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-023767
Duplicate member record retired
Member services
Alan Powell: 2 enrollment records collapsed into UHC-61794-36
Enrollment records
2
Member id
UHC-61794-36
MBR-013783
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023768
Duplicate member record retired
Member services
Mariana Delgado: 2 enrollment records collapsed into UHC-41386-07
Enrollment records
2
Member id
UHC-41386-07
MBR-013786
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023769
Duplicate member record retired
Member services
Douglas Cunningham: 2 enrollment records collapsed into UHC-40488-95
Enrollment records
2
Member id
UHC-40488-95
MBR-013789
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023770
Duplicate member record retired
Member services
Gerald Willis: 3 enrollment records collapsed into UHC-23329-03
Enrollment records
3
Member id
UHC-23329-03
MBR-013793
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023771
Duplicate member record retired
Member services
Wayne Payne: 2 enrollment records collapsed into UHC-38229-70
Enrollment records
2
Member id
UHC-38229-70
MBR-013794
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023772
Duplicate member record retired
Member services
Alexander Hikks: 2 enrollment records collapsed into UHC-06333-47
Enrollment records
2
Member id
UHC-06333-47
MBR-013804
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023773
Duplicate member record retired
Member services
Omar Hicks: 3 enrollment records collapsed into UHC-71644-16
Enrollment records
3
Member id
UHC-71644-16
MBR-013816
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023774
Duplicate member record retired
Member services
Kayla Garrett: 3 enrollment records collapsed into UHC-84412-04
Enrollment records
3
Member id
UHC-84412-04
MBR-013830
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023775
Duplicate member record retired
Member services
Jonathan Wang: 3 enrollment records collapsed into UHC-87057-53
Enrollment records
3
Member id
UHC-87057-53
MBR-013831
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023776
Duplicate member record retired
Member services
Patrick Welch: 2 enrollment records collapsed into UHC-32323-36
Enrollment records
2
Member id
UHC-32323-36
MBR-013837
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023777
Duplicate member record retired
Member services
Ruth Jones: 2 enrollment records collapsed into UHC-19292-41
Enrollment records
2
Member id
UHC-19292-41
MBR-013850
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023778
Duplicate member record retired
Member services
Rachel Gibsun: 2 enrollment records collapsed into UHC-55095-33
Enrollment records
2
Member id
UHC-55095-33
MBR-013851
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023779
Duplicate member record retired
Member services
Mei Li: 2 enrollment records collapsed into UHC-98792-36
Enrollment records
2
Member id
UHC-98792-36
MBR-013859
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023780
Duplicate member record retired
Member services
Lucia Campbell: 2 enrollment records collapsed into UHC-88386-26
Enrollment records
2
Member id
UHC-88386-26
MBR-013862
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023781
Duplicate member record retired
Member services
Dennis Stephens: 2 enrollment records collapsed into UHC-47797-27
Enrollment records
2
Member id
UHC-47797-27
MBR-013872
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023782
Duplicate member record retired
Member services
Maria Jenkins: 3 enrollment records collapsed into UHC-85849-89
Enrollment records
3
Member id
UHC-85849-89
MBR-013883
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023783
Duplicate member record retired
Member services
Diaana Turner: 2 enrollment records collapsed into UHC-09092-69
Enrollment records
2
Member id
UHC-09092-69
MBR-013885
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023784
Duplicate member record retired
Member services
Matthew Harper: 2 enrollment records collapsed into UHC-68492-17
Enrollment records
2
Member id
UHC-68492-17
MBR-013891
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023785
Duplicate member record retired
Member services
Keith Russell: 3 enrollment records collapsed into UHC-15398-69
Enrollment records
3
Member id
UHC-15398-69
MBR-013918
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023786
Duplicate member record retired
Member services
Mateo Lee: 2 enrollment records collapsed into UHC-39222-72
Enrollment records
2
Member id
UHC-39222-72
MBR-013927
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023787
Duplicate member record retired
Member services
Samuel Payne: 2 enrollment records collapsed into UHC-26523-27
Enrollment records
2
Member id
UHC-26523-27
MBR-013951
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023788
Duplicate member record retired
Member services
Melissa Wright: 2 enrollment records collapsed into UHC-65821-75
Enrollment records
2
Member id
UHC-65821-75
MBR-013952
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023789
Duplicate member record retired
Member services
Isabella Park: 2 enrollment records collapsed into UHC-23698-51
Enrollment records
2
Member id
UHC-23698-51
MBR-013954
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023790
Duplicate member record retired
Member services
Lauren Davis: 2 enrollment records collapsed into UHC-50623-59
Enrollment records
2
Member id
UHC-50623-59
MBR-013957
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023791
Duplicate member record retired
Member services
Roger Lawrence: 2 enrollment records collapsed into UHC-53970-06
Enrollment records
2
Member id
UHC-53970-06
MBR-013962
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023792
Duplicate member record retired
Member services
Stephanie Jenkins: 2 enrollment records collapsed into UHC-66957-95
Enrollment records
2
Member id
UHC-66957-95
MBR-013966
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023793
Duplicate member record retired
Member services
Alexis Duncan: 3 enrollment records collapsed into UHC-79293-81
Enrollment records
3
Member id
UHC-79293-81
MBR-013976
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023794
Duplicate member record retired
Member services
Larry Hanson: 2 enrollment records collapsed into UHC-36825-92
Enrollment records
2
Member id
UHC-36825-92
MBR-013985
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023795
Duplicate member record retired
Member services
Jesse Spencer: 3 enrollment records collapsed into UHC-86871-84
Enrollment records
3
Member id
UHC-86871-84
MBR-013992
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023796
Duplicate member record retired
Member services
Andrew Phillips: 3 enrollment records collapsed into UHC-37629-48
Enrollment records
3
Member id
UHC-37629-48
MBR-014005
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023797
Duplicate member record retired
Member services
Willie Wang: 2 enrollment records collapsed into UHC-59116-79
Enrollment records
2
Member id
UHC-59116-79
MBR-014012
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023798
Duplicate member record retired
Member services
Kenneth Hunter: 2 enrollment records collapsed into UHC-04666-05
Enrollment records
2
Member id
UHC-04666-05
MBR-014019
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023799
Duplicate member record retired
Member services
Kenneth Perkins: 2 enrollment records collapsed into UHC-16787-95
Enrollment records
2
Member id
UHC-16787-95
MBR-014020
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023800
Duplicate member record retired
Member services
Dennis Hamilton: 2 enrollment records collapsed into UHC-89766-39
Enrollment records
2
Member id
UHC-89766-39
MBR-014027
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023801
Duplicate member record retired
Member services
Cheryl Owens: 2 enrollment records collapsed into UHC-97448-63
Enrollment records
2
Member id
UHC-97448-63
MBR-014030
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023802
Duplicate member record retired
Member services
Jeremy Dunn: 2 enrollment records collapsed into UHC-55421-50
Enrollment records
2
Member id
UHC-55421-50
MBR-014032
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023803
Duplicate member record retired
Member services
Amandda Webre: 2 enrollment records collapsed into UHC-56145-05
Enrollment records
2
Member id
UHC-56145-05
MBR-014042
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023804
Duplicate member record retired
Member services
Kenneth McDonald: 2 enrollment records collapsed into UHC-23880-38
Enrollment records
2
Member id
UHC-23880-38
MBR-014046
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023805
Duplicate member record retired
Member services
Jacqueine Young: 2 enrollment records collapsed into UHC-24609-37
Enrollment records
2
Member id
UHC-24609-37
MBR-014054
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023806
Duplicate member record retired
Member services
Natalie Green: 2 enrollment records collapsed into UHC-05349-79
Enrollment records
2
Member id
UHC-05349-79
MBR-014057
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023807
Duplicate member record retired
Member services
Samantha Palmer: 2 enrollment records collapsed into UHC-09047-81
Enrollment records
2
Member id
UHC-09047-81
MBR-014063
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023808
Duplicate member record retired
Member services
Zachary Chen: 2 enrollment records collapsed into UHC-63377-58
Enrollment records
2
Member id
UHC-63377-58
MBR-014070
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023809
Duplicate member record retired
Member services
Ana Carlson: 2 enrollment records collapsed into UHC-80981-69
Enrollment records
2
Member id
UHC-80981-69
MBR-014071
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023810
Duplicate member record retired
Member services
Billy Mills: 2 enrollment records collapsed into UHC-12680-16
Enrollment records
2
Member id
UHC-12680-16
MBR-014077
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023811
Duplicate member record retired
Member services
Bryttany Salazar: 2 enrollment records collapsed into UHC-82104-15
Enrollment records
2
Member id
UHC-82104-15
MBR-014098
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023812
Duplicate member record retired
Member services
Theresa Wagner: 2 enrollment records collapsed into UHC-14843-25
Enrollment records
2
Member id
UHC-14843-25
MBR-014113
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023813
Duplicate member record retired
Member services
Zachary Grant: 2 enrollment records collapsed into UHC-82010-72
Enrollment records
2
Member id
UHC-82010-72
MBR-014123
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023814
Duplicate member record retired
Member services
Bryan Fernandez: 2 enrollment records collapsed into UHC-35162-93
Enrollment records
2
Member id
UHC-35162-93
MBR-014126
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023815
Duplicate member record retired
Member services
Theresa Ferguson: 2 enrollment records collapsed into UHC-72869-72
Enrollment records
2
Member id
UHC-72869-72
MBR-014146
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023816
Duplicate member record retired
Member services
Janet Ford: 2 enrollment records collapsed into UHC-93525-44
Enrollment records
2
Member id
UHC-93525-44
MBR-014148
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 43 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.