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-022417
Duplicate member record retired
Member services
Grace Hernandez: 2 enrollment records collapsed into UHC-88884-27
Enrollment records
2
Member id
UHC-88884-27
MBR-004608
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022418
Duplicate member record retired
Member services
Doris Murphy: 2 enrollment records collapsed into UHC-18676-02
Enrollment records
2
Member id
UHC-18676-02
MBR-004612
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022419
Duplicate member record retired
Member services
Theresa Garza: 2 enrollment records collapsed into UHC-29869-56
Enrollment records
2
Member id
UHC-29869-56
MBR-004613
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022420
Duplicate member record retired
Member services
Amber Ward: 2 enrollment records collapsed into UHC-90288-15
Enrollment records
2
Member id
UHC-90288-15
MBR-004624
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022421
Duplicate member record retired
Member services
Jose Ross: 2 enrollment records collapsed into UHC-02279-47
Enrollment records
2
Member id
UHC-02279-47
MBR-004631
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022422
Duplicate member record retired
Member services
Logan Campbell: 2 enrollment records collapsed into UHC-12459-58
Enrollment records
2
Member id
UHC-12459-58
MBR-004645
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022423
Duplicate member record retired
Member services
Joshua Marshall: 2 enrollment records collapsed into UHC-44961-96
Enrollment records
2
Member id
UHC-44961-96
MBR-004664
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022424
Duplicate member record retired
Member services
Willie Walsh: 2 enrollment records collapsed into UHC-12852-84
Enrollment records
2
Member id
UHC-12852-84
MBR-004666
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022425
Duplicate member record retired
Member services
Marcus Burke: 2 enrollment records collapsed into UHC-06300-95
Enrollment records
2
Member id
UHC-06300-95
MBR-004670
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022426
Duplicate member record retired
Member services
Camila Herrera: 2 enrollment records collapsed into UHC-53583-98
Enrollment records
2
Member id
UHC-53583-98
MBR-004672
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022427
Duplicate member record retired
Member services
Matthew Day: 2 enrollment records collapsed into UHC-38394-14
Enrollment records
2
Member id
UHC-38394-14
MBR-004676
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022428
Duplicate member record retired
Member services
Mateo Salazar: 2 enrollment records collapsed into UHC-62782-53
Enrollment records
2
Member id
UHC-62782-53
MBR-004679
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022429
Duplicate member record retired
Member services
Michael Arnold: 3 enrollment records collapsed into UHC-06669-55
Enrollment records
3
Member id
UHC-06669-55
MBR-004703
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022430
Duplicate member record retired
Member services
Gloria Martin: 2 enrollment records collapsed into UHC-38570-43
Enrollment records
2
Member id
UHC-38570-43
MBR-004710
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022431
Duplicate member record retired
Member services
Rebecca Henry: 2 enrollment records collapsed into UHC-09021-94
Enrollment records
2
Member id
UHC-09021-94
MBR-004721
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022432
Duplicate member record retired
Member services
Ethan Rios: 2 enrollment records collapsed into UHC-98500-33
Enrollment records
2
Member id
UHC-98500-33
MBR-004731
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022433
Duplicate member record retired
Member services
Diana Harrison: 2 enrollment records collapsed into UHC-09874-03
Enrollment records
2
Member id
UHC-09874-03
MBR-004736
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022434
Duplicate member record retired
Member services
Camila Romero: 2 enrollment records collapsed into UHC-45685-14
Enrollment records
2
Member id
UHC-45685-14
MBR-004744
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022435
Duplicate member record retired
Member services
Joyce Bryant: 2 enrollment records collapsed into UHC-62977-32
Enrollment records
2
Member id
UHC-62977-32
MBR-004753
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022436
Duplicate member record retired
Member services
Eugene Shaw: 2 enrollment records collapsed into UHC-47201-99
Enrollment records
2
Member id
UHC-47201-99
MBR-004768
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022437
Duplicate member record retired
Member services
Jacqueline Gomez: 2 enrollment records collapsed into UHC-57063-16
Enrollment records
2
Member id
UHC-57063-16
MBR-004773
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022438
Duplicate member record retired
Member services
Valentina Reid: 2 enrollment records collapsed into UHC-92970-85
Enrollment records
2
Member id
UHC-92970-85
MBR-004776
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022439
Duplicate member record retired
Member services
Madison Freeman: 2 enrollment records collapsed into UHC-37196-07
Enrollment records
2
Member id
UHC-37196-07
MBR-004789
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022440
Duplicate member record retired
Member services
Justin Matthews: 2 enrollment records collapsed into UHC-38023-50
Enrollment records
2
Member id
UHC-38023-50
MBR-004793
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022441
Duplicate member record retired
Member services
Diane King: 2 enrollment records collapsed into UHC-67403-97
Enrollment records
2
Member id
UHC-67403-97
MBR-004794
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022442
Duplicate member record retired
Member services
Julie Lee: 4 enrollment records collapsed into UHC-59108-59
Enrollment records
4
Member id
UHC-59108-59
MBR-004797
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022443
Duplicate member record retired
Member services
Jennifer Hicks: 2 enrollment records collapsed into UHC-40739-89
Enrollment records
2
Member id
UHC-40739-89
MBR-004799
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022444
Duplicate member record retired
Member services
William Nelson: 3 enrollment records collapsed into UHC-40816-54
Enrollment records
3
Member id
UHC-40816-54
MBR-004814
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022445
Duplicate member record retired
Member services
Jerry Sandoval: 2 enrollment records collapsed into UHC-94166-85
Enrollment records
2
Member id
UHC-94166-85
MBR-004815
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022446
Duplicate member record retired
Member services
Albert Hawkins: 2 enrollment records collapsed into UHC-89653-70
Enrollment records
2
Member id
UHC-89653-70
MBR-004817
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022447
Duplicate member record retired
Member services
Austin Watson: 2 enrollment records collapsed into UHC-30177-94
Enrollment records
2
Member id
UHC-30177-94
MBR-004822
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022448
Duplicate member record retired
Member services
Willie Ray: 2 enrollment records collapsed into UHC-49421-70
Enrollment records
2
Member id
UHC-49421-70
MBR-004824
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022449
Duplicate member record retired
Member services
Lawrence Carter: 2 enrollment records collapsed into UHC-42533-01
Enrollment records
2
Member id
UHC-42533-01
MBR-004825
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022450
Duplicate member record retired
Member services
Ethan Russell: 2 enrollment records collapsed into UHC-56931-47
Enrollment records
2
Member id
UHC-56931-47
MBR-004831
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022451
Duplicate member record retired
Member services
Mariana Alvarez: 2 enrollment records collapsed into UHC-81390-02
Enrollment records
2
Member id
UHC-81390-02
MBR-004846
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022452
Duplicate member record retired
Member services
Roy Green: 2 enrollment records collapsed into UHC-60747-64
Enrollment records
2
Member id
UHC-60747-64
MBR-004851
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022453
Duplicate member record retired
Member services
Cheryl Crawford: 2 enrollment records collapsed into UHC-10278-83
Enrollment records
2
Member id
UHC-10278-83
MBR-004854
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022454
Duplicate member record retired
Member services
Joyce Reyes: 2 enrollment records collapsed into UHC-28639-46
Enrollment records
2
Member id
UHC-28639-46
MBR-004865
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022455
Duplicate member record retired
Member services
Jose Richardson: 2 enrollment records collapsed into UHC-61622-11
Enrollment records
2
Member id
UHC-61622-11
MBR-004869
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022456
Duplicate member record retired
Member services
Stephen Hoffman: 2 enrollment records collapsed into UHC-34421-69
Enrollment records
2
Member id
UHC-34421-69
MBR-004870
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022457
Duplicate member record retired
Member services
Edward Coleman: 2 enrollment records collapsed into UHC-02650-81
Enrollment records
2
Member id
UHC-02650-81
MBR-004872
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022458
Duplicate member record retired
Member services
Stephanie Ramirez: 2 enrollment records collapsed into UHC-11118-07
Enrollment records
2
Member id
UHC-11118-07
MBR-004874
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022459
Duplicate member record retired
Member services
Judy Espinoza: 2 enrollment records collapsed into UHC-18199-45
Enrollment records
2
Member id
UHC-18199-45
MBR-004887
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022460
Duplicate member record retired
Member services
Jason Murphy: 2 enrollment records collapsed into UHC-15372-66
Enrollment records
2
Member id
UHC-15372-66
MBR-004902
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022461
Duplicate member record retired
Member services
Melissa Park: 2 enrollment records collapsed into UHC-93563-20
Enrollment records
2
Member id
UHC-93563-20
MBR-004915
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022462
Duplicate member record retired
Member services
Samantha Simmons: 2 enrollment records collapsed into UHC-59590-89
Enrollment records
2
Member id
UHC-59590-89
MBR-004923
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022463
Duplicate member record retired
Member services
Santiago Jimenez: 2 enrollment records collapsed into UHC-19952-85
Enrollment records
2
Member id
UHC-19952-85
MBR-004929
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022464
Duplicate member record retired
Member services
Randy Weaver: 3 enrollment records collapsed into UHC-09967-04
Enrollment records
3
Member id
UHC-09967-04
MBR-004932
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022465
Duplicate member record retired
Member services
Ethan Rogers: 2 enrollment records collapsed into UHC-76883-32
Enrollment records
2
Member id
UHC-76883-32
MBR-004933
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022466
Duplicate member record retired
Member services
Amber Ross: 2 enrollment records collapsed into UHC-76266-30
Enrollment records
2
Member id
UHC-76266-30
MBR-004938
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 16 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.