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-022905
Duplicate member record retired
Member services
Lauren Castro: 2 enrollment records collapsed into UHC-22462-88
Enrollment records
2
Member id
UHC-22462-88
MBR-007883
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022906
Duplicate member record retired
Member services
Madison Reyes: 2 enrollment records collapsed into UHC-15905-97
Enrollment records
2
Member id
UHC-15905-97
MBR-007893
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022907
Duplicate member record retired
Member services
Ahmed Carter: 2 enrollment records collapsed into UHC-42546-68
Enrollment records
2
Member id
UHC-42546-68
MBR-007894
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022908
Duplicate member record retired
Member services
Robert Porter: 2 enrollment records collapsed into UHC-64616-58
Enrollment records
2
Member id
UHC-64616-58
MBR-007905
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022909
Duplicate member record retired
Member services
Doris Gilbert: 2 enrollment records collapsed into UHC-87880-23
Enrollment records
2
Member id
UHC-87880-23
MBR-007909
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022910
Duplicate member record retired
Member services
Dennis Harper: 2 enrollment records collapsed into UHC-08307-55
Enrollment records
2
Member id
UHC-08307-55
MBR-007911
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022911
Duplicate member record retired
Member services
Roger Wang: 2 enrollment records collapsed into UHC-97290-31
Enrollment records
2
Member id
UHC-97290-31
MBR-007914
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022912
Duplicate member record retired
Member services
Judith Gardner: 2 enrollment records collapsed into UHC-21987-43
Enrollment records
2
Member id
UHC-21987-43
MBR-007916
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022913
Duplicate member record retired
Member services
Gloria Lopez: 2 enrollment records collapsed into UHC-27080-04
Enrollment records
2
Member id
UHC-27080-04
MBR-007919
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022914
Duplicate member record retired
Member services
Omar Rios: 2 enrollment records collapsed into UHC-74123-52
Enrollment records
2
Member id
UHC-74123-52
MBR-007925
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022915
Duplicate member record retired
Member services
Scott Guzman: 2 enrollment records collapsed into UHC-03230-14
Enrollment records
2
Member id
UHC-03230-14
MBR-007927
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022916
Duplicate member record retired
Member services
Alexander Robertson: 3 enrollment records collapsed into UHC-20832-08
Enrollment records
3
Member id
UHC-20832-08
MBR-007934
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022917
Duplicate member record retired
Member services
Lawrence Alexander: 2 enrollment records collapsed into UHC-22677-64
Enrollment records
2
Member id
UHC-22677-64
MBR-007944
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022918
Duplicate member record retired
Member services
Maria Greene: 2 enrollment records collapsed into UHC-79831-39
Enrollment records
2
Member id
UHC-79831-39
MBR-007947
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022919
Duplicate member record retired
Member services
Walter Alvarez: 2 enrollment records collapsed into UHC-34582-19
Enrollment records
2
Member id
UHC-34582-19
MBR-007948
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022920
Duplicate member record retired
Member services
Kimberly Webb: 2 enrollment records collapsed into UHC-74710-86
Enrollment records
2
Member id
UHC-74710-86
MBR-007957
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022921
Duplicate member record retired
Member services
Arthur Holmes: 3 enrollment records collapsed into UHC-61995-62
Enrollment records
3
Member id
UHC-61995-62
MBR-007968
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022922
Duplicate member record retired
Member services
Carol Thomas: 2 enrollment records collapsed into UHC-25221-32
Enrollment records
2
Member id
UHC-25221-32
MBR-007984
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022923
Duplicate member record retired
Member services
Abigail Vasquez: 2 enrollment records collapsed into UHC-90186-63
Enrollment records
2
Member id
UHC-90186-63
MBR-007995
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022924
Duplicate member record retired
Member services
Betsy Castro: 2 enrollment records collapsed into UHC-35024-26
Enrollment records
2
Member id
UHC-35024-26
MBR-007998
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022925
Duplicate member record retired
Member services
Debra Coleman: 2 enrollment records collapsed into UHC-55489-25
Enrollment records
2
Member id
UHC-55489-25
MBR-007999
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022926
Duplicate member record retired
Member services
Vincent Russell: 2 enrollment records collapsed into UHC-99059-22
Enrollment records
2
Member id
UHC-99059-22
MBR-008004
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022927
Duplicate member record retired
Member services
Julie Hart: 2 enrollment records collapsed into UHC-16029-61
Enrollment records
2
Member id
UHC-16029-61
MBR-008010
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022928
Duplicate member record retired
Member services
Terry Gray: 2 enrollment records collapsed into UHC-40056-35
Enrollment records
2
Member id
UHC-40056-35
MBR-008013
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022929
Duplicate member record retired
Member services
Ethan Garza: 2 enrollment records collapsed into UHC-91432-94
Enrollment records
2
Member id
UHC-91432-94
MBR-008023
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022930
Duplicate member record retired
Member services
Debra Simmons: 2 enrollment records collapsed into UHC-13215-75
Enrollment records
2
Member id
UHC-13215-75
MBR-008026
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022931
Duplicate member record retired
Member services
Aisha Butler: 2 enrollment records collapsed into UHC-74011-36
Enrollment records
2
Member id
UHC-74011-36
MBR-008036
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022932
Duplicate member record retired
Member services
Santiago Miller: 2 enrollment records collapsed into UHC-35055-55
Enrollment records
2
Member id
UHC-35055-55
MBR-008038
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022933
Duplicate member record retired
Member services
Carl Peterson: 2 enrollment records collapsed into UHC-56366-27
Enrollment records
2
Member id
UHC-56366-27
MBR-008055
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022934
Duplicate member record retired
Member services
Josh Diez: 2 enrollment records collapsed into UHC-25720-29
Enrollment records
2
Member id
UHC-25720-29
MBR-008057
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022935
Duplicate member record retired
Member services
Arjun Cruz: 2 enrollment records collapsed into UHC-63818-91
Enrollment records
2
Member id
UHC-63818-91
MBR-008059
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022936
Duplicate member record retired
Member services
Joan Morgan: 2 enrollment records collapsed into UHC-54119-07
Enrollment records
2
Member id
UHC-54119-07
MBR-008067
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022937
Duplicate member record retired
Member services
Bradley Morrison: 2 enrollment records collapsed into UHC-89051-37
Enrollment records
2
Member id
UHC-89051-37
MBR-008079
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022938
Duplicate member record retired
Member services
Theresa Murray: 2 enrollment records collapsed into UHC-57458-89
Enrollment records
2
Member id
UHC-57458-89
MBR-008110
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022939
Duplicate member record retired
Member services
Sharon Burton: 3 enrollment records collapsed into UHC-21748-50
Enrollment records
3
Member id
UHC-21748-50
MBR-008119
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022940
Duplicate member record retired
Member services
Diana Mendez: 2 enrollment records collapsed into UHC-96329-81
Enrollment records
2
Member id
UHC-96329-81
MBR-008123
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022941
Duplicate member record retired
Member services
David Pteerson: 3 enrollment records collapsed into UHC-64170-21
Enrollment records
3
Member id
UHC-64170-21
MBR-008129
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022942
Duplicate member record retired
Member services
Kyle Watkins: 3 enrollment records collapsed into UHC-94843-45
Enrollment records
3
Member id
UHC-94843-45
MBR-008143
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022943
Duplicate member record retired
Member services
Justin Elliott: 3 enrollment records collapsed into UHC-63826-19
Enrollment records
3
Member id
UHC-63826-19
MBR-008144
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022944
Duplicate member record retired
Member services
Kayla Ramos: 2 enrollment records collapsed into UHC-52631-69
Enrollment records
2
Member id
UHC-52631-69
MBR-008145
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022945
Duplicate member record retired
Member services
Sara Carter: 2 enrollment records collapsed into UHC-10224-44
Enrollment records
2
Member id
UHC-10224-44
MBR-008148
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022946
Duplicate member record retired
Member services
William Shaw: 2 enrollment records collapsed into UHC-04735-42
Enrollment records
2
Member id
UHC-04735-42
MBR-008156
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022947
Duplicate member record retired
Member services
Gerald Hudson: 2 enrollment records collapsed into UHC-90982-29
Enrollment records
2
Member id
UHC-90982-29
MBR-008160
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022948
Duplicate member record retired
Member services
Lucia Simmons: 2 enrollment records collapsed into UHC-50716-66
Enrollment records
2
Member id
UHC-50716-66
MBR-008162
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022949
Duplicate member record retired
Member services
Diana Wang: 2 enrollment records collapsed into UHC-79599-65
Enrollment records
2
Member id
UHC-79599-65
MBR-008176
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022950
Duplicate member record retired
Member services
Mei Arnold: 2 enrollment records collapsed into UHC-42188-83
Enrollment records
2
Member id
UHC-42188-83
MBR-008179
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022951
Duplicate member record retired
Member services
Bradley Wallace: 2 enrollment records collapsed into UHC-69793-41
Enrollment records
2
Member id
UHC-69793-41
MBR-008185
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022952
Duplicate member record retired
Member services
Maria Ramos: 2 enrollment records collapsed into UHC-85846-50
Enrollment records
2
Member id
UHC-85846-50
MBR-008190
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022953
Duplicate member record retired
Member services
Arthur Morrison: 3 enrollment records collapsed into UHC-32438-68
Enrollment records
3
Member id
UHC-32438-68
MBR-008198
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022954
Duplicate member record retired
Member services
Patricia Mills: 2 enrollment records collapsed into UHC-35380-75
Enrollment records
2
Member id
UHC-35380-75
MBR-008201
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 208 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.