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-026567
Duplicate member record retired
Member services
Dorothy Reynolds: 2 enrollment records collapsed into UHC-94896-01
Enrollment records
2
Member id
UHC-94896-01
MBR-044085
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026568
Duplicate member record retired
Member services
Joshua Riley: 2 enrollment records collapsed into UHC-75515-17
Enrollment records
2
Member id
UHC-75515-17
MBR-044090
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026569
Duplicate member record retired
Member services
Santiago Johnston: 2 enrollment records collapsed into UHC-65660-37
Enrollment records
2
Member id
UHC-65660-37
MBR-044128
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026570
Duplicate member record retired
Member services
Kayla Li: 2 enrollment records collapsed into UHC-64058-95
Enrollment records
2
Member id
UHC-64058-95
MBR-044166
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026571
Duplicate member record retired
Member services
Judith Valdez: 2 enrollment records collapsed into UHC-53800-49
Enrollment records
2
Member id
UHC-53800-49
MBR-044172
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026572
Duplicate member record retired
Member services
Brian Gordon: 2 enrollment records collapsed into UHC-81204-88
Enrollment records
2
Member id
UHC-81204-88
MBR-044181
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026573
Duplicate member record retired
Member services
Joshua Hoffman: 2 enrollment records collapsed into UHC-75819-13
Enrollment records
2
Member id
UHC-75819-13
MBR-044196
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026574
Duplicate member record retired
Member services
Arjun Ray: 2 enrollment records collapsed into UHC-32380-64
Enrollment records
2
Member id
UHC-32380-64
MBR-044200
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026575
Duplicate member record retired
Member services
Michael Daniels: 3 enrollment records collapsed into UHC-40201-87
Enrollment records
3
Member id
UHC-40201-87
MBR-044267
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026576
Duplicate member record retired
Member services
Mei Thompson: 2 enrollment records collapsed into UHC-34224-49
Enrollment records
2
Member id
UHC-34224-49
MBR-044277
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026577
Duplicate member record retired
Member services
Douglas Bryant: 2 enrollment records collapsed into UHC-85493-63
Enrollment records
2
Member id
UHC-85493-63
MBR-044295
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026578
Duplicate member record retired
Member services
Sean Clark: 2 enrollment records collapsed into UHC-83360-30
Enrollment records
2
Member id
UHC-83360-30
MBR-044365
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026579
Duplicate member record retired
Member services
Becky George: 2 enrollment records collapsed into UHC-12353-35
Enrollment records
2
Member id
UHC-12353-35
MBR-044407
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026580
Duplicate member record retired
Member services
Isabella Pena: 2 enrollment records collapsed into UHC-37201-24
Enrollment records
2
Member id
UHC-37201-24
MBR-044415
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026581
Duplicate member record retired
Member services
Philip Howard: 2 enrollment records collapsed into UHC-87051-91
Enrollment records
2
Member id
UHC-87051-91
MBR-044420
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026582
Duplicate member record retired
Member services
Jeremy Barnes: 2 enrollment records collapsed into UHC-01704-60
Enrollment records
2
Member id
UHC-01704-60
MBR-044426
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026583
Duplicate member record retired
Member services
Henry Jackson: 2 enrollment records collapsed into UHC-36524-58
Enrollment records
2
Member id
UHC-36524-58
MBR-044458
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026584
Duplicate member record retired
Member services
Edward Woods: 2 enrollment records collapsed into UHC-26897-37
Enrollment records
2
Member id
UHC-26897-37
MBR-044491
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026585
Duplicate member record retired
Member services
Burns Alice: 2 enrollment records collapsed into UHC-66412-77
Enrollment records
2
Member id
UHC-66412-77
MBR-044500
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026586
Duplicate member record retired
Member services
Joey Smiht: 2 enrollment records collapsed into UHC-18278-89
Enrollment records
2
Member id
UHC-18278-89
MBR-044505
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026587
Duplicate member record retired
Member services
Ann Stephens: 2 enrollment records collapsed into UHC-89522-57
Enrollment records
2
Member id
UHC-89522-57
MBR-044540
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026588
Duplicate member record retired
Member services
Lawrence Dominguez: 2 enrollment records collapsed into UHC-42734-36
Enrollment records
2
Member id
UHC-42734-36
MBR-044546
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026589
Duplicate member record retired
Member services
Ethan Matthews: 2 enrollment records collapsed into UHC-17417-81
Enrollment records
2
Member id
UHC-17417-81
MBR-044549
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026590
Duplicate member record retired
Member services
Arjun Lopez: 2 enrollment records collapsed into UHC-85521-93
Enrollment records
2
Member id
UHC-85521-93
MBR-044602
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026591
Duplicate member record retired
Member services
Sara Sylva: 2 enrollment records collapsed into UHC-38632-88
Enrollment records
2
Member id
UHC-38632-88
MBR-044612
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026592
Duplicate member record retired
Member services
George Moreno: 2 enrollment records collapsed into UHC-05217-82
Enrollment records
2
Member id
UHC-05217-82
MBR-044631
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026593
Duplicate member record retired
Member services
Logan Hill: 2 enrollment records collapsed into UHC-72644-53
Enrollment records
2
Member id
UHC-72644-53
MBR-044656
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026594
Duplicate member record retired
Member services
Ruth Price: 2 enrollment records collapsed into UHC-48375-18
Enrollment records
2
Member id
UHC-48375-18
MBR-044675
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026595
Duplicate member record retired
Member services
Mary Ward: 2 enrollment records collapsed into UHC-17625-99
Enrollment records
2
Member id
UHC-17625-99
MBR-044713
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026596
Duplicate member record retired
Member services
Roger Greene: 2 enrollment records collapsed into UHC-35717-11
Enrollment records
2
Member id
UHC-35717-11
MBR-044776
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026597
Duplicate member record retired
Member services
Sara Davis: 2 enrollment records collapsed into UHC-11295-01
Enrollment records
2
Member id
UHC-11295-01
MBR-044812
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026598
Duplicate member record retired
Member services
Madison Flores: 2 enrollment records collapsed into UHC-85495-26
Enrollment records
2
Member id
UHC-85495-26
MBR-044825
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026599
Duplicate member record retired
Member services
Jeffrey Moore: 2 enrollment records collapsed into UHC-86572-28
Enrollment records
2
Member id
UHC-86572-28
MBR-044856
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026600
Duplicate member record retired
Member services
Heather Vazquez: 2 enrollment records collapsed into UHC-76189-52
Enrollment records
2
Member id
UHC-76189-52
MBR-044859
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026601
Duplicate member record retired
Member services
Scott Fields: 2 enrollment records collapsed into UHC-87012-94
Enrollment records
2
Member id
UHC-87012-94
MBR-044881
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026602
Duplicate member record retired
Member services
Nancy Castillo: 2 enrollment records collapsed into UHC-74758-26
Enrollment records
2
Member id
UHC-74758-26
MBR-045031
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026603
Duplicate member record retired
Member services
Jack Martinez: 3 enrollment records collapsed into UHC-08920-87
Enrollment records
3
Member id
UHC-08920-87
MBR-045045
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026604
Duplicate member record retired
Member services
Mei Gray: 2 enrollment records collapsed into UHC-72787-19
Enrollment records
2
Member id
UHC-72787-19
MBR-045167
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026605
Duplicate member record retired
Member services
Dennis Morgan: 2 enrollment records collapsed into UHC-75155-83
Enrollment records
2
Member id
UHC-75155-83
MBR-045186
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026606
Duplicate member record retired
Member services
Andrew Reyes: 2 enrollment records collapsed into UHC-82778-20
Enrollment records
2
Member id
UHC-82778-20
MBR-045268
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026607
Duplicate member record retired
Member services
Hiroshi Anderson: 2 enrollment records collapsed into UHC-20940-17
Enrollment records
2
Member id
UHC-20940-17
MBR-045305
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026608
Duplicate member record retired
Member services
Joseph Boyd: 2 enrollment records collapsed into UHC-23225-22
Enrollment records
2
Member id
UHC-23225-22
MBR-045376
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026609
Duplicate member record retired
Member services
Hannah Foster: 2 enrollment records collapsed into UHC-87894-84
Enrollment records
2
Member id
UHC-87894-84
MBR-045391
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026610
Duplicate member record retired
Member services
Nathan Day: 2 enrollment records collapsed into UHC-18540-15
Enrollment records
2
Member id
UHC-18540-15
MBR-045400
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026611
Duplicate member record retired
Member services
Diane Munoz: 2 enrollment records collapsed into UHC-41494-86
Enrollment records
2
Member id
UHC-41494-86
MBR-045485
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026612
Duplicate member record retired
Member services
Dorotyh Alvarado: 2 enrollment records collapsed into UHC-59713-55
Enrollment records
2
Member id
UHC-59713-55
MBR-045490
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026613
Duplicate member record retired
Member services
Sharon Maldonado: 2 enrollment records collapsed into UHC-77322-66
Enrollment records
2
Member id
UHC-77322-66
MBR-045495
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026614
Duplicate member record retired
Member services
John Price: 2 enrollment records collapsed into UHC-15883-40
Enrollment records
2
Member id
UHC-15883-40
MBR-045505
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026615
Duplicate member record retired
Member services
James Jacobs: 2 enrollment records collapsed into UHC-48722-18
Enrollment records
2
Member id
UHC-48722-18
MBR-045513
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026616
Duplicate member record retired
Member services
Alan Crawford: 2 enrollment records collapsed into UHC-06502-47
Enrollment records
2
Member id
UHC-06502-47
MBR-045545
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 99 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.