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-023467
Duplicate member record retired
Member services
Wayne Ryan: 3 enrollment records collapsed into UHC-34825-03
Enrollment records
3
Member id
UHC-34825-03
MBR-011610
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023468
Duplicate member record retired
Member services
Margaret Smith: 2 enrollment records collapsed into UHC-25071-63
Enrollment records
2
Member id
UHC-25071-63
MBR-011620
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023469
Duplicate member record retired
Member services
Lauren Chen: 2 enrollment records collapsed into UHC-59956-25
Enrollment records
2
Member id
UHC-59956-25
MBR-011622
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023470
Duplicate member record retired
Member services
Jordan Chrisotpher: 2 enrollment records collapsed into UHC-13336-75
Enrollment records
2
Member id
UHC-13336-75
MBR-011623
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023471
Duplicate member record retired
Member services
Russell Luna: 2 enrollment records collapsed into UHC-49314-26
Enrollment records
2
Member id
UHC-49314-26
MBR-011629
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023472
Duplicate member record retired
Member services
Shirley Morris: 2 enrollment records collapsed into UHC-89888-33
Enrollment records
2
Member id
UHC-89888-33
MBR-011636
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023473
Duplicate member record retired
Member services
Bradley Perkins: 2 enrollment records collapsed into UHC-98736-97
Enrollment records
2
Member id
UHC-98736-97
MBR-011639
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023474
Duplicate member record retired
Member services
Harold Pena: 2 enrollment records collapsed into UHC-17817-28
Enrollment records
2
Member id
UHC-17817-28
MBR-011646
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023475
Duplicate member record retired
Member services
Sofia Carter: 2 enrollment records collapsed into UHC-79513-46
Enrollment records
2
Member id
UHC-79513-46
MBR-011657
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023476
Duplicate member record retired
Member services
Sandra Jackson: 2 enrollment records collapsed into UHC-04416-25
Enrollment records
2
Member id
UHC-04416-25
MBR-011659
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023477
Duplicate member record retired
Member services
Pamela Butler: 2 enrollment records collapsed into UHC-80952-81
Enrollment records
2
Member id
UHC-80952-81
MBR-011664
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023478
Duplicate member record retired
Member services
John Graham: 3 enrollment records collapsed into UHC-03219-23
Enrollment records
3
Member id
UHC-03219-23
MBR-011667
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023479
Duplicate member record retired
Member services
Brenda Cruz: 3 enrollment records collapsed into UHC-82459-61
Enrollment records
3
Member id
UHC-82459-61
MBR-011671
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023480
Duplicate member record retired
Member services
Debra Ray: 2 enrollment records collapsed into UHC-45752-49
Enrollment records
2
Member id
UHC-45752-49
MBR-011675
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023481
Duplicate member record retired
Member services
Helen Reid: 2 enrollment records collapsed into UHC-88997-72
Enrollment records
2
Member id
UHC-88997-72
MBR-011687
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023482
Duplicate member record retired
Member services
Martha Willis: 3 enrollment records collapsed into UHC-62076-92
Enrollment records
3
Member id
UHC-62076-92
MBR-011690
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023483
Duplicate member record retired
Member services
Lisa Hicks: 2 enrollment records collapsed into UHC-45936-13
Enrollment records
2
Member id
UHC-45936-13
MBR-011691
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023484
Duplicate member record retired
Member services
Cheryl Butler: 3 enrollment records collapsed into UHC-34460-27
Enrollment records
3
Member id
UHC-34460-27
MBR-011692
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023485
Duplicate member record retired
Member services
Theresa Padilla: 2 enrollment records collapsed into UHC-76628-92
Enrollment records
2
Member id
UHC-76628-92
MBR-011695
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023486
Duplicate member record retired
Member services
Tyler Wagner: 2 enrollment records collapsed into UHC-13695-74
Enrollment records
2
Member id
UHC-13695-74
MBR-011704
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023487
Duplicate member record retired
Member services
Luis Hernandez: 3 enrollment records collapsed into UHC-35955-65
Enrollment records
3
Member id
UHC-35955-65
MBR-011746
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023488
Duplicate member record retired
Member services
Wayne Greene: 3 enrollment records collapsed into UHC-03295-79
Enrollment records
3
Member id
UHC-03295-79
MBR-011747
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023489
Duplicate member record retired
Member services
Dean Wayne: 2 enrollment records collapsed into UHC-74792-22
Enrollment records
2
Member id
UHC-74792-22
MBR-011755
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023490
Duplicate member record retired
Member services
Sofia Robertson: 3 enrollment records collapsed into UHC-53644-18
Enrollment records
3
Member id
UHC-53644-18
MBR-011758
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023491
Duplicate member record retired
Member services
Joan Hunt: 2 enrollment records collapsed into UHC-64585-07
Enrollment records
2
Member id
UHC-64585-07
MBR-011762
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023492
Duplicate member record retired
Member services
Dennis Boyd: 3 enrollment records collapsed into UHC-62213-03
Enrollment records
3
Member id
UHC-62213-03
MBR-011763
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023493
Duplicate member record retired
Member services
Peter Banks: 3 enrollment records collapsed into UHC-77412-58
Enrollment records
3
Member id
UHC-77412-58
MBR-011781
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023494
Duplicate member record retired
Member services
Rebecca Pierce: 2 enrollment records collapsed into UHC-36404-38
Enrollment records
2
Member id
UHC-36404-38
MBR-011784
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023495
Duplicate member record retired
Member services
Isabella Harper: 2 enrollment records collapsed into UHC-58378-71
Enrollment records
2
Member id
UHC-58378-71
MBR-011785
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023496
Duplicate member record retired
Member services
Emily Roberts: 2 enrollment records collapsed into UHC-37593-70
Enrollment records
2
Member id
UHC-37593-70
MBR-011793
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023497
Duplicate member record retired
Member services
Scott Garcia: 2 enrollment records collapsed into UHC-93685-32
Enrollment records
2
Member id
UHC-93685-32
MBR-011797
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023498
Duplicate member record retired
Member services
Emma Freeman: 2 enrollment records collapsed into UHC-84914-51
Enrollment records
2
Member id
UHC-84914-51
MBR-011806
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023499
Duplicate member record retired
Member services
Samuel Rios: 2 enrollment records collapsed into UHC-83616-17
Enrollment records
2
Member id
UHC-83616-17
MBR-011817
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023500
Duplicate member record retired
Member services
Joshua Crawford: 2 enrollment records collapsed into UHC-22291-10
Enrollment records
2
Member id
UHC-22291-10
MBR-011820
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023501
Duplicate member record retired
Member services
Bryan Harrison: 2 enrollment records collapsed into UHC-33879-78
Enrollment records
2
Member id
UHC-33879-78
MBR-011825
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023502
Duplicate member record retired
Member services
Philip Gray: 2 enrollment records collapsed into UHC-41519-25
Enrollment records
2
Member id
UHC-41519-25
MBR-011833
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023503
Duplicate member record retired
Member services
Santiago Park: 2 enrollment records collapsed into UHC-48055-29
Enrollment records
2
Member id
UHC-48055-29
MBR-011840
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023504
Duplicate member record retired
Member services
Bruce Guerrero: 2 enrollment records collapsed into UHC-99039-30
Enrollment records
2
Member id
UHC-99039-30
MBR-011846
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023505
Duplicate member record retired
Member services
Kimberly Bryant: 3 enrollment records collapsed into UHC-33003-66
Enrollment records
3
Member id
UHC-33003-66
MBR-011861
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023506
Duplicate member record retired
Member services
Elijah Montgomery: 2 enrollment records collapsed into UHC-34909-33
Enrollment records
2
Member id
UHC-34909-33
MBR-011870
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023507
Duplicate member record retired
Member services
Daniel Mendez: 3 enrollment records collapsed into UHC-21332-78
Enrollment records
3
Member id
UHC-21332-78
MBR-011871
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023508
Duplicate member record retired
Member services
Bryan Valdez: 2 enrollment records collapsed into UHC-49030-70
Enrollment records
2
Member id
UHC-49030-70
MBR-011876
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023509
Duplicate member record retired
Member services
Kathryn Thompson: 2 enrollment records collapsed into UHC-66658-75
Enrollment records
2
Member id
UHC-66658-75
MBR-011910
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023510
Duplicate member record retired
Member services
Judith Mills: 2 enrollment records collapsed into UHC-96992-51
Enrollment records
2
Member id
UHC-96992-51
MBR-011912
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023511
Duplicate member record retired
Member services
Ruth Ferguson: 4 enrollment records collapsed into UHC-17845-36
Enrollment records
4
Member id
UHC-17845-36
MBR-011915
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023512
Duplicate member record retired
Member services
Julie Ross: 3 enrollment records collapsed into UHC-35911-86
Enrollment records
3
Member id
UHC-35911-86
MBR-011916
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023513
Duplicate member record retired
Member services
Joan Rivera: 2 enrollment records collapsed into UHC-22799-76
Enrollment records
2
Member id
UHC-22799-76
MBR-011926
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023514
Duplicate member record retired
Member services
Abigail Reynolds: 2 enrollment records collapsed into UHC-56842-65
Enrollment records
2
Member id
UHC-56842-65
MBR-011939
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023515
Duplicate member record retired
Member services
Marcus Arnold: 2 enrollment records collapsed into UHC-05727-11
Enrollment records
2
Member id
UHC-05727-11
MBR-011948
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023516
Duplicate member record retired
Member services
Gregory Wagner: 2 enrollment records collapsed into UHC-10634-98
Enrollment records
2
Member id
UHC-10634-98
MBR-011950
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 37 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.