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-023417
Duplicate member record retired
Member services
Andrew Rogers: 3 enrollment records collapsed into UHC-42345-38
Enrollment records
3
Member id
UHC-42345-38
MBR-011277
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023418
Duplicate member record retired
Member services
Martha Gonzales: 2 enrollment records collapsed into UHC-93817-39
Enrollment records
2
Member id
UHC-93817-39
MBR-011286
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023419
Duplicate member record retired
Member services
Kayla Reid: 3 enrollment records collapsed into UHC-98078-99
Enrollment records
3
Member id
UHC-98078-99
MBR-011296
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023420
Duplicate member record retired
Member services
Anrdea Howard: 2 enrollment records collapsed into UHC-33305-48
Enrollment records
2
Member id
UHC-33305-48
MBR-011309
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023421
Duplicate member record retired
Member services
Jessica Ellis: 3 enrollment records collapsed into UHC-51002-75
Enrollment records
3
Member id
UHC-51002-75
MBR-011345
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023422
Duplicate member record retired
Member services
Mariana Wilson: 2 enrollment records collapsed into UHC-28998-30
Enrollment records
2
Member id
UHC-28998-30
MBR-011356
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023423
Duplicate member record retired
Member services
Evelyn Woods: 3 enrollment records collapsed into UHC-04940-63
Enrollment records
3
Member id
UHC-04940-63
MBR-011358
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023424
Duplicate member record retired
Member services
Nicole Banks: 2 enrollment records collapsed into UHC-40533-39
Enrollment records
2
Member id
UHC-40533-39
MBR-011362
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023425
Duplicate member record retired
Member services
Kenneth Garrett: 2 enrollment records collapsed into UHC-93400-76
Enrollment records
2
Member id
UHC-93400-76
MBR-011363
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023426
Duplicate member record retired
Member services
Terry Holmes: 3 enrollment records collapsed into UHC-16727-88
Enrollment records
3
Member id
UHC-16727-88
MBR-011365
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023427
Duplicate member record retired
Member services
Ralph Weaver: 2 enrollment records collapsed into UHC-96928-89
Enrollment records
2
Member id
UHC-96928-89
MBR-011373
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023428
Duplicate member record retired
Member services
Madison Mendoza: 2 enrollment records collapsed into UHC-78916-73
Enrollment records
2
Member id
UHC-78916-73
MBR-011374
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023429
Duplicate member record retired
Member services
Samantha Spencer: 3 enrollment records collapsed into UHC-00058-48
Enrollment records
3
Member id
UHC-00058-48
MBR-011376
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023430
Duplicate member record retired
Member services
Rebecca Cooper: 2 enrollment records collapsed into UHC-13701-22
Enrollment records
2
Member id
UHC-13701-22
MBR-011385
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023431
Duplicate member record retired
Member services
Roger Lewis: 2 enrollment records collapsed into UHC-29701-15
Enrollment records
2
Member id
UHC-29701-15
MBR-011394
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023432
Duplicate member record retired
Member services
Sandra Guzman: 2 enrollment records collapsed into UHC-67011-38
Enrollment records
2
Member id
UHC-67011-38
MBR-011396
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023433
Duplicate member record retired
Member services
Helen Gray: 3 enrollment records collapsed into UHC-92539-10
Enrollment records
3
Member id
UHC-92539-10
MBR-011397
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023434
Duplicate member record retired
Member services
Natalie Walsh: 2 enrollment records collapsed into UHC-23557-47
Enrollment records
2
Member id
UHC-23557-47
MBR-011404
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023435
Duplicate member record retired
Member services
Mateo Gardner: 2 enrollment records collapsed into UHC-88333-70
Enrollment records
2
Member id
UHC-88333-70
MBR-011407
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023436
Duplicate member record retired
Member services
George Lawrence: 2 enrollment records collapsed into UHC-41452-62
Enrollment records
2
Member id
UHC-41452-62
MBR-011418
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023437
Duplicate member record retired
Member services
Lawrence Estrada: 2 enrollment records collapsed into UHC-71464-18
Enrollment records
2
Member id
UHC-71464-18
MBR-011420
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023438
Duplicate member record retired
Member services
Jessica Boyd: 2 enrollment records collapsed into UHC-79586-37
Enrollment records
2
Member id
UHC-79586-37
MBR-011428
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023439
Duplicate member record retired
Member services
Aaron Hill: 2 enrollment records collapsed into UHC-43515-39
Enrollment records
2
Member id
UHC-43515-39
MBR-011429
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023440
Duplicate member record retired
Member services
Sean Allen: 2 enrollment records collapsed into UHC-74463-68
Enrollment records
2
Member id
UHC-74463-68
MBR-011433
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023441
Duplicate member record retired
Member services
David Nguyen: 2 enrollment records collapsed into UHC-84849-71
Enrollment records
2
Member id
UHC-84849-71
MBR-011436
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023442
Duplicate member record retired
Member services
Andrea Cunningham: 2 enrollment records collapsed into UHC-36872-64
Enrollment records
2
Member id
UHC-36872-64
MBR-011441
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023443
Duplicate member record retired
Member services
Madison Lopez: 2 enrollment records collapsed into UHC-62337-01
Enrollment records
2
Member id
UHC-62337-01
MBR-011442
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023444
Duplicate member record retired
Member services
Catherine Richardson: 2 enrollment records collapsed into UHC-00641-21
Enrollment records
2
Member id
UHC-00641-21
MBR-011449
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023445
Duplicate member record retired
Member services
Natalie Carpenter: 2 enrollment records collapsed into UHC-94569-81
Enrollment records
2
Member id
UHC-94569-81
MBR-011452
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023446
Duplicate member record retired
Member services
Andrea Carr: 2 enrollment records collapsed into UHC-30099-41
Enrollment records
2
Member id
UHC-30099-41
MBR-011455
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023447
Duplicate member record retired
Member services
Kevin Rice: 2 enrollment records collapsed into UHC-54331-49
Enrollment records
2
Member id
UHC-54331-49
MBR-011457
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023448
Duplicate member record retired
Member services
Amanda Andrews: 3 enrollment records collapsed into UHC-57948-95
Enrollment records
3
Member id
UHC-57948-95
MBR-011466
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023449
Duplicate member record retired
Member services
Hannah Arnold: 3 enrollment records collapsed into UHC-27042-68
Enrollment records
3
Member id
UHC-27042-68
MBR-011469
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023450
Duplicate member record retired
Member services
Wei James: 2 enrollment records collapsed into UHC-53568-22
Enrollment records
2
Member id
UHC-53568-22
MBR-011476
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023451
Duplicate member record retired
Member services
George Munoz: 2 enrollment records collapsed into UHC-84709-91
Enrollment records
2
Member id
UHC-84709-91
MBR-011481
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023452
Duplicate member record retired
Member services
Samantha Diaz: 2 enrollment records collapsed into UHC-92123-72
Enrollment records
2
Member id
UHC-92123-72
MBR-011493
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023453
Duplicate member record retired
Member services
Rachel White: 2 enrollment records collapsed into UHC-15447-80
Enrollment records
2
Member id
UHC-15447-80
MBR-011507
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023454
Duplicate member record retired
Member services
Eugene Myers: 3 enrollment records collapsed into UHC-56385-29
Enrollment records
3
Member id
UHC-56385-29
MBR-011510
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023455
Duplicate member record retired
Member services
Laura Fuller: 2 enrollment records collapsed into UHC-11283-32
Enrollment records
2
Member id
UHC-11283-32
MBR-011533
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023456
Duplicate member record retired
Member services
Rebecca Jones: 3 enrollment records collapsed into UHC-46908-53
Enrollment records
3
Member id
UHC-46908-53
MBR-011536
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023457
Duplicate member record retired
Member services
Mason Morales: 2 enrollment records collapsed into UHC-68709-05
Enrollment records
2
Member id
UHC-68709-05
MBR-011539
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023458
Duplicate member record retired
Member services
Christopher Wilson: 3 enrollment records collapsed into UHC-54608-62
Enrollment records
3
Member id
UHC-54608-62
MBR-011557
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023459
Duplicate member record retired
Member services
Ralph Johnston: 2 enrollment records collapsed into UHC-71172-51
Enrollment records
2
Member id
UHC-71172-51
MBR-011558
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023460
Duplicate member record retired
Member services
Mark Rojas: 2 enrollment records collapsed into UHC-83386-37
Enrollment records
2
Member id
UHC-83386-37
MBR-011564
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023461
Duplicate member record retired
Member services
Jonathan Snyder: 2 enrollment records collapsed into UHC-01722-15
Enrollment records
2
Member id
UHC-01722-15
MBR-011576
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023462
Duplicate member record retired
Member services
Evelyn Ortiz: 2 enrollment records collapsed into UHC-86501-72
Enrollment records
2
Member id
UHC-86501-72
MBR-011581
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023463
Duplicate member record retired
Member services
Camila Perkins: 2 enrollment records collapsed into UHC-34726-01
Enrollment records
2
Member id
UHC-34726-01
MBR-011587
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023464
Duplicate member record retired
Member services
Roger Sullivan: 3 enrollment records collapsed into UHC-76081-48
Enrollment records
3
Member id
UHC-76081-48
MBR-011590
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023465
Duplicate member record retired
Member services
Jacob Diaz: 2 enrollment records collapsed into UHC-98946-09
Enrollment records
2
Member id
UHC-98946-09
MBR-011604
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023466
Duplicate member record retired
Member services
Amber Perkins: 2 enrollment records collapsed into UHC-05855-16
Enrollment records
2
Member id
UHC-05855-16
MBR-011605
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 36 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.