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-024567
Duplicate member record retired
Member services
Patricia Owens: 2 enrollment records collapsed into UHC-87048-14
Enrollment records
2
Member id
UHC-87048-14
MBR-019534
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024568
Duplicate member record retired
Member services
Carol Willis: 3 enrollment records collapsed into UHC-94078-03
Enrollment records
3
Member id
UHC-94078-03
MBR-019540
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024569
Duplicate member record retired
Member services
Diego Jones: 2 enrollment records collapsed into UHC-95688-46
Enrollment records
2
Member id
UHC-95688-46
MBR-019542
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024570
Duplicate member record retired
Member services
Scott Duncan: 2 enrollment records collapsed into UHC-34340-60
Enrollment records
2
Member id
UHC-34340-60
MBR-019545
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024571
Duplicate member record retired
Member services
Grace Ortega: 2 enrollment records collapsed into UHC-65945-55
Enrollment records
2
Member id
UHC-65945-55
MBR-019547
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024572
Duplicate member record retired
Member services
Simmons Anthony: 2 enrollment records collapsed into UHC-84844-41
Enrollment records
2
Member id
UHC-84844-41
MBR-019558
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024573
Duplicate member record retired
Member services
Brittany Bennett: 2 enrollment records collapsed into UHC-13990-39
Enrollment records
2
Member id
UHC-13990-39
MBR-019564
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024574
Duplicate member record retired
Member services
Bryan Anderson: 2 enrollment records collapsed into UHC-91573-67
Enrollment records
2
Member id
UHC-91573-67
MBR-019573
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024575
Duplicate member record retired
Member services
Nathan Sanchez: 2 enrollment records collapsed into UHC-34921-74
Enrollment records
2
Member id
UHC-34921-74
MBR-019575
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024576
Duplicate member record retired
Member services
Brittany Simpson: 2 enrollment records collapsed into UHC-61931-71
Enrollment records
2
Member id
UHC-61931-71
MBR-019592
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024577
Duplicate member record retired
Member services
Emily Walker: 2 enrollment records collapsed into UHC-54038-88
Enrollment records
2
Member id
UHC-54038-88
MBR-019596
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024578
Duplicate member record retired
Member services
Margaret Vasquez: 2 enrollment records collapsed into UHC-19632-97
Enrollment records
2
Member id
UHC-19632-97
MBR-019603
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024579
Duplicate member record retired
Member services
Kevin Riley: 2 enrollment records collapsed into UHC-92537-73
Enrollment records
2
Member id
UHC-92537-73
MBR-019607
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024580
Duplicate member record retired
Member services
Danielle Porter: 2 enrollment records collapsed into UHC-70414-28
Enrollment records
2
Member id
UHC-70414-28
MBR-019610
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024581
Duplicate member record retired
Member services
Camila Bryant: 3 enrollment records collapsed into UHC-78163-31
Enrollment records
3
Member id
UHC-78163-31
MBR-019611
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024582
Duplicate member record retired
Member services
Jeffrey Fernandez: 2 enrollment records collapsed into UHC-50567-88
Enrollment records
2
Member id
UHC-50567-88
MBR-019616
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024583
Duplicate member record retired
Member services
Mary Prike: 2 enrollment records collapsed into UHC-79267-93
Enrollment records
2
Member id
UHC-79267-93
MBR-019617
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024584
Duplicate member record retired
Member services
Jose Howell: 2 enrollment records collapsed into UHC-32051-30
Enrollment records
2
Member id
UHC-32051-30
MBR-019625
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024585
Duplicate member record retired
Member services
Camila Spencer: 2 enrollment records collapsed into UHC-06958-03
Enrollment records
2
Member id
UHC-06958-03
MBR-019636
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024586
Duplicate member record retired
Member services
Philip Olson: 2 enrollment records collapsed into UHC-22797-90
Enrollment records
2
Member id
UHC-22797-90
MBR-019656
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024587
Duplicate member record retired
Member services
Jeremy Harper: 2 enrollment records collapsed into UHC-46303-79
Enrollment records
2
Member id
UHC-46303-79
MBR-019666
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024588
Duplicate member record retired
Member services
Willie Hoffman: 2 enrollment records collapsed into UHC-26483-10
Enrollment records
2
Member id
UHC-26483-10
MBR-019671
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024589
Duplicate member record retired
Member services
Mason Lucas: 2 enrollment records collapsed into UHC-82569-27
Enrollment records
2
Member id
UHC-82569-27
MBR-019672
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024590
Duplicate member record retired
Member services
Gregory Hudson: 2 enrollment records collapsed into UHC-35926-32
Enrollment records
2
Member id
UHC-35926-32
MBR-019675
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024591
Duplicate member record retired
Member services
Rachel Bowman: 2 enrollment records collapsed into UHC-15361-15
Enrollment records
2
Member id
UHC-15361-15
MBR-019677
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024592
Duplicate member record retired
Member services
Andrew Young: 3 enrollment records collapsed into UHC-82178-32
Enrollment records
3
Member id
UHC-82178-32
MBR-019678
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024593
Duplicate member record retired
Member services
Emma Patel: 2 enrollment records collapsed into UHC-14814-27
Enrollment records
2
Member id
UHC-14814-27
MBR-019681
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024594
Duplicate member record retired
Member services
Robert Brooks: 2 enrollment records collapsed into UHC-09505-91
Enrollment records
2
Member id
UHC-09505-91
MBR-019685
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024595
Duplicate member record retired
Member services
Keith Thompson: 2 enrollment records collapsed into UHC-58395-71
Enrollment records
2
Member id
UHC-58395-71
MBR-019688
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024596
Duplicate member record retired
Member services
Heather Guzman: 2 enrollment records collapsed into UHC-72023-79
Enrollment records
2
Member id
UHC-72023-79
MBR-019693
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024597
Duplicate member record retired
Member services
Betty Le: 2 enrollment records collapsed into UHC-26618-68
Enrollment records
2
Member id
UHC-26618-68
MBR-019709
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024598
Duplicate member record retired
Member services
Janice Carlson: 2 enrollment records collapsed into UHC-93976-86
Enrollment records
2
Member id
UHC-93976-86
MBR-019712
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024599
Duplicate member record retired
Member services
John Austin: 2 enrollment records collapsed into UHC-44139-94
Enrollment records
2
Member id
UHC-44139-94
MBR-019714
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024600
Duplicate member record retired
Member services
Kelly Contreras: 2 enrollment records collapsed into UHC-65136-03
Enrollment records
2
Member id
UHC-65136-03
MBR-019716
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024601
Duplicate member record retired
Member services
Ronald Dominguez: 2 enrollment records collapsed into UHC-96584-75
Enrollment records
2
Member id
UHC-96584-75
MBR-019731
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024602
Duplicate member record retired
Member services
Catherine Marshall: 2 enrollment records collapsed into UHC-98347-36
Enrollment records
2
Member id
UHC-98347-36
MBR-019740
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024603
Duplicate member record retired
Member services
Josh Hudson: 2 enrollment records collapsed into UHC-06238-41
Enrollment records
2
Member id
UHC-06238-41
MBR-019744
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024604
Duplicate member record retired
Member services
Bradley Larson: 2 enrollment records collapsed into UHC-08086-72
Enrollment records
2
Member id
UHC-08086-72
MBR-019762
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024605
Duplicate member record retired
Member services
Billy Watkins: 2 enrollment records collapsed into UHC-49351-53
Enrollment records
2
Member id
UHC-49351-53
MBR-019765
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024606
Duplicate member record retired
Member services
Betty Martinez: 3 enrollment records collapsed into UHC-57515-46
Enrollment records
3
Member id
UHC-57515-46
MBR-019789
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024607
Duplicate member record retired
Member services
Sofia Dominguez: 2 enrollment records collapsed into UHC-08240-73
Enrollment records
2
Member id
UHC-08240-73
MBR-019794
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024608
Duplicate member record retired
Member services
Debra Cox: 2 enrollment records collapsed into UHC-62132-15
Enrollment records
2
Member id
UHC-62132-15
MBR-019798
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024609
Duplicate member record retired
Member services
Marc Wallace: 2 enrollment records collapsed into UHC-76142-96
Enrollment records
2
Member id
UHC-76142-96
MBR-019805
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024610
Duplicate member record retired
Member services
Ed Weber: 2 enrollment records collapsed into UHC-08283-53
Enrollment records
2
Member id
UHC-08283-53
MBR-019807
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024611
Duplicate member record retired
Member services
Tyler Simpson: 2 enrollment records collapsed into UHC-59723-53
Enrollment records
2
Member id
UHC-59723-53
MBR-019810
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024612
Duplicate member record retired
Member services
Andrew Hicks: 2 enrollment records collapsed into UHC-20492-19
Enrollment records
2
Member id
UHC-20492-19
MBR-019842
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024613
Duplicate member record retired
Member services
Carl Franklin: 2 enrollment records collapsed into UHC-42872-40
Enrollment records
2
Member id
UHC-42872-40
MBR-019846
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024614
Duplicate member record retired
Member services
Jerry Lane: 2 enrollment records collapsed into UHC-21466-99
Enrollment records
2
Member id
UHC-21466-99
MBR-019865
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024615
Duplicate member record retired
Member services
David Guzman: 2 enrollment records collapsed into UHC-47294-74
Enrollment records
2
Member id
UHC-47294-74
MBR-019879
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024616
Duplicate member record retired
Member services
Stephen Fernandez: 2 enrollment records collapsed into UHC-00238-90
Enrollment records
2
Member id
UHC-00238-90
MBR-019897
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 59 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.