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-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
ACT-022567
Duplicate member record retired
Member services
Kayla Williamson: 2 enrollment records collapsed into UHC-28782-70
Enrollment records
2
Member id
UHC-28782-70
MBR-005574
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022568
Duplicate member record retired
Member services
Hannah Bowman: 2 enrollment records collapsed into UHC-55159-69
Enrollment records
2
Member id
UHC-55159-69
MBR-005582
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022569
Duplicate member record retired
Member services
Lauren Sandoval: 2 enrollment records collapsed into UHC-88391-59
Enrollment records
2
Member id
UHC-88391-59
MBR-005587
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022570
Duplicate member record retired
Member services
Joseph Robertson: 2 enrollment records collapsed into UHC-34162-05
Enrollment records
2
Member id
UHC-34162-05
MBR-005599
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022571
Duplicate member record retired
Member services
Carlos Henry: 2 enrollment records collapsed into UHC-01106-07
Enrollment records
2
Member id
UHC-01106-07
MBR-005603
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022572
Duplicate member record retired
Member services
Sarah James: 2 enrollment records collapsed into UHC-76376-81
Enrollment records
2
Member id
UHC-76376-81
MBR-005610
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022573
Duplicate member record retired
Member services
Frances Watkins: 3 enrollment records collapsed into UHC-87981-39
Enrollment records
3
Member id
UHC-87981-39
MBR-005613
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022574
Duplicate member record retired
Member services
Nick Jones: 2 enrollment records collapsed into UHC-74859-20
Enrollment records
2
Member id
UHC-74859-20
MBR-005614
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022575
Duplicate member record retired
Member services
Steven Welch: 2 enrollment records collapsed into UHC-45711-80
Enrollment records
2
Member id
UHC-45711-80
MBR-005620
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022576
Duplicate member record retired
Member services
Ray Dixon: 2 enrollment records collapsed into UHC-48483-58
Enrollment records
2
Member id
UHC-48483-58
MBR-005626
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022577
Duplicate member record retired
Member services
Christian Ray: 3 enrollment records collapsed into UHC-82209-54
Enrollment records
3
Member id
UHC-82209-54
MBR-005640
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022578
Duplicate member record retired
Member services
Diane Olson: 2 enrollment records collapsed into UHC-90564-84
Enrollment records
2
Member id
UHC-90564-84
MBR-005647
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022579
Duplicate member record retired
Member services
Kelly Carpenter: 2 enrollment records collapsed into UHC-64131-81
Enrollment records
2
Member id
UHC-64131-81
MBR-005648
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022580
Duplicate member record retired
Member services
Paul Romero: 2 enrollment records collapsed into UHC-28842-64
Enrollment records
2
Member id
UHC-28842-64
MBR-005660
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022581
Duplicate member record retired
Member services
Jeremy Ferguson: 2 enrollment records collapsed into UHC-63513-38
Enrollment records
2
Member id
UHC-63513-38
MBR-005673
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022582
Duplicate member record retired
Member services
Yuki Wright: 2 enrollment records collapsed into UHC-59968-86
Enrollment records
2
Member id
UHC-59968-86
MBR-005694
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022583
Duplicate member record retired
Member services
Natalie James: 2 enrollment records collapsed into UHC-44696-09
Enrollment records
2
Member id
UHC-44696-09
MBR-005699
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022584
Duplicate member record retired
Member services
Albert Ellis: 2 enrollment records collapsed into UHC-85432-06
Enrollment records
2
Member id
UHC-85432-06
MBR-005701
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022585
Duplicate member record retired
Member services
Henry Wells: 2 enrollment records collapsed into UHC-34465-23
Enrollment records
2
Member id
UHC-34465-23
MBR-005709
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022586
Duplicate member record retired
Member services
Jesse Phillips: 3 enrollment records collapsed into UHC-17172-85
Enrollment records
3
Member id
UHC-17172-85
MBR-005712
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022587
Duplicate member record retired
Member services
Logan Mills: 2 enrollment records collapsed into UHC-21983-89
Enrollment records
2
Member id
UHC-21983-89
MBR-005714
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022588
Duplicate member record retired
Member services
Anna Baker: 2 enrollment records collapsed into UHC-10154-58
Enrollment records
2
Member id
UHC-10154-58
MBR-005724
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022589
Duplicate member record retired
Member services
Wei Rogers: 2 enrollment records collapsed into UHC-97411-91
Enrollment records
2
Member id
UHC-97411-91
MBR-005730
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022590
Duplicate member record retired
Member services
Pamela Ruiz: 2 enrollment records collapsed into UHC-56632-98
Enrollment records
2
Member id
UHC-56632-98
MBR-005732
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022591
Duplicate member record retired
Member services
Jack Hicks: 2 enrollment records collapsed into UHC-25546-25
Enrollment records
2
Member id
UHC-25546-25
MBR-005744
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022592
Duplicate member record retired
Member services
Joe Rose: 2 enrollment records collapsed into UHC-91305-46
Enrollment records
2
Member id
UHC-91305-46
MBR-005749
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022593
Duplicate member record retired
Member services
Kyle Burns: 2 enrollment records collapsed into UHC-52612-93
Enrollment records
2
Member id
UHC-52612-93
MBR-005752
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022594
Duplicate member record retired
Member services
Amy Simpson: 2 enrollment records collapsed into UHC-73157-40
Enrollment records
2
Member id
UHC-73157-40
MBR-005758
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022595
Duplicate member record retired
Member services
Alexis Ortega: 2 enrollment records collapsed into UHC-70156-56
Enrollment records
2
Member id
UHC-70156-56
MBR-005764
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022596
Duplicate member record retired
Member services
Harold Rivera: 2 enrollment records collapsed into UHC-92156-95
Enrollment records
2
Member id
UHC-92156-95
MBR-005769
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022597
Duplicate member record retired
Member services
Evelyn Guzman: 2 enrollment records collapsed into UHC-64017-72
Enrollment records
2
Member id
UHC-64017-72
MBR-005772
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022598
Duplicate member record retired
Member services
Stephen Hayes: 2 enrollment records collapsed into UHC-21260-70
Enrollment records
2
Member id
UHC-21260-70
MBR-005783
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022599
Duplicate member record retired
Member services
Mason Bowman: 3 enrollment records collapsed into UHC-07066-33
Enrollment records
3
Member id
UHC-07066-33
MBR-005805
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022600
Duplicate member record retired
Member services
George Patterson: 2 enrollment records collapsed into UHC-34242-48
Enrollment records
2
Member id
UHC-34242-48
MBR-005856
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022601
Duplicate member record retired
Member services
Lori Ruiz: 2 enrollment records collapsed into UHC-96459-94
Enrollment records
2
Member id
UHC-96459-94
MBR-005860
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022602
Duplicate member record retired
Member services
Diana Salazar: 2 enrollment records collapsed into UHC-69415-54
Enrollment records
2
Member id
UHC-69415-54
MBR-005870
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022603
Duplicate member record retired
Member services
Thomas Wagner: 2 enrollment records collapsed into UHC-04292-87
Enrollment records
2
Member id
UHC-04292-87
MBR-005874
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022604
Duplicate member record retired
Member services
Kyle Garcia: 2 enrollment records collapsed into UHC-39892-95
Enrollment records
2
Member id
UHC-39892-95
MBR-005875
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 201 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.