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-023067
Duplicate member record retired
Member services
Austin Warren: 2 enrollment records collapsed into UHC-54396-70
Enrollment records
2
Member id
UHC-54396-70
MBR-008836
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023068
Duplicate member record retired
Member services
Lori Armstrong: 2 enrollment records collapsed into UHC-85173-78
Enrollment records
2
Member id
UHC-85173-78
MBR-008837
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023069
Duplicate member record retired
Member services
Pamela Tucker: 2 enrollment records collapsed into UHC-05887-27
Enrollment records
2
Member id
UHC-05887-27
MBR-008843
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023070
Duplicate member record retired
Member services
Dylan Webb: 2 enrollment records collapsed into UHC-32490-35
Enrollment records
2
Member id
UHC-32490-35
MBR-008846
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023071
Duplicate member record retired
Member services
Ashley Carpenter: 2 enrollment records collapsed into UHC-08657-94
Enrollment records
2
Member id
UHC-08657-94
MBR-008847
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023072
Duplicate member record retired
Member services
Samuel Salazar: 2 enrollment records collapsed into UHC-29299-52
Enrollment records
2
Member id
UHC-29299-52
MBR-008869
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023073
Duplicate member record retired
Member services
Scott Gomez: 2 enrollment records collapsed into UHC-06958-42
Enrollment records
2
Member id
UHC-06958-42
MBR-008871
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023074
Duplicate member record retired
Member services
Shirley Larson: 2 enrollment records collapsed into UHC-40728-43
Enrollment records
2
Member id
UHC-40728-43
MBR-008875
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023075
Duplicate member record retired
Member services
Stephanie Ramos: 2 enrollment records collapsed into UHC-12597-01
Enrollment records
2
Member id
UHC-12597-01
MBR-008877
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023076
Duplicate member record retired
Member services
Jacob Romero: 2 enrollment records collapsed into UHC-62450-79
Enrollment records
2
Member id
UHC-62450-79
MBR-008885
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023077
Duplicate member record retired
Member services
Brittany Munoz: 2 enrollment records collapsed into UHC-87830-57
Enrollment records
2
Member id
UHC-87830-57
MBR-008888
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023078
Duplicate member record retired
Member services
Jeremy Roberts: 2 enrollment records collapsed into UHC-07810-03
Enrollment records
2
Member id
UHC-07810-03
MBR-008893
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023079
Duplicate member record retired
Member services
Grace Contreras: 2 enrollment records collapsed into UHC-41914-44
Enrollment records
2
Member id
UHC-41914-44
MBR-008901
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023080
Duplicate member record retired
Member services
Dennis Dominguez: 2 enrollment records collapsed into UHC-79255-89
Enrollment records
2
Member id
UHC-79255-89
MBR-008907
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023081
Duplicate member record retired
Member services
Omar Carter: 3 enrollment records collapsed into UHC-59754-70
Enrollment records
3
Member id
UHC-59754-70
MBR-008908
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023082
Duplicate member record retired
Member services
Russell Long: 2 enrollment records collapsed into UHC-26038-09
Enrollment records
2
Member id
UHC-26038-09
MBR-008915
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023083
Duplicate member record retired
Member services
Kayla Alvarez: 2 enrollment records collapsed into UHC-80479-03
Enrollment records
2
Member id
UHC-80479-03
MBR-008918
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023084
Duplicate member record retired
Member services
Cheryl Stephens: 2 enrollment records collapsed into UHC-55529-33
Enrollment records
2
Member id
UHC-55529-33
MBR-008934
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023085
Duplicate member record retired
Member services
Isabella Parker: 2 enrollment records collapsed into UHC-81955-73
Enrollment records
2
Member id
UHC-81955-73
MBR-008943
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023086
Duplicate member record retired
Member services
Jessica Carroll: 2 enrollment records collapsed into UHC-09268-29
Enrollment records
2
Member id
UHC-09268-29
MBR-008954
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023087
Duplicate member record retired
Member services
William Moreno: 2 enrollment records collapsed into UHC-32552-30
Enrollment records
2
Member id
UHC-32552-30
MBR-008955
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023088
Duplicate member record retired
Member services
Keith Larson: 2 enrollment records collapsed into UHC-83530-31
Enrollment records
2
Member id
UHC-83530-31
MBR-008957
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023089
Duplicate member record retired
Member services
Evelyn Espinoza: 2 enrollment records collapsed into UHC-30331-27
Enrollment records
2
Member id
UHC-30331-27
MBR-008970
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023090
Duplicate member record retired
Member services
Cynthia Ford: 4 enrollment records collapsed into UHC-92645-67
Enrollment records
4
Member id
UHC-92645-67
MBR-008971
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023091
Duplicate member record retired
Member services
Brittany Washington: 2 enrollment records collapsed into UHC-79558-97
Enrollment records
2
Member id
UHC-79558-97
MBR-008990
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023092
Duplicate member record retired
Member services
Diane Carr: 2 enrollment records collapsed into UHC-71365-75
Enrollment records
2
Member id
UHC-71365-75
MBR-008995
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023093
Duplicate member record retired
Member services
Grace Collins: 2 enrollment records collapsed into UHC-00939-39
Enrollment records
2
Member id
UHC-00939-39
MBR-009005
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023094
Duplicate member record retired
Member services
Omar Sants: 2 enrollment records collapsed into UHC-67223-77
Enrollment records
2
Member id
UHC-67223-77
MBR-009006
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023095
Duplicate member record retired
Member services
Christian Hudson: 2 enrollment records collapsed into UHC-25514-58
Enrollment records
2
Member id
UHC-25514-58
MBR-009037
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023096
Duplicate member record retired
Member services
Kyle Meyer: 2 enrollment records collapsed into UHC-64032-36
Enrollment records
2
Member id
UHC-64032-36
MBR-009060
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023097
Duplicate member record retired
Member services
Diana Myers: 2 enrollment records collapsed into UHC-65881-90
Enrollment records
2
Member id
UHC-65881-90
MBR-009066
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023098
Duplicate member record retired
Member services
Donna Black: 2 enrollment records collapsed into UHC-71648-50
Enrollment records
2
Member id
UHC-71648-50
MBR-009068
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023099
Duplicate member record retired
Member services
Mark Hicks: 2 enrollment records collapsed into UHC-61038-68
Enrollment records
2
Member id
UHC-61038-68
MBR-009070
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023100
Duplicate member record retired
Member services
Melissa Dean: 2 enrollment records collapsed into UHC-69799-61
Enrollment records
2
Member id
UHC-69799-61
MBR-009071
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023101
Duplicate member record retired
Member services
Janet Fox: 2 enrollment records collapsed into UHC-69968-18
Enrollment records
2
Member id
UHC-69968-18
MBR-009077
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023102
Duplicate member record retired
Member services
Daniel Jordan: 2 enrollment records collapsed into UHC-15360-01
Enrollment records
2
Member id
UHC-15360-01
MBR-009084
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023103
Duplicate member record retired
Member services
Jason Kim: 2 enrollment records collapsed into UHC-16727-36
Enrollment records
2
Member id
UHC-16727-36
MBR-009090
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023104
Duplicate member record retired
Member services
Elijah Rogers: 2 enrollment records collapsed into UHC-47081-50
Enrollment records
2
Member id
UHC-47081-50
MBR-009095
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023105
Duplicate member record retired
Member services
Larry Stephens: 2 enrollment records collapsed into UHC-87488-26
Enrollment records
2
Member id
UHC-87488-26
MBR-009096
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023106
Duplicate member record retired
Member services
Douglas Castillo: 2 enrollment records collapsed into UHC-86309-17
Enrollment records
2
Member id
UHC-86309-17
MBR-009101
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023107
Duplicate member record retired
Member services
Thomas Matthews: 2 enrollment records collapsed into UHC-58466-91
Enrollment records
2
Member id
UHC-58466-91
MBR-009119
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023108
Duplicate member record retired
Member services
Christine Morales: 2 enrollment records collapsed into UHC-18121-75
Enrollment records
2
Member id
UHC-18121-75
MBR-009126
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023109
Duplicate member record retired
Member services
Janice Holmes: 2 enrollment records collapsed into UHC-79640-77
Enrollment records
2
Member id
UHC-79640-77
MBR-009133
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023110
Duplicate member record retired
Member services
Ryan Davis: 3 enrollment records collapsed into UHC-16030-43
Enrollment records
3
Member id
UHC-16030-43
MBR-009138
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023111
Duplicate member record retired
Member services
Albert Delgado: 2 enrollment records collapsed into UHC-47612-02
Enrollment records
2
Member id
UHC-47612-02
MBR-009146
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023112
Duplicate member record retired
Member services
Nathan Hughes: 2 enrollment records collapsed into UHC-87775-37
Enrollment records
2
Member id
UHC-87775-37
MBR-009148
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023113
Duplicate member record retired
Member services
Catherine Fuller: 2 enrollment records collapsed into UHC-08698-57
Enrollment records
2
Member id
UHC-08698-57
MBR-009156
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023114
Duplicate member record retired
Member services
Julie Hughes: 2 enrollment records collapsed into UHC-21646-21
Enrollment records
2
Member id
UHC-21646-21
MBR-009165
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023115
Duplicate member record retired
Member services
Michelle Wong: 2 enrollment records collapsed into UHC-75999-90
Enrollment records
2
Member id
UHC-75999-90
MBR-009167
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023116
Duplicate member record retired
Member services
Melissa Andrews: 3 enrollment records collapsed into UHC-49025-89
Enrollment records
3
Member id
UHC-49025-89
MBR-009171
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 29 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.