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-022767
Duplicate member record retired
Member services
Helen Snyder: 2 enrollment records collapsed into UHC-56443-63
Enrollment records
2
Member id
UHC-56443-63
MBR-006984
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022768
Duplicate member record retired
Member services
Gabriel Ross: 2 enrollment records collapsed into UHC-82385-43
Enrollment records
2
Member id
UHC-82385-43
MBR-006989
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022769
Duplicate member record retired
Member services
Kevin George: 2 enrollment records collapsed into UHC-63679-21
Enrollment records
2
Member id
UHC-63679-21
MBR-007002
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022770
Duplicate member record retired
Member services
Mei Montgomery: 2 enrollment records collapsed into UHC-76866-45
Enrollment records
2
Member id
UHC-76866-45
MBR-007008
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022771
Duplicate member record retired
Member services
Logan Gonzales: 2 enrollment records collapsed into UHC-75319-48
Enrollment records
2
Member id
UHC-75319-48
MBR-007011
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022772
Duplicate member record retired
Member services
Sandra Reed: 2 enrollment records collapsed into UHC-49852-21
Enrollment records
2
Member id
UHC-49852-21
MBR-007012
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022773
Duplicate member record retired
Member services
Logan Bans: 2 enrollment records collapsed into UHC-24747-10
Enrollment records
2
Member id
UHC-24747-10
MBR-007020
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022774
Duplicate member record retired
Member services
Camila Montgomery: 2 enrollment records collapsed into UHC-03721-09
Enrollment records
2
Member id
UHC-03721-09
MBR-007021
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022775
Duplicate member record retired
Member services
Aaron Smith: 2 enrollment records collapsed into UHC-12751-91
Enrollment records
2
Member id
UHC-12751-91
MBR-007022
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022776
Duplicate member record retired
Member services
Joshua Brown: 2 enrollment records collapsed into UHC-10702-22
Enrollment records
2
Member id
UHC-10702-22
MBR-007027
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022777
Duplicate member record retired
Member services
Jooseph Gardner: 2 enrollment records collapsed into UHC-79742-33
Enrollment records
2
Member id
UHC-79742-33
MBR-007033
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022778
Duplicate member record retired
Member services
Olivia Rose: 2 enrollment records collapsed into UHC-89527-37
Enrollment records
2
Member id
UHC-89527-37
MBR-007039
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022779
Duplicate member record retired
Member services
Stephen Fowler: 2 enrollment records collapsed into UHC-96013-13
Enrollment records
2
Member id
UHC-96013-13
MBR-007044
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022780
Duplicate member record retired
Member services
Kimberly Lucas: 3 enrollment records collapsed into UHC-15972-91
Enrollment records
3
Member id
UHC-15972-91
MBR-007050
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022781
Duplicate member record retired
Member services
Heahter Kelly: 2 enrollment records collapsed into UHC-12016-86
Enrollment records
2
Member id
UHC-12016-86
MBR-007057
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022782
Duplicate member record retired
Member services
Philip Montgomery: 2 enrollment records collapsed into UHC-95197-13
Enrollment records
2
Member id
UHC-95197-13
MBR-007069
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022783
Duplicate member record retired
Member services
Aaron Le: 2 enrollment records collapsed into UHC-71460-55
Enrollment records
2
Member id
UHC-71460-55
MBR-007070
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022784
Duplicate member record retired
Member services
Logan Carr: 2 enrollment records collapsed into UHC-66549-87
Enrollment records
2
Member id
UHC-66549-87
MBR-007077
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022785
Duplicate member record retired
Member services
Andrea Matthews: 2 enrollment records collapsed into UHC-26184-74
Enrollment records
2
Member id
UHC-26184-74
MBR-007081
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022786
Duplicate member record retired
Member services
Ronald Tucker: 2 enrollment records collapsed into UHC-02202-71
Enrollment records
2
Member id
UHC-02202-71
MBR-007085
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022787
Duplicate member record retired
Member services
Andrea Brown: 2 enrollment records collapsed into UHC-38340-41
Enrollment records
2
Member id
UHC-38340-41
MBR-007086
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022788
Duplicate member record retired
Member services
Lori Austin: 2 enrollment records collapsed into UHC-45897-76
Enrollment records
2
Member id
UHC-45897-76
MBR-007093
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022789
Duplicate member record retired
Member services
Kelly Wong: 2 enrollment records collapsed into UHC-18814-73
Enrollment records
2
Member id
UHC-18814-73
MBR-007101
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022790
Duplicate member record retired
Member services
Kathleen Jacobs: 2 enrollment records collapsed into UHC-86154-31
Enrollment records
2
Member id
UHC-86154-31
MBR-007114
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022791
Duplicate member record retired
Member services
Heather Lawrence: 2 enrollment records collapsed into UHC-82881-79
Enrollment records
2
Member id
UHC-82881-79
MBR-007119
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022792
Duplicate member record retired
Member services
Amy Collins: 3 enrollment records collapsed into UHC-11297-50
Enrollment records
3
Member id
UHC-11297-50
MBR-007121
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022793
Duplicate member record retired
Member services
Jeremy Bishop: 2 enrollment records collapsed into UHC-33995-12
Enrollment records
2
Member id
UHC-33995-12
MBR-007122
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022794
Duplicate member record retired
Member services
Linda Cooper: 2 enrollment records collapsed into UHC-17894-22
Enrollment records
2
Member id
UHC-17894-22
MBR-007124
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022795
Duplicate member record retired
Member services
Margaret Phillips: 2 enrollment records collapsed into UHC-64204-80
Enrollment records
2
Member id
UHC-64204-80
MBR-007129
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022796
Duplicate member record retired
Member services
Isabella Harvey: 2 enrollment records collapsed into UHC-50401-81
Enrollment records
2
Member id
UHC-50401-81
MBR-007142
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022797
Duplicate member record retired
Member services
Teresa Sims: 2 enrollment records collapsed into UHC-68801-10
Enrollment records
2
Member id
UHC-68801-10
MBR-007145
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022798
Duplicate member record retired
Member services
Raymond Snyder: 2 enrollment records collapsed into UHC-68621-79
Enrollment records
2
Member id
UHC-68621-79
MBR-007154
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022799
Duplicate member record retired
Member services
Carolyn Carlson: 2 enrollment records collapsed into UHC-63760-02
Enrollment records
2
Member id
UHC-63760-02
MBR-007157
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022800
Duplicate member record retired
Member services
Sarah Marshall: 2 enrollment records collapsed into UHC-65902-14
Enrollment records
2
Member id
UHC-65902-14
MBR-007158
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022801
Duplicate member record retired
Member services
Andrea Gilbert: 2 enrollment records collapsed into UHC-60971-03
Enrollment records
2
Member id
UHC-60971-03
MBR-007164
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022802
Duplicate member record retired
Member services
Denise Stone: 2 enrollment records collapsed into UHC-23922-86
Enrollment records
2
Member id
UHC-23922-86
MBR-007167
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022803
Duplicate member record retired
Member services
Gregory Elliott: 2 enrollment records collapsed into UHC-34661-18
Enrollment records
2
Member id
UHC-34661-18
MBR-007172
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022804
Duplicate member record retired
Member services
Vincent Gordon: 2 enrollment records collapsed into UHC-67709-41
Enrollment records
2
Member id
UHC-67709-41
MBR-007178
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022805
Duplicate member record retired
Member services
Kathleen Obrien: 2 enrollment records collapsed into UHC-27159-72
Enrollment records
2
Member id
UHC-27159-72
MBR-007184
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022806
Duplicate member record retired
Member services
Richard Henry: 2 enrollment records collapsed into UHC-39882-07
Enrollment records
2
Member id
UHC-39882-07
MBR-007192
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022807
Duplicate member record retired
Member services
Donna Stephens: 2 enrollment records collapsed into UHC-67995-44
Enrollment records
2
Member id
UHC-67995-44
MBR-007193
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022808
Duplicate member record retired
Member services
Bradley Carpenter: 2 enrollment records collapsed into UHC-06430-16
Enrollment records
2
Member id
UHC-06430-16
MBR-007194
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022809
Duplicate member record retired
Member services
Frances Sinh: 2 enrollment records collapsed into UHC-08846-83
Enrollment records
2
Member id
UHC-08846-83
MBR-007196
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022810
Duplicate member record retired
Member services
Shirley Griffin: 2 enrollment records collapsed into UHC-13733-19
Enrollment records
2
Member id
UHC-13733-19
MBR-007198
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022811
Duplicate member record retired
Member services
Keith Wheeler: 2 enrollment records collapsed into UHC-48227-16
Enrollment records
2
Member id
UHC-48227-16
MBR-007210
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022812
Duplicate member record retired
Member services
Barbara Rivera: 3 enrollment records collapsed into UHC-64249-52
Enrollment records
3
Member id
UHC-64249-52
MBR-007212
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022813
Duplicate member record retired
Member services
Lauren Cooper: 2 enrollment records collapsed into UHC-35857-72
Enrollment records
2
Member id
UHC-35857-72
MBR-007216
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022814
Duplicate member record retired
Member services
Jessica Pena: 2 enrollment records collapsed into UHC-66466-53
Enrollment records
2
Member id
UHC-66466-53
MBR-007241
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022815
Duplicate member record retired
Member services
Jean Nunez: 2 enrollment records collapsed into UHC-87705-91
Enrollment records
2
Member id
UHC-87705-91
MBR-007248
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022816
Duplicate member record retired
Member services
Ahmed Vega: 2 enrollment records collapsed into UHC-10206-05
Enrollment records
2
Member id
UHC-10206-05
MBR-007257
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 23 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.