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-022267
Duplicate member record retired
Member services
Donald Burton: 2 enrollment records collapsed into UHC-51875-33
Enrollment records
2
Member id
UHC-51875-33
MBR-003669
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022268
Duplicate member record retired
Member services
Matthew Barnes: 5 enrollment records collapsed into UHC-50903-12
Enrollment records
5
Member id
UHC-50903-12
MBR-003683
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022269
Duplicate member record retired
Member services
Bruce Fuller: 4 enrollment records collapsed into UHC-98369-58
Enrollment records
4
Member id
UHC-98369-58
MBR-003685
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022270
Duplicate member record retired
Member services
Lisa Griffin: 2 enrollment records collapsed into UHC-92306-14
Enrollment records
2
Member id
UHC-92306-14
MBR-003686
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022271
Duplicate member record retired
Member services
Christian Gonzales: 2 enrollment records collapsed into UHC-94858-35
Enrollment records
2
Member id
UHC-94858-35
MBR-003689
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022272
Duplicate member record retired
Member services
Frank Allen: 2 enrollment records collapsed into UHC-03524-51
Enrollment records
2
Member id
UHC-03524-51
MBR-003698
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022273
Duplicate member record retired
Member services
Douglas Lawson: 2 enrollment records collapsed into UHC-92728-78
Enrollment records
2
Member id
UHC-92728-78
MBR-003703
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022274
Duplicate member record retired
Member services
Tyler Rojas: 2 enrollment records collapsed into UHC-99681-64
Enrollment records
2
Member id
UHC-99681-64
MBR-003706
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022275
Duplicate member record retired
Member services
Margaret Fowler: 2 enrollment records collapsed into UHC-04517-23
Enrollment records
2
Member id
UHC-04517-23
MBR-003710
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022276
Duplicate member record retired
Member services
Samantha Valdez: 2 enrollment records collapsed into UHC-63204-93
Enrollment records
2
Member id
UHC-63204-93
MBR-003729
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022277
Duplicate member record retired
Member services
Ashley Watson: 2 enrollment records collapsed into UHC-02090-65
Enrollment records
2
Member id
UHC-02090-65
MBR-003731
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022278
Duplicate member record retired
Member services
Kelly Smith: 2 enrollment records collapsed into UHC-61111-64
Enrollment records
2
Member id
UHC-61111-64
MBR-003734
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022279
Duplicate member record retired
Member services
Edward Elliott: 2 enrollment records collapsed into UHC-33180-88
Enrollment records
2
Member id
UHC-33180-88
MBR-003735
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022280
Duplicate member record retired
Member services
Jacob Graham: 2 enrollment records collapsed into UHC-88516-21
Enrollment records
2
Member id
UHC-88516-21
MBR-003738
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022281
Duplicate member record retired
Member services
Kenneth Payne: 2 enrollment records collapsed into UHC-66838-75
Enrollment records
2
Member id
UHC-66838-75
MBR-003742
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022282
Duplicate member record retired
Member services
Hiroshi McCoy: 2 enrollment records collapsed into UHC-31964-77
Enrollment records
2
Member id
UHC-31964-77
MBR-003744
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022283
Duplicate member record retired
Member services
Hiroshi Tran: 2 enrollment records collapsed into UHC-69597-53
Enrollment records
2
Member id
UHC-69597-53
MBR-003751
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022284
Duplicate member record retired
Member services
Ann Williamson: 2 enrollment records collapsed into UHC-79164-18
Enrollment records
2
Member id
UHC-79164-18
MBR-003752
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022285
Duplicate member record retired
Member services
Anna Evans: 2 enrollment records collapsed into UHC-91885-75
Enrollment records
2
Member id
UHC-91885-75
MBR-003763
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022286
Duplicate member record retired
Member services
Richard Clark: 2 enrollment records collapsed into UHC-54936-57
Enrollment records
2
Member id
UHC-54936-57
MBR-003770
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022287
Duplicate member record retired
Member services
Sarah Green: 2 enrollment records collapsed into UHC-24458-91
Enrollment records
2
Member id
UHC-24458-91
MBR-003772
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022288
Duplicate member record retired
Member services
Omar Santiago: 2 enrollment records collapsed into UHC-90592-10
Enrollment records
2
Member id
UHC-90592-10
MBR-003777
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022289
Duplicate member record retired
Member services
Thomas Castillo: 2 enrollment records collapsed into UHC-59369-24
Enrollment records
2
Member id
UHC-59369-24
MBR-003802
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022290
Duplicate member record retired
Member services
Carol Gutierrez: 3 enrollment records collapsed into UHC-45287-35
Enrollment records
3
Member id
UHC-45287-35
MBR-003807
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022291
Duplicate member record retired
Member services
Olivia Davis: 2 enrollment records collapsed into UHC-46336-83
Enrollment records
2
Member id
UHC-46336-83
MBR-003808
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022292
Duplicate member record retired
Member services
Douglas Cole: 3 enrollment records collapsed into UHC-11333-58
Enrollment records
3
Member id
UHC-11333-58
MBR-003818
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022293
Duplicate member record retired
Member services
Nicholas Hill: 3 enrollment records collapsed into UHC-19819-24
Enrollment records
3
Member id
UHC-19819-24
MBR-003823
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022294
Duplicate member record retired
Member services
Michael Parker: 2 enrollment records collapsed into UHC-39601-87
Enrollment records
2
Member id
UHC-39601-87
MBR-003826
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022295
Duplicate member record retired
Member services
Jordan Fowler: 2 enrollment records collapsed into UHC-84332-87
Enrollment records
2
Member id
UHC-84332-87
MBR-003834
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022296
Duplicate member record retired
Member services
Abigail Stone: 2 enrollment records collapsed into UHC-76973-20
Enrollment records
2
Member id
UHC-76973-20
MBR-003835
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022297
Duplicate member record retired
Member services
George Sims: 2 enrollment records collapsed into UHC-90175-74
Enrollment records
2
Member id
UHC-90175-74
MBR-003838
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022298
Duplicate member record retired
Member services
Hiroshi Greene: 2 enrollment records collapsed into UHC-26275-01
Enrollment records
2
Member id
UHC-26275-01
MBR-003842
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022299
Duplicate member record retired
Member services
Betty Walsh: 2 enrollment records collapsed into UHC-06757-59
Enrollment records
2
Member id
UHC-06757-59
MBR-003847
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022300
Duplicate member record retired
Member services
Randy Owens: 2 enrollment records collapsed into UHC-66110-46
Enrollment records
2
Member id
UHC-66110-46
MBR-003855
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022301
Duplicate member record retired
Member services
Dennis Gilbert: 2 enrollment records collapsed into UHC-11590-49
Enrollment records
2
Member id
UHC-11590-49
MBR-003858
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022302
Duplicate member record retired
Member services
Vigrinia Stone: 2 enrollment records collapsed into UHC-66168-77
Enrollment records
2
Member id
UHC-66168-77
MBR-003859
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022303
Duplicate member record retired
Member services
Carolyn Coleman: 2 enrollment records collapsed into UHC-26718-50
Enrollment records
2
Member id
UHC-26718-50
MBR-003889
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022304
Duplicate member record retired
Member services
Virginia Harper: 2 enrollment records collapsed into UHC-83325-61
Enrollment records
2
Member id
UHC-83325-61
MBR-003891
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022305
Duplicate member record retired
Member services
Billy Weber: 3 enrollment records collapsed into UHC-14482-44
Enrollment records
3
Member id
UHC-14482-44
MBR-003896
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022306
Duplicate member record retired
Member services
Olivia Gilbert: 2 enrollment records collapsed into UHC-20851-36
Enrollment records
2
Member id
UHC-20851-36
MBR-003905
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022307
Duplicate member record retired
Member services
Charlotte Edwards: 3 enrollment records collapsed into UHC-97135-95
Enrollment records
3
Member id
UHC-97135-95
MBR-003906
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022308
Duplicate member record retired
Member services
Brandon Herrera: 2 enrollment records collapsed into UHC-70155-85
Enrollment records
2
Member id
UHC-70155-85
MBR-003913
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022309
Duplicate member record retired
Member services
Mateo Vega: 2 enrollment records collapsed into UHC-55251-71
Enrollment records
2
Member id
UHC-55251-71
MBR-003916
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022310
Duplicate member record retired
Member services
Michael Rios: 2 enrollment records collapsed into UHC-88156-15
Enrollment records
2
Member id
UHC-88156-15
MBR-003917
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022311
Duplicate member record retired
Member services
Theresa Cunningham: 2 enrollment records collapsed into UHC-57506-28
Enrollment records
2
Member id
UHC-57506-28
MBR-003918
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022312
Duplicate member record retired
Member services
Wei Jackson: 2 enrollment records collapsed into UHC-16036-11
Enrollment records
2
Member id
UHC-16036-11
MBR-003919
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022313
Duplicate member record retired
Member services
Joan Sanchez: 2 enrollment records collapsed into UHC-91458-47
Enrollment records
2
Member id
UHC-91458-47
MBR-003921
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022314
Duplicate member record retired
Member services
Peter Fowler: 2 enrollment records collapsed into UHC-94395-87
Enrollment records
2
Member id
UHC-94395-87
MBR-003925
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022315
Duplicate member record retired
Member services
Scott Shaw: 2 enrollment records collapsed into UHC-47109-16
Enrollment records
2
Member id
UHC-47109-16
MBR-003939
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022316
Duplicate member record retired
Member services
Marilyn Sullivan: 2 enrollment records collapsed into UHC-59465-80
Enrollment records
2
Member id
UHC-59465-80
MBR-003942
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 13 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.