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-026467
Duplicate member record retired
Member services
Hiroshi Wodos: 2 enrollment records collapsed into UHC-03483-36
Enrollment records
2
Member id
UHC-03483-36
MBR-041242
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026468
Duplicate member record retired
Member services
Luis Rodriguez: 2 enrollment records collapsed into UHC-22104-96
Enrollment records
2
Member id
UHC-22104-96
MBR-041366
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026469
Duplicate member record retired
Member services
Ronald Lawrence: 2 enrollment records collapsed into UHC-29293-43
Enrollment records
2
Member id
UHC-29293-43
MBR-041372
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026470
Duplicate member record retired
Member services
Debra West: 2 enrollment records collapsed into UHC-15282-54
Enrollment records
2
Member id
UHC-15282-54
MBR-041381
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026471
Duplicate member record retired
Member services
May Jordan: 2 enrollment records collapsed into UHC-71928-59
Enrollment records
2
Member id
UHC-71928-59
MBR-041401
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026472
Duplicate member record retired
Member services
Brenda Ross: 2 enrollment records collapsed into UHC-61529-52
Enrollment records
2
Member id
UHC-61529-52
MBR-041419
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026473
Duplicate member record retired
Member services
Henry Peters: 2 enrollment records collapsed into UHC-24087-69
Enrollment records
2
Member id
UHC-24087-69
MBR-041433
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026474
Duplicate member record retired
Member services
Bruce Garrett: 2 enrollment records collapsed into UHC-17603-90
Enrollment records
2
Member id
UHC-17603-90
MBR-041437
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026475
Duplicate member record retired
Member services
Carol Rose: 2 enrollment records collapsed into UHC-20656-15
Enrollment records
2
Member id
UHC-20656-15
MBR-041461
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026476
Duplicate member record retired
Member services
Hannah Morales: 2 enrollment records collapsed into UHC-84345-56
Enrollment records
2
Member id
UHC-84345-56
MBR-041467
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026477
Duplicate member record retired
Member services
Mei Bennett: 2 enrollment records collapsed into UHC-99084-44
Enrollment records
2
Member id
UHC-99084-44
MBR-041471
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026478
Duplicate member record retired
Member services
Patricia Edwards: 2 enrollment records collapsed into UHC-40472-13
Enrollment records
2
Member id
UHC-40472-13
MBR-041480
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026479
Duplicate member record retired
Member services
Daniel Howell: 2 enrollment records collapsed into UHC-61033-62
Enrollment records
2
Member id
UHC-61033-62
MBR-041533
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026480
Duplicate member record retired
Member services
Amanda Daniels: 2 enrollment records collapsed into UHC-10897-78
Enrollment records
2
Member id
UHC-10897-78
MBR-041556
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026481
Duplicate member record retired
Member services
Dot Perry: 2 enrollment records collapsed into UHC-17361-72
Enrollment records
2
Member id
UHC-17361-72
MBR-041568
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026482
Duplicate member record retired
Member services
Andrea James: 2 enrollment records collapsed into UHC-49092-78
Enrollment records
2
Member id
UHC-49092-78
MBR-041594
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026483
Duplicate member record retired
Member services
Richard Heernandez: 3 enrollment records collapsed into UHC-02619-10
Enrollment records
3
Member id
UHC-02619-10
MBR-041641
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026484
Duplicate member record retired
Member services
Pamela Franklin: 2 enrollment records collapsed into UHC-20767-08
Enrollment records
2
Member id
UHC-20767-08
MBR-041658
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026485
Duplicate member record retired
Member services
Camila Gibson: 2 enrollment records collapsed into UHC-37139-56
Enrollment records
2
Member id
UHC-37139-56
MBR-041681
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026486
Duplicate member record retired
Member services
Gerald Mitchell: 2 enrollment records collapsed into UHC-05369-83
Enrollment records
2
Member id
UHC-05369-83
MBR-041719
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026487
Duplicate member record retired
Member services
Joe Hart: 2 enrollment records collapsed into UHC-94161-65
Enrollment records
2
Member id
UHC-94161-65
MBR-041752
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026488
Duplicate member record retired
Member services
Juan Estrada: 2 enrollment records collapsed into UHC-86762-06
Enrollment records
2
Member id
UHC-86762-06
MBR-041765
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026489
Duplicate member record retired
Member services
Angela Wood: 2 enrollment records collapsed into UHC-29334-95
Enrollment records
2
Member id
UHC-29334-95
MBR-041776
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026490
Duplicate member record retired
Member services
Alexander Evans: 2 enrollment records collapsed into UHC-74290-44
Enrollment records
2
Member id
UHC-74290-44
MBR-041780
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026491
Duplicate member record retired
Member services
Stephen Perkins: 2 enrollment records collapsed into UHC-79590-67
Enrollment records
2
Member id
UHC-79590-67
MBR-041800
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026492
Duplicate member record retired
Member services
Nancy Patel: 3 enrollment records collapsed into UHC-46379-42
Enrollment records
3
Member id
UHC-46379-42
MBR-041802
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026493
Duplicate member record retired
Member services
Wei Fisher: 2 enrollment records collapsed into UHC-92510-48
Enrollment records
2
Member id
UHC-92510-48
MBR-041820
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026494
Duplicate member record retired
Member services
Brandon Salazar: 2 enrollment records collapsed into UHC-46520-73
Enrollment records
2
Member id
UHC-46520-73
MBR-041833
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026495
Duplicate member record retired
Member services
Santiago Ferguson: 2 enrollment records collapsed into UHC-37057-84
Enrollment records
2
Member id
UHC-37057-84
MBR-041843
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026496
Duplicate member record retired
Member services
Abigali Stewart: 2 enrollment records collapsed into UHC-23233-80
Enrollment records
2
Member id
UHC-23233-80
MBR-041854
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026497
Duplicate member record retired
Member services
Bruce Rodriguez: 2 enrollment records collapsed into UHC-13735-40
Enrollment records
2
Member id
UHC-13735-40
MBR-041907
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026498
Duplicate member record retired
Member services
Grace Kim: 2 enrollment records collapsed into UHC-48918-31
Enrollment records
2
Member id
UHC-48918-31
MBR-041939
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026499
Duplicate member record retired
Member services
Juulia Obrien: 2 enrollment records collapsed into UHC-51219-30
Enrollment records
2
Member id
UHC-51219-30
MBR-041970
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026500
Duplicate member record retired
Member services
Sanitago Franklin: 2 enrollment records collapsed into UHC-54865-20
Enrollment records
2
Member id
UHC-54865-20
MBR-041973
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026501
Duplicate member record retired
Member services
Martha Stewart: 2 enrollment records collapsed into UHC-88680-16
Enrollment records
2
Member id
UHC-88680-16
MBR-042033
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026502
Duplicate member record retired
Member services
Reed Dylan: 2 enrollment records collapsed into UHC-37557-53
Enrollment records
2
Member id
UHC-37557-53
MBR-042050
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026503
Duplicate member record retired
Member services
Alexis Welch: 2 enrollment records collapsed into UHC-42203-08
Enrollment records
2
Member id
UHC-42203-08
MBR-042114
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026504
Duplicate member record retired
Member services
Diana Padlla: 2 enrollment records collapsed into UHC-45126-34
Enrollment records
2
Member id
UHC-45126-34
MBR-042155
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026505
Duplicate member record retired
Member services
Andrea Harvey: 2 enrollment records collapsed into UHC-18716-94
Enrollment records
2
Member id
UHC-18716-94
MBR-042157
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026506
Duplicate member record retired
Member services
Christine Mejia: 2 enrollment records collapsed into UHC-22167-31
Enrollment records
2
Member id
UHC-22167-31
MBR-042166
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026507
Duplicate member record retired
Member services
Hernandez Katherine: 2 enrollment records collapsed into UHC-08215-63
Enrollment records
2
Member id
UHC-08215-63
MBR-042172
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026508
Duplicate member record retired
Member services
Steve Carpenter: 2 enrollment records collapsed into UHC-76604-67
Enrollment records
2
Member id
UHC-76604-67
MBR-042186
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026509
Duplicate member record retired
Member services
Fatima Turner: 2 enrollment records collapsed into UHC-62577-37
Enrollment records
2
Member id
UHC-62577-37
MBR-042204
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026510
Duplicate member record retired
Member services
Terry Diaz: 2 enrollment records collapsed into UHC-77144-47
Enrollment records
2
Member id
UHC-77144-47
MBR-042212
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026511
Duplicate member record retired
Member services
Thomas Kniht: 2 enrollment records collapsed into UHC-83731-45
Enrollment records
2
Member id
UHC-83731-45
MBR-042244
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026512
Duplicate member record retired
Member services
Frances Lee: 2 enrollment records collapsed into UHC-90770-55
Enrollment records
2
Member id
UHC-90770-55
MBR-042317
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026513
Duplicate member record retired
Member services
James Welch: 2 enrollment records collapsed into UHC-63981-37
Enrollment records
2
Member id
UHC-63981-37
MBR-042328
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026514
Duplicate member record retired
Member services
Jesse West: 2 enrollment records collapsed into UHC-94829-66
Enrollment records
2
Member id
UHC-94829-66
MBR-042335
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026515
Duplicate member record retired
Member services
Billly Morris: 2 enrollment records collapsed into UHC-30168-61
Enrollment records
2
Member id
UHC-30168-61
MBR-042425
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026516
Duplicate member record retired
Member services
Arjun Hansen: 2 enrollment records collapsed into UHC-24319-70
Enrollment records
2
Member id
UHC-24319-70
MBR-042435
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 97 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.