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-022817
Duplicate member record retired
Member services
Stephen Duncan: 2 enrollment records collapsed into UHC-52474-88
Enrollment records
2
Member id
UHC-52474-88
MBR-007259
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022818
Duplicate member record retired
Member services
Daniel Jimenez: 2 enrollment records collapsed into UHC-38087-84
Enrollment records
2
Member id
UHC-38087-84
MBR-007268
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022819
Duplicate member record retired
Member services
Julie Bell: 2 enrollment records collapsed into UHC-17025-41
Enrollment records
2
Member id
UHC-17025-41
MBR-007271
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022820
Duplicate member record retired
Member services
Scott Johnston: 3 enrollment records collapsed into UHC-09585-03
Enrollment records
3
Member id
UHC-09585-03
MBR-007298
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022821
Duplicate member record retired
Member services
Rebecca Harris: 2 enrollment records collapsed into UHC-64318-81
Enrollment records
2
Member id
UHC-64318-81
MBR-007325
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022822
Duplicate member record retired
Member services
Hiroshi Price: 2 enrollment records collapsed into UHC-21169-37
Enrollment records
2
Member id
UHC-21169-37
MBR-007335
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022823
Duplicate member record retired
Member services
Raymond Jenkins: 2 enrollment records collapsed into UHC-34809-40
Enrollment records
2
Member id
UHC-34809-40
MBR-007337
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022824
Duplicate member record retired
Member services
Gerald Harrison: 2 enrollment records collapsed into UHC-11890-86
Enrollment records
2
Member id
UHC-11890-86
MBR-007347
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022825
Duplicate member record retired
Member services
Russell Bailey: 2 enrollment records collapsed into UHC-87909-52
Enrollment records
2
Member id
UHC-87909-52
MBR-007348
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022826
Duplicate member record retired
Member services
Scott Soto: 2 enrollment records collapsed into UHC-92231-93
Enrollment records
2
Member id
UHC-92231-93
MBR-007357
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022827
Duplicate member record retired
Member services
Russell Wood: 2 enrollment records collapsed into UHC-18978-12
Enrollment records
2
Member id
UHC-18978-12
MBR-007384
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022828
Duplicate member record retired
Member services
Samuel Collins: 2 enrollment records collapsed into UHC-44660-05
Enrollment records
2
Member id
UHC-44660-05
MBR-007392
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022829
Duplicate member record retired
Member services
Scott Lee: 2 enrollment records collapsed into UHC-74686-52
Enrollment records
2
Member id
UHC-74686-52
MBR-007399
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022830
Duplicate member record retired
Member services
Jacob Cooper: 2 enrollment records collapsed into UHC-40451-39
Enrollment records
2
Member id
UHC-40451-39
MBR-007404
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022831
Duplicate member record retired
Member services
Bryan Flores: 2 enrollment records collapsed into UHC-55790-56
Enrollment records
2
Member id
UHC-55790-56
MBR-007405
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022832
Duplicate member record retired
Member services
Shirley Ray: 2 enrollment records collapsed into UHC-66697-86
Enrollment records
2
Member id
UHC-66697-86
MBR-007406
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022833
Duplicate member record retired
Member services
Margaret Dean: 2 enrollment records collapsed into UHC-39451-79
Enrollment records
2
Member id
UHC-39451-79
MBR-007417
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022834
Duplicate member record retired
Member services
Wright Joshua: 3 enrollment records collapsed into UHC-71174-31
Enrollment records
3
Member id
UHC-71174-31
MBR-007423
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022835
Duplicate member record retired
Member services
Wayne Ferguson: 2 enrollment records collapsed into UHC-81497-60
Enrollment records
2
Member id
UHC-81497-60
MBR-007428
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022836
Duplicate member record retired
Member services
Elijah Harper: 2 enrollment records collapsed into UHC-09620-25
Enrollment records
2
Member id
UHC-09620-25
MBR-007433
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022837
Duplicate member record retired
Member services
Wayne Johnston: 2 enrollment records collapsed into UHC-17323-63
Enrollment records
2
Member id
UHC-17323-63
MBR-007449
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022838
Duplicate member record retired
Member services
Christine Gonzales: 2 enrollment records collapsed into UHC-81084-47
Enrollment records
2
Member id
UHC-81084-47
MBR-007458
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022839
Duplicate member record retired
Member services
Mei Estrada: 2 enrollment records collapsed into UHC-89965-96
Enrollment records
2
Member id
UHC-89965-96
MBR-007465
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022840
Duplicate member record retired
Member services
Jeffrey Allen: 2 enrollment records collapsed into UHC-29346-52
Enrollment records
2
Member id
UHC-29346-52
MBR-007471
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022841
Duplicate member record retired
Member services
Sandra Wilson: 2 enrollment records collapsed into UHC-86959-21
Enrollment records
2
Member id
UHC-86959-21
MBR-007484
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022842
Duplicate member record retired
Member services
Mark Montgomery: 2 enrollment records collapsed into UHC-77120-18
Enrollment records
2
Member id
UHC-77120-18
MBR-007485
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022843
Duplicate member record retired
Member services
Melissa Moreno: 2 enrollment records collapsed into UHC-16032-64
Enrollment records
2
Member id
UHC-16032-64
MBR-007491
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022844
Duplicate member record retired
Member services
Samuel Diaz: 2 enrollment records collapsed into UHC-54213-52
Enrollment records
2
Member id
UHC-54213-52
MBR-007495
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022845
Duplicate member record retired
Member services
Charles Patel: 3 enrollment records collapsed into UHC-59535-70
Enrollment records
3
Member id
UHC-59535-70
MBR-007499
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022846
Duplicate member record retired
Member services
Nicholas Walker: 2 enrollment records collapsed into UHC-31286-65
Enrollment records
2
Member id
UHC-31286-65
MBR-007512
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022847
Duplicate member record retired
Member services
Arjun Morales: 2 enrollment records collapsed into UHC-62826-73
Enrollment records
2
Member id
UHC-62826-73
MBR-007517
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022848
Duplicate member record retired
Member services
Dylan Hansen: 3 enrollment records collapsed into UHC-01817-18
Enrollment records
3
Member id
UHC-01817-18
MBR-007532
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022849
Duplicate member record retired
Member services
Vincent Lewis: 2 enrollment records collapsed into UHC-59903-89
Enrollment records
2
Member id
UHC-59903-89
MBR-007536
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022850
Duplicate member record retired
Member services
Denise Lynch: 2 enrollment records collapsed into UHC-24187-59
Enrollment records
2
Member id
UHC-24187-59
MBR-007542
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022851
Duplicate member record retired
Member services
Betty Vega: 2 enrollment records collapsed into UHC-40806-34
Enrollment records
2
Member id
UHC-40806-34
MBR-007544
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022852
Duplicate member record retired
Member services
Robert Brooks: 2 enrollment records collapsed into UHC-17255-13
Enrollment records
2
Member id
UHC-17255-13
MBR-007559
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022853
Duplicate member record retired
Member services
Daniel Ramirez: 2 enrollment records collapsed into UHC-57427-66
Enrollment records
2
Member id
UHC-57427-66
MBR-007566
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022854
Duplicate member record retired
Member services
Rebecca Greene: 2 enrollment records collapsed into UHC-66153-41
Enrollment records
2
Member id
UHC-66153-41
MBR-007567
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022855
Duplicate member record retired
Member services
Carol Gibson: 3 enrollment records collapsed into UHC-92939-34
Enrollment records
3
Member id
UHC-92939-34
MBR-007570
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022856
Duplicate member record retired
Member services
Charlotte Watson: 2 enrollment records collapsed into UHC-45410-02
Enrollment records
2
Member id
UHC-45410-02
MBR-007579
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022857
Duplicate member record retired
Member services
Alan Evans: 2 enrollment records collapsed into UHC-27793-94
Enrollment records
2
Member id
UHC-27793-94
MBR-007582
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022858
Duplicate member record retired
Member services
Kathleen Salazar: 2 enrollment records collapsed into UHC-01997-43
Enrollment records
2
Member id
UHC-01997-43
MBR-007594
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022859
Duplicate member record retired
Member services
Gregory Hanson: 2 enrollment records collapsed into UHC-91278-40
Enrollment records
2
Member id
UHC-91278-40
MBR-007599
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022860
Duplicate member record retired
Member services
Evelyn Riley: 2 enrollment records collapsed into UHC-04663-24
Enrollment records
2
Member id
UHC-04663-24
MBR-007600
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022861
Duplicate member record retired
Member services
Donald Ellis: 2 enrollment records collapsed into UHC-39148-42
Enrollment records
2
Member id
UHC-39148-42
MBR-007601
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022862
Duplicate member record retired
Member services
Paul Wbeb: 3 enrollment records collapsed into UHC-79986-55
Enrollment records
3
Member id
UHC-79986-55
MBR-007613
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022863
Duplicate member record retired
Member services
Mateo Hansen: 2 enrollment records collapsed into UHC-39094-52
Enrollment records
2
Member id
UHC-39094-52
MBR-007623
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022864
Duplicate member record retired
Member services
Linda Murray: 3 enrollment records collapsed into UHC-28136-04
Enrollment records
3
Member id
UHC-28136-04
MBR-007626
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022865
Duplicate member record retired
Member services
Theresa Herrera: 3 enrollment records collapsed into UHC-63529-87
Enrollment records
3
Member id
UHC-63529-87
MBR-007635
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022866
Duplicate member record retired
Member services
Arthur Oliver: 2 enrollment records collapsed into UHC-81066-86
Enrollment records
2
Member id
UHC-81066-86
MBR-007638
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 24 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.