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-025617
Duplicate member record retired
Member services
Randy Washington: 2 enrollment records collapsed into UHC-93369-13
Enrollment records
2
Member id
UHC-93369-13
MBR-029705
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025618
Duplicate member record retired
Member services
Karen Sanders: 2 enrollment records collapsed into UHC-22618-73
Enrollment records
2
Member id
UHC-22618-73
MBR-029712
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025619
Duplicate member record retired
Member services
Daniel Robertson: 2 enrollment records collapsed into UHC-84921-42
Enrollment records
2
Member id
UHC-84921-42
MBR-029713
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025620
Duplicate member record retired
Member services
Alexander Daniels: 2 enrollment records collapsed into UHC-31734-73
Enrollment records
2
Member id
UHC-31734-73
MBR-029714
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025621
Duplicate member record retired
Member services
Heather Santiago: 2 enrollment records collapsed into UHC-44859-83
Enrollment records
2
Member id
UHC-44859-83
MBR-029717
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025622
Duplicate member record retired
Member services
Yuki Arnold: 2 enrollment records collapsed into UHC-33237-47
Enrollment records
2
Member id
UHC-33237-47
MBR-029719
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025623
Duplicate member record retired
Member services
Keith Banks: 2 enrollment records collapsed into UHC-64031-66
Enrollment records
2
Member id
UHC-64031-66
MBR-029725
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025624
Duplicate member record retired
Member services
George Ford: 2 enrollment records collapsed into UHC-72353-72
Enrollment records
2
Member id
UHC-72353-72
MBR-029727
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025625
Duplicate member record retired
Member services
Gregory Hayes: 2 enrollment records collapsed into UHC-53915-73
Enrollment records
2
Member id
UHC-53915-73
MBR-029731
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025626
Duplicate member record retired
Member services
Maria Rojas: 2 enrollment records collapsed into UHC-01066-43
Enrollment records
2
Member id
UHC-01066-43
MBR-029732
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025627
Duplicate member record retired
Member services
Marcus Ramirez: 2 enrollment records collapsed into UHC-97185-04
Enrollment records
2
Member id
UHC-97185-04
MBR-029734
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025628
Duplicate member record retired
Member services
Austin Rogers: 2 enrollment records collapsed into UHC-78760-24
Enrollment records
2
Member id
UHC-78760-24
MBR-029745
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025629
Duplicate member record retired
Member services
Carlos Carpenter: 2 enrollment records collapsed into UHC-76461-64
Enrollment records
2
Member id
UHC-76461-64
MBR-029748
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025630
Duplicate member record retired
Member services
Amy Lopz: 2 enrollment records collapsed into UHC-21762-55
Enrollment records
2
Member id
UHC-21762-55
MBR-029759
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025631
Duplicate member record retired
Member services
Carol Freeman: 2 enrollment records collapsed into UHC-15773-89
Enrollment records
2
Member id
UHC-15773-89
MBR-029761
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025632
Duplicate member record retired
Member services
Martha Garrett: 3 enrollment records collapsed into UHC-05777-33
Enrollment records
3
Member id
UHC-05777-33
MBR-029777
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025633
Duplicate member record retired
Member services
Ruth Williamson: 2 enrollment records collapsed into UHC-73217-28
Enrollment records
2
Member id
UHC-73217-28
MBR-029784
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025634
Duplicate member record retired
Member services
Kyle Peters: 2 enrollment records collapsed into UHC-11956-50
Enrollment records
2
Member id
UHC-11956-50
MBR-029791
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025635
Duplicate member record retired
Member services
Joshua Boyd: 2 enrollment records collapsed into UHC-44465-98
Enrollment records
2
Member id
UHC-44465-98
MBR-029795
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025636
Duplicate member record retired
Member services
Joyce Gutierrez: 2 enrollment records collapsed into
Enrollment records
2
Member id
MBR-029802
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025637
Duplicate member record retired
Member services
Nancy Patel: 2 enrollment records collapsed into UHC-76230-29
Enrollment records
2
Member id
UHC-76230-29
MBR-029805
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025638
Duplicate member record retired
Member services
Randy Graham: 2 enrollment records collapsed into UHC-32783-43
Enrollment records
2
Member id
UHC-32783-43
MBR-029807
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025639
Duplicate member record retired
Member services
Donna Diaz: 3 enrollment records collapsed into UHC-14269-08
Enrollment records
3
Member id
UHC-14269-08
MBR-029819
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025640
Duplicate member record retired
Member services
Charles Patel: 2 enrollment records collapsed into UHC-56823-26
Enrollment records
2
Member id
UHC-56823-26
MBR-029824
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025641
Duplicate member record retired
Member services
Henry Sandoval: 2 enrollment records collapsed into UHC-18789-53
Enrollment records
2
Member id
UHC-18789-53
MBR-029825
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025642
Duplicate member record retired
Member services
Angela Jacobs: 2 enrollment records collapsed into UHC-24433-96
Enrollment records
2
Member id
UHC-24433-96
MBR-029854
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025643
Duplicate member record retired
Member services
Hiroshi Peterson: 2 enrollment records collapsed into UHC-61159-02
Enrollment records
2
Member id
UHC-61159-02
MBR-029871
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025644
Duplicate member record retired
Member services
Benjamin Harris: 2 enrollment records collapsed into UHC-55813-93
Enrollment records
2
Member id
UHC-55813-93
MBR-029872
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025645
Duplicate member record retired
Member services
Ronald Ford: 2 enrollment records collapsed into UHC-97301-31
Enrollment records
2
Member id
UHC-97301-31
MBR-029885
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025646
Duplicate member record retired
Member services
Nancy Lewis: 2 enrollment records collapsed into UHC-97623-93
Enrollment records
2
Member id
UHC-97623-93
MBR-029895
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025647
Duplicate member record retired
Member services
Amber Burns: 2 enrollment records collapsed into UHC-27318-12
Enrollment records
2
Member id
UHC-27318-12
MBR-029902
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025648
Duplicate member record retired
Member services
Ashley Davis: 2 enrollment records collapsed into UHC-48670-60
Enrollment records
2
Member id
UHC-48670-60
MBR-029916
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025649
Duplicate member record retired
Member services
Diana Ryan: 2 enrollment records collapsed into UHC-42761-74
Enrollment records
2
Member id
UHC-42761-74
MBR-029922
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025650
Duplicate member record retired
Member services
Bradley Wells: 2 enrollment records collapsed into UHC-90993-50
Enrollment records
2
Member id
UHC-90993-50
MBR-029928
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025651
Duplicate member record retired
Member services
Richard Kim: 2 enrollment records collapsed into UHC-66923-36
Enrollment records
2
Member id
UHC-66923-36
MBR-029944
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025652
Duplicate member record retired
Member services
Marilyn Ferguson: 2 enrollment records collapsed into UHC-33529-32
Enrollment records
2
Member id
UHC-33529-32
MBR-029954
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025653
Duplicate member record retired
Member services
Kathryn Griffin: 2 enrollment records collapsed into UHC-14344-06
Enrollment records
2
Member id
UHC-14344-06
MBR-029961
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025654
Duplicate member record retired
Member services
Judyth Lawrence: 2 enrollment records collapsed into UHC-43217-77
Enrollment records
2
Member id
UHC-43217-77
MBR-029974
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025655
Duplicate member record retired
Member services
Emma Dunn: 2 enrollment records collapsed into UHC-28577-51
Enrollment records
2
Member id
UHC-28577-51
MBR-029981
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025656
Duplicate member record retired
Member services
Howell Carlos: 2 enrollment records collapsed into UHC-56086-65
Enrollment records
2
Member id
UHC-56086-65
MBR-029994
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025657
Duplicate member record retired
Member services
Janice Perry: 2 enrollment records collapsed into UHC-27746-87
Enrollment records
2
Member id
UHC-27746-87
MBR-029996
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025658
Duplicate member record retired
Member services
Carolyn Brooks: 2 enrollment records collapsed into UHC-30493-05
Enrollment records
2
Member id
UHC-30493-05
MBR-030011
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025659
Duplicate member record retired
Member services
Jose Carlson: 2 enrollment records collapsed into UHC-41726-72
Enrollment records
2
Member id
UHC-41726-72
MBR-030017
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025660
Duplicate member record retired
Member services
Lucia Jenkins: 2 enrollment records collapsed into UHC-17960-70
Enrollment records
2
Member id
UHC-17960-70
MBR-030027
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025661
Duplicate member record retired
Member services
Diane Scott: 2 enrollment records collapsed into UHC-29631-25
Enrollment records
2
Member id
UHC-29631-25
MBR-030035
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025662
Duplicate member record retired
Member services
Jackie Stewart: 2 enrollment records collapsed into UHC-38204-13
Enrollment records
2
Member id
UHC-38204-13
MBR-030041
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025663
Duplicate member record retired
Member services
Betty Morales: 2 enrollment records collapsed into UHC-75997-35
Enrollment records
2
Member id
UHC-75997-35
MBR-030043
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025664
Duplicate member record retired
Member services
Olivia Espinoza: 3 enrollment records collapsed into UHC-11695-57
Enrollment records
3
Member id
UHC-11695-57
MBR-030047
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025665
Duplicate member record retired
Member services
Kyle Harvey: 2 enrollment records collapsed into UHC-55261-28
Enrollment records
2
Member id
UHC-55261-28
MBR-030101
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025666
Duplicate member record retired
Member services
Martha Price: 3 enrollment records collapsed into UHC-69123-31
Enrollment records
3
Member id
UHC-69123-31
MBR-030104
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 80 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.