99
Enrollment records
2
Member id
UHC-09162-99
MBR-020029
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024638
Duplicate member record retired
Member services
Megan Richardson: 2 enrollment records collapsed into UHC-31006-11
Enrollment records
2
Member id
UHC-31006-11
MBR-020039
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024639
Duplicate member record retired
Member services
Hannah Andrews: 2 enrollment records collapsed into UHC-23068-61
Enrollment records
2
Member id
UHC-23068-61
MBR-020074
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024640
Duplicate member record retired
Member services
Natalie Fernandez: 2 enrollment records collapsed into UHC-04526-89
Enrollment records
2
Member id
UHC-04526-89
MBR-020083
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024641
Duplicate member record retired
Member services
Alex Munoz: 2 enrollment records collapsed into UHC-78751-46
Enrollment records
2
Member id
UHC-78751-46
MBR-020084
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024642
Duplicate member record retired
Member services
Jonathan Dunn: 2 enrollment records collapsed into UHC-19168-37
Enrollment records
2
Member id
UHC-19168-37
MBR-020102
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024643
Duplicate member record retired
Member services
Kimberly Jacobs: 2 enrollment records collapsed into UHC-81813-82
Enrollment records
2
Member id
UHC-81813-82
MBR-020119
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024644
Duplicate member record retired
Member services
Sophia Schultz: 2 enrollment records collapsed into UHC-23034-25
Enrollment records
2
Member id
UHC-23034-25
MBR-020128
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024645
Duplicate member record retired
Member services
Jeremy Pierce: 2 enrollment records collapsed into UHC-58693-80
Enrollment records
2
Member id
UHC-58693-80
MBR-020129
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024646
Duplicate member record retired
Member services
Amanda Hunt: 2 enrollment records collapsed into UHC-44646-26
Enrollment records
2
Member id
UHC-44646-26
MBR-020132
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024647
Duplicate member record retired
Member services
Stephanie Perez: 2 enrollment records collapsed into UHC-82601-85
Enrollment records
2
Member id
UHC-82601-85
MBR-020139
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024648
Duplicate member record retired
Member services
Alan Smith: 2 enrollment records collapsed into UHC-62253-64
Enrollment records
2
Member id
UHC-62253-64
MBR-020143
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024649
Duplicate member record retired
Member services
Yuki Morrison: 2 enrollment records collapsed into UHC-46933-33
Enrollment records
2
Member id
UHC-46933-33
MBR-020146
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024650
Duplicate member record retired
Member services
Terry Gomez: 3 enrollment records collapsed into UHC-97945-44
Enrollment records
3
Member id
UHC-97945-44
MBR-020147
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024651
Duplicate member record retired
Member services
Ben Taylor: 2 enrollment records collapsed into UHC-56897-70
Enrollment records
2
Member id
UHC-56897-70
MBR-020153
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024652
Duplicate member record retired
Member services
Joe Hughes: 2 enrollment records collapsed into UHC-57265-41
Enrollment records
2
Member id
UHC-57265-41
MBR-020155
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024653
Duplicate member record retired
Member services
Carlos Gardner: 2 enrollment records collapsed into UHC-14291-34
Enrollment records
2
Member id
UHC-14291-34
MBR-020159
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024654
Duplicate member record retired
Member services
Luis Gray: 2 enrollment records collapsed into UHC-12522-66
Enrollment records
2
Member id
UHC-12522-66
MBR-020164
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024655
Duplicate member record retired
Member services
Rebecca Crawford: 2 enrollment records collapsed into UHC-35312-46
Enrollment records
2
Member id
UHC-35312-46
MBR-020185
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024656
Duplicate member record retired
Member services
Grace Guzman: 3 enrollment records collapsed into UHC-39682-17
Enrollment records
3
Member id
UHC-39682-17
MBR-020211
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024657
Duplicate member record retired
Member services
Gabriel Wong: 2 enrollment records collapsed into UHC-32961-30
Enrollment records
2
Member id
UHC-32961-30
MBR-020215
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024658
Duplicate member record retired
Member services
Beverly Collins: 2 enrollment records collapsed into UHC-66499-96
Enrollment records
2
Member id
UHC-66499-96
MBR-020220
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024659
Duplicate member record retired
Member services
Samantha Howard: 2 enrollment records collapsed into UHC-54388-27
Enrollment records
2
Member id
UHC-54388-27
MBR-020225
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024660
Duplicate member record retired
Member services
Thomas Johnston: 2 enrollment records collapsed into UHC-03506-46
Enrollment records
2
Member id
UHC-03506-46
MBR-020237
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024661
Duplicate member record retired
Member services
Debra Lewis: 3 enrollment records collapsed into UHC-60002-78
Enrollment records
3
Member id
UHC-60002-78
MBR-020245
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024662
Duplicate member record retired
Member services
Terry Watson: 2 enrollment records collapsed into UHC-91677-64
Enrollment records
2
Member id
UHC-91677-64
MBR-020250
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024663
Duplicate member record retired
Member services
Hannah Burns: 2 enrollment records collapsed into UHC-22094-17
Enrollment records
2
Member id
UHC-22094-17
MBR-020251
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024664
Duplicate member record retired
Member services
Ahmed Sims: 2 enrollment records collapsed into UHC-36382-81
Enrollment records
2
Member id
UHC-36382-81
MBR-020277
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024665
Duplicate member record retired
Member services
Jose Stone: 2 enrollment records collapsed into UHC-51945-67
Enrollment records
2
Member id
UHC-51945-67
MBR-020309
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024666
Duplicate member record retired
Member services
Kenneth Marshall: 2 enrollment records collapsed into UHC-85421-07
Enrollment records
2
Member id
UHC-85421-07
MBR-020312
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 60 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.