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-023917
Duplicate member record retired
Member services
Evans Viginia: 2 enrollment records collapsed into UHC-47098-36
Enrollment records
2
Member id
UHC-47098-36
MBR-014822
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023918
Duplicate member record retired
Member services
Sharon Gibson: 2 enrollment records collapsed into UHC-70124-58
Enrollment records
2
Member id
UHC-70124-58
MBR-014825
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023919
Duplicate member record retired
Member services
Mariana McDonald: 2 enrollment records collapsed into UHC-89548-26
Enrollment records
2
Member id
UHC-89548-26
MBR-014847
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023920
Duplicate member record retired
Member services
Matthew Green: 2 enrollment records collapsed into UHC-02834-66
Enrollment records
2
Member id
UHC-02834-66
MBR-014851
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023921
Duplicate member record retired
Member services
Christina Hughes: 2 enrollment records collapsed into UHC-93749-07
Enrollment records
2
Member id
UHC-93749-07
MBR-014855
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023922
Duplicate member record retired
Member services
Sandra Singh: 2 enrollment records collapsed into UHC-70540-52
Enrollment records
2
Member id
UHC-70540-52
MBR-014858
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023923
Duplicate member record retired
Member services
Kevin Rumero: 2 enrollment records collapsed into UHC-28011-67
Enrollment records
2
Member id
UHC-28011-67
MBR-014872
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023924
Duplicate member record retired
Member services
Samantha Vazquez: 3 enrollment records collapsed into UHC-23134-85
Enrollment records
3
Member id
UHC-23134-85
MBR-014874
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023925
Duplicate member record retired
Member services
Gregory Hamilton: 2 enrollment records collapsed into UHC-54999-02
Enrollment records
2
Member id
UHC-54999-02
MBR-014877
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023926
Duplicate member record retired
Member services
Margaret Bradley: 2 enrollment records collapsed into UHC-01772-13
Enrollment records
2
Member id
UHC-01772-13
MBR-014883
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023927
Duplicate member record retired
Member services
Jerry Myers: 2 enrollment records collapsed into UHC-09953-85
Enrollment records
2
Member id
UHC-09953-85
MBR-014893
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023928
Duplicate member record retired
Member services
Alexander Payne: 2 enrollment records collapsed into UHC-40615-86
Enrollment records
2
Member id
UHC-40615-86
MBR-014896
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023929
Duplicate member record retired
Member services
Luis Alexander: 2 enrollment records collapsed into UHC-27605-62
Enrollment records
2
Member id
UHC-27605-62
MBR-014900
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023930
Duplicate member record retired
Member services
Shirley Gibson: 2 enrollment records collapsed into UHC-43606-64
Enrollment records
2
Member id
UHC-43606-64
MBR-014906
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023931
Duplicate member record retired
Member services
Philip Martin: 2 enrollment records collapsed into UHC-03773-94
Enrollment records
2
Member id
UHC-03773-94
MBR-014915
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023932
Duplicate member record retired
Member services
Kimberly Young: 2 enrollment records collapsed into UHC-07925-19
Enrollment records
2
Member id
UHC-07925-19
MBR-014920
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023933
Duplicate member record retired
Member services
Andrea Pena: 2 enrollment records collapsed into UHC-32027-99
Enrollment records
2
Member id
UHC-32027-99
MBR-014932
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023934
Duplicate member record retired
Member services
Noah Edwards: 2 enrollment records collapsed into UHC-63084-99
Enrollment records
2
Member id
UHC-63084-99
MBR-014933
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023935
Duplicate member record retired
Member services
Adam Freeman: 2 enrollment records collapsed into UHC-15081-88
Enrollment records
2
Member id
UHC-15081-88
MBR-014937
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023936
Duplicate member record retired
Member services
Laura Snyder: 2 enrollment records collapsed into UHC-51993-56
Enrollment records
2
Member id
UHC-51993-56
MBR-014939
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023937
Duplicate member record retired
Member services
Kayla Rodriguez: 2 enrollment records collapsed into UHC-42876-24
Enrollment records
2
Member id
UHC-42876-24
MBR-014941
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023938
Duplicate member record retired
Member services
Wayne Franklin: 2 enrollment records collapsed into UHC-44075-82
Enrollment records
2
Member id
UHC-44075-82
MBR-014945
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023939
Duplicate member record retired
Member services
Robert Patel: 2 enrollment records collapsed into UHC-85449-55
Enrollment records
2
Member id
UHC-85449-55
MBR-014954
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023940
Duplicate member record retired
Member services
Luis Patterson: 2 enrollment records collapsed into UHC-74727-19
Enrollment records
2
Member id
UHC-74727-19
MBR-014981
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023941
Duplicate member record retired
Member services
Donald Daniels: 2 enrollment records collapsed into UHC-31510-08
Enrollment records
2
Member id
UHC-31510-08
MBR-014987
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023942
Duplicate member record retired
Member services
Santos Santos: 2 enrollment records collapsed into UHC-22491-86
Enrollment records
2
Member id
UHC-22491-86
MBR-014989
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023943
Duplicate member record retired
Member services
Julie Riley: 2 enrollment records collapsed into UHC-35425-25
Enrollment records
2
Member id
UHC-35425-25
MBR-014994
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023944
Duplicate member record retired
Member services
Ryan Larson: 2 enrollment records collapsed into UHC-65901-95
Enrollment records
2
Member id
UHC-65901-95
MBR-015002
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023945
Duplicate member record retired
Member services
Arjun Jones: 2 enrollment records collapsed into UHC-20049-53
Enrollment records
2
Member id
UHC-20049-53
MBR-015005
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023946
Duplicate member record retired
Member services
Barbara Valdez: 3 enrollment records collapsed into UHC-84229-95
Enrollment records
3
Member id
UHC-84229-95
MBR-015013
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023947
Duplicate member record retired
Member services
Marilyn Weaver: 2 enrollment records collapsed into UHC-95376-47
Enrollment records
2
Member id
UHC-95376-47
MBR-015030
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023948
Duplicate member record retired
Member services
Judith Dunn: 2 enrollment records collapsed into UHC-01652-57
Enrollment records
2
Member id
UHC-01652-57
MBR-015038
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023949
Duplicate member record retired
Member services
Marcus Alexander: 2 enrollment records collapsed into UHC-89293-82
Enrollment records
2
Member id
UHC-89293-82
MBR-015044
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023950
Duplicate member record retired
Member services
Abigail Schultz: 2 enrollment records collapsed into UHC-61086-64
Enrollment records
2
Member id
UHC-61086-64
MBR-015045
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023951
Duplicate member record retired
Member services
Sofia Murray: 2 enrollment records collapsed into UHC-35621-02
Enrollment records
2
Member id
UHC-35621-02
MBR-015050
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023952
Duplicate member record retired
Member services
Randy Scott: 2 enrollment records collapsed into UHC-99947-20
Enrollment records
2
Member id
UHC-99947-20
MBR-015072
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023953
Duplicate member record retired
Member services
Julia Jiimenez: 2 enrollment records collapsed into UHC-57419-09
Enrollment records
2
Member id
UHC-57419-09
MBR-015081
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023954
Duplicate member record retired
Member services
Charles Cook: 2 enrollment records collapsed into UHC-52550-77
Enrollment records
2
Member id
UHC-52550-77
MBR-015086
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023955
Duplicate member record retired
Member services
Sandra Mendoza: 2 enrollment records collapsed into UHC-30072-32
Enrollment records
2
Member id
UHC-30072-32
MBR-015087
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023956
Duplicate member record retired
Member services
Ana Alexander: 2 enrollment records collapsed into UHC-52420-37
Enrollment records
2
Member id
UHC-52420-37
MBR-015090
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023957
Duplicate member record retired
Member services
Wayne Collins: 2 enrollment records collapsed into UHC-90077-22
Enrollment records
2
Member id
UHC-90077-22
MBR-015092
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023958
Duplicate member record retired
Member services
Olivia Carroll: 2 enrollment records collapsed into UHC-59310-82
Enrollment records
2
Member id
UHC-59310-82
MBR-015097
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023959
Duplicate member record retired
Member services
Andrea Yang: 2 enrollment records collapsed into UHC-63361-31
Enrollment records
2
Member id
UHC-63361-31
MBR-015106
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023960
Duplicate member record retired
Member services
Nicholas Park: 3 enrollment records collapsed into UHC-31302-45
Enrollment records
3
Member id
UHC-31302-45
MBR-015108
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023961
Duplicate member record retired
Member services
Nathan Rose: 2 enrollment records collapsed into UHC-57831-42
Enrollment records
2
Member id
UHC-57831-42
MBR-015123
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023962
Duplicate member record retired
Member services
Sarah Tucker: 2 enrollment records collapsed into UHC-46506-60
Enrollment records
2
Member id
UHC-46506-60
MBR-015126
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023963
Duplicate member record retired
Member services
Christopher Diaz: 2 enrollment records collapsed into UHC-69730-93
Enrollment records
2
Member id
UHC-69730-93
MBR-015137
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023964
Duplicate member record retired
Member services
Aaron Garza: 2 enrollment records collapsed into UHC-85827-34
Enrollment records
2
Member id
UHC-85827-34
MBR-015139
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023965
Duplicate member record retired
Member services
Isabella Barnes: 2 enrollment records collapsed into UHC-66242-93
Enrollment records
2
Member id
UHC-66242-93
MBR-015151
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023966
Duplicate member record retired
Member services
Olivia Ruiz: 2 enrollment records collapsed into UHC-84232-34
Enrollment records
2
Member id
UHC-84232-34
MBR-015156
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 46 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.