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-023167
Duplicate member record retired
Member services
Jordan Welch: 2 enrollment records collapsed into UHC-43144-83
Enrollment records
2
Member id
UHC-43144-83
MBR-009510
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023168
Duplicate member record retired
Member services
Peter Mendoza: 2 enrollment records collapsed into UHC-10519-63
Enrollment records
2
Member id
UHC-10519-63
MBR-009520
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023169
Duplicate member record retired
Member services
Peter Ford: 3 enrollment records collapsed into UHC-45344-03
Enrollment records
3
Member id
UHC-45344-03
MBR-009536
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023170
Duplicate member record retired
Member services
Roy Fowler: 2 enrollment records collapsed into UHC-26321-54
Enrollment records
2
Member id
UHC-26321-54
MBR-009537
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023171
Duplicate member record retired
Member services
Martha Harrison: 2 enrollment records collapsed into UHC-15211-78
Enrollment records
2
Member id
UHC-15211-78
MBR-009539
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023172
Duplicate member record retired
Member services
Chris Ryan: 2 enrollment records collapsed into UHC-27959-29
Enrollment records
2
Member id
UHC-27959-29
MBR-009546
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023173
Duplicate member record retired
Member services
Christina Estrada: 2 enrollment records collapsed into UHC-05394-63
Enrollment records
2
Member id
UHC-05394-63
MBR-009548
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023174
Duplicate member record retired
Member services
Bradley Castillo: 2 enrollment records collapsed into UHC-47513-77
Enrollment records
2
Member id
UHC-47513-77
MBR-009552
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023175
Duplicate member record retired
Member services
Lori Guzman: 2 enrollment records collapsed into UHC-40801-21
Enrollment records
2
Member id
UHC-40801-21
MBR-009557
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023176
Duplicate member record retired
Member services
Larry Singh: 2 enrollment records collapsed into UHC-55360-97
Enrollment records
2
Member id
UHC-55360-97
MBR-009560
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023177
Duplicate member record retired
Member services
Willie Ross: 2 enrollment records collapsed into UHC-03147-99
Enrollment records
2
Member id
UHC-03147-99
MBR-009562
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023178
Duplicate member record retired
Member services
Janet Lewis: 2 enrollment records collapsed into UHC-35740-35
Enrollment records
2
Member id
UHC-35740-35
MBR-009563
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023179
Duplicate member record retired
Member services
Rachel Maldonado: 2 enrollment records collapsed into UHC-51088-81
Enrollment records
2
Member id
UHC-51088-81
MBR-009565
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023180
Duplicate member record retired
Member services
Richard Riley: 3 enrollment records collapsed into UHC-77051-99
Enrollment records
3
Member id
UHC-77051-99
MBR-009569
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023181
Duplicate member record retired
Member services
Sean Henderson: 2 enrollment records collapsed into UHC-68764-94
Enrollment records
2
Member id
UHC-68764-94
MBR-009574
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023182
Duplicate member record retired
Member services
Maria Nichols: 2 enrollment records collapsed into UHC-45780-65
Enrollment records
2
Member id
UHC-45780-65
MBR-009583
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023183
Duplicate member record retired
Member services
Terry Rodriugez: 2 enrollment records collapsed into UHC-76538-79
Enrollment records
2
Member id
UHC-76538-79
MBR-009593
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023184
Duplicate member record retired
Member services
Marcus Bennett: 2 enrollment records collapsed into UHC-69159-18
Enrollment records
2
Member id
UHC-69159-18
MBR-009613
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023185
Duplicate member record retired
Member services
Terry Spencer: 2 enrollment records collapsed into UHC-19567-35
Enrollment records
2
Member id
UHC-19567-35
MBR-009616
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023186
Duplicate member record retired
Member services
Jeremy McDonald: 2 enrollment records collapsed into UHC-67446-94
Enrollment records
2
Member id
UHC-67446-94
MBR-009622
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023187
Duplicate member record retired
Member services
Patricia Munoz: 2 enrollment records collapsed into UHC-15571-41
Enrollment records
2
Member id
UHC-15571-41
MBR-009626
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023188
Duplicate member record retired
Member services
Samantha Morris: 2 enrollment records collapsed into UHC-43300-11
Enrollment records
2
Member id
UHC-43300-11
MBR-009627
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023189
Duplicate member record retired
Member services
Michelle Lynch: 2 enrollment records collapsed into UHC-79929-16
Enrollment records
2
Member id
UHC-79929-16
MBR-009637
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023190
Duplicate member record retired
Member services
Maria Johnson: 2 enrollment records collapsed into UHC-32040-91
Enrollment records
2
Member id
UHC-32040-91
MBR-009639
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023191
Duplicate member record retired
Member services
Barbara Hanson: 2 enrollment records collapsed into UHC-41769-76
Enrollment records
2
Member id
UHC-41769-76
MBR-009642
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023192
Duplicate member record retired
Member services
Santiago Dominguez: 2 enrollment records collapsed into UHC-43460-08
Enrollment records
2
Member id
UHC-43460-08
MBR-009645
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023193
Duplicate member record retired
Member services
Virginia Carlson: 2 enrollment records collapsed into UHC-04926-88
Enrollment records
2
Member id
UHC-04926-88
MBR-009648
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023194
Duplicate member record retired
Member services
Sarah Pena: 2 enrollment records collapsed into UHC-07755-17
Enrollment records
2
Member id
UHC-07755-17
MBR-009650
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023195
Duplicate member record retired
Member services
Susan Padilla: 2 enrollment records collapsed into UHC-73638-75
Enrollment records
2
Member id
UHC-73638-75
MBR-009656
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023196
Duplicate member record retired
Member services
Terry Butler: 2 enrollment records collapsed into UHC-98914-41
Enrollment records
2
Member id
UHC-98914-41
MBR-009678
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023197
Duplicate member record retired
Member services
Kimberly Reid: 2 enrollment records collapsed into UHC-41007-29
Enrollment records
2
Member id
UHC-41007-29
MBR-009684
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023198
Duplicate member record retired
Member services
Jacqueline Bennett: 2 enrollment records collapsed into UHC-17708-15
Enrollment records
2
Member id
UHC-17708-15
MBR-009688
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023199
Duplicate member record retired
Member services
Bradley Romero: 2 enrollment records collapsed into UHC-50584-68
Enrollment records
2
Member id
UHC-50584-68
MBR-009691
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023200
Duplicate member record retired
Member services
Julia Mers: 2 enrollment records collapsed into UHC-20927-81
Enrollment records
2
Member id
UHC-20927-81
MBR-009695
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023201
Duplicate member record retired
Member services
Frances Sanders: 2 enrollment records collapsed into UHC-30460-10
Enrollment records
2
Member id
UHC-30460-10
MBR-009699
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023202
Duplicate member record retired
Member services
Lucia Hicks: 2 enrollment records collapsed into UHC-33115-56
Enrollment records
2
Member id
UHC-33115-56
MBR-009700
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023203
Duplicate member record retired
Member services
Jack Park: 2 enrollment records collapsed into UHC-09724-75
Enrollment records
2
Member id
UHC-09724-75
MBR-009705
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023204
Duplicate member record retired
Member services
Martha Gomez: 2 enrollment records collapsed into UHC-87887-56
Enrollment records
2
Member id
UHC-87887-56
MBR-009729
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023205
Duplicate member record retired
Member services
Janice Mendoza: 2 enrollment records collapsed into UHC-92266-25
Enrollment records
2
Member id
UHC-92266-25
MBR-009748
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023206
Duplicate member record retired
Member services
Helen Ellis: 2 enrollment records collapsed into UHC-88505-77
Enrollment records
2
Member id
UHC-88505-77
MBR-009751
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023207
Duplicate member record retired
Member services
Jonathan Roberts: 2 enrollment records collapsed into UHC-96363-58
Enrollment records
2
Member id
UHC-96363-58
MBR-009757
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023208
Duplicate member record retired
Member services
Barbara Murphy: 2 enrollment records collapsed into UHC-87414-30
Enrollment records
2
Member id
UHC-87414-30
MBR-009774
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023209
Duplicate member record retired
Member services
Brandon Torres: 2 enrollment records collapsed into UHC-26652-20
Enrollment records
2
Member id
UHC-26652-20
MBR-009781
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023210
Duplicate member record retired
Member services
Hiroshi Nunez: 2 enrollment records collapsed into UHC-91613-92
Enrollment records
2
Member id
UHC-91613-92
MBR-009784
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023211
Duplicate member record retired
Member services
Brenda Patterson: 2 enrollment records collapsed into UHC-55114-04
Enrollment records
2
Member id
UHC-55114-04
MBR-009789
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023212
Duplicate member record retired
Member services
Luis Jones: 2 enrollment records collapsed into UHC-29350-58
Enrollment records
2
Member id
UHC-29350-58
MBR-009794
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023213
Duplicate member record retired
Member services
Megan Watson: 3 enrollment records collapsed into UHC-62910-31
Enrollment records
3
Member id
UHC-62910-31
MBR-009804
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023214
Duplicate member record retired
Member services
Joshua Wallace: 2 enrollment records collapsed into UHC-69314-99
Enrollment records
2
Member id
UHC-69314-99
MBR-009815
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023215
Duplicate member record retired
Member services
Lina Crawforrd: 2 enrollment records collapsed into UHC-89035-43
Enrollment records
2
Member id
UHC-89035-43
MBR-009817
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023216
Duplicate member record retired
Member services
Shirley Russell: 2 enrollment records collapsed into UHC-17459-89
Enrollment records
2
Member id
UHC-17459-89
MBR-009818
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 31 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.