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-021917
Duplicate member record retired
Member services
Patricia Price: 2 enrollment records collapsed into UHC-93968-03
Enrollment records
2
Member id
UHC-93968-03
MBR-001472
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021918
Duplicate member record retired
Member services
Marcus Thompson: 2 enrollment records collapsed into UHC-71607-73
Enrollment records
2
Member id
UHC-71607-73
MBR-001474
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021919
Duplicate member record retired
Member services
Matthew Medina: 2 enrollment records collapsed into UHC-54702-19
Enrollment records
2
Member id
UHC-54702-19
MBR-001480
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021920
Duplicate member record retired
Member services
Russell Carlson: 2 enrollment records collapsed into UHC-54250-93
Enrollment records
2
Member id
UHC-54250-93
MBR-001484
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021921
Duplicate member record retired
Member services
Emily Shaw: 2 enrollment records collapsed into UHC-67683-28
Enrollment records
2
Member id
UHC-67683-28
MBR-001486
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021922
Duplicate member record retired
Member services
Gary Burton: 2 enrollment records collapsed into UHC-41264-81
Enrollment records
2
Member id
UHC-41264-81
MBR-001487
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021923
Duplicate member record retired
Member services
Kenneth Stewart: 2 enrollment records collapsed into UHC-80393-86
Enrollment records
2
Member id
UHC-80393-86
MBR-001489
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021924
Duplicate member record retired
Member services
Sophia Hughes: 2 enrollment records collapsed into UHC-77760-37
Enrollment records
2
Member id
UHC-77760-37
MBR-001505
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021925
Duplicate member record retired
Member services
Beverly Tran: 2 enrollment records collapsed into UHC-27198-30
Enrollment records
2
Member id
UHC-27198-30
MBR-001512
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021926
Duplicate member record retired
Member services
Chris Ortega: 2 enrollment records collapsed into UHC-20181-23
Enrollment records
2
Member id
UHC-20181-23
MBR-001516
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021927
Duplicate member record retired
Member services
Joshua Munoz: 2 enrollment records collapsed into UHC-32257-80
Enrollment records
2
Member id
UHC-32257-80
MBR-001518
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021928
Duplicate member record retired
Member services
Stephanie Brown: 2 enrollment records collapsed into UHC-58523-40
Enrollment records
2
Member id
UHC-58523-40
MBR-001522
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021929
Duplicate member record retired
Member services
Anna Carpenter: 2 enrollment records collapsed into UHC-11448-93
Enrollment records
2
Member id
UHC-11448-93
MBR-001525
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021930
Duplicate member record retired
Member services
Samuel Fodr: 2 enrollment records collapsed into UHC-70147-78
Enrollment records
2
Member id
UHC-70147-78
MBR-001533
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021931
Duplicate member record retired
Member services
Abigail Hill: 2 enrollment records collapsed into UHC-84222-34
Enrollment records
2
Member id
UHC-84222-34
MBR-001555
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021932
Duplicate member record retired
Member services
Billy Reid: 2 enrollment records collapsed into UHC-17079-68
Enrollment records
2
Member id
UHC-17079-68
MBR-001577
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021933
Duplicate member record retired
Member services
Gary Collins: 2 enrollment records collapsed into UHC-03313-76
Enrollment records
2
Member id
UHC-03313-76
MBR-001581
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021934
Duplicate member record retired
Member services
Hannah Wood: 2 enrollment records collapsed into UHC-77455-70
Enrollment records
2
Member id
UHC-77455-70
MBR-001591
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021935
Duplicate member record retired
Member services
Austin Walsh: 2 enrollment records collapsed into UHC-77688-70
Enrollment records
2
Member id
UHC-77688-70
MBR-001594
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021936
Duplicate member record retired
Member services
John Daniels: 2 enrollment records collapsed into UHC-60949-65
Enrollment records
2
Member id
UHC-60949-65
MBR-001596
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021937
Duplicate member record retired
Member services
Matthew Day: 2 enrollment records collapsed into UHC-65445-38
Enrollment records
2
Member id
UHC-65445-38
MBR-001601
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021938
Duplicate member record retired
Member services
Aisha Ryan: 3 enrollment records collapsed into UHC-58675-91
Enrollment records
3
Member id
UHC-58675-91
MBR-001604
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021939
Duplicate member record retired
Member services
Katherine James: 2 enrollment records collapsed into UHC-01774-66
Enrollment records
2
Member id
UHC-01774-66
MBR-001609
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021940
Duplicate member record retired
Member services
Jake Collins: 2 enrollment records collapsed into UHC-09689-71
Enrollment records
2
Member id
UHC-09689-71
MBR-001616
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021941
Duplicate member record retired
Member services
Steven Weber: 2 enrollment records collapsed into UHC-54394-70
Enrollment records
2
Member id
UHC-54394-70
MBR-001618
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021942
Duplicate member record retired
Member services
Virginia Guerrero: 2 enrollment records collapsed into UHC-49764-58
Enrollment records
2
Member id
UHC-49764-58
MBR-001633
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021943
Duplicate member record retired
Member services
Sara Hicks: 2 enrollment records collapsed into UHC-24394-15
Enrollment records
2
Member id
UHC-24394-15
MBR-001634
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021944
Duplicate member record retired
Member services
Gloria Ross: 2 enrollment records collapsed into UHC-95778-74
Enrollment records
2
Member id
UHC-95778-74
MBR-001638
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021945
Duplicate member record retired
Member services
Frances Bailey: 2 enrollment records collapsed into UHC-79037-98
Enrollment records
2
Member id
UHC-79037-98
MBR-001639
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021946
Duplicate member record retired
Member services
Frank Austin: 2 enrollment records collapsed into UHC-35904-15
Enrollment records
2
Member id
UHC-35904-15
MBR-001641
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021947
Duplicate member record retired
Member services
William Hernandez: 2 enrollment records collapsed into UHC-46931-84
Enrollment records
2
Member id
UHC-46931-84
MBR-001652
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021948
Duplicate member record retired
Member services
Arthur Warren: 2 enrollment records collapsed into UHC-11819-82
Enrollment records
2
Member id
UHC-11819-82
MBR-001662
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021949
Duplicate member record retired
Member services
Terry Medina: 2 enrollment records collapsed into UHC-89474-97
Enrollment records
2
Member id
UHC-89474-97
MBR-001668
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021950
Duplicate member record retired
Member services
Teresa Howell: 2 enrollment records collapsed into UHC-92058-49
Enrollment records
2
Member id
UHC-92058-49
MBR-001682
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021951
Duplicate member record retired
Member services
Willie Rogers: 2 enrollment records collapsed into UHC-19353-05
Enrollment records
2
Member id
UHC-19353-05
MBR-001693
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021952
Duplicate member record retired
Member services
Zachary Fuller: 2 enrollment records collapsed into UHC-64893-75
Enrollment records
2
Member id
UHC-64893-75
MBR-001694
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021953
Duplicate member record retired
Member services
Priya Garcia: 2 enrollment records collapsed into UHC-44713-38
Enrollment records
2
Member id
UHC-44713-38
MBR-001698
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021954
Duplicate member record retired
Member services
Julia Morales: 2 enrollment records collapsed into UHC-43213-79
Enrollment records
2
Member id
UHC-43213-79
MBR-001704
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021955
Duplicate member record retired
Member services
Carol Meyer: 2 enrollment records collapsed into UHC-67181-84
Enrollment records
2
Member id
UHC-67181-84
MBR-001707
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021956
Duplicate member record retired
Member services
Samantha Walker: 2 enrollment records collapsed into UHC-63264-85
Enrollment records
2
Member id
UHC-63264-85
MBR-001714
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021957
Duplicate member record retired
Member services
Rebecca Palmer: 2 enrollment records collapsed into UHC-84842-07
Enrollment records
2
Member id
UHC-84842-07
MBR-001733
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021958
Duplicate member record retired
Member services
Margaret Bishop: 2 enrollment records collapsed into UHC-17308-48
Enrollment records
2
Member id
UHC-17308-48
MBR-001740
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021959
Duplicate member record retired
Member services
Andrew Lee: 2 enrollment records collapsed into UHC-17562-92
Enrollment records
2
Member id
UHC-17562-92
MBR-001741
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021960
Duplicate member record retired
Member services
Larry Duncan: 2 enrollment records collapsed into UHC-94999-36
Enrollment records
2
Member id
UHC-94999-36
MBR-001745
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021961
Duplicate member record retired
Member services
Kelly Miller: 2 enrollment records collapsed into UHC-14354-74
Enrollment records
2
Member id
UHC-14354-74
MBR-001766
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021962
Duplicate member record retired
Member services
Dennis Dunn: 2 enrollment records collapsed into UHC-10436-45
Enrollment records
2
Member id
UHC-10436-45
MBR-001776
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021963
Duplicate member record retired
Member services
Santiago McDonald: 2 enrollment records collapsed into UHC-59608-33
Enrollment records
2
Member id
UHC-59608-33
MBR-001779
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021964
Duplicate member record retired
Member services
George Jones: 2 enrollment records collapsed into UHC-24975-70
Enrollment records
2
Member id
UHC-24975-70
MBR-001789
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021965
Duplicate member record retired
Member services
Melissa McDonald: 2 enrollment records collapsed into UHC-49869-26
Enrollment records
2
Member id
UHC-49869-26
MBR-001795
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021966
Duplicate member record retired
Member services
Turnr Debra: 2 enrollment records collapsed into UHC-81707-43
Enrollment records
2
Member id
UHC-81707-43
MBR-001797
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 6 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.