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-022955
Duplicate member record retired
Member services
Kathleen Sandoval: 2 enrollment records collapsed into UHC-84252-16
Enrollment records
2
Member id
UHC-84252-16
MBR-008212
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022956
Duplicate member record retired
Member services
Ralph Ortega: 2 enrollment records collapsed into UHC-17574-67
Enrollment records
2
Member id
UHC-17574-67
MBR-008215
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022957
Duplicate member record retired
Member services
Donna Moore: 2 enrollment records collapsed into UHC-26588-38
Enrollment records
2
Member id
UHC-26588-38
MBR-008226
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022958
Duplicate member record retired
Member services
Nicole Daniels: 2 enrollment records collapsed into UHC-34186-32
Enrollment records
2
Member id
UHC-34186-32
MBR-008228
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022959
Duplicate member record retired
Member services
Harold Aguilar: 2 enrollment records collapsed into UHC-68897-39
Enrollment records
2
Member id
UHC-68897-39
MBR-008231
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022960
Duplicate member record retired
Member services
Kyle Howell: 3 enrollment records collapsed into UHC-63180-30
Enrollment records
3
Member id
UHC-63180-30
MBR-008232
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022961
Duplicate member record retired
Member services
Janice Thompson: 2 enrollment records collapsed into UHC-84391-77
Enrollment records
2
Member id
UHC-84391-77
MBR-008235
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022962
Duplicate member record retired
Member services
Wayne Lopez: 2 enrollment records collapsed into UHC-76174-84
Enrollment records
2
Member id
UHC-76174-84
MBR-008238
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022963
Duplicate member record retired
Member services
Andrew Dean: 2 enrollment records collapsed into UHC-73405-81
Enrollment records
2
Member id
UHC-73405-81
MBR-008245
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022964
Duplicate member record retired
Member services
Amanda Brooks: 2 enrollment records collapsed into UHC-53265-89
Enrollment records
2
Member id
UHC-53265-89
MBR-008251
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022965
Duplicate member record retired
Member services
Sofia Davis: 2 enrollment records collapsed into UHC-61212-01
Enrollment records
2
Member id
UHC-61212-01
MBR-008256
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022966
Duplicate member record retired
Member services
Kayla Flores: 2 enrollment records collapsed into UHC-94241-41
Enrollment records
2
Member id
UHC-94241-41
MBR-008262
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022967
Duplicate member record retired
Member services
Maria Williamson: 2 enrollment records collapsed into UHC-91254-21
Enrollment records
2
Member id
UHC-91254-21
MBR-008266
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022968
Duplicate member record retired
Member services
Danielle Ross: 2 enrollment records collapsed into UHC-36430-99
Enrollment records
2
Member id
UHC-36430-99
MBR-008267
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022969
Duplicate member record retired
Member services
Mason Gardner: 2 enrollment records collapsed into UHC-03087-94
Enrollment records
2
Member id
UHC-03087-94
MBR-008276
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022970
Duplicate member record retired
Member services
Kayla James: 3 enrollment records collapsed into UHC-27390-20
Enrollment records
3
Member id
UHC-27390-20
MBR-008280
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022971
Duplicate member record retired
Member services
Madison Franklin: 2 enrollment records collapsed into UHC-89354-81
Enrollment records
2
Member id
UHC-89354-81
MBR-008281
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022972
Duplicate member record retired
Member services
Mary Valdez: 2 enrollment records collapsed into UHC-99876-88
Enrollment records
2
Member id
UHC-99876-88
MBR-008296
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022973
Duplicate member record retired
Member services
Kevin Russell: 2 enrollment records collapsed into UHC-60531-67
Enrollment records
2
Member id
UHC-60531-67
MBR-008299
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022974
Duplicate member record retired
Member services
Elijah Jensen: 2 enrollment records collapsed into UHC-95595-94
Enrollment records
2
Member id
UHC-95595-94
MBR-008307
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022975
Duplicate member record retired
Member services
Keith Espinoza: 2 enrollment records collapsed into UHC-27101-51
Enrollment records
2
Member id
UHC-27101-51
MBR-008328
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022976
Duplicate member record retired
Member services
Benjamin Gonzales: 2 enrollment records collapsed into UHC-95616-82
Enrollment records
2
Member id
UHC-95616-82
MBR-008331
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022977
Duplicate member record retired
Member services
Carol Clark: 2 enrollment records collapsed into UHC-30064-04
Enrollment records
2
Member id
UHC-30064-04
MBR-008336
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022978
Duplicate member record retired
Member services
Jlie Schultz: 2 enrollment records collapsed into UHC-27359-58
Enrollment records
2
Member id
UHC-27359-58
MBR-008339
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022979
Duplicate member record retired
Member services
Laura Ryan: 2 enrollment records collapsed into UHC-44301-74
Enrollment records
2
Member id
UHC-44301-74
MBR-008346
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022980
Duplicate member record retired
Member services
Santiago Moreno: 3 enrollment records collapsed into UHC-69964-04
Enrollment records
3
Member id
UHC-69964-04
MBR-008355
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022981
Duplicate member record retired
Member services
Angela Murray: 2 enrollment records collapsed into UHC-17948-28
Enrollment records
2
Member id
UHC-17948-28
MBR-008358
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022982
Duplicate member record retired
Member services
Nathan Munoz: 2 enrollment records collapsed into UHC-14152-14
Enrollment records
2
Member id
UHC-14152-14
MBR-008361
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022983
Duplicate member record retired
Member services
Melissa Soto: 2 enrollment records collapsed into UHC-47899-58
Enrollment records
2
Member id
UHC-47899-58
MBR-008363
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022984
Duplicate member record retired
Member services
Jose Rodriguez: 3 enrollment records collapsed into UHC-57817-31
Enrollment records
3
Member id
UHC-57817-31
MBR-008365
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022985
Duplicate member record retired
Member services
Melissa Espinoza: 2 enrollment records collapsed into UHC-88231-39
Enrollment records
2
Member id
UHC-88231-39
MBR-008366
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022986
Duplicate member record retired
Member services
Natalie Elliott: 2 enrollment records collapsed into UHC-09220-55
Enrollment records
2
Member id
UHC-09220-55
MBR-008367
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022987
Duplicate member record retired
Member services
Kely Pena: 2 enrollment records collapsed into UHC-02643-45
Enrollment records
2
Member id
UHC-02643-45
MBR-008373
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022988
Duplicate member record retired
Member services
Camila Morgan: 2 enrollment records collapsed into UHC-73268-26
Enrollment records
2
Member id
UHC-73268-26
MBR-008374
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022989
Duplicate member record retired
Member services
Charles Burke: 2 enrollment records collapsed into UHC-82580-99
Enrollment records
2
Member id
UHC-82580-99
MBR-008376
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022990
Duplicate member record retired
Member services
Mark Greene: 2 enrollment records collapsed into UHC-68929-38
Enrollment records
2
Member id
UHC-68929-38
MBR-008380
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022991
Duplicate member record retired
Member services
Carolyn Santiago: 2 enrollment records collapsed into UHC-60388-44
Enrollment records
2
Member id
UHC-60388-44
MBR-008387
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022992
Duplicate member record retired
Member services
Andrew Brown: 2 enrollment records collapsed into UHC-87271-63
Enrollment records
2
Member id
UHC-87271-63
MBR-008397
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022993
Duplicate member record retired
Member services
Maria Hoffman: 2 enrollment records collapsed into UHC-58570-09
Enrollment records
2
Member id
UHC-58570-09
MBR-008398
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022994
Duplicate member record retired
Member services
Wei Robinson: 2 enrollment records collapsed into UHC-00977-64
Enrollment records
2
Member id
UHC-00977-64
MBR-008409
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022995
Duplicate member record retired
Member services
Carrol Reed: 2 enrollment records collapsed into UHC-69430-37
Enrollment records
2
Member id
UHC-69430-37
MBR-008418
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022996
Duplicate member record retired
Member services
Kathleen Castro: 2 enrollment records collapsed into UHC-48032-78
Enrollment records
2
Member id
UHC-48032-78
MBR-008419
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022997
Duplicate member record retired
Member services
Nicholas Estrada: 2 enrollment records collapsed into UHC-57748-42
Enrollment records
2
Member id
UHC-57748-42
MBR-008427
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022998
Duplicate member record retired
Member services
Margaret Owens: 2 enrollment records collapsed into UHC-56821-54
Enrollment records
2
Member id
UHC-56821-54
MBR-008429
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022999
Duplicate member record retired
Member services
Justin Payne: 2 enrollment records collapsed into UHC-39329-76
Enrollment records
2
Member id
UHC-39329-76
MBR-008432
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023000
Duplicate member record retired
Member services
Mateo Guerrero: 2 enrollment records collapsed into UHC-46112-25
Enrollment records
2
Member id
UHC-46112-25
MBR-008437
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023001
Duplicate member record retired
Member services
Vincent Delgado: 3 enrollment records collapsed into UHC-58815-25
Enrollment records
3
Member id
UHC-58815-25
MBR-008442
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023002
Duplicate member record retired
Member services
Edward Myers: 2 enrollment records collapsed into UHC-95659-89
Enrollment records
2
Member id
UHC-95659-89
MBR-008443
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023003
Duplicate member record retired
Member services
Joan Nunez: 2 enrollment records collapsed into UHC-22541-88
Enrollment records
2
Member id
UHC-22541-88
MBR-008457
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023004
Duplicate member record retired
Member services
Ana Allen: 3 enrollment records collapsed into UHC-40301-04
Enrollment records
3
Member id
UHC-40301-04
MBR-008460
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 209 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.