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-023867
Duplicate member record retired
Member services
Marcus Rojas: 2 enrollment records collapsed into UHC-13207-05
Enrollment records
2
Member id
UHC-13207-05
MBR-014445
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023868
Duplicate member record retired
Member services
Gerald Lopez: 2 enrollment records collapsed into UHC-58085-71
Enrollment records
2
Member id
UHC-58085-71
MBR-014448
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023869
Duplicate member record retired
Member services
Nancy Carpenter: 2 enrollment records collapsed into UHC-82726-77
Enrollment records
2
Member id
UHC-82726-77
MBR-014450
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023870
Duplicate member record retired
Member services
Julie Guerrero: 2 enrollment records collapsed into UHC-36502-86
Enrollment records
2
Member id
UHC-36502-86
MBR-014452
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023871
Duplicate member record retired
Member services
Sophia Sandoval: 2 enrollment records collapsed into UHC-72940-64
Enrollment records
2
Member id
UHC-72940-64
MBR-014457
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023872
Duplicate member record retired
Member services
Debra Schmidt: 2 enrollment records collapsed into UHC-05894-70
Enrollment records
2
Member id
UHC-05894-70
MBR-014458
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023873
Duplicate member record retired
Member services
Roger Gilbert: 2 enrollment records collapsed into UHC-77627-53
Enrollment records
2
Member id
UHC-77627-53
MBR-014460
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023874
Duplicate member record retired
Member services
Heather Brown: 2 enrollment records collapsed into UHC-40975-16
Enrollment records
2
Member id
UHC-40975-16
MBR-014461
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023875
Duplicate member record retired
Member services
Lawrence Rodriguez: 3 enrollment records collapsed into UHC-25245-14
Enrollment records
3
Member id
UHC-25245-14
MBR-014468
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023876
Duplicate member record retired
Member services
Ryan Hunt: 2 enrollment records collapsed into UHC-48459-73
Enrollment records
2
Member id
UHC-48459-73
MBR-014476
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023877
Duplicate member record retired
Member services
Donald Martin: 3 enrollment records collapsed into UHC-71366-28
Enrollment records
3
Member id
UHC-71366-28
MBR-014480
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023878
Duplicate member record retired
Member services
Patricia Rivera: 2 enrollment records collapsed into UHC-78624-58
Enrollment records
2
Member id
UHC-78624-58
MBR-014487
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023879
Duplicate member record retired
Member services
Raymond Thomas: 3 enrollment records collapsed into UHC-09329-20
Enrollment records
3
Member id
UHC-09329-20
MBR-014504
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023880
Duplicate member record retired
Member services
Teresa Mitchell: 2 enrollment records collapsed into UHC-68340-13
Enrollment records
2
Member id
UHC-68340-13
MBR-014515
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023881
Duplicate member record retired
Member services
Ahmed Adams: 2 enrollment records collapsed into UHC-27067-82
Enrollment records
2
Member id
UHC-27067-82
MBR-014525
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023882
Duplicate member record retired
Member services
Benjamin Weaver: 2 enrollment records collapsed into UHC-20232-99
Enrollment records
2
Member id
UHC-20232-99
MBR-014531
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023883
Duplicate member record retired
Member services
Steve Alvarez: 2 enrollment records collapsed into UHC-39225-34
Enrollment records
2
Member id
UHC-39225-34
MBR-014554
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023884
Duplicate member record retired
Member services
Paul Bishop: 2 enrollment records collapsed into UHC-76605-06
Enrollment records
2
Member id
UHC-76605-06
MBR-014560
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023885
Duplicate member record retired
Member services
Ruth Collins: 2 enrollment records collapsed into UHC-81446-80
Enrollment records
2
Member id
UHC-81446-80
MBR-014578
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023886
Duplicate member record retired
Member services
Hiroshi Dominguez: 2 enrollment records collapsed into UHC-02224-53
Enrollment records
2
Member id
UHC-02224-53
MBR-014599
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023887
Duplicate member record retired
Member services
Gloria Perry: 2 enrollment records collapsed into UHC-93729-34
Enrollment records
2
Member id
UHC-93729-34
MBR-014602
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023888
Duplicate member record retired
Member services
Timothy Ruiz: 2 enrollment records collapsed into UHC-03420-49
Enrollment records
2
Member id
UHC-03420-49
MBR-014620
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023889
Duplicate member record retired
Member services
Camila Chen: 2 enrollment records collapsed into UHC-66437-32
Enrollment records
2
Member id
UHC-66437-32
MBR-014629
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023890
Duplicate member record retired
Member services
Mary Singh: 2 enrollment records collapsed into UHC-97637-47
Enrollment records
2
Member id
UHC-97637-47
MBR-014634
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023891
Duplicate member record retired
Member services
Janice Sandoval: 2 enrollment records collapsed into UHC-66768-58
Enrollment records
2
Member id
UHC-66768-58
MBR-014644
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023892
Duplicate member record retired
Member services
Christine Snyder: 2 enrollment records collapsed into UHC-44691-78
Enrollment records
2
Member id
UHC-44691-78
MBR-014652
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023893
Duplicate member record retired
Member services
Hiroshi Oliver: 2 enrollment records collapsed into UHC-75827-14
Enrollment records
2
Member id
UHC-75827-14
MBR-014663
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023894
Duplicate member record retired
Member services
Lauran Padilla: 2 enrollment records collapsed into UHC-93920-37
Enrollment records
2
Member id
UHC-93920-37
MBR-014669
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023895
Duplicate member record retired
Member services
Noah Guzman: 2 enrollment records collapsed into UHC-32384-07
Enrollment records
2
Member id
UHC-32384-07
MBR-014671
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023896
Duplicate member record retired
Member services
Mary Nunez: 3 enrollment records collapsed into UHC-30029-90
Enrollment records
3
Member id
UHC-30029-90
MBR-014691
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023897
Duplicate member record retired
Member services
Aaron Kellly: 2 enrollment records collapsed into UHC-88625-20
Enrollment records
2
Member id
UHC-88625-20
MBR-014692
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023898
Duplicate member record retired
Member services
Ashley Howard: 2 enrollment records collapsed into UHC-68473-02
Enrollment records
2
Member id
UHC-68473-02
MBR-014698
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023899
Duplicate member record retired
Member services
Sara Butler: 2 enrollment records collapsed into UHC-52657-16
Enrollment records
2
Member id
UHC-52657-16
MBR-014714
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023900
Duplicate member record retired
Member services
Marcus Lewis: 3 enrollment records collapsed into UHC-54523-19
Enrollment records
3
Member id
UHC-54523-19
MBR-014720
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023901
Duplicate member record retired
Member services
Janet Sullivan: 2 enrollment records collapsed into UHC-57981-28
Enrollment records
2
Member id
UHC-57981-28
MBR-014723
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023902
Duplicate member record retired
Member services
Emily Ford: 2 enrollment records collapsed into UHC-15465-68
Enrollment records
2
Member id
UHC-15465-68
MBR-014738
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023903
Duplicate member record retired
Member services
Peter Rose: 2 enrollment records collapsed into UHC-46761-66
Enrollment records
2
Member id
UHC-46761-66
MBR-014741
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023904
Duplicate member record retired
Member services
Russell Fowler: 2 enrollment records collapsed into UHC-69971-22
Enrollment records
2
Member id
UHC-69971-22
MBR-014743
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023905
Duplicate member record retired
Member services
Adam Peterson: 3 enrollment records collapsed into UHC-80659-23
Enrollment records
3
Member id
UHC-80659-23
MBR-014747
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023906
Duplicate member record retired
Member services
Daniel Soto: 2 enrollment records collapsed into UHC-72153-33
Enrollment records
2
Member id
UHC-72153-33
MBR-014749
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023907
Duplicate member record retired
Member services
Carol Grant: 2 enrollment records collapsed into UHC-58128-35
Enrollment records
2
Member id
UHC-58128-35
MBR-014756
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023908
Duplicate member record retired
Member services
Kayla Morgan: 2 enrollment records collapsed into UHC-94672-93
Enrollment records
2
Member id
UHC-94672-93
MBR-014759
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023909
Duplicate member record retired
Member services
Ralph Williamson: 3 enrollment records collapsed into UHC-12735-84
Enrollment records
3
Member id
UHC-12735-84
MBR-014765
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023910
Duplicate member record retired
Member services
Juan Obrien: 2 enrollment records collapsed into UHC-63527-62
Enrollment records
2
Member id
UHC-63527-62
MBR-014775
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023911
Duplicate member record retired
Member services
Maria Harper: 2 enrollment records collapsed into UHC-72350-71
Enrollment records
2
Member id
UHC-72350-71
MBR-014780
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023912
Duplicate member record retired
Member services
Sandra Sanders: 2 enrollment records collapsed into UHC-26766-16
Enrollment records
2
Member id
UHC-26766-16
MBR-014811
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023913
Duplicate member record retired
Member services
Heather Le: 2 enrollment records collapsed into UHC-10593-35
Enrollment records
2
Member id
UHC-10593-35
MBR-014812
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023914
Duplicate member record retired
Member services
Bryan Lee: 3 enrollment records collapsed into UHC-60783-66
Enrollment records
3
Member id
UHC-60783-66
MBR-014813
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023915
Duplicate member record retired
Member services
Eric Bell: 2 enrollment records collapsed into UHC-12364-05
Enrollment records
2
Member id
UHC-12364-05
MBR-014817
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023916
Duplicate member record retired
Member services
Relph Murphy: 2 enrollment records collapsed into UHC-70362-84
Enrollment records
2
Member id
UHC-70362-84
MBR-014821
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 45 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.