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-022517
Duplicate member record retired
Member services
Christine Dixon: 2 enrollment records collapsed into UHC-34283-65
Enrollment records
2
Member id
UHC-34283-65
MBR-005228
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022518
Duplicate member record retired
Member services
Richard Tran: 2 enrollment records collapsed into UHC-09404-57
Enrollment records
2
Member id
UHC-09404-57
MBR-005231
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022519
Duplicate member record retired
Member services
Kathleen Day: 2 enrollment records collapsed into UHC-04206-33
Enrollment records
2
Member id
UHC-04206-33
MBR-005235
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022520
Duplicate member record retired
Member services
Laura Thomas: 2 enrollment records collapsed into UHC-63477-40
Enrollment records
2
Member id
UHC-63477-40
MBR-005238
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022521
Duplicate member record retired
Member services
Arjun Hanson: 3 enrollment records collapsed into UHC-47578-88
Enrollment records
3
Member id
UHC-47578-88
MBR-005239
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022522
Duplicate member record retired
Member services
Nathan Chavez: 2 enrollment records collapsed into UHC-16858-20
Enrollment records
2
Member id
UHC-16858-20
MBR-005241
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022523
Duplicate member record retired
Member services
Kathleen Baker: 2 enrollment records collapsed into UHC-40436-49
Enrollment records
2
Member id
UHC-40436-49
MBR-005244
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022524
Duplicate member record retired
Member services
Scott Anderson: 2 enrollment records collapsed into UHC-38641-40
Enrollment records
2
Member id
UHC-38641-40
MBR-005245
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022525
Duplicate member record retired
Member services
Gary Vazquez: 2 enrollment records collapsed into UHC-43078-98
Enrollment records
2
Member id
UHC-43078-98
MBR-005247
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022526
Duplicate member record retired
Member services
Dennis Hamilton: 2 enrollment records collapsed into UHC-00203-27
Enrollment records
2
Member id
UHC-00203-27
MBR-005265
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022527
Duplicate member record retired
Member services
Mariana Valdez: 2 enrollment records collapsed into UHC-86395-54
Enrollment records
2
Member id
UHC-86395-54
MBR-005267
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022528
Duplicate member record retired
Member services
Kimberly Henry: 2 enrollment records collapsed into UHC-62023-38
Enrollment records
2
Member id
UHC-62023-38
MBR-005275
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022529
Duplicate member record retired
Member services
Phhilip Hill: 2 enrollment records collapsed into UHC-58500-48
Enrollment records
2
Member id
UHC-58500-48
MBR-005288
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022530
Duplicate member record retired
Member services
Arjun Gutierrez: 2 enrollment records collapsed into UHC-35844-53
Enrollment records
2
Member id
UHC-35844-53
MBR-005302
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022531
Duplicate member record retired
Member services
Mason Morales: 2 enrollment records collapsed into UHC-64421-02
Enrollment records
2
Member id
UHC-64421-02
MBR-005312
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022532
Duplicate member record retired
Member services
Teresa Payne: 2 enrollment records collapsed into UHC-81632-20
Enrollment records
2
Member id
UHC-81632-20
MBR-005314
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022533
Duplicate member record retired
Member services
Karen Rose: 3 enrollment records collapsed into UHC-41271-45
Enrollment records
3
Member id
UHC-41271-45
MBR-005315
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022534
Duplicate member record retired
Member services
Jessica Baker: 2 enrollment records collapsed into UHC-47501-58
Enrollment records
2
Member id
UHC-47501-58
MBR-005320
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022535
Duplicate member record retired
Member services
Ashley Mitchell: 2 enrollment records collapsed into UHC-16625-75
Enrollment records
2
Member id
UHC-16625-75
MBR-005325
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022536
Duplicate member record retired
Member services
Evelyn Vargas: 3 enrollment records collapsed into UHC-34654-11
Enrollment records
3
Member id
UHC-34654-11
MBR-005331
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022537
Duplicate member record retired
Member services
Zachary Hicks: 2 enrollment records collapsed into UHC-79456-85
Enrollment records
2
Member id
UHC-79456-85
MBR-005349
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022538
Duplicate member record retired
Member services
Abigail Luna: 3 enrollment records collapsed into UHC-36079-65
Enrollment records
3
Member id
UHC-36079-65
MBR-005360
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022539
Duplicate member record retired
Member services
Charles Ortiz: 2 enrollment records collapsed into UHC-92395-20
Enrollment records
2
Member id
UHC-92395-20
MBR-005373
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022540
Duplicate member record retired
Member services
Danielle Pierce: 2 enrollment records collapsed into UHC-91432-68
Enrollment records
2
Member id
UHC-91432-68
MBR-005376
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022541
Duplicate member record retired
Member services
Nathan Dominguez: 3 enrollment records collapsed into UHC-21901-45
Enrollment records
3
Member id
UHC-21901-45
MBR-005380
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022542
Duplicate member record retired
Member services
Sofia Richards: 2 enrollment records collapsed into UHC-38846-21
Enrollment records
2
Member id
UHC-38846-21
MBR-005403
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022543
Duplicate member record retired
Member services
Carlos Perry: 2 enrollment records collapsed into UHC-74538-98
Enrollment records
2
Member id
UHC-74538-98
MBR-005414
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022544
Duplicate member record retired
Member services
Anna Bryant: 2 enrollment records collapsed into UHC-91893-88
Enrollment records
2
Member id
UHC-91893-88
MBR-005419
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022545
Duplicate member record retired
Member services
Frances Pena: 2 enrollment records collapsed into UHC-11201-26
Enrollment records
2
Member id
UHC-11201-26
MBR-005420
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022546
Duplicate member record retired
Member services
Arjun Harris: 2 enrollment records collapsed into UHC-71965-17
Enrollment records
2
Member id
UHC-71965-17
MBR-005433
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022547
Duplicate member record retired
Member services
Rebecca Bailey: 2 enrollment records collapsed into UHC-60552-85
Enrollment records
2
Member id
UHC-60552-85
MBR-005437
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022548
Duplicate member record retired
Member services
Lauren Washington: 2 enrollment records collapsed into UHC-74755-05
Enrollment records
2
Member id
UHC-74755-05
MBR-005444
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022549
Duplicate member record retired
Member services
Jerry Butler: 2 enrollment records collapsed into UHC-90087-88
Enrollment records
2
Member id
UHC-90087-88
MBR-005445
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022550
Duplicate member record retired
Member services
Dorothy Spencer: 2 enrollment records collapsed into UHC-83167-50
Enrollment records
2
Member id
UHC-83167-50
MBR-005447
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022551
Duplicate member record retired
Member services
Kevin Price: 2 enrollment records collapsed into UHC-73391-84
Enrollment records
2
Member id
UHC-73391-84
MBR-005483
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022552
Duplicate member record retired
Member services
Anthony Henderson: 2 enrollment records collapsed into UHC-92935-47
Enrollment records
2
Member id
UHC-92935-47
MBR-005485
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022553
Duplicate member record retired
Member services
Rebecca Park: 2 enrollment records collapsed into UHC-63041-07
Enrollment records
2
Member id
UHC-63041-07
MBR-005486
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022554
Duplicate member record retired
Member services
Joshua Young: 2 enrollment records collapsed into UHC-95779-94
Enrollment records
2
Member id
UHC-95779-94
MBR-005492
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022555
Duplicate member record retired
Member services
Joshua Nelson: 2 enrollment records collapsed into UHC-27770-85
Enrollment records
2
Member id
UHC-27770-85
MBR-005493
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022556
Duplicate member record retired
Member services
Carl Torres: 2 enrollment records collapsed into UHC-32777-46
Enrollment records
2
Member id
UHC-32777-46
MBR-005494
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022557
Duplicate member record retired
Member services
Mason Weaver: 2 enrollment records collapsed into UHC-94503-02
Enrollment records
2
Member id
UHC-94503-02
MBR-005499
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022558
Duplicate member record retired
Member services
Brenda Ramos: 2 enrollment records collapsed into UHC-36429-85
Enrollment records
2
Member id
UHC-36429-85
MBR-005507
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022559
Duplicate member record retired
Member services
Alexis Day: 2 enrollment records collapsed into UHC-68769-03
Enrollment records
2
Member id
UHC-68769-03
MBR-005521
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022560
Duplicate member record retired
Member services
Roger Mason: 2 enrollment records collapsed into UHC-97852-83
Enrollment records
2
Member id
UHC-97852-83
MBR-005522
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022561
Duplicate member record retired
Member services
Randy Kennedy: 3 enrollment records collapsed into UHC-29773-41
Enrollment records
3
Member id
UHC-29773-41
MBR-005524
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022562
Duplicate member record retired
Member services
Natalie Garza: 2 enrollment records collapsed into UHC-86293-53
Enrollment records
2
Member id
UHC-86293-53
MBR-005530
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022563
Duplicate member record retired
Member services
Ruth Watson: 2 enrollment records collapsed into UHC-13000-42
Enrollment records
2
Member id
UHC-13000-42
MBR-005537
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022564
Duplicate member record retired
Member services
Maria Castro: 2 enrollment records collapsed into UHC-68892-31
Enrollment records
2
Member id
UHC-68892-31
MBR-005543
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022565
Duplicate member record retired
Member services
Valentina Banks: 2 enrollment records collapsed into UHC-95054-93
Enrollment records
2
Member id
UHC-95054-93
MBR-005548
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022566
Duplicate member record retired
Member services
Sofia Ortiz: 2 enrollment records collapsed into UHC-16134-88
Enrollment records
2
Member id
UHC-16134-88
MBR-005564
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 18 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.