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-022117
Duplicate member record retired
Member services
Camila Marshall: 2 enrollment records collapsed into UHC-89742-06
Enrollment records
2
Member id
UHC-89742-06
MBR-002727
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022118
Duplicate member record retired
Member services
Logan Luna: 2 enrollment records collapsed into UHC-90592-70
Enrollment records
2
Member id
UHC-90592-70
MBR-002730
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022119
Duplicate member record retired
Member services
Yuki Maldonado: 3 enrollment records collapsed into UHC-77154-60
Enrollment records
3
Member id
UHC-77154-60
MBR-002732
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022120
Duplicate member record retired
Member services
Janet Hart: 2 enrollment records collapsed into UHC-57586-06
Enrollment records
2
Member id
UHC-57586-06
MBR-002740
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022121
Duplicate member record retired
Member services
Charlotte Oliver: 2 enrollment records collapsed into UHC-36496-49
Enrollment records
2
Member id
UHC-36496-49
MBR-002742
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022122
Duplicate member record retired
Member services
Angela Bryant: 3 enrollment records collapsed into UHC-22165-57
Enrollment records
3
Member id
UHC-22165-57
MBR-002763
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022123
Duplicate member record retired
Member services
Elijah Ferguson: 2 enrollment records collapsed into UHC-23904-16
Enrollment records
2
Member id
UHC-23904-16
MBR-002766
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022124
Duplicate member record retired
Member services
Theresa Torres: 2 enrollment records collapsed into UHC-55258-87
Enrollment records
2
Member id
UHC-55258-87
MBR-002788
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022125
Duplicate member record retired
Member services
Judy Rose: 2 enrollment records collapsed into UHC-80661-85
Enrollment records
2
Member id
UHC-80661-85
MBR-002796
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022126
Duplicate member record retired
Member services
Carlos Obrien: 2 enrollment records collapsed into UHC-49623-35
Enrollment records
2
Member id
UHC-49623-35
MBR-002801
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022127
Duplicate member record retired
Member services
Mark Chen: 2 enrollment records collapsed into UHC-64993-34
Enrollment records
2
Member id
UHC-64993-34
MBR-002803
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022128
Duplicate member record retired
Member services
Marcus Walsh: 2 enrollment records collapsed into UHC-37839-21
Enrollment records
2
Member id
UHC-37839-21
MBR-002809
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022129
Duplicate member record retired
Member services
Mariana Henderson: 2 enrollment records collapsed into UHC-66782-51
Enrollment records
2
Member id
UHC-66782-51
MBR-002810
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022130
Duplicate member record retired
Member services
Michelle Carpenter: 2 enrollment records collapsed into UHC-05548-92
Enrollment records
2
Member id
UHC-05548-92
MBR-002812
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022131
Duplicate member record retired
Member services
Martha Bell: 3 enrollment records collapsed into UHC-05322-98
Enrollment records
3
Member id
UHC-05322-98
MBR-002817
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022132
Duplicate member record retired
Member services
Alan Gomez: 2 enrollment records collapsed into UHC-96329-04
Enrollment records
2
Member id
UHC-96329-04
MBR-002828
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022133
Duplicate member record retired
Member services
Keith Reid: 2 enrollment records collapsed into UHC-01857-96
Enrollment records
2
Member id
UHC-01857-96
MBR-002832
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022134
Duplicate member record retired
Member services
Patricia Flores: 2 enrollment records collapsed into UHC-06947-85
Enrollment records
2
Member id
UHC-06947-85
MBR-002859
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022135
Duplicate member record retired
Member services
Lauren Porter: 2 enrollment records collapsed into UHC-47113-19
Enrollment records
2
Member id
UHC-47113-19
MBR-002866
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022136
Duplicate member record retired
Member services
Catherine Silva: 2 enrollment records collapsed into UHC-28183-55
Enrollment records
2
Member id
UHC-28183-55
MBR-002867
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022137
Duplicate member record retired
Member services
Amanda Gomez: 2 enrollment records collapsed into UHC-15327-93
Enrollment records
2
Member id
UHC-15327-93
MBR-002870
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022138
Duplicate member record retired
Member services
Arthur Spencer: 2 enrollment records collapsed into UHC-62109-92
Enrollment records
2
Member id
UHC-62109-92
MBR-002878
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022139
Duplicate member record retired
Member services
Ronald Moore: 2 enrollment records collapsed into UHC-83940-30
Enrollment records
2
Member id
UHC-83940-30
MBR-002879
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022140
Duplicate member record retired
Member services
Bruce Chavez: 2 enrollment records collapsed into UHC-59211-88
Enrollment records
2
Member id
UHC-59211-88
MBR-002881
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022141
Duplicate member record retired
Member services
Lucia Ellis: 2 enrollment records collapsed into UHC-81593-46
Enrollment records
2
Member id
UHC-81593-46
MBR-002888
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022142
Duplicate member record retired
Member services
Marylyn Garrett: 2 enrollment records collapsed into UHC-31011-55
Enrollment records
2
Member id
UHC-31011-55
MBR-002894
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022143
Duplicate member record retired
Member services
Jennifer Larson: 2 enrollment records collapsed into UHC-10361-83
Enrollment records
2
Member id
UHC-10361-83
MBR-002897
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022144
Duplicate member record retired
Member services
Grace Nunez: 3 enrollment records collapsed into UHC-46022-88
Enrollment records
3
Member id
UHC-46022-88
MBR-002901
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022145
Duplicate member record retired
Member services
Linda Elliott: 2 enrollment records collapsed into UHC-90738-32
Enrollment records
2
Member id
UHC-90738-32
MBR-002912
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022146
Duplicate member record retired
Member services
Madison Ellis: 2 enrollment records collapsed into UHC-31543-85
Enrollment records
2
Member id
UHC-31543-85
MBR-002922
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022147
Duplicate member record retired
Member services
Jordan Vasquez: 2 enrollment records collapsed into UHC-45726-10
Enrollment records
2
Member id
UHC-45726-10
MBR-002930
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022148
Duplicate member record retired
Member services
Gloria Bailey: 2 enrollment records collapsed into UHC-58214-02
Enrollment records
2
Member id
UHC-58214-02
MBR-002937
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022149
Duplicate member record retired
Member services
Larry Gibson: 3 enrollment records collapsed into UHC-74898-55
Enrollment records
3
Member id
UHC-74898-55
MBR-002947
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022150
Duplicate member record retired
Member services
Beverly Santos: 2 enrollment records collapsed into UHC-19689-95
Enrollment records
2
Member id
UHC-19689-95
MBR-002951
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022151
Duplicate member record retired
Member services
Nataliie Wells: 3 enrollment records collapsed into UHC-53249-64
Enrollment records
3
Member id
UHC-53249-64
MBR-002958
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022152
Duplicate member record retired
Member services
Adam Contreras: 2 enrollment records collapsed into UHC-75072-26
Enrollment records
2
Member id
UHC-75072-26
MBR-002959
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022153
Duplicate member record retired
Member services
Grace Perkins: 2 enrollment records collapsed into UHC-88398-03
Enrollment records
2
Member id
UHC-88398-03
MBR-002964
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022154
Duplicate member record retired
Member services
Christina Morales: 2 enrollment records collapsed into UHC-53202-71
Enrollment records
2
Member id
UHC-53202-71
MBR-002969
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022155
Duplicate member record retired
Member services
Danielle White: 2 enrollment records collapsed into UHC-49036-24
Enrollment records
2
Member id
UHC-49036-24
MBR-002971
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022156
Duplicate member record retired
Member services
Ray McCoy: 2 enrollment records collapsed into UHC-38052-26
Enrollment records
2
Member id
UHC-38052-26
MBR-002987
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022157
Duplicate member record retired
Member services
Hannah Morrison: 2 enrollment records collapsed into UHC-56979-48
Enrollment records
2
Member id
UHC-56979-48
MBR-002992
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022158
Duplicate member record retired
Member services
Samuel Castro: 2 enrollment records collapsed into UHC-99010-79
Enrollment records
2
Member id
UHC-99010-79
MBR-003000
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022159
Duplicate member record retired
Member services
Alice James: 2 enrollment records collapsed into UHC-50230-34
Enrollment records
2
Member id
UHC-50230-34
MBR-003001
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022160
Duplicate member record retired
Member services
Billy Hayes: 2 enrollment records collapsed into UHC-52327-99
Enrollment records
2
Member id
UHC-52327-99
MBR-003002
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022161
Duplicate member record retired
Member services
Eugene Cox: 2 enrollment records collapsed into UHC-38773-39
Enrollment records
2
Member id
UHC-38773-39
MBR-003003
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022162
Duplicate member record retired
Member services
Alice Knight: 3 enrollment records collapsed into UHC-58125-21
Enrollment records
3
Member id
UHC-58125-21
MBR-003007
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022163
Duplicate member record retired
Member services
Heather Walsh: 2 enrollment records collapsed into UHC-45163-98
Enrollment records
2
Member id
UHC-45163-98
MBR-003010
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022164
Duplicate member record retired
Member services
Robert Weber: 2 enrollment records collapsed into UHC-94741-69
Enrollment records
2
Member id
UHC-94741-69
MBR-003015
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022165
Duplicate member record retired
Member services
Sandra Obrien: 2 enrollment records collapsed into UHC-04569-93
Enrollment records
2
Member id
UHC-04569-93
MBR-003017
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022166
Duplicate member record retired
Member services
Carlos Salazar: 3 enrollment records collapsed into UHC-04052-21
Enrollment records
3
Member id
UHC-04052-21
MBR-003032
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 10 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.