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-023567
Duplicate member record retired
Member services
Victoria Schmidt: 2 enrollment records collapsed into UHC-78530-25
Enrollment records
2
Member id
UHC-78530-25
MBR-012272
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023568
Duplicate member record retired
Member services
Wei Fields: 2 enrollment records collapsed into UHC-62961-20
Enrollment records
2
Member id
UHC-62961-20
MBR-012283
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023569
Duplicate member record retired
Member services
Daniel Martinez: 2 enrollment records collapsed into UHC-53488-77
Enrollment records
2
Member id
UHC-53488-77
MBR-012285
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023570
Duplicate member record retired
Member services
Yuki Stephens: 2 enrollment records collapsed into UHC-35271-91
Enrollment records
2
Member id
UHC-35271-91
MBR-012288
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023571
Duplicate member record retired
Member services
Judith Castillo: 2 enrollment records collapsed into UHC-75478-15
Enrollment records
2
Member id
UHC-75478-15
MBR-012296
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023572
Duplicate member record retired
Member services
Steven Phillips: 2 enrollment records collapsed into UHC-41677-84
Enrollment records
2
Member id
UHC-41677-84
MBR-012303
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023573
Duplicate member record retired
Member services
Seven Banks: 2 enrollment records collapsed into UHC-07451-51
Enrollment records
2
Member id
UHC-07451-51
MBR-012310
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023574
Duplicate member record retired
Member services
Brandon Bryant: 3 enrollment records collapsed into UHC-78047-95
Enrollment records
3
Member id
UHC-78047-95
MBR-012313
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023575
Duplicate member record retired
Member services
Alexis Peterson: 2 enrollment records collapsed into UHC-41655-03
Enrollment records
2
Member id
UHC-41655-03
MBR-012319
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023576
Duplicate member record retired
Member services
Philip Grant: 2 enrollment records collapsed into UHC-64888-16
Enrollment records
2
Member id
UHC-64888-16
MBR-012323
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023577
Duplicate member record retired
Member services
Barbara Webb: 2 enrollment records collapsed into UHC-95611-74
Enrollment records
2
Member id
UHC-95611-74
MBR-012326
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023578
Duplicate member record retired
Member services
Donald Williamon: 2 enrollment records collapsed into UHC-85616-98
Enrollment records
2
Member id
UHC-85616-98
MBR-012327
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023579
Duplicate member record retired
Member services
Eric Jimenez: 2 enrollment records collapsed into UHC-94818-41
Enrollment records
2
Member id
UHC-94818-41
MBR-012329
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023580
Duplicate member record retired
Member services
Sophia Bowman: 2 enrollment records collapsed into UHC-12484-24
Enrollment records
2
Member id
UHC-12484-24
MBR-012332
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023581
Duplicate member record retired
Member services
Bobby Robisnon: 2 enrollment records collapsed into UHC-36417-87
Enrollment records
2
Member id
UHC-36417-87
MBR-012335
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023582
Duplicate member record retired
Member services
Kimberly Parker: 2 enrollment records collapsed into UHC-87896-22
Enrollment records
2
Member id
UHC-87896-22
MBR-012336
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023583
Duplicate member record retired
Member services
Jeremy Hunt: 2 enrollment records collapsed into UHC-59297-43
Enrollment records
2
Member id
UHC-59297-43
MBR-012342
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023584
Duplicate member record retired
Member services
Carl Cole: 2 enrollment records collapsed into UHC-70721-52
Enrollment records
2
Member id
UHC-70721-52
MBR-012346
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023585
Duplicate member record retired
Member services
Mei Lane: 2 enrollment records collapsed into UHC-15267-96
Enrollment records
2
Member id
UHC-15267-96
MBR-012356
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023586
Duplicate member record retired
Member services
Dinaa Griffin: 2 enrollment records collapsed into UHC-20806-76
Enrollment records
2
Member id
UHC-20806-76
MBR-012369
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023587
Duplicate member record retired
Member services
Justin Ruiz: 2 enrollment records collapsed into UHC-71419-14
Enrollment records
2
Member id
UHC-71419-14
MBR-012370
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023588
Duplicate member record retired
Member services
Christina Sanchez: 2 enrollment records collapsed into UHC-05882-67
Enrollment records
2
Member id
UHC-05882-67
MBR-012376
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023589
Duplicate member record retired
Member services
Roy Baker: 2 enrollment records collapsed into UHC-30265-04
Enrollment records
2
Member id
UHC-30265-04
MBR-012379
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023590
Duplicate member record retired
Member services
Lawrence Russell: 2 enrollment records collapsed into UHC-68841-12
Enrollment records
2
Member id
UHC-68841-12
MBR-012387
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023591
Duplicate member record retired
Member services
Christina Carroll: 2 enrollment records collapsed into UHC-18251-33
Enrollment records
2
Member id
UHC-18251-33
MBR-012395
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023592
Duplicate member record retired
Member services
Denise Patel: 2 enrollment records collapsed into UHC-83561-59
Enrollment records
2
Member id
UHC-83561-59
MBR-012396
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023593
Duplicate member record retired
Member services
Katherine Hill: 2 enrollment records collapsed into UHC-53855-27
Enrollment records
2
Member id
UHC-53855-27
MBR-012404
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023594
Duplicate member record retired
Member services
James Thompson: 2 enrollment records collapsed into UHC-35914-01
Enrollment records
2
Member id
UHC-35914-01
MBR-012413
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023595
Duplicate member record retired
Member services
Margaret Vasquez: 2 enrollment records collapsed into UHC-21400-01
Enrollment records
2
Member id
UHC-21400-01
MBR-012415
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023596
Duplicate member record retired
Member services
Edward Daniels: 2 enrollment records collapsed into UHC-52432-11
Enrollment records
2
Member id
UHC-52432-11
MBR-012422
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023597
Duplicate member record retired
Member services
Amber Bailey: 2 enrollment records collapsed into UHC-62902-39
Enrollment records
2
Member id
UHC-62902-39
MBR-012424
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023598
Duplicate member record retired
Member services
Barbara Sullivan: 2 enrollment records collapsed into UHC-68842-81
Enrollment records
2
Member id
UHC-68842-81
MBR-012425
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023599
Duplicate member record retired
Member services
Timothy Wong: 2 enrollment records collapsed into UHC-78337-47
Enrollment records
2
Member id
UHC-78337-47
MBR-012430
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023600
Duplicate member record retired
Member services
Barbara Carr: 2 enrollment records collapsed into UHC-71429-35
Enrollment records
2
Member id
UHC-71429-35
MBR-012431
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023601
Duplicate member record retired
Member services
Ronald Santos: 2 enrollment records collapsed into UHC-84582-52
Enrollment records
2
Member id
UHC-84582-52
MBR-012435
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023602
Duplicate member record retired
Member services
Jeremy Yang: 2 enrollment records collapsed into UHC-66540-13
Enrollment records
2
Member id
UHC-66540-13
MBR-012444
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023603
Duplicate member record retired
Member services
Don Marquez: 3 enrollment records collapsed into UHC-15493-92
Enrollment records
3
Member id
UHC-15493-92
MBR-012460
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023604
Duplicate member record retired
Member services
Lawrence Roberts: 2 enrollment records collapsed into UHC-06365-07
Enrollment records
2
Member id
UHC-06365-07
MBR-012468
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023605
Duplicate member record retired
Member services
Aisha Wright: 3 enrollment records collapsed into UHC-95172-81
Enrollment records
3
Member id
UHC-95172-81
MBR-012472
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023606
Duplicate member record retired
Member services
Omar Fisher: 2 enrollment records collapsed into UHC-39161-40
Enrollment records
2
Member id
UHC-39161-40
MBR-012475
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023607
Duplicate member record retired
Member services
Arthur Berry: 2 enrollment records collapsed into UHC-33176-25
Enrollment records
2
Member id
UHC-33176-25
MBR-012486
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023608
Duplicate member record retired
Member services
Santiago Reid: 2 enrollment records collapsed into UHC-51553-43
Enrollment records
2
Member id
UHC-51553-43
MBR-012488
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023609
Duplicate member record retired
Member services
Daniel Palmer: 2 enrollment records collapsed into UHC-52734-93
Enrollment records
2
Member id
UHC-52734-93
MBR-012489
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023610
Duplicate member record retired
Member services
Tyler Brooks: 2 enrollment records collapsed into UHC-33688-95
Enrollment records
2
Member id
UHC-33688-95
MBR-012490
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023611
Duplicate member record retired
Member services
Adam McDonald: 2 enrollment records collapsed into UHC-42579-42
Enrollment records
2
Member id
UHC-42579-42
MBR-012494
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023612
Duplicate member record retired
Member services
Evelyn Herrera: 2 enrollment records collapsed into UHC-76171-21
Enrollment records
2
Member id
UHC-76171-21
MBR-012522
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023613
Duplicate member record retired
Member services
Katherine Marshall: 3 enrollment records collapsed into UHC-61716-65
Enrollment records
3
Member id
UHC-61716-65
MBR-012525
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023614
Duplicate member record retired
Member services
Patricia Silva: 2 enrollment records collapsed into UHC-60266-54
Enrollment records
2
Member id
UHC-60266-54
MBR-012529
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023615
Duplicate member record retired
Member services
Lawrence Ellis: 2 enrollment records collapsed into UHC-63165-77
Enrollment records
2
Member id
UHC-63165-77
MBR-012537
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023616
Duplicate member record retired
Member services
Ashley Thomas: 2 enrollment records collapsed into UHC-49242-29
Enrollment records
2
Member id
UHC-49242-29
MBR-012554
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 39 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.