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-023817
Duplicate member record retired
Member services
Watson Amy: 2 enrollment records collapsed into UHC-71029-24
Enrollment records
2
Member id
UHC-71029-24
MBR-014154
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023818
Duplicate member record retired
Member services
Joyce Vazquez: 2 enrollment records collapsed into UHC-80751-33
Enrollment records
2
Member id
UHC-80751-33
MBR-014159
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023819
Duplicate member record retired
Member services
Richard Montgomery: 3 enrollment records collapsed into UHC-26592-48
Enrollment records
3
Member id
UHC-26592-48
MBR-014163
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023820
Duplicate member record retired
Member services
Heather Dean: 2 enrollment records collapsed into UHC-96804-42
Enrollment records
2
Member id
UHC-96804-42
MBR-014168
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023821
Duplicate member record retired
Member services
Susan Cruz: 2 enrollment records collapsed into UHC-91616-29
Enrollment records
2
Member id
UHC-91616-29
MBR-014172
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023822
Duplicate member record retired
Member services
Jesse Delgado: 2 enrollment records collapsed into UHC-02668-55
Enrollment records
2
Member id
UHC-02668-55
MBR-014174
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023823
Duplicate member record retired
Member services
Aaron Payne: 2 enrollment records collapsed into UHC-50453-48
Enrollment records
2
Member id
UHC-50453-48
MBR-014182
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023824
Duplicate member record retired
Member services
Bruce Ramos: 2 enrollment records collapsed into UHC-52527-15
Enrollment records
2
Member id
UHC-52527-15
MBR-014193
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023825
Duplicate member record retired
Member services
Paul Le: 2 enrollment records collapsed into UHC-35140-55
Enrollment records
2
Member id
UHC-35140-55
MBR-014208
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023826
Duplicate member record retired
Member services
Terry Snyder: 2 enrollment records collapsed into UHC-52224-90
Enrollment records
2
Member id
UHC-52224-90
MBR-014209
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023827
Duplicate member record retired
Member services
Elijah Wilson: 2 enrollment records collapsed into UHC-92642-82
Enrollment records
2
Member id
UHC-92642-82
MBR-014215
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023828
Duplicate member record retired
Member services
Nicole Munoz: 2 enrollment records collapsed into UHC-35202-88
Enrollment records
2
Member id
UHC-35202-88
MBR-014217
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023829
Duplicate member record retired
Member services
Diana Perry: 2 enrollment records collapsed into UHC-40741-22
Enrollment records
2
Member id
UHC-40741-22
MBR-014219
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023830
Duplicate member record retired
Member services
Amanda McDonald: 2 enrollment records collapsed into UHC-18011-89
Enrollment records
2
Member id
UHC-18011-89
MBR-014238
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023831
Duplicate member record retired
Member services
Kelly Dean: 2 enrollment records collapsed into UHC-68694-75
Enrollment records
2
Member id
UHC-68694-75
MBR-014240
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023832
Duplicate member record retired
Member services
Amanda Morrison: 2 enrollment records collapsed into UHC-73807-14
Enrollment records
2
Member id
UHC-73807-14
MBR-014254
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023833
Duplicate member record retired
Member services
Danielle Parker: 2 enrollment records collapsed into UHC-92141-17
Enrollment records
2
Member id
UHC-92141-17
MBR-014256
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023834
Duplicate member record retired
Member services
Fatima Warren: 2 enrollment records collapsed into UHC-57298-39
Enrollment records
2
Member id
UHC-57298-39
MBR-014258
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023835
Duplicate member record retired
Member services
Samantha Jones: 2 enrollment records collapsed into UHC-43746-71
Enrollment records
2
Member id
UHC-43746-71
MBR-014265
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023836
Duplicate member record retired
Member services
Elijah Reynolds: 2 enrollment records collapsed into UHC-25944-12
Enrollment records
2
Member id
UHC-25944-12
MBR-014267
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023837
Duplicate member record retired
Member services
Carol Carol: 2 enrollment records collapsed into UHC-43610-58
Enrollment records
2
Member id
UHC-43610-58
MBR-014277
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023838
Duplicate member record retired
Member services
Gerald Gardner: 2 enrollment records collapsed into UHC-77471-95
Enrollment records
2
Member id
UHC-77471-95
MBR-014284
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023839
Duplicate member record retired
Member services
Andrew Ford: 2 enrollment records collapsed into UHC-20167-98
Enrollment records
2
Member id
UHC-20167-98
MBR-014285
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023840
Duplicate member record retired
Member services
Christina Dominguez: 4 enrollment records collapsed into UHC-73710-24
Enrollment records
4
Member id
UHC-73710-24
MBR-014289
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023841
Duplicate member record retired
Member services
Grace Wong: 2 enrollment records collapsed into UHC-13056-47
Enrollment records
2
Member id
UHC-13056-47
MBR-014292
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023842
Duplicate member record retired
Member services
Lawrence Ward: 2 enrollment records collapsed into UHC-20136-99
Enrollment records
2
Member id
UHC-20136-99
MBR-014295
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023843
Duplicate member record retired
Member services
Nathan Harrison: 2 enrollment records collapsed into UHC-91973-02
Enrollment records
2
Member id
UHC-91973-02
MBR-014296
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023844
Duplicate member record retired
Member services
Donna Warren: 2 enrollment records collapsed into UHC-24647-21
Enrollment records
2
Member id
UHC-24647-21
MBR-014301
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023845
Duplicate member record retired
Member services
Santiago Howell: 2 enrollment records collapsed into UHC-67277-92
Enrollment records
2
Member id
UHC-67277-92
MBR-014303
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023846
Duplicate member record retired
Member services
Carl Cook: 2 enrollment records collapsed into UHC-49730-21
Enrollment records
2
Member id
UHC-49730-21
MBR-014304
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023847
Duplicate member record retired
Member services
Linda Harper: 2 enrollment records collapsed into UHC-07597-09
Enrollment records
2
Member id
UHC-07597-09
MBR-014312
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023848
Duplicate member record retired
Member services
Timothy Webb: 2 enrollment records collapsed into UHC-43076-62
Enrollment records
2
Member id
UHC-43076-62
MBR-014313
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023849
Duplicate member record retired
Member services
Dorothy Bowman: 2 enrollment records collapsed into UHC-69668-05
Enrollment records
2
Member id
UHC-69668-05
MBR-014319
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023850
Duplicate member record retired
Member services
Michelle Kennedy: 2 enrollment records collapsed into UHC-59953-53
Enrollment records
2
Member id
UHC-59953-53
MBR-014323
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023851
Duplicate member record retired
Member services
Tyler Thomas: 2 enrollment records collapsed into UHC-19916-14
Enrollment records
2
Member id
UHC-19916-14
MBR-014329
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023852
Duplicate member record retired
Member services
Christian King: 3 enrollment records collapsed into UHC-48234-46
Enrollment records
3
Member id
UHC-48234-46
MBR-014342
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023853
Duplicate member record retired
Member services
Benjamin Hunter: 2 enrollment records collapsed into UHC-63710-50
Enrollment records
2
Member id
UHC-63710-50
MBR-014348
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023854
Duplicate member record retired
Member services
Nathan Schultz: 2 enrollment records collapsed into UHC-02679-13
Enrollment records
2
Member id
UHC-02679-13
MBR-014353
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023855
Duplicate member record retired
Member services
Yuki Wagner: 2 enrollment records collapsed into UHC-11396-96
Enrollment records
2
Member id
UHC-11396-96
MBR-014355
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023856
Duplicate member record retired
Member services
Mason Ward: 2 enrollment records collapsed into UHC-71648-92
Enrollment records
2
Member id
UHC-71648-92
MBR-014356
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023857
Duplicate member record retired
Member services
Joshua Schultz: 2 enrollment records collapsed into UHC-64250-33
Enrollment records
2
Member id
UHC-64250-33
MBR-014359
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023858
Duplicate member record retired
Member services
Emily Reynolds: 2 enrollment records collapsed into UHC-66113-25
Enrollment records
2
Member id
UHC-66113-25
MBR-014387
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023859
Duplicate member record retired
Member services
Amy Palmer: 2 enrollment records collapsed into UHC-94950-79
Enrollment records
2
Member id
UHC-94950-79
MBR-014388
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023860
Duplicate member record retired
Member services
Aisha Bowman: 2 enrollment records collapsed into UHC-79685-07
Enrollment records
2
Member id
UHC-79685-07
MBR-014389
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023861
Duplicate member record retired
Member services
Brrian Gray: 2 enrollment records collapsed into UHC-47000-39
Enrollment records
2
Member id
UHC-47000-39
MBR-014401
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023862
Duplicate member record retired
Member services
Harold Clark: 2 enrollment records collapsed into UHC-35350-52
Enrollment records
2
Member id
UHC-35350-52
MBR-014405
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023863
Duplicate member record retired
Member services
Sean Carter: 3 enrollment records collapsed into UHC-33480-82
Enrollment records
3
Member id
UHC-33480-82
MBR-014414
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023864
Duplicate member record retired
Member services
Ana Bailey: 2 enrollment records collapsed into UHC-50320-21
Enrollment records
2
Member id
UHC-50320-21
MBR-014435
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023865
Duplicate member record retired
Member services
Emma Morris: 2 enrollment records collapsed into UHC-26345-16
Enrollment records
2
Member id
UHC-26345-16
MBR-014438
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023866
Duplicate member record retired
Member services
Austin Powell: 2 enrollment records collapsed into UHC-82867-57
Enrollment records
2
Member id
UHC-82867-57
MBR-014441
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 44 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.