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-025567
Duplicate member record retired
Member services
Austin Gordon: 2 enrollment records collapsed into UHC-50210-62
Enrollment records
2
Member id
UHC-50210-62
MBR-029104
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025568
Duplicate member record retired
Member services
Brenda Allen: 2 enrollment records collapsed into UHC-73574-97
Enrollment records
2
Member id
UHC-73574-97
MBR-029108
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025569
Duplicate member record retired
Member services
Doris Thomas: 2 enrollment records collapsed into UHC-73006-67
Enrollment records
2
Member id
UHC-73006-67
MBR-029112
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025570
Duplicate member record retired
Member services
Kimberly Vargas: 2 enrollment records collapsed into UHC-30183-37
Enrollment records
2
Member id
UHC-30183-37
MBR-029114
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025571
Duplicate member record retired
Member services
Sean Moreno: 3 enrollment records collapsed into UHC-94786-19
Enrollment records
3
Member id
UHC-94786-19
MBR-029131
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025572
Duplicate member record retired
Member services
Judy Spencer: 2 enrollment records collapsed into UHC-36174-76
Enrollment records
2
Member id
UHC-36174-76
MBR-029144
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025573
Duplicate member record retired
Member services
Paul Webb: 2 enrollment records collapsed into UHC-52959-32
Enrollment records
2
Member id
UHC-52959-32
MBR-029167
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025574
Duplicate member record retired
Member services
Adam Wheeler: 2 enrollment records collapsed into UHC-22662-71
Enrollment records
2
Member id
UHC-22662-71
MBR-029170
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025575
Duplicate member record retired
Member services
Timothy Olson: 2 enrollment records collapsed into UHC-86947-07
Enrollment records
2
Member id
UHC-86947-07
MBR-029196
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025576
Duplicate member record retired
Member services
Adam Welch: 2 enrollment records collapsed into UHC-45041-79
Enrollment records
2
Member id
UHC-45041-79
MBR-029199
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025577
Duplicate member record retired
Member services
Sofia Allen: 2 enrollment records collapsed into UHC-34121-21
Enrollment records
2
Member id
UHC-34121-21
MBR-029213
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025578
Duplicate member record retired
Member services
Kayla Johnson: 2 enrollment records collapsed into UHC-82773-21
Enrollment records
2
Member id
UHC-82773-21
MBR-029220
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025579
Duplicate member record retired
Member services
Carolyn Porter: 3 enrollment records collapsed into UHC-44477-87
Enrollment records
3
Member id
UHC-44477-87
MBR-029231
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025580
Duplicate member record retired
Member services
Willie Moore: 2 enrollment records collapsed into UHC-93388-11
Enrollment records
2
Member id
UHC-93388-11
MBR-029236
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025581
Duplicate member record retired
Member services
Abigail Snyder: 2 enrollment records collapsed into UHC-21758-85
Enrollment records
2
Member id
UHC-21758-85
MBR-029247
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025582
Duplicate member record retired
Member services
Shirley Burns: 2 enrollment records collapsed into UHC-16290-25
Enrollment records
2
Member id
UHC-16290-25
MBR-029248
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025583
Duplicate member record retired
Member services
Benjamin Stewart: 2 enrollment records collapsed into UHC-28478-43
Enrollment records
2
Member id
UHC-28478-43
MBR-029251
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025584
Duplicate member record retired
Member services
Brittany Collins: 2 enrollment records collapsed into UHC-30480-05
Enrollment records
2
Member id
UHC-30480-05
MBR-029283
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025585
Duplicate member record retired
Member services
Juan Silva: 2 enrollment records collapsed into UHC-07687-33
Enrollment records
2
Member id
UHC-07687-33
MBR-029284
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025586
Duplicate member record retired
Member services
Diane Morales: 2 enrollment records collapsed into UHC-58169-52
Enrollment records
2
Member id
UHC-58169-52
MBR-029306
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025587
Duplicate member record retired
Member services
Laura Olson: 2 enrollment records collapsed into UHC-58493-65
Enrollment records
2
Member id
UHC-58493-65
MBR-029320
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025588
Duplicate member record retired
Member services
Debra Baker: 2 enrollment records collapsed into UHC-87873-97
Enrollment records
2
Member id
UHC-87873-97
MBR-029327
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025589
Duplicate member record retired
Member services
Laura Davis: 2 enrollment records collapsed into UHC-05707-46
Enrollment records
2
Member id
UHC-05707-46
MBR-029366
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025590
Duplicate member record retired
Member services
Benjamin Bishop: 2 enrollment records collapsed into UHC-20143-10
Enrollment records
2
Member id
UHC-20143-10
MBR-029368
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025591
Duplicate member record retired
Member services
Margaret Vasquez: 2 enrollment records collapsed into UHC-54000-11
Enrollment records
2
Member id
UHC-54000-11
MBR-029371
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025592
Duplicate member record retired
Member services
Brian Silva: 2 enrollment records collapsed into UHC-75925-02
Enrollment records
2
Member id
UHC-75925-02
MBR-029392
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025593
Duplicate member record retired
Member services
Jacob James: 2 enrollment records collapsed into UHC-95959-82
Enrollment records
2
Member id
UHC-95959-82
MBR-029393
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025594
Duplicate member record retired
Member services
Charles Walker: 2 enrollment records collapsed into UHC-36240-36
Enrollment records
2
Member id
UHC-36240-36
MBR-029399
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025595
Duplicate member record retired
Member services
Christian Wbeb: 2 enrollment records collapsed into UHC-95905-42
Enrollment records
2
Member id
UHC-95905-42
MBR-029404
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025596
Duplicate member record retired
Member services
Bryan Bradley: 2 enrollment records collapsed into UHC-56034-71
Enrollment records
2
Member id
UHC-56034-71
MBR-029410
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025597
Duplicate member record retired
Member services
Natalie Daniels: 2 enrollment records collapsed into UHC-67354-43
Enrollment records
2
Member id
UHC-67354-43
MBR-029425
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025598
Duplicate member record retired
Member services
Cynthia Burke: 2 enrollment records collapsed into UHC-33647-68
Enrollment records
2
Member id
UHC-33647-68
MBR-029427
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025599
Duplicate member record retired
Member services
Juan Weaver: 2 enrollment records collapsed into UHC-49719-35
Enrollment records
2
Member id
UHC-49719-35
MBR-029456
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025600
Duplicate member record retired
Member services
Brian Rogers: 2 enrollment records collapsed into UHC-74277-16
Enrollment records
2
Member id
UHC-74277-16
MBR-029457
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025601
Duplicate member record retired
Member services
Randy Singh: 2 enrollment records collapsed into UHC-68184-37
Enrollment records
2
Member id
UHC-68184-37
MBR-029466
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025602
Duplicate member record retired
Member services
Thomas Sanchez: 2 enrollment records collapsed into UHC-16830-59
Enrollment records
2
Member id
UHC-16830-59
MBR-029499
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025603
Duplicate member record retired
Member services
Randy Webb: 2 enrollment records collapsed into UHC-16139-40
Enrollment records
2
Member id
UHC-16139-40
MBR-029512
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025604
Duplicate member record retired
Member services
Diego Lawrence: 2 enrollment records collapsed into UHC-74911-24
Enrollment records
2
Member id
UHC-74911-24
MBR-029517
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025605
Duplicate member record retired
Member services
Carol Snyder: 2 enrollment records collapsed into UHC-18091-12
Enrollment records
2
Member id
UHC-18091-12
MBR-029539
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025606
Duplicate member record retired
Member services
Ronald Sims: 2 enrollment records collapsed into UHC-83579-90
Enrollment records
2
Member id
UHC-83579-90
MBR-029547
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025607
Duplicate member record retired
Member services
Carolyn Herrera: 2 enrollment records collapsed into UHC-83872-65
Enrollment records
2
Member id
UHC-83872-65
MBR-029548
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025608
Duplicate member record retired
Member services
Luis Payne: 2 enrollment records collapsed into UHC-63005-41
Enrollment records
2
Member id
UHC-63005-41
MBR-029549
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025609
Duplicate member record retired
Member services
Luis Smith: 2 enrollment records collapsed into UHC-25461-26
Enrollment records
2
Member id
UHC-25461-26
MBR-029567
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025610
Duplicate member record retired
Member services
Dorothy Walker: 2 enrollment records collapsed into UHC-09439-74
Enrollment records
2
Member id
UHC-09439-74
MBR-029573
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025611
Duplicate member record retired
Member services
Vincent Stewart: 2 enrollment records collapsed into UHC-09246-17
Enrollment records
2
Member id
UHC-09246-17
MBR-029577
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025612
Duplicate member record retired
Member services
Brian Alexander: 2 enrollment records collapsed into UHC-54534-29
Enrollment records
2
Member id
UHC-54534-29
MBR-029609
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025613
Duplicate member record retired
Member services
Debrah Morales: 2 enrollment records collapsed into UHC-91939-51
Enrollment records
2
Member id
UHC-91939-51
MBR-029627
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025614
Duplicate member record retired
Member services
Margaret Martinez: 2 enrollment records collapsed into UHC-40216-89
Enrollment records
2
Member id
UHC-40216-89
MBR-029634
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025615
Duplicate member record retired
Member services
Gregory Rose: 2 enrollment records collapsed into UHC-54198-54
Enrollment records
2
Member id
UHC-54198-54
MBR-029651
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025616
Duplicate member record retired
Member services
Kathleen Crawford: 3 enrollment records collapsed into UHC-91893-76
Enrollment records
3
Member id
UHC-91893-76
MBR-029664
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 79 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.