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-023217
Duplicate member record retired
Member services
Heather Long: 3 enrollment records collapsed into UHC-23862-12
Enrollment records
3
Member id
UHC-23862-12
MBR-009822
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023218
Duplicate member record retired
Member services
Natalie Hughes: 2 enrollment records collapsed into UHC-87123-66
Enrollment records
2
Member id
UHC-87123-66
MBR-009827
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023219
Duplicate member record retired
Member services
Amanda Spencer: 2 enrollment records collapsed into UHC-64608-65
Enrollment records
2
Member id
UHC-64608-65
MBR-009831
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023220
Duplicate member record retired
Member services
Joshua Herrera: 2 enrollment records collapsed into UHC-29222-37
Enrollment records
2
Member id
UHC-29222-37
MBR-009842
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023221
Duplicate member record retired
Member services
Melissa Richardson: 2 enrollment records collapsed into UHC-85811-37
Enrollment records
2
Member id
UHC-85811-37
MBR-009854
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023222
Duplicate member record retired
Member services
Kayla Lee: 2 enrollment records collapsed into UHC-51799-64
Enrollment records
2
Member id
UHC-51799-64
MBR-009866
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023223
Duplicate member record retired
Member services
Danielle Ferguson: 2 enrollment records collapsed into UHC-44073-57
Enrollment records
2
Member id
UHC-44073-57
MBR-009872
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023224
Duplicate member record retired
Member services
Heather Austin: 2 enrollment records collapsed into UHC-79946-28
Enrollment records
2
Member id
UHC-79946-28
MBR-009894
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023225
Duplicate member record retired
Member services
Jerry Fox: 2 enrollment records collapsed into UHC-41328-08
Enrollment records
2
Member id
UHC-41328-08
MBR-009904
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023226
Duplicate member record retired
Member services
Megan West: 2 enrollment records collapsed into UHC-48579-46
Enrollment records
2
Member id
UHC-48579-46
MBR-009906
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023227
Duplicate member record retired
Member services
Julia Jackson: 2 enrollment records collapsed into UHC-87854-09
Enrollment records
2
Member id
UHC-87854-09
MBR-009925
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023228
Duplicate member record retired
Member services
Rebecca Stewart: 2 enrollment records collapsed into UHC-12215-27
Enrollment records
2
Member id
UHC-12215-27
MBR-009926
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023229
Duplicate member record retired
Member services
Catherine Bowman: 2 enrollment records collapsed into UHC-34034-90
Enrollment records
2
Member id
UHC-34034-90
MBR-009928
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023230
Duplicate member record retired
Member services
Mary Owens: 2 enrollment records collapsed into UHC-44249-01
Enrollment records
2
Member id
UHC-44249-01
MBR-009931
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023231
Duplicate member record retired
Member services
Rachel Munoz: 2 enrollment records collapsed into UHC-15937-04
Enrollment records
2
Member id
UHC-15937-04
MBR-009939
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023232
Duplicate member record retired
Member services
Dorothy Rogers: 2 enrollment records collapsed into UHC-06003-66
Enrollment records
2
Member id
UHC-06003-66
MBR-009956
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023233
Duplicate member record retired
Member services
Roy Reid: 2 enrollment records collapsed into UHC-74723-28
Enrollment records
2
Member id
UHC-74723-28
MBR-009974
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023234
Duplicate member record retired
Member services
Victoria Graham: 2 enrollment records collapsed into UHC-64777-70
Enrollment records
2
Member id
UHC-64777-70
MBR-009975
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023235
Duplicate member record retired
Member services
Scott Mitchell: 2 enrollment records collapsed into UHC-11269-08
Enrollment records
2
Member id
UHC-11269-08
MBR-009981
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023236
Duplicate member record retired
Member services
Scott Schultz: 2 enrollment records collapsed into UHC-40594-68
Enrollment records
2
Member id
UHC-40594-68
MBR-009986
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023237
Duplicate member record retired
Member services
Kelly Evans: 2 enrollment records collapsed into UHC-76873-84
Enrollment records
2
Member id
UHC-76873-84
MBR-009999
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023238
Duplicate member record retired
Member services
Nathan Clark: 2 enrollment records collapsed into UHC-59130-67
Enrollment records
2
Member id
UHC-59130-67
MBR-010008
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023239
Duplicate member record retired
Member services
Edward Howell: 2 enrollment records collapsed into UHC-47701-51
Enrollment records
2
Member id
UHC-47701-51
MBR-010029
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023240
Duplicate member record retired
Member services
Matthew Allen: 2 enrollment records collapsed into UHC-24160-93
Enrollment records
2
Member id
UHC-24160-93
MBR-010044
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023241
Duplicate member record retired
Member services
Christopher Young: 2 enrollment records collapsed into UHC-27607-79
Enrollment records
2
Member id
UHC-27607-79
MBR-010046
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023242
Duplicate member record retired
Member services
Peter Walker: 2 enrollment records collapsed into UHC-17729-51
Enrollment records
2
Member id
UHC-17729-51
MBR-010051
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023243
Duplicate member record retired
Member services
Jeremy Chen: 2 enrollment records collapsed into UHC-89276-81
Enrollment records
2
Member id
UHC-89276-81
MBR-010057
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023244
Duplicate member record retired
Member services
Arthur Ryan: 2 enrollment records collapsed into UHC-17123-61
Enrollment records
2
Member id
UHC-17123-61
MBR-010061
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023245
Duplicate member record retired
Member services
Emma Pena: 2 enrollment records collapsed into UHC-88943-09
Enrollment records
2
Member id
UHC-88943-09
MBR-010062
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023246
Duplicate member record retired
Member services
Emily Murray: 2 enrollment records collapsed into UHC-96474-99
Enrollment records
2
Member id
UHC-96474-99
MBR-010071
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023247
Duplicate member record retired
Member services
Eric Williamson: 2 enrollment records collapsed into UHC-85185-79
Enrollment records
2
Member id
UHC-85185-79
MBR-010073
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023248
Duplicate member record retired
Member services
Theresa Cooper: 2 enrollment records collapsed into UHC-72449-82
Enrollment records
2
Member id
UHC-72449-82
MBR-010086
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023249
Duplicate member record retired
Member services
Logan Ortiz: 2 enrollment records collapsed into UHC-98629-39
Enrollment records
2
Member id
UHC-98629-39
MBR-010087
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023250
Duplicate member record retired
Member services
Logan Ortiz: 2 enrollment records collapsed into UHC-82763-27
Enrollment records
2
Member id
UHC-82763-27
MBR-010094
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023251
Duplicate member record retired
Member services
Logan Scott: 2 enrollment records collapsed into UHC-85408-43
Enrollment records
2
Member id
UHC-85408-43
MBR-010107
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023252
Duplicate member record retired
Member services
Gloria Webb: 2 enrollment records collapsed into UHC-30941-79
Enrollment records
2
Member id
UHC-30941-79
MBR-010111
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023253
Duplicate member record retired
Member services
Anthony Median: 2 enrollment records collapsed into UHC-86103-32
Enrollment records
2
Member id
UHC-86103-32
MBR-010112
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023254
Duplicate member record retired
Member services
Grace Washington: 2 enrollment records collapsed into UHC-52191-23
Enrollment records
2
Member id
UHC-52191-23
MBR-010117
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023255
Duplicate member record retired
Member services
Charles Wang: 2 enrollment records collapsed into UHC-35113-59
Enrollment records
2
Member id
UHC-35113-59
MBR-010118
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023256
Duplicate member record retired
Member services
Ashley Woods: 2 enrollment records collapsed into UHC-73202-29
Enrollment records
2
Member id
UHC-73202-29
MBR-010124
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023257
Duplicate member record retired
Member services
Roy Hunter: 2 enrollment records collapsed into UHC-63311-48
Enrollment records
2
Member id
UHC-63311-48
MBR-010143
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023258
Duplicate member record retired
Member services
Madison Edwards: 2 enrollment records collapsed into UHC-69976-74
Enrollment records
2
Member id
UHC-69976-74
MBR-010146
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023259
Duplicate member record retired
Member services
Joshua Hayes: 3 enrollment records collapsed into UHC-85275-22
Enrollment records
3
Member id
UHC-85275-22
MBR-010152
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023260
Duplicate member record retired
Member services
Jeremy West: 2 enrollment records collapsed into UHC-33653-23
Enrollment records
2
Member id
UHC-33653-23
MBR-010156
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023261
Duplicate member record retired
Member services
Joe Torres: 2 enrollment records collapsed into UHC-61111-61
Enrollment records
2
Member id
UHC-61111-61
MBR-010164
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023262
Duplicate member record retired
Member services
Sharon Dominguez: 2 enrollment records collapsed into UHC-81284-45
Enrollment records
2
Member id
UHC-81284-45
MBR-010178
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023263
Duplicate member record retired
Member services
Sophia Rojas: 2 enrollment records collapsed into UHC-02551-98
Enrollment records
2
Member id
UHC-02551-98
MBR-010179
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023264
Duplicate member record retired
Member services
Albert Woods: 2 enrollment records collapsed into UHC-81873-91
Enrollment records
2
Member id
UHC-81873-91
MBR-010182
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023265
Duplicate member record retired
Member services
Carl Boyd: 2 enrollment records collapsed into UHC-08601-36
Enrollment records
2
Member id
UHC-08601-36
MBR-010184
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023266
Duplicate member record retired
Member services
Grace Padilla: 3 enrollment records collapsed into UHC-44270-79
Enrollment records
3
Member id
UHC-44270-79
MBR-010185
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 32 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.