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-025305
Duplicate member record retired
Member services
Nancy Mendoza: 2 enrollment records collapsed into UHC-66651-92
Enrollment records
2
Member id
UHC-66651-92
MBR-026332
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025306
Duplicate member record retired
Member services
Kelly Rodriguez: 2 enrollment records collapsed into UHC-32227-18
Enrollment records
2
Member id
UHC-32227-18
MBR-026338
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025307
Duplicate member record retired
Member services
Donna Williams: 2 enrollment records collapsed into UHC-10270-99
Enrollment records
2
Member id
UHC-10270-99
MBR-026346
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025308
Duplicate member record retired
Member services
Alexis Harvey: 2 enrollment records collapsed into UHC-80029-82
Enrollment records
2
Member id
UHC-80029-82
MBR-026358
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025309
Duplicate member record retired
Member services
Jeffrey Green: 2 enrollment records collapsed into UHC-23901-54
Enrollment records
2
Member id
UHC-23901-54
MBR-026385
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025310
Duplicate member record retired
Member services
Albert Garrett: 2 enrollment records collapsed into UHC-12932-13
Enrollment records
2
Member id
UHC-12932-13
MBR-026390
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025311
Duplicate member record retired
Member services
Diane George: 2 enrollment records collapsed into UHC-41609-92
Enrollment records
2
Member id
UHC-41609-92
MBR-026397
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025312
Duplicate member record retired
Member services
Margaret James: 2 enrollment records collapsed into UHC-23284-60
Enrollment records
2
Member id
UHC-23284-60
MBR-026403
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025313
Duplicate member record retired
Member services
Emma Castillo: 2 enrollment records collapsed into UHC-53809-28
Enrollment records
2
Member id
UHC-53809-28
MBR-026411
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025314
Duplicate member record retired
Member services
Amy Morrison: 2 enrollment records collapsed into UHC-29243-33
Enrollment records
2
Member id
UHC-29243-33
MBR-026412
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025315
Duplicate member record retired
Member services
Jaet Harris: 2 enrollment records collapsed into UHC-34545-51
Enrollment records
2
Member id
UHC-34545-51
MBR-026417
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025316
Duplicate member record retired
Member services
Ethan Welch: 2 enrollment records collapsed into UHC-59122-39
Enrollment records
2
Member id
UHC-59122-39
MBR-026419
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025317
Duplicate member record retired
Member services
Omar Johnson: 2 enrollment records collapsed into UHC-70459-83
Enrollment records
2
Member id
UHC-70459-83
MBR-026420
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025318
Duplicate member record retired
Member services
Mary Rogers: 2 enrollment records collapsed into UHC-81130-66
Enrollment records
2
Member id
UHC-81130-66
MBR-026442
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025319
Duplicate member record retired
Member services
Lori Cruz: 2 enrollment records collapsed into UHC-87156-17
Enrollment records
2
Member id
UHC-87156-17
MBR-026448
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025320
Duplicate member record retired
Member services
Vincent Oliver: 2 enrollment records collapsed into UHC-78409-83
Enrollment records
2
Member id
UHC-78409-83
MBR-026449
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025321
Duplicate member record retired
Member services
Pat Patel: 2 enrollment records collapsed into UHC-55189-29
Enrollment records
2
Member id
UHC-55189-29
MBR-026461
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025322
Duplicate member record retired
Member services
Jeffrey Hall: 2 enrollment records collapsed into UHC-39370-03
Enrollment records
2
Member id
UHC-39370-03
MBR-026463
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025323
Duplicate member record retired
Member services
Philip Bradley: 2 enrollment records collapsed into UHC-22562-15
Enrollment records
2
Member id
UHC-22562-15
MBR-026495
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025324
Duplicate member record retired
Member services
Gerald Li: 2 enrollment records collapsed into UHC-76640-91
Enrollment records
2
Member id
UHC-76640-91
MBR-026512
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025325
Duplicate member record retired
Member services
Katherine Bell: 2 enrollment records collapsed into UHC-91757-89
Enrollment records
2
Member id
UHC-91757-89
MBR-026521
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025326
Duplicate member record retired
Member services
Lisa Hernandez: 3 enrollment records collapsed into UHC-98334-19
Enrollment records
3
Member id
UHC-98334-19
MBR-026536
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025327
Duplicate member record retired
Member services
Willie Wood: 2 enrollment records collapsed into UHC-01701-76
Enrollment records
2
Member id
UHC-01701-76
MBR-026543
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025328
Duplicate member record retired
Member services
Denise Williams: 2 enrollment records collapsed into UHC-19471-09
Enrollment records
2
Member id
UHC-19471-09
MBR-026559
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025329
Duplicate member record retired
Member services
Lisa Knight: 2 enrollment records collapsed into UHC-55792-79
Enrollment records
2
Member id
UHC-55792-79
MBR-026574
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025330
Duplicate member record retired
Member services
Kathryn Payne: 2 enrollment records collapsed into UHC-68837-89
Enrollment records
2
Member id
UHC-68837-89
MBR-026588
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025331
Duplicate member record retired
Member services
Donna Cole: 2 enrollment records collapsed into UHC-91826-55
Enrollment records
2
Member id
UHC-91826-55
MBR-026595
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025332
Duplicate member record retired
Member services
Thomas Luna: 2 enrollment records collapsed into UHC-95083-87
Enrollment records
2
Member id
UHC-95083-87
MBR-026596
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025333
Duplicate member record retired
Member services
Cynthia Stone: 2 enrollment records collapsed into UHC-70398-69
Enrollment records
2
Member id
UHC-70398-69
MBR-026616
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025334
Duplicate member record retired
Member services
Dorothy Boyd: 2 enrollment records collapsed into UHC-51915-20
Enrollment records
2
Member id
UHC-51915-20
MBR-026631
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025335
Duplicate member record retired
Member services
Rachel Ortega: 2 enrollment records collapsed into UHC-30814-10
Enrollment records
2
Member id
UHC-30814-10
MBR-026635
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025336
Duplicate member record retired
Member services
Christopher Adams: 2 enrollment records collapsed into UHC-88794-67
Enrollment records
2
Member id
UHC-88794-67
MBR-026656
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025337
Duplicate member record retired
Member services
Aaron Vazquez: 3 enrollment records collapsed into UHC-12265-62
Enrollment records
3
Member id
UHC-12265-62
MBR-026696
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025338
Duplicate member record retired
Member services
Kayla Watkins: 2 enrollment records collapsed into UHC-05998-73
Enrollment records
2
Member id
UHC-05998-73
MBR-026701
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025339
Duplicate member record retired
Member services
Wayne Romero: 2 enrollment records collapsed into UHC-14479-29
Enrollment records
2
Member id
UHC-14479-29
MBR-026716
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025340
Duplicate member record retired
Member services
Wayne Brooks: 2 enrollment records collapsed into UHC-24088-93
Enrollment records
2
Member id
UHC-24088-93
MBR-026735
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025341
Duplicate member record retired
Member services
Abigail Lawrence: 2 enrollment records collapsed into UHC-25880-45
Enrollment records
2
Member id
UHC-25880-45
MBR-026744
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025342
Duplicate member record retired
Member services
Dennis Rivera: 2 enrollment records collapsed into UHC-28305-27
Enrollment records
2
Member id
UHC-28305-27
MBR-026782
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025343
Duplicate member record retired
Member services
Noah Cox: 2 enrollment records collapsed into UHC-36111-12
Enrollment records
2
Member id
UHC-36111-12
MBR-026794
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025344
Duplicate member record retired
Member services
Willie Franklin: 2 enrollment records collapsed into UHC-53624-98
Enrollment records
2
Member id
UHC-53624-98
MBR-026797
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025345
Duplicate member record retired
Member services
Don Coleman: 2 enrollment records collapsed into UHC-72406-80
Enrollment records
2
Member id
UHC-72406-80
MBR-026809
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025346
Duplicate member record retired
Member services
Eric Valdez: 2 enrollment records collapsed into UHC-86362-98
Enrollment records
2
Member id
UHC-86362-98
MBR-026810
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025347
Duplicate member record retired
Member services
Bryan Sandoval: 2 enrollment records collapsed into UHC-04047-70
Enrollment records
2
Member id
UHC-04047-70
MBR-026818
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025348
Duplicate member record retired
Member services
James Sandoval: 2 enrollment records collapsed into UHC-22538-54
Enrollment records
2
Member id
UHC-22538-54
MBR-026826
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025349
Duplicate member record retired
Member services
Keith Price: 2 enrollment records collapsed into UHC-07851-61
Enrollment records
2
Member id
UHC-07851-61
MBR-026831
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025350
Duplicate member record retired
Member services
Frank Green: 2 enrollment records collapsed into UHC-38051-71
Enrollment records
2
Member id
UHC-38051-71
MBR-026839
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025351
Duplicate member record retired
Member services
Emily Robnson: 2 enrollment records collapsed into UHC-82354-80
Enrollment records
2
Member id
UHC-82354-80
MBR-026865
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025352
Duplicate member record retired
Member services
Shirley Phillips: 2 enrollment records collapsed into UHC-09624-69
Enrollment records
2
Member id
UHC-09624-69
MBR-026878
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025353
Duplicate member record retired
Member services
Diane Lee: 3 enrollment records collapsed into UHC-83472-91
Enrollment records
3
Member id
UHC-83472-91
MBR-026898
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025354
Duplicate member record retired
Member services
Lawrence Yang: 2 enrollment records collapsed into
Enrollment records
2
Member id
MBR-026901
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 256 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.