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

TypeAllDuplicate member record retired4,974
StatusAllProposed8,228Executed14,086Held4,326Released0
ActionTypeTitleDetailLinked toStatusExecuted
ACT-025517
Duplicate member record retired
Member services
Douglas Carlson: 2 enrollment records collapsed into UHC-97519-33
Enrollment records
2
Member id
UHC-97519-33
MBR-028451
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025518
Duplicate member record retired
Member services
Carol Howell: 2 enrollment records collapsed into UHC-35472-34
Enrollment records
2
Member id
UHC-35472-34
MBR-028453
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025519
Duplicate member record retired
Member services
Angela Ellis: 2 enrollment records collapsed into UHC-22805-77
Enrollment records
2
Member id
UHC-22805-77
MBR-028467
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025520
Duplicate member record retired
Member services
Daniel Morrison: 2 enrollment records collapsed into UHC-57254-08
Enrollment records
2
Member id
UHC-57254-08
MBR-028478
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025521
Duplicate member record retired
Member services
Catherine Long: 2 enrollment records collapsed into UHC-07684-49
Enrollment records
2
Member id
UHC-07684-49
MBR-028491
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025522
Duplicate member record retired
Member services
Henry Chen: 2 enrollment records collapsed into UHC-33237-14
Enrollment records
2
Member id
UHC-33237-14
MBR-028515
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025523
Duplicate member record retired
Member services
Danielle Palmer: 2 enrollment records collapsed into UHC-01567-87
Enrollment records
2
Member id
UHC-01567-87
MBR-028518
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025524
Duplicate member record retired
Member services
Jessica Smith: 2 enrollment records collapsed into UHC-10378-37
Enrollment records
2
Member id
UHC-10378-37
MBR-028520
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025525
Duplicate member record retired
Member services
Samuel Franklin: 2 enrollment records collapsed into UHC-56314-59
Enrollment records
2
Member id
UHC-56314-59
MBR-028551
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025526
Duplicate member record retired
Member services
Gary Morgan: 2 enrollment records collapsed into UHC-94931-37
Enrollment records
2
Member id
UHC-94931-37
MBR-028570
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025527
Duplicate member record retired
Member services
Dorothy Rivera: 2 enrollment records collapsed into UHC-33446-42
Enrollment records
2
Member id
UHC-33446-42
MBR-028578
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025528
Duplicate member record retired
Member services
Denise Warren: 2 enrollment records collapsed into UHC-93992-96
Enrollment records
2
Member id
UHC-93992-96
MBR-028586
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025529
Duplicate member record retired
Member services
Natalie Mendez: 2 enrollment records collapsed into UHC-08282-03
Enrollment records
2
Member id
UHC-08282-03
MBR-028592
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025530
Duplicate member record retired
Member services
Joseph Lucas: 2 enrollment records collapsed into UHC-13804-58
Enrollment records
2
Member id
UHC-13804-58
MBR-028599
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025531
Duplicate member record retired
Member services
Danielle Lee: 2 enrollment records collapsed into UHC-50635-73
Enrollment records
2
Member id
UHC-50635-73
MBR-028626
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025532
Duplicate member record retired
Member services
Jonathan Shaw: 2 enrollment records collapsed into UHC-46625-64
Enrollment records
2
Member id
UHC-46625-64
MBR-028636
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025533
Duplicate member record retired
Member services
Aaron Evans: 2 enrollment records collapsed into UHC-51560-75
Enrollment records
2
Member id
UHC-51560-75
MBR-028645
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025534
Duplicate member record retired
Member services
Doris Castro: 2 enrollment records collapsed into UHC-97196-12
Enrollment records
2
Member id
UHC-97196-12
MBR-028650
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025535
Duplicate member record retired
Member services
Abigail Spencer: 2 enrollment records collapsed into UHC-82202-40
Enrollment records
2
Member id
UHC-82202-40
MBR-028674
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025536
Duplicate member record retired
Member services
Brittany Hall: 2 enrollment records collapsed into UHC-67985-87
Enrollment records
2
Member id
UHC-67985-87
MBR-028679
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025537
Duplicate member record retired
Member services
Thomas Chavez: 2 enrollment records collapsed into UHC-88059-40
Enrollment records
2
Member id
UHC-88059-40
MBR-028700
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025538
Duplicate member record retired
Member services
Roy Vega: 2 enrollment records collapsed into UHC-75367-91
Enrollment records
2
Member id
UHC-75367-91
MBR-028721
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025539
Duplicate member record retired
Member services
Keith Cruz: 2 enrollment records collapsed into UHC-71380-39
Enrollment records
2
Member id
UHC-71380-39
MBR-028727
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025540
Duplicate member record retired
Member services
Ronald Vargas: 2 enrollment records collapsed into UHC-34390-87
Enrollment records
2
Member id
UHC-34390-87
MBR-028733
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025541
Duplicate member record retired
Member services
Beverly Reid: 2 enrollment records collapsed into UHC-24324-35
Enrollment records
2
Member id
UHC-24324-35
MBR-028833
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025542
Duplicate member record retired
Member services
Grace Welch: 2 enrollment records collapsed into UHC-39042-44
Enrollment records
2
Member id
UHC-39042-44
MBR-028843
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025543
Duplicate member record retired
Member services
Kathryn Payne: 2 enrollment records collapsed into UHC-12324-03
Enrollment records
2
Member id
UHC-12324-03
MBR-028845
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025544
Duplicate member record retired
Member services
Margaret Parker: 3 enrollment records collapsed into UHC-49124-60
Enrollment records
3
Member id
UHC-49124-60
MBR-028860
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025545
Duplicate member record retired
Member services
Alan Ford: 2 enrollment records collapsed into UHC-52538-51
Enrollment records
2
Member id
UHC-52538-51
MBR-028861
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025546
Duplicate member record retired
Member services
Jonathan Sandoval: 2 enrollment records collapsed into UHC-01777-85
Enrollment records
2
Member id
UHC-01777-85
MBR-028869
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025547
Duplicate member record retired
Member services
Denise Young: 2 enrollment records collapsed into UHC-62842-53
Enrollment records
2
Member id
UHC-62842-53
MBR-028876
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025548
Duplicate member record retired
Member services
Ronald Crawford: 2 enrollment records collapsed into UHC-93325-15
Enrollment records
2
Member id
UHC-93325-15
MBR-028884
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025549
Duplicate member record retired
Member services
Zachary Gibson: 2 enrollment records collapsed into UHC-27948-29
Enrollment records
2
Member id
UHC-27948-29
MBR-028895
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025550
Duplicate member record retired
Member services
Ahmed West: 2 enrollment records collapsed into UHC-52082-68
Enrollment records
2
Member id
UHC-52082-68
MBR-028912
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025551
Duplicate member record retired
Member services
Denise Garza: 2 enrollment records collapsed into UHC-77826-78
Enrollment records
2
Member id
UHC-77826-78
MBR-028915
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025552
Duplicate member record retired
Member services
Richard Sanchez: 2 enrollment records collapsed into UHC-22704-81
Enrollment records
2
Member id
UHC-22704-81
MBR-028919
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025553
Duplicate member record retired
Member services
Heather Harvey: 2 enrollment records collapsed into UHC-60272-33
Enrollment records
2
Member id
UHC-60272-33
MBR-028923
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025554
Duplicate member record retired
Member services
Cynthia Watkins: 2 enrollment records collapsed into UHC-69888-49
Enrollment records
2
Member id
UHC-69888-49
MBR-028933
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025555
Duplicate member record retired
Member services
Larry Welch: 2 enrollment records collapsed into UHC-16931-54
Enrollment records
2
Member id
UHC-16931-54
MBR-028934
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025556
Duplicate member record retired
Member services
Ryan Reid: 2 enrollment records collapsed into UHC-51919-52
Enrollment records
2
Member id
UHC-51919-52
MBR-028937
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025557
Duplicate member record retired
Member services
Lucia Watson: 3 enrollment records collapsed into UHC-44470-52
Enrollment records
3
Member id
UHC-44470-52
MBR-028951
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025558
Duplicate member record retired
Member services
George Salazar: 2 enrollment records collapsed into UHC-05285-32
Enrollment records
2
Member id
UHC-05285-32
MBR-029006
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025559
Duplicate member record retired
Member services
Rob Mason: 2 enrollment records collapsed into UHC-58571-04
Enrollment records
2
Member id
UHC-58571-04
MBR-029013
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025560
Duplicate member record retired
Member services
Daniel Ryan: 2 enrollment records collapsed into UHC-22573-16
Enrollment records
2
Member id
UHC-22573-16
MBR-029025
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025561
Duplicate member record retired
Member services
Anna Carr: 2 enrollment records collapsed into UHC-48919-48
Enrollment records
2
Member id
UHC-48919-48
MBR-029036
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025562
Duplicate member record retired
Member services
Gloria Yang: 3 enrollment records collapsed into UHC-77975-62
Enrollment records
3
Member id
UHC-77975-62
MBR-029040
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025563
Duplicate member record retired
Member services
David Price: 2 enrollment records collapsed into UHC-55216-20
Enrollment records
2
Member id
UHC-55216-20
MBR-029043
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025564
Duplicate member record retired
Member services
Zachary Singh: 2 enrollment records collapsed into UHC-98925-66
Enrollment records
2
Member id
UHC-98925-66
MBR-029076
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025565
Duplicate member record retired
Member services
Mariana Walsh: 2 enrollment records collapsed into UHC-09302-71
Enrollment records
2
Member id
UHC-09302-71
MBR-029086
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025566
Duplicate member record retired
Member services
Natalie Lane: 2 enrollment records collapsed into UHC-16159-95
Enrollment records
2
Member id
UHC-16159-95
MBR-029103
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 78 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.