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-024467
Duplicate member record retired
Member services
Joan Alvarado: 2 enrollment records collapsed into UHC-00087-63
Enrollment records
2
Member id
UHC-00087-63
MBR-018800
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024468
Duplicate member record retired
Member services
Brandon Rivera: 2 enrollment records collapsed into UHC-83841-16
Enrollment records
2
Member id
UHC-83841-16
MBR-018809
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024469
Duplicate member record retired
Member services
Jacqueline Garza: 2 enrollment records collapsed into UHC-87521-71
Enrollment records
2
Member id
UHC-87521-71
MBR-018817
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024470
Duplicate member record retired
Member services
Alexander Johnston: 2 enrollment records collapsed into UHC-07559-28
Enrollment records
2
Member id
UHC-07559-28
MBR-018820
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024471
Duplicate member record retired
Member services
Ana Boyd: 2 enrollment records collapsed into UHC-37481-63
Enrollment records
2
Member id
UHC-37481-63
MBR-018828
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024472
Duplicate member record retired
Member services
Judith Sullivan: 3 enrollment records collapsed into UHC-27263-13
Enrollment records
3
Member id
UHC-27263-13
MBR-018854
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024473
Duplicate member record retired
Member services
Wei Vazquez: 2 enrollment records collapsed into UHC-51207-32
Enrollment records
2
Member id
UHC-51207-32
MBR-018857
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024474
Duplicate member record retired
Member services
Raymond Jensen: 2 enrollment records collapsed into UHC-82400-68
Enrollment records
2
Member id
UHC-82400-68
MBR-018862
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024475
Duplicate member record retired
Member services
Valentina Austin: 2 enrollment records collapsed into UHC-27686-48
Enrollment records
2
Member id
UHC-27686-48
MBR-018868
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024476
Duplicate member record retired
Member services
Danielle Duncan: 2 enrollment records collapsed into UHC-27925-26
Enrollment records
2
Member id
UHC-27925-26
MBR-018879
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024477
Duplicate member record retired
Member services
Luis Ramos: 2 enrollment records collapsed into UHC-23311-92
Enrollment records
2
Member id
UHC-23311-92
MBR-018882
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024478
Duplicate member record retired
Member services
Emily Scott: 2 enrollment records collapsed into UHC-19898-07
Enrollment records
2
Member id
UHC-19898-07
MBR-018896
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024479
Duplicate member record retired
Member services
Gloria Berry: 2 enrollment records collapsed into UHC-91554-58
Enrollment records
2
Member id
UHC-91554-58
MBR-018898
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024480
Duplicate member record retired
Member services
Scott Shaw: 2 enrollment records collapsed into UHC-01070-50
Enrollment records
2
Member id
UHC-01070-50
MBR-018910
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024481
Duplicate member record retired
Member services
Wei Marshall: 2 enrollment records collapsed into UHC-81522-17
Enrollment records
2
Member id
UHC-81522-17
MBR-018912
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024482
Duplicate member record retired
Member services
Mason Flores: 2 enrollment records collapsed into UHC-05511-99
Enrollment records
2
Member id
UHC-05511-99
MBR-018920
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024483
Duplicate member record retired
Member services
Matthew Porter: 2 enrollment records collapsed into UHC-37399-93
Enrollment records
2
Member id
UHC-37399-93
MBR-018923
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024484
Duplicate member record retired
Member services
Wayne Lopez: 2 enrollment records collapsed into UHC-44726-52
Enrollment records
2
Member id
UHC-44726-52
MBR-018949
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024485
Duplicate member record retired
Member services
Jacqueline Reyes: 2 enrollment records collapsed into UHC-41908-29
Enrollment records
2
Member id
UHC-41908-29
MBR-018965
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024486
Duplicate member record retired
Member services
Frances Alvarez: 2 enrollment records collapsed into UHC-86192-80
Enrollment records
2
Member id
UHC-86192-80
MBR-018976
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024487
Duplicate member record retired
Member services
Abigail Hayes: 2 enrollment records collapsed into UHC-91200-52
Enrollment records
2
Member id
UHC-91200-52
MBR-018984
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024488
Duplicate member record retired
Member services
Ethan Garza: 2 enrollment records collapsed into UHC-36481-22
Enrollment records
2
Member id
UHC-36481-22
MBR-018987
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024489
Duplicate member record retired
Member services
Virginia Jackson: 2 enrollment records collapsed into UHC-96033-99
Enrollment records
2
Member id
UHC-96033-99
MBR-019003
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024490
Duplicate member record retired
Member services
Denise Clark: 2 enrollment records collapsed into UHC-40992-88
Enrollment records
2
Member id
UHC-40992-88
MBR-019008
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024491
Duplicate member record retired
Member services
Ethan Gardner: 2 enrollment records collapsed into UHC-07381-68
Enrollment records
2
Member id
UHC-07381-68
MBR-019031
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024492
Duplicate member record retired
Member services
Alice Lane: 2 enrollment records collapsed into UHC-89889-41
Enrollment records
2
Member id
UHC-89889-41
MBR-019034
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024493
Duplicate member record retired
Member services
Janet Fernandez: 2 enrollment records collapsed into UHC-09025-60
Enrollment records
2
Member id
UHC-09025-60
MBR-019035
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024494
Duplicate member record retired
Member services
Jacqueline Jacckson: 2 enrollment records collapsed into UHC-10320-15
Enrollment records
2
Member id
UHC-10320-15
MBR-019040
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024495
Duplicate member record retired
Member services
Stephen Soto: 2 enrollment records collapsed into UHC-38096-98
Enrollment records
2
Member id
UHC-38096-98
MBR-019042
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024496
Duplicate member record retired
Member services
Daniel Carroll: 2 enrollment records collapsed into UHC-02920-79
Enrollment records
2
Member id
UHC-02920-79
MBR-019046
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024497
Duplicate member record retired
Member services
Carlos Young: 2 enrollment records collapsed into UHC-22068-37
Enrollment records
2
Member id
UHC-22068-37
MBR-019054
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024498
Duplicate member record retired
Member services
Frank Black: 2 enrollment records collapsed into UHC-94925-96
Enrollment records
2
Member id
UHC-94925-96
MBR-019056
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024499
Duplicate member record retired
Member services
Eric Evans: 2 enrollment records collapsed into UHC-19665-16
Enrollment records
2
Member id
UHC-19665-16
MBR-019057
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024500
Duplicate member record retired
Member services
John Banks: 2 enrollment records collapsed into UHC-23402-48
Enrollment records
2
Member id
UHC-23402-48
MBR-019063
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024501
Duplicate member record retired
Member services
Ann Perkins: 2 enrollment records collapsed into UHC-55959-65
Enrollment records
2
Member id
UHC-55959-65
MBR-019078
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024502
Duplicate member record retired
Member services
Kenneth Reynolds: 2 enrollment records collapsed into UHC-87659-01
Enrollment records
2
Member id
UHC-87659-01
MBR-019079
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024503
Duplicate member record retired
Member services
Lawrence Roberts: 3 enrollment records collapsed into UHC-89575-55
Enrollment records
3
Member id
UHC-89575-55
MBR-019081
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024504
Duplicate member record retired
Member services
Gloria Gilbert: 3 enrollment records collapsed into UHC-67983-70
Enrollment records
3
Member id
UHC-67983-70
MBR-019087
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024505
Duplicate member record retired
Member services
Kathryn Holmes: 2 enrollment records collapsed into UHC-21580-23
Enrollment records
2
Member id
UHC-21580-23
MBR-019097
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024506
Duplicate member record retired
Member services
Helen Wagner: 3 enrollment records collapsed into UHC-75791-40
Enrollment records
3
Member id
UHC-75791-40
MBR-019099
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024507
Duplicate member record retired
Member services
Nancy Rios: 2 enrollment records collapsed into UHC-35917-23
Enrollment records
2
Member id
UHC-35917-23
MBR-019101
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024508
Duplicate member record retired
Member services
Paul Kelley: 2 enrollment records collapsed into UHC-52485-37
Enrollment records
2
Member id
UHC-52485-37
MBR-019121
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024509
Duplicate member record retired
Member services
Aisha Barnes: 2 enrollment records collapsed into UHC-39587-23
Enrollment records
2
Member id
UHC-39587-23
MBR-019128
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024510
Duplicate member record retired
Member services
Charlotte Warren: 2 enrollment records collapsed into UHC-20880-69
Enrollment records
2
Member id
UHC-20880-69
MBR-019133
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024511
Duplicate member record retired
Member services
Maia Chapman: 2 enrollment records collapsed into UHC-44612-64
Enrollment records
2
Member id
UHC-44612-64
MBR-019134
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024512
Duplicate member record retired
Member services
Robert Brooks: 2 enrollment records collapsed into UHC-20176-42
Enrollment records
2
Member id
UHC-20176-42
MBR-019135
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024513
Duplicate member record retired
Member services
Hiroshi Coleman: 2 enrollment records collapsed into UHC-24824-94
Enrollment records
2
Member id
UHC-24824-94
MBR-019139
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024514
Duplicate member record retired
Member services
Arthur Franklin: 2 enrollment records collapsed into UHC-82571-88
Enrollment records
2
Member id
UHC-82571-88
MBR-019140
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024515
Duplicate member record retired
Member services
Kylle Wang: 2 enrollment records collapsed into UHC-43409-27
Enrollment records
2
Member id
UHC-43409-27
MBR-019145
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024516
Duplicate member record retired
Member services
Priya Webb: 2 enrollment records collapsed into UHC-01077-32
Enrollment records
2
Member id
UHC-01077-32
MBR-019149
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 57 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.