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-021867
Duplicate member record retired
Member services
Gerald Miller: 2 enrollment records collapsed into UHC-84890-95
Enrollment records
2
Member id
UHC-84890-95
MBR-001149
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021868
Duplicate member record retired
Member services
Natalie Ramos: 2 enrollment records collapsed into UHC-54434-24
Enrollment records
2
Member id
UHC-54434-24
MBR-001151
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021869
Duplicate member record retired
Member services
Sara Hamilton: 2 enrollment records collapsed into UHC-62889-75
Enrollment records
2
Member id
UHC-62889-75
MBR-001155
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021870
Duplicate member record retired
Member services
Joyce Walker: 2 enrollment records collapsed into UHC-44827-85
Enrollment records
2
Member id
UHC-44827-85
MBR-001158
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021871
Duplicate member record retired
Member services
Aisha Medina: 3 enrollment records collapsed into UHC-78384-87
Enrollment records
3
Member id
UHC-78384-87
MBR-001163
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021872
Duplicate member record retired
Member services
Willie Ray: 3 enrollment records collapsed into UHC-57120-48
Enrollment records
3
Member id
UHC-57120-48
MBR-001168
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021873
Duplicate member record retired
Member services
Benjamin Harper: 2 enrollment records collapsed into UHC-31896-42
Enrollment records
2
Member id
UHC-31896-42
MBR-001173
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021874
Duplicate member record retired
Member services
Jacqueline Sanders: 3 enrollment records collapsed into UHC-15346-56
Enrollment records
3
Member id
UHC-15346-56
MBR-001184
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021875
Duplicate member record retired
Member services
Albert Gonzalez: 2 enrollment records collapsed into UHC-36932-95
Enrollment records
2
Member id
UHC-36932-95
MBR-001191
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021876
Duplicate member record retired
Member services
Sophia Riley: 2 enrollment records collapsed into UHC-71413-86
Enrollment records
2
Member id
UHC-71413-86
MBR-001208
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021877
Duplicate member record retired
Member services
Austin Rodriguez: 2 enrollment records collapsed into UHC-11337-61
Enrollment records
2
Member id
UHC-11337-61
MBR-001213
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021878
Duplicate member record retired
Member services
Doris Wright: 3 enrollment records collapsed into UHC-04572-43
Enrollment records
3
Member id
UHC-04572-43
MBR-001219
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021879
Duplicate member record retired
Member services
Ethan Hill: 2 enrollment records collapsed into UHC-93821-06
Enrollment records
2
Member id
UHC-93821-06
MBR-001224
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021880
Duplicate member record retired
Member services
Susan Thompson: 2 enrollment records collapsed into UHC-71038-23
Enrollment records
2
Member id
UHC-71038-23
MBR-001228
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021881
Duplicate member record retired
Member services
Keith McDonald: 2 enrollment records collapsed into UHC-82124-06
Enrollment records
2
Member id
UHC-82124-06
MBR-001232
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021882
Duplicate member record retired
Member services
Laura Mendez: 2 enrollment records collapsed into UHC-60316-23
Enrollment records
2
Member id
UHC-60316-23
MBR-001237
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021883
Duplicate member record retired
Member services
Gabriel Watson: 2 enrollment records collapsed into UHC-73072-51
Enrollment records
2
Member id
UHC-73072-51
MBR-001239
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021884
Duplicate member record retired
Member services
Martha Powell: 2 enrollment records collapsed into UHC-24100-19
Enrollment records
2
Member id
UHC-24100-19
MBR-001240
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021885
Duplicate member record retired
Member services
Gary Carpenter: 2 enrollment records collapsed into UHC-56195-73
Enrollment records
2
Member id
UHC-56195-73
MBR-001249
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021886
Duplicate member record retired
Member services
Adam Perry: 2 enrollment records collapsed into UHC-40937-75
Enrollment records
2
Member id
UHC-40937-75
MBR-001254
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021887
Duplicate member record retired
Member services
Lisa Myers: 2 enrollment records collapsed into UHC-30198-60
Enrollment records
2
Member id
UHC-30198-60
MBR-001271
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021888
Duplicate member record retired
Member services
Mary Wheeler: 2 enrollment records collapsed into UHC-61948-57
Enrollment records
2
Member id
UHC-61948-57
MBR-001279
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021889
Duplicate member record retired
Member services
Angela Hawkins: 3 enrollment records collapsed into UHC-87699-01
Enrollment records
3
Member id
UHC-87699-01
MBR-001281
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021890
Duplicate member record retired
Member services
Henry Hudson: 2 enrollment records collapsed into UHC-35103-42
Enrollment records
2
Member id
UHC-35103-42
MBR-001301
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021891
Duplicate member record retired
Member services
Eugene Morales: 2 enrollment records collapsed into UHC-18419-70
Enrollment records
2
Member id
UHC-18419-70
MBR-001315
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021892
Duplicate member record retired
Member services
Arjun Wang: 2 enrollment records collapsed into UHC-07319-18
Enrollment records
2
Member id
UHC-07319-18
MBR-001318
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021893
Duplicate member record retired
Member services
Austin Johnston: 2 enrollment records collapsed into UHC-13663-84
Enrollment records
2
Member id
UHC-13663-84
MBR-001319
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021894
Duplicate member record retired
Member services
Carol Day: 2 enrollment records collapsed into UHC-08350-05
Enrollment records
2
Member id
UHC-08350-05
MBR-001321
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021895
Duplicate member record retired
Member services
Mariana Williamson: 2 enrollment records collapsed into UHC-94555-31
Enrollment records
2
Member id
UHC-94555-31
MBR-001328
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021896
Duplicate member record retired
Member services
Jeffrey Valdez: 2 enrollment records collapsed into UHC-15233-48
Enrollment records
2
Member id
UHC-15233-48
MBR-001344
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021897
Duplicate member record retired
Member services
Evelyn Burns: 2 enrollment records collapsed into UHC-64453-70
Enrollment records
2
Member id
UHC-64453-70
MBR-001347
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021898
Duplicate member record retired
Member services
Dorothy Holmes: 2 enrollment records collapsed into UHC-54912-35
Enrollment records
2
Member id
UHC-54912-35
MBR-001354
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021899
Duplicate member record retired
Member services
Douglas Henderson: 2 enrollment records collapsed into UHC-07476-51
Enrollment records
2
Member id
UHC-07476-51
MBR-001358
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021900
Duplicate member record retired
Member services
Edwaard Spencer: 2 enrollment records collapsed into UHC-21630-91
Enrollment records
2
Member id
UHC-21630-91
MBR-001372
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021901
Duplicate member record retired
Member services
Catherine Watson: 2 enrollment records collapsed into UHC-12791-78
Enrollment records
2
Member id
UHC-12791-78
MBR-001373
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021902
Duplicate member record retired
Member services
Willie Bennett: 2 enrollment records collapsed into UHC-41101-83
Enrollment records
2
Member id
UHC-41101-83
MBR-001378
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021903
Duplicate member record retired
Member services
Noah Fox: 2 enrollment records collapsed into UHC-77666-11
Enrollment records
2
Member id
UHC-77666-11
MBR-001391
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021904
Duplicate member record retired
Member services
Henry Coleman: 2 enrollment records collapsed into UHC-79227-30
Enrollment records
2
Member id
UHC-79227-30
MBR-001393
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021905
Duplicate member record retired
Member services
Carolyn Lane: 2 enrollment records collapsed into UHC-13427-82
Enrollment records
2
Member id
UHC-13427-82
MBR-001399
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021906
Duplicate member record retired
Member services
Priya Stone: 2 enrollment records collapsed into UHC-32131-64
Enrollment records
2
Member id
UHC-32131-64
MBR-001405
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021907
Duplicate member record retired
Member services
Vincent Campbell: 2 enrollment records collapsed into UHC-21729-18
Enrollment records
2
Member id
UHC-21729-18
MBR-001412
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021908
Duplicate member record retired
Member services
Jason Thompson: 2 enrollment records collapsed into UHC-34426-37
Enrollment records
2
Member id
UHC-34426-37
MBR-001414
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021909
Duplicate member record retired
Member services
Susan Kim: 2 enrollment records collapsed into UHC-90882-73
Enrollment records
2
Member id
UHC-90882-73
MBR-001416
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021910
Duplicate member record retired
Member services
Marilyn Long: 3 enrollment records collapsed into UHC-02319-99
Enrollment records
3
Member id
UHC-02319-99
MBR-001427
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021911
Duplicate member record retired
Member services
Maria Knight: 2 enrollment records collapsed into UHC-08266-58
Enrollment records
2
Member id
UHC-08266-58
MBR-001428
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021912
Duplicate member record retired
Member services
Isabella Garza: 2 enrollment records collapsed into UHC-80809-16
Enrollment records
2
Member id
UHC-80809-16
MBR-001442
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021913
Duplicate member record retired
Member services
Megan Boyd: 2 enrollment records collapsed into UHC-11001-98
Enrollment records
2
Member id
UHC-11001-98
MBR-001448
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021914
Duplicate member record retired
Member services
Judith Owens: 2 enrollment records collapsed into UHC-30369-26
Enrollment records
2
Member id
UHC-30369-26
MBR-001458
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021915
Duplicate member record retired
Member services
Hamilton Henry: 2 enrollment records collapsed into UHC-12110-84
Enrollment records
2
Member id
UHC-12110-84
MBR-001465
Executed
resolution_agent
2026-10-19 19:54:39
ACT-021916
Duplicate member record retired
Member services
Bryan Hansen: 2 enrollment records collapsed into UHC-58991-88
Enrollment records
2
Member id
UHC-58991-88
MBR-001466
Executed
resolution_agent
2026-10-19 19:54:39
4,974 rows, page 5 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.