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-024717
Duplicate member record retired
Member services
Anna Wong: 2 enrollment records collapsed into UHC-73396-71
Enrollment records
2
Member id
UHC-73396-71
MBR-021010
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024718
Duplicate member record retired
Member services
Philip Carlson: 2 enrollment records collapsed into UHC-39625-55
Enrollment records
2
Member id
UHC-39625-55
MBR-021012
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024719
Duplicate member record retired
Member services
Paamela Andrews: 2 enrollment records collapsed into UHC-69557-11
Enrollment records
2
Member id
UHC-69557-11
MBR-021018
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024720
Duplicate member record retired
Member services
Sophia Williamson: 2 enrollment records collapsed into UHC-37598-10
Enrollment records
2
Member id
UHC-37598-10
MBR-021041
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024721
Duplicate member record retired
Member services
Shirley Fields: 2 enrollment records collapsed into UHC-59596-37
Enrollment records
2
Member id
UHC-59596-37
MBR-021044
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024722
Duplicate member record retired
Member services
Megan Porter: 2 enrollment records collapsed into UHC-46101-45
Enrollment records
2
Member id
UHC-46101-45
MBR-021051
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024723
Duplicate member record retired
Member services
Nancy James: 2 enrollment records collapsed into UHC-08079-42
Enrollment records
2
Member id
UHC-08079-42
MBR-021059
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024724
Duplicate member record retired
Member services
Isabella Fernandez: 2 enrollment records collapsed into UHC-10105-43
Enrollment records
2
Member id
UHC-10105-43
MBR-021064
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024725
Duplicate member record retired
Member services
Bobby Miller: 2 enrollment records collapsed into UHC-03506-53
Enrollment records
2
Member id
UHC-03506-53
MBR-021075
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024726
Duplicate member record retired
Member services
Kyle Grant: 2 enrollment records collapsed into UHC-70626-34
Enrollment records
2
Member id
UHC-70626-34
MBR-021081
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024727
Duplicate member record retired
Member services
Tommy Walker: 2 enrollment records collapsed into UHC-43323-39
Enrollment records
2
Member id
UHC-43323-39
MBR-021089
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024728
Duplicate member record retired
Member services
Jacqueline Alvarado: 2 enrollment records collapsed into UHC-56970-49
Enrollment records
2
Member id
UHC-56970-49
MBR-021094
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024729
Duplicate member record retired
Member services
Sandra Davis: 2 enrollment records collapsed into UHC-90638-23
Enrollment records
2
Member id
UHC-90638-23
MBR-021106
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024730
Duplicate member record retired
Member services
Tyler Anderson: 2 enrollment records collapsed into UHC-60331-66
Enrollment records
2
Member id
UHC-60331-66
MBR-021107
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024731
Duplicate member record retired
Member services
Kelly Hunt: 2 enrollment records collapsed into UHC-13321-31
Enrollment records
2
Member id
UHC-13321-31
MBR-021110
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024732
Duplicate member record retired
Member services
Bruce Owens: 2 enrollment records collapsed into UHC-85462-64
Enrollment records
2
Member id
UHC-85462-64
MBR-021113
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024733
Duplicate member record retired
Member services
Ann Barnes: 2 enrollment records collapsed into UHC-79988-61
Enrollment records
2
Member id
UHC-79988-61
MBR-021116
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024734
Duplicate member record retired
Member services
Emma Hunt: 2 enrollment records collapsed into UHC-70237-17
Enrollment records
2
Member id
UHC-70237-17
MBR-021123
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024735
Duplicate member record retired
Member services
Jean McCoy: 2 enrollment records collapsed into UHC-59244-39
Enrollment records
2
Member id
UHC-59244-39
MBR-021128
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024736
Duplicate member record retired
Member services
Emma Dean: 2 enrollment records collapsed into UHC-64762-98
Enrollment records
2
Member id
UHC-64762-98
MBR-021132
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024737
Duplicate member record retired
Member services
Cynthia George: 2 enrollment records collapsed into UHC-88626-78
Enrollment records
2
Member id
UHC-88626-78
MBR-021133
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024738
Duplicate member record retired
Member services
Pamela Cooper: 2 enrollment records collapsed into UHC-56199-92
Enrollment records
2
Member id
UHC-56199-92
MBR-021137
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024739
Duplicate member record retired
Member services
Alan Ellis: 2 enrollment records collapsed into UHC-70988-35
Enrollment records
2
Member id
UHC-70988-35
MBR-021163
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024740
Duplicate member record retired
Member services
Aisha Wallace: 2 enrollment records collapsed into UHC-59041-99
Enrollment records
2
Member id
UHC-59041-99
MBR-021166
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024741
Duplicate member record retired
Member services
Camila McCoy: 2 enrollment records collapsed into UHC-14938-40
Enrollment records
2
Member id
UHC-14938-40
MBR-021174
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024742
Duplicate member record retired
Member services
Doris Brooks: 2 enrollment records collapsed into UHC-78067-14
Enrollment records
2
Member id
UHC-78067-14
MBR-021187
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024743
Duplicate member record retired
Member services
Sara Fuller: 2 enrollment records collapsed into UHC-29998-63
Enrollment records
2
Member id
UHC-29998-63
MBR-021195
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024744
Duplicate member record retired
Member services
Jessica Evans: 2 enrollment records collapsed into UHC-87523-88
Enrollment records
2
Member id
UHC-87523-88
MBR-021197
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024745
Duplicate member record retired
Member services
Kenneth Stewart: 2 enrollment records collapsed into UHC-42668-04
Enrollment records
2
Member id
UHC-42668-04
MBR-021203
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024746
Duplicate member record retired
Member services
Lauren Barnes: 2 enrollment records collapsed into UHC-99671-08
Enrollment records
2
Member id
UHC-99671-08
MBR-021227
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024747
Duplicate member record retired
Member services
Karen Munoz: 3 enrollment records collapsed into UHC-56123-62
Enrollment records
3
Member id
UHC-56123-62
MBR-021241
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024748
Duplicate member record retired
Member services
Santiago Garza: 2 enrollment records collapsed into UHC-94718-70
Enrollment records
2
Member id
UHC-94718-70
MBR-021244
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024749
Duplicate member record retired
Member services
Alice Marshall: 2 enrollment records collapsed into UHC-00664-46
Enrollment records
2
Member id
UHC-00664-46
MBR-021247
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024750
Duplicate member record retired
Member services
Lawrence Alvarado: 2 enrollment records collapsed into UHC-24233-95
Enrollment records
2
Member id
UHC-24233-95
MBR-021251
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024751
Duplicate member record retired
Member services
John White: 2 enrollment records collapsed into UHC-30249-93
Enrollment records
2
Member id
UHC-30249-93
MBR-021278
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024752
Duplicate member record retired
Member services
Jacqueline Owens: 2 enrollment records collapsed into UHC-62366-83
Enrollment records
2
Member id
UHC-62366-83
MBR-021283
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024753
Duplicate member record retired
Member services
Ryan Silva: 3 enrollment records collapsed into UHC-00127-90
Enrollment records
3
Member id
UHC-00127-90
MBR-021288
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024754
Duplicate member record retired
Member services
Isabella Edwards: 2 enrollment records collapsed into UHC-90465-53
Enrollment records
2
Member id
UHC-90465-53
MBR-021295
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024755
Duplicate member record retired
Member services
Susan Perez: 3 enrollment records collapsed into UHC-09172-06
Enrollment records
3
Member id
UHC-09172-06
MBR-021307
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024756
Duplicate member record retired
Member services
Albert Marquez: 2 enrollment records collapsed into UHC-18573-78
Enrollment records
2
Member id
UHC-18573-78
MBR-021350
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024757
Duplicate member record retired
Member services
Abigail Andrews: 2 enrollment records collapsed into UHC-48013-48
Enrollment records
2
Member id
UHC-48013-48
MBR-021373
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024758
Duplicate member record retired
Member services
Bryan Williams: 2 enrollment records collapsed into UHC-08951-32
Enrollment records
2
Member id
UHC-08951-32
MBR-021388
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024759
Duplicate member record retired
Member services
Denise Ryan: 2 enrollment records collapsed into UHC-47417-64
Enrollment records
2
Member id
UHC-47417-64
MBR-021393
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024760
Duplicate member record retired
Member services
Lawrence Carter: 2 enrollment records collapsed into UHC-03473-40
Enrollment records
2
Member id
UHC-03473-40
MBR-021395
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024761
Duplicate member record retired
Member services
Kathleen Fisher: 3 enrollment records collapsed into UHC-98423-32
Enrollment records
3
Member id
UHC-98423-32
MBR-021396
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024762
Duplicate member record retired
Member services
Russell Lee: 2 enrollment records collapsed into UHC-71483-82
Enrollment records
2
Member id
UHC-71483-82
MBR-021401
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024763
Duplicate member record retired
Member services
Anthony Hoffman: 2 enrollment records collapsed into UHC-25832-74
Enrollment records
2
Member id
UHC-25832-74
MBR-021415
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024764
Duplicate member record retired
Member services
Richard Weber: 2 enrollment records collapsed into UHC-47031-62
Enrollment records
2
Member id
UHC-47031-62
MBR-021417
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024765
Duplicate member record retired
Member services
Carl Allen: 2 enrollment records collapsed into UHC-59779-26
Enrollment records
2
Member id
UHC-59779-26
MBR-021433
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024766
Duplicate member record retired
Member services
Mark Butler: 2 enrollment records collapsed into UHC-68693-91
Enrollment records
2
Member id
UHC-68693-91
MBR-021460
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 62 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.