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
ActionTypeTitleDetailLinked toStatusExecuted
ACT-021705
Duplicate member record retired
Member services
Jacob Vazquez: 2 enrollment records collapsed into UHC-80829-54
Enrollment records
2
Member id
UHC-80829-54
MBR-000225
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021706
Duplicate member record retired
Member services
Henry Jimenez: 2 enrollment records collapsed into UHC-49218-90
Enrollment records
2
Member id
UHC-49218-90
MBR-000226
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021707
Duplicate member record retired
Member services
Alexis Bradley: 2 enrollment records collapsed into UHC-68207-78
Enrollment records
2
Member id
UHC-68207-78
MBR-000228
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021708
Duplicate member record retired
Member services
Joyce Santiago: 2 enrollment records collapsed into UHC-78000-99
Enrollment records
2
Member id
UHC-78000-99
MBR-000243
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021709
Duplicate member record retired
Member services
Deb Stone: 2 enrollment records collapsed into UHC-68378-79
Enrollment records
2
Member id
UHC-68378-79
MBR-000250
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021710
Duplicate member record retired
Member services
Frances Porter: 2 enrollment records collapsed into UHC-44995-70
Enrollment records
2
Member id
UHC-44995-70
MBR-000261
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021711
Duplicate member record retired
Member services
Noah Morgan: 3 enrollment records collapsed into UHC-82203-05
Enrollment records
3
Member id
UHC-82203-05
MBR-000286
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021712
Duplicate member record retired
Member services
Mason Alvarado: 3 enrollment records collapsed into UHC-58827-31
Enrollment records
3
Member id
UHC-58827-31
MBR-000293
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021713
Duplicate member record retired
Member services
Juan Snyder: 2 enrollment records collapsed into UHC-15581-31
Enrollment records
2
Member id
UHC-15581-31
MBR-000301
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021714
Duplicate member record retired
Member services
Amanda Bennett: 2 enrollment records collapsed into UHC-35446-77
Enrollment records
2
Member id
UHC-35446-77
MBR-000305
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021715
Duplicate member record retired
Member services
Amber White: 3 enrollment records collapsed into UHC-86611-68
Enrollment records
3
Member id
UHC-86611-68
MBR-000307
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021716
Duplicate member record retired
Member services
Ashley Gibson: 2 enrollment records collapsed into UHC-63272-10
Enrollment records
2
Member id
UHC-63272-10
MBR-000308
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021717
Duplicate member record retired
Member services
Lori Contreras: 2 enrollment records collapsed into UHC-34891-72
Enrollment records
2
Member id
UHC-34891-72
MBR-000324
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021718
Duplicate member record retired
Member services
Virginia Hansen: 2 enrollment records collapsed into UHC-14278-08
Enrollment records
2
Member id
UHC-14278-08
MBR-000332
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021719
Duplicate member record retired
Member services
Jose Barnes: 2 enrollment records collapsed into UHC-53140-13
Enrollment records
2
Member id
UHC-53140-13
MBR-000342
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021720
Duplicate member record retired
Member services
James Stewart: 2 enrollment records collapsed into UHC-71459-23
Enrollment records
2
Member id
UHC-71459-23
MBR-000356
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021721
Duplicate member record retired
Member services
Raymond Schmidt: 2 enrollment records collapsed into UHC-32279-47
Enrollment records
2
Member id
UHC-32279-47
MBR-000362
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021722
Duplicate member record retired
Member services
Denise Boyd: 2 enrollment records collapsed into UHC-49446-36
Enrollment records
2
Member id
UHC-49446-36
MBR-000366
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021723
Duplicate member record retired
Member services
Kelly Shaw: 2 enrollment records collapsed into UHC-88200-35
Enrollment records
2
Member id
UHC-88200-35
MBR-000367
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021724
Duplicate member record retired
Member services
Mateo Oliver: 3 enrollment records collapsed into UHC-31496-33
Enrollment records
3
Member id
UHC-31496-33
MBR-000369
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021725
Duplicate member record retired
Member services
Emily Fuller: 3 enrollment records collapsed into UHC-91168-07
Enrollment records
3
Member id
UHC-91168-07
MBR-000376
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021726
Duplicate member record retired
Member services
Elizabeth Porter: 2 enrollment records collapsed into UHC-31356-88
Enrollment records
2
Member id
UHC-31356-88
MBR-000377
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021727
Duplicate member record retired
Member services
Rebecca Clark: 4 enrollment records collapsed into UHC-91106-06
Enrollment records
4
Member id
UHC-91106-06
MBR-000383
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021728
Duplicate member record retired
Member services
Betty Stewart: 2 enrollment records collapsed into UHC-11232-80
Enrollment records
2
Member id
UHC-11232-80
MBR-000384
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021729
Duplicate member record retired
Member services
Maria Ryan: 3 enrollment records collapsed into UHC-53814-07
Enrollment records
3
Member id
UHC-53814-07
MBR-000386
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021730
Duplicate member record retired
Member services
Keith Herrera: 3 enrollment records collapsed into UHC-46316-68
Enrollment records
3
Member id
UHC-46316-68
MBR-000391
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021731
Duplicate member record retired
Member services
Adam Sanders: 2 enrollment records collapsed into UHC-10599-86
Enrollment records
2
Member id
UHC-10599-86
MBR-000394
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021732
Duplicate member record retired
Member services
Mason Thompson: 2 enrollment records collapsed into UHC-69452-86
Enrollment records
2
Member id
UHC-69452-86
MBR-000407
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021733
Duplicate member record retired
Member services
Lori Butler: 2 enrollment records collapsed into UHC-75436-96
Enrollment records
2
Member id
UHC-75436-96
MBR-000418
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021734
Duplicate member record retired
Member services
Susan Garrett: 2 enrollment records collapsed into UHC-86282-68
Enrollment records
2
Member id
UHC-86282-68
MBR-000426
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021735
Duplicate member record retired
Member services
Bradley Ynag: 2 enrollment records collapsed into UHC-57865-36
Enrollment records
2
Member id
UHC-57865-36
MBR-000443
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021736
Duplicate member record retired
Member services
Daniel Larson: 2 enrollment records collapsed into UHC-92751-41
Enrollment records
2
Member id
UHC-92751-41
MBR-000454
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021737
Duplicate member record retired
Member services
Jason Price: 2 enrollment records collapsed into UHC-96758-59
Enrollment records
2
Member id
UHC-96758-59
MBR-000456
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021738
Duplicate member record retired
Member services
Mary Crawford: 2 enrollment records collapsed into UHC-87669-12
Enrollment records
2
Member id
UHC-87669-12
MBR-000457
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021739
Duplicate member record retired
Member services
Charlotte Rogers: 2 enrollment records collapsed into UHC-33731-33
Enrollment records
2
Member id
UHC-33731-33
MBR-000459
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021740
Duplicate member record retired
Member services
Walter Chavez: 2 enrollment records collapsed into UHC-49446-32
Enrollment records
2
Member id
UHC-49446-32
MBR-000462
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021741
Duplicate member record retired
Member services
Austin Williamson: 2 enrollment records collapsed into UHC-58117-31
Enrollment records
2
Member id
UHC-58117-31
MBR-000463
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021742
Duplicate member record retired
Member services
Frances Diaz: 2 enrollment records collapsed into UHC-59919-29
Enrollment records
2
Member id
UHC-59919-29
MBR-000465
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021743
Duplicate member record retired
Member services
Emma Robertson: 2 enrollment records collapsed into UHC-78323-03
Enrollment records
2
Member id
UHC-78323-03
MBR-000467
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021744
Duplicate member record retired
Member services
Jessica Cox: 3 enrollment records collapsed into UHC-61058-29
Enrollment records
3
Member id
UHC-61058-29
MBR-000481
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021745
Duplicate member record retired
Member services
Beverly Cruz: 2 enrollment records collapsed into UHC-18244-83
Enrollment records
2
Member id
UHC-18244-83
MBR-000487
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021746
Duplicate member record retired
Member services
Ruth Hill: 2 enrollment records collapsed into UHC-49852-18
Enrollment records
2
Member id
UHC-49852-18
MBR-000497
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021747
Duplicate member record retired
Member services
Mateo Jackson: 2 enrollment records collapsed into UHC-48696-50
Enrollment records
2
Member id
UHC-48696-50
MBR-000500
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021748
Duplicate member record retired
Member services
Camila Lucas: 2 enrollment records collapsed into UHC-50549-37
Enrollment records
2
Member id
UHC-50549-37
MBR-000518
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021749
Duplicate member record retired
Member services
Daniel Evans: 2 enrollment records collapsed into UHC-32054-39
Enrollment records
2
Member id
UHC-32054-39
MBR-000520
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021750
Duplicate member record retired
Member services
Donna Greene: 2 enrollment records collapsed into UHC-31782-23
Enrollment records
2
Member id
UHC-31782-23
MBR-000521
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021751
Duplicate member record retired
Member services
Joshua Holmes: 2 enrollment records collapsed into UHC-28099-06
Enrollment records
2
Member id
UHC-28099-06
MBR-000524
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021752
Duplicate member record retired
Member services
Dennis Baker: 2 enrollment records collapsed into UHC-24430-47
Enrollment records
2
Member id
UHC-24430-47
MBR-000531
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021753
Duplicate member record retired
Member services
Gary Espinoza: 2 enrollment records collapsed into UHC-84150-57
Enrollment records
2
Member id
UHC-84150-57
MBR-000535
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021754
Duplicate member record retired
Member services
Sofia Greene: 2 enrollment records collapsed into UHC-83339-71
Enrollment records
2
Member id
UHC-83339-71
MBR-000537
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 184 of 282PreviousNext

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.