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-025255
Duplicate member record retired
Member services
Samantha Sandoval: 2 enrollment records collapsed into UHC-73299-12
Enrollment records
2
Member id
UHC-73299-12
MBR-025943
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025256
Duplicate member record retired
Member services
Sophia Vasquez: 2 enrollment records collapsed into UHC-21463-60
Enrollment records
2
Member id
UHC-21463-60
MBR-025954
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025257
Duplicate member record retired
Member services
Charles Dunn: 2 enrollment records collapsed into UHC-26801-85
Enrollment records
2
Member id
UHC-26801-85
MBR-025965
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025258
Duplicate member record retired
Member services
Jose Pena: 2 enrollment records collapsed into UHC-68169-21
Enrollment records
2
Member id
UHC-68169-21
MBR-025966
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025259
Duplicate member record retired
Member services
Hiroshi Murphy: 2 enrollment records collapsed into UHC-37424-59
Enrollment records
2
Member id
UHC-37424-59
MBR-025967
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025260
Duplicate member record retired
Member services
Robert Ray: 2 enrollment records collapsed into UHC-38009-75
Enrollment records
2
Member id
UHC-38009-75
MBR-025974
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025261
Duplicate member record retired
Member services
Jessica Garza: 2 enrollment records collapsed into UHC-17947-20
Enrollment records
2
Member id
UHC-17947-20
MBR-025976
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025262
Duplicate member record retired
Member services
Sara Williams: 2 enrollment records collapsed into UHC-98807-33
Enrollment records
2
Member id
UHC-98807-33
MBR-026000
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025263
Duplicate member record retired
Member services
Jerry Thompson: 2 enrollment records collapsed into UHC-70094-70
Enrollment records
2
Member id
UHC-70094-70
MBR-026026
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025264
Duplicate member record retired
Member services
Patricia Richards: 2 enrollment records collapsed into UHC-53338-88
Enrollment records
2
Member id
UHC-53338-88
MBR-026027
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025265
Duplicate member record retired
Member services
Bradley Dean: 2 enrollment records collapsed into UHC-57976-31
Enrollment records
2
Member id
UHC-57976-31
MBR-026047
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025266
Duplicate member record retired
Member services
Jason Nelson: 2 enrollment records collapsed into UHC-26606-97
Enrollment records
2
Member id
UHC-26606-97
MBR-026050
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025267
Duplicate member record retired
Member services
Bobby Martinez: 2 enrollment records collapsed into UHC-40996-21
Enrollment records
2
Member id
UHC-40996-21
MBR-026065
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025268
Duplicate member record retired
Member services
Billy Vargas: 2 enrollment records collapsed into UHC-78702-65
Enrollment records
2
Member id
UHC-78702-65
MBR-026076
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025269
Duplicate member record retired
Member services
Mateo Nguyen: 2 enrollment records collapsed into UHC-58348-24
Enrollment records
2
Member id
UHC-58348-24
MBR-026079
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025270
Duplicate member record retired
Member services
Justin Mason: 4 enrollment records collapsed into UHC-94839-47
Enrollment records
4
Member id
UHC-94839-47
MBR-026082
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025271
Duplicate member record retired
Member services
Denise Harrison: 3 enrollment records collapsed into UHC-02609-73
Enrollment records
3
Member id
UHC-02609-73
MBR-026092
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025272
Duplicate member record retired
Member services
Jeremy Wallace: 2 enrollment records collapsed into UHC-20150-52
Enrollment records
2
Member id
UHC-20150-52
MBR-026108
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025273
Duplicate member record retired
Member services
Vincent Owens: 3 enrollment records collapsed into UHC-82525-96
Enrollment records
3
Member id
UHC-82525-96
MBR-026114
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025274
Duplicate member record retired
Member services
Cynthia Reid: 2 enrollment records collapsed into UHC-56937-09
Enrollment records
2
Member id
UHC-56937-09
MBR-026124
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025275
Duplicate member record retired
Member services
Kimberly McDonald: 2 enrollment records collapsed into UHC-49543-48
Enrollment records
2
Member id
UHC-49543-48
MBR-026134
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025276
Duplicate member record retired
Member services
Pamela Morrison: 2 enrollment records collapsed into UHC-42829-49
Enrollment records
2
Member id
UHC-42829-49
MBR-026153
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025277
Duplicate member record retired
Member services
Diego Gray: 2 enrollment records collapsed into UHC-18868-12
Enrollment records
2
Member id
UHC-18868-12
MBR-026158
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025278
Duplicate member record retired
Member services
Billy Tucker: 2 enrollment records collapsed into UHC-50509-83
Enrollment records
2
Member id
UHC-50509-83
MBR-026178
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025279
Duplicate member record retired
Member services
Joshua Griffin: 2 enrollment records collapsed into UHC-65735-65
Enrollment records
2
Member id
UHC-65735-65
MBR-026187
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025280
Duplicate member record retired
Member services
Jannice Schulltz: 2 enrollment records collapsed into UHC-65755-45
Enrollment records
2
Member id
UHC-65755-45
MBR-026189
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025281
Duplicate member record retired
Member services
Emma Cooper: 2 enrollment records collapsed into UHC-23691-41
Enrollment records
2
Member id
UHC-23691-41
MBR-026200
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025282
Duplicate member record retired
Member services
Jesse Hudson: 2 enrollment records collapsed into UHC-11447-56
Enrollment records
2
Member id
UHC-11447-56
MBR-026214
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025283
Duplicate member record retired
Member services
Julie Stone: 2 enrollment records collapsed into UHC-40739-50
Enrollment records
2
Member id
UHC-40739-50
MBR-026216
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025284
Duplicate member record retired
Member services
Christopher Coleman: 2 enrollment records collapsed into UHC-32322-15
Enrollment records
2
Member id
UHC-32322-15
MBR-026219
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025285
Duplicate member record retired
Member services
Brittany Garrett: 2 enrollment records collapsed into UHC-07264-35
Enrollment records
2
Member id
UHC-07264-35
MBR-026225
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025286
Duplicate member record retired
Member services
Maria Reed: 2 enrollment records collapsed into UHC-26909-68
Enrollment records
2
Member id
UHC-26909-68
MBR-026243
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025287
Duplicate member record retired
Member services
Lawrence Chen: 2 enrollment records collapsed into UHC-74609-69
Enrollment records
2
Member id
UHC-74609-69
MBR-026246
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025288
Duplicate member record retired
Member services
Lucia Ryan: 2 enrollment records collapsed into UHC-61623-91
Enrollment records
2
Member id
UHC-61623-91
MBR-026248
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025289
Duplicate member record retired
Member services
Lauren Castillo: 2 enrollment records collapsed into UHC-82470-95
Enrollment records
2
Member id
UHC-82470-95
MBR-026250
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025290
Duplicate member record retired
Member services
Debra Ortega: 2 enrollment records collapsed into UHC-53202-94
Enrollment records
2
Member id
UHC-53202-94
MBR-026252
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025291
Duplicate member record retired
Member services
Sara Spencer: 2 enrollment records collapsed into UHC-86653-96
Enrollment records
2
Member id
UHC-86653-96
MBR-026254
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025292
Duplicate member record retired
Member services
Lawrence McCoy: 2 enrollment records collapsed into UHC-01591-86
Enrollment records
2
Member id
UHC-01591-86
MBR-026256
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025293
Duplicate member record retired
Member services
Ruth Dunn: 2 enrollment records collapsed into UHC-79382-41
Enrollment records
2
Member id
UHC-79382-41
MBR-026258
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025294
Duplicate member record retired
Member services
Ralph Lopez: 2 enrollment records collapsed into UHC-60963-90
Enrollment records
2
Member id
UHC-60963-90
MBR-026259
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025295
Duplicate member record retired
Member services
Daniel Ward: 2 enrollment records collapsed into UHC-44682-84
Enrollment records
2
Member id
UHC-44682-84
MBR-026264
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025296
Duplicate member record retired
Member services
Debra West: 2 enrollment records collapsed into UHC-41849-96
Enrollment records
2
Member id
UHC-41849-96
MBR-026265
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025297
Duplicate member record retired
Member services
Russell Matthews: 3 enrollment records collapsed into UHC-10245-84
Enrollment records
3
Member id
UHC-10245-84
MBR-026283
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025298
Duplicate member record retired
Member services
Ana Hamilton: 2 enrollment records collapsed into UHC-46536-08
Enrollment records
2
Member id
UHC-46536-08
MBR-026297
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025299
Duplicate member record retired
Member services
Diego Ellis: 2 enrollment records collapsed into UHC-94212-77
Enrollment records
2
Member id
UHC-94212-77
MBR-026300
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025300
Duplicate member record retired
Member services
Madison Stephens: 2 enrollment records collapsed into UHC-13108-98
Enrollment records
2
Member id
UHC-13108-98
MBR-026307
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025301
Duplicate member record retired
Member services
Olivia Cole: 2 enrollment records collapsed into UHC-64377-81
Enrollment records
2
Member id
UHC-64377-81
MBR-026314
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025302
Duplicate member record retired
Member services
Joan Garcia: 2 enrollment records collapsed into UHC-53327-82
Enrollment records
2
Member id
UHC-53327-82
MBR-026315
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025303
Duplicate member record retired
Member services
Brandon Lane: 2 enrollment records collapsed into UHC-57423-75
Enrollment records
2
Member id
UHC-57423-75
MBR-026316
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025304
Duplicate member record retired
Member services
Russell Le: 2 enrollment records collapsed into UHC-19416-53
Enrollment records
2
Member id
UHC-19416-53
MBR-026321
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 255 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.