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-023367
Duplicate member record retired
Member services
Maria Sandoval: 2 enrollment records collapsed into UHC-69641-21
Enrollment records
2
Member id
UHC-69641-21
MBR-010910
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023368
Duplicate member record retired
Member services
Beverly Davis: 2 enrollment records collapsed into UHC-39550-29
Enrollment records
2
Member id
UHC-39550-29
MBR-010918
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023369
Duplicate member record retired
Member services
Madison Dean: 2 enrollment records collapsed into UHC-34653-59
Enrollment records
2
Member id
UHC-34653-59
MBR-010923
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023370
Duplicate member record retired
Member services
Hiroshi Dixon: 2 enrollment records collapsed into UHC-68326-88
Enrollment records
2
Member id
UHC-68326-88
MBR-010931
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023371
Duplicate member record retired
Member services
Joe Rojas: 2 enrollment records collapsed into UHC-25331-20
Enrollment records
2
Member id
UHC-25331-20
MBR-010937
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023372
Duplicate member record retired
Member services
Cheryl Garza: 2 enrollment records collapsed into UHC-54815-28
Enrollment records
2
Member id
UHC-54815-28
MBR-010943
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023373
Duplicate member record retired
Member services
Patricia Robertson: 2 enrollment records collapsed into UHC-21505-88
Enrollment records
2
Member id
UHC-21505-88
MBR-010953
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023374
Duplicate member record retired
Member services
Maria Gonzales: 2 enrollment records collapsed into UHC-35906-35
Enrollment records
2
Member id
UHC-35906-35
MBR-010956
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023375
Duplicate member record retired
Member services
Jessica Gonzalez: 2 enrollment records collapsed into UHC-56950-38
Enrollment records
2
Member id
UHC-56950-38
MBR-010973
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023376
Duplicate member record retired
Member services
Luis Hill: 2 enrollment records collapsed into UHC-27600-40
Enrollment records
2
Member id
UHC-27600-40
MBR-010983
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023377
Duplicate member record retired
Member services
Laura Wood: 2 enrollment records collapsed into UHC-76189-23
Enrollment records
2
Member id
UHC-76189-23
MBR-010984
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023378
Duplicate member record retired
Member services
Abby Johnson: 2 enrollment records collapsed into UHC-27991-80
Enrollment records
2
Member id
UHC-27991-80
MBR-010988
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023379
Duplicate member record retired
Member services
Ethan Weaver: 2 enrollment records collapsed into UHC-26033-52
Enrollment records
2
Member id
UHC-26033-52
MBR-011001
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023380
Duplicate member record retired
Member services
Hannah Graham: 2 enrollment records collapsed into UHC-42390-49
Enrollment records
2
Member id
UHC-42390-49
MBR-011016
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023381
Duplicate member record retired
Member services
Nicole Torres: 2 enrollment records collapsed into UHC-96313-13
Enrollment records
2
Member id
UHC-96313-13
MBR-011022
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023382
Duplicate member record retired
Member services
Barbara Bishop: 2 enrollment records collapsed into UHC-14889-83
Enrollment records
2
Member id
UHC-14889-83
MBR-011026
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023383
Duplicate member record retired
Member services
Priya Simpson: 2 enrollment records collapsed into UHC-26606-78
Enrollment records
2
Member id
UHC-26606-78
MBR-011030
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023384
Duplicate member record retired
Member services
Aelxis Freeman: 2 enrollment records collapsed into UHC-84619-94
Enrollment records
2
Member id
UHC-84619-94
MBR-011044
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023385
Duplicate member record retired
Member services
Jean Black: 2 enrollment records collapsed into UHC-16293-86
Enrollment records
2
Member id
UHC-16293-86
MBR-011052
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023386
Duplicate member record retired
Member services
Evelyn Reyes: 2 enrollment records collapsed into UHC-54787-27
Enrollment records
2
Member id
UHC-54787-27
MBR-011068
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023387
Duplicate member record retired
Member services
Alexander Jordan: 2 enrollment records collapsed into UHC-41447-04
Enrollment records
2
Member id
UHC-41447-04
MBR-011070
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023388
Duplicate member record retired
Member services
Kevin Reyes: 3 enrollment records collapsed into UHC-54672-04
Enrollment records
3
Member id
UHC-54672-04
MBR-011072
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023389
Duplicate member record retired
Member services
Eric Taylor: 2 enrollment records collapsed into UHC-85425-75
Enrollment records
2
Member id
UHC-85425-75
MBR-011073
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023390
Duplicate member record retired
Member services
Emma Richardson: 2 enrollment records collapsed into UHC-65412-76
Enrollment records
2
Member id
UHC-65412-76
MBR-011077
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023391
Duplicate member record retired
Member services
Samantha Meyer: 2 enrollment records collapsed into UHC-98383-40
Enrollment records
2
Member id
UHC-98383-40
MBR-011084
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023392
Duplicate member record retired
Member services
Amber Munoz: 2 enrollment records collapsed into UHC-03266-71
Enrollment records
2
Member id
UHC-03266-71
MBR-011086
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023393
Duplicate member record retired
Member services
Evelyn Le: 2 enrollment records collapsed into UHC-70727-05
Enrollment records
2
Member id
UHC-70727-05
MBR-011088
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023394
Duplicate member record retired
Member services
Luis Reed: 2 enrollment records collapsed into UHC-97310-50
Enrollment records
2
Member id
UHC-97310-50
MBR-011107
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023395
Duplicate member record retired
Member services
Arthur White: 2 enrollment records collapsed into UHC-10188-33
Enrollment records
2
Member id
UHC-10188-33
MBR-011108
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023396
Duplicate member record retired
Member services
Nicole Shaw: 2 enrollment records collapsed into UHC-95009-85
Enrollment records
2
Member id
UHC-95009-85
MBR-011111
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023397
Duplicate member record retired
Member services
Frances Hicks: 2 enrollment records collapsed into UHC-42723-22
Enrollment records
2
Member id
UHC-42723-22
MBR-011112
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023398
Duplicate member record retired
Member services
Kevin Morris: 2 enrollment records collapsed into UHC-47442-06
Enrollment records
2
Member id
UHC-47442-06
MBR-011117
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023399
Duplicate member record retired
Member services
Wayne Wang: 2 enrollment records collapsed into UHC-60912-66
Enrollment records
2
Member id
UHC-60912-66
MBR-011126
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023400
Duplicate member record retired
Member services
Richard Lee: 2 enrollment records collapsed into UHC-91655-19
Enrollment records
2
Member id
UHC-91655-19
MBR-011137
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023401
Duplicate member record retired
Member services
Gloria Perez: 2 enrollment records collapsed into UHC-82117-14
Enrollment records
2
Member id
UHC-82117-14
MBR-011144
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023402
Duplicate member record retired
Member services
Ethan Mejia: 2 enrollment records collapsed into UHC-73398-16
Enrollment records
2
Member id
UHC-73398-16
MBR-011171
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023403
Duplicate member record retired
Member services
Laura Castro: 3 enrollment records collapsed into UHC-77112-55
Enrollment records
3
Member id
UHC-77112-55
MBR-011176
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023404
Duplicate member record retired
Member services
Amber Willis: 2 enrollment records collapsed into UHC-07211-06
Enrollment records
2
Member id
UHC-07211-06
MBR-011183
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023405
Duplicate member record retired
Member services
Christopher Freeman: 2 enrollment records collapsed into UHC-34571-07
Enrollment records
2
Member id
UHC-34571-07
MBR-011189
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023406
Duplicate member record retired
Member services
Kayla Martin: 2 enrollment records collapsed into UHC-86306-82
Enrollment records
2
Member id
UHC-86306-82
MBR-011191
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023407
Duplicate member record retired
Member services
Roger Gordon: 2 enrollment records collapsed into UHC-28110-84
Enrollment records
2
Member id
UHC-28110-84
MBR-011208
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023408
Duplicate member record retired
Member services
Abigail Hicks: 2 enrollment records collapsed into UHC-46842-79
Enrollment records
2
Member id
UHC-46842-79
MBR-011217
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023409
Duplicate member record retired
Member services
Samuel Kelley: 2 enrollment records collapsed into UHC-55006-25
Enrollment records
2
Member id
UHC-55006-25
MBR-011228
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023410
Duplicate member record retired
Member services
Brandon Hawkins: 2 enrollment records collapsed into UHC-66347-19
Enrollment records
2
Member id
UHC-66347-19
MBR-011237
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023411
Duplicate member record retired
Member services
Diana Freeman: 2 enrollment records collapsed into UHC-80595-45
Enrollment records
2
Member id
UHC-80595-45
MBR-011241
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023412
Duplicate member record retired
Member services
Bryan Martin: 2 enrollment records collapsed into UHC-98314-75
Enrollment records
2
Member id
UHC-98314-75
MBR-011243
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023413
Duplicate member record retired
Member services
Donna Porter: 2 enrollment records collapsed into UHC-49476-54
Enrollment records
2
Member id
UHC-49476-54
MBR-011244
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023414
Duplicate member record retired
Member services
Frank Lawrence: 2 enrollment records collapsed into UHC-94025-69
Enrollment records
2
Member id
UHC-94025-69
MBR-011254
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023415
Duplicate member record retired
Member services
Daniel Alvarez: 2 enrollment records collapsed into UHC-57632-09
Enrollment records
2
Member id
UHC-57632-09
MBR-011255
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023416
Duplicate member record retired
Member services
Paul Evans: 2 enrollment records collapsed into UHC-64104-74
Enrollment records
2
Member id
UHC-64104-74
MBR-011264
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 35 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.