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-024767
Duplicate member record retired
Member services
Austin Frnklin: 2 enrollment records collapsed into UHC-49819-90
Enrollment records
2
Member id
UHC-49819-90
MBR-021461
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024768
Duplicate member record retired
Member services
Kathryn Day: 2 enrollment records collapsed into UHC-37330-92
Enrollment records
2
Member id
UHC-37330-92
MBR-021464
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024769
Duplicate member record retired
Member services
Carl Lynch: 2 enrollment records collapsed into UHC-77776-94
Enrollment records
2
Member id
UHC-77776-94
MBR-021475
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024770
Duplicate member record retired
Member services
Austin Morales: 3 enrollment records collapsed into UHC-73946-07
Enrollment records
3
Member id
UHC-73946-07
MBR-021477
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024771
Duplicate member record retired
Member services
Brittany Maldonado: 2 enrollment records collapsed into UHC-59228-39
Enrollment records
2
Member id
UHC-59228-39
MBR-021482
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024772
Duplicate member record retired
Member services
Sarah Sullivan: 3 enrollment records collapsed into UHC-55633-98
Enrollment records
3
Member id
UHC-55633-98
MBR-021484
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024773
Duplicate member record retired
Member services
Jose Tucker: 2 enrollment records collapsed into UHC-36863-60
Enrollment records
2
Member id
UHC-36863-60
MBR-021487
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024774
Duplicate member record retired
Member services
Alan Duncan: 2 enrollment records collapsed into UHC-33937-60
Enrollment records
2
Member id
UHC-33937-60
MBR-021489
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024775
Duplicate member record retired
Member services
Sofia Rios: 2 enrollment records collapsed into UHC-21043-75
Enrollment records
2
Member id
UHC-21043-75
MBR-021553
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024776
Duplicate member record retired
Member services
Alice Graham: 3 enrollment records collapsed into UHC-35055-31
Enrollment records
3
Member id
UHC-35055-31
MBR-021569
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024777
Duplicate member record retired
Member services
Richard Lawrence: 2 enrollment records collapsed into UHC-94560-14
Enrollment records
2
Member id
UHC-94560-14
MBR-021572
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024778
Duplicate member record retired
Member services
Arthur Lucas: 2 enrollment records collapsed into UHC-03901-28
Enrollment records
2
Member id
UHC-03901-28
MBR-021577
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024779
Duplicate member record retired
Member services
Madison Moore: 2 enrollment records collapsed into UHC-36940-63
Enrollment records
2
Member id
UHC-36940-63
MBR-021579
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024780
Duplicate member record retired
Member services
Julye Hamilton: 2 enrollment records collapsed into UHC-15384-45
Enrollment records
2
Member id
UHC-15384-45
MBR-021586
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024781
Duplicate member record retired
Member services
Kathleen Le: 2 enrollment records collapsed into UHC-95340-31
Enrollment records
2
Member id
UHC-95340-31
MBR-021590
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024782
Duplicate member record retired
Member services
Petrick Luna: 2 enrollment records collapsed into UHC-87231-07
Enrollment records
2
Member id
UHC-87231-07
MBR-021591
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024783
Duplicate member record retired
Member services
Bradley Rodriguez: 2 enrollment records collapsed into UHC-54839-19
Enrollment records
2
Member id
UHC-54839-19
MBR-021601
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024784
Duplicate member record retired
Member services
Margaret Butler: 3 enrollment records collapsed into UHC-48996-47
Enrollment records
3
Member id
UHC-48996-47
MBR-021616
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024785
Duplicate member record retired
Member services
Bryan Guerrero: 2 enrollment records collapsed into UHC-91293-76
Enrollment records
2
Member id
UHC-91293-76
MBR-021623
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024786
Duplicate member record retired
Member services
Jessica Armstrong: 2 enrollment records collapsed into UHC-07333-60
Enrollment records
2
Member id
UHC-07333-60
MBR-021638
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024787
Duplicate member record retired
Member services
Kathleen Stewart: 2 enrollment records collapsed into UHC-00623-94
Enrollment records
2
Member id
UHC-00623-94
MBR-021661
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024788
Duplicate member record retired
Member services
Noah Pena: 2 enrollment records collapsed into UHC-64478-55
Enrollment records
2
Member id
UHC-64478-55
MBR-021669
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024789
Duplicate member record retired
Member services
George Franklin: 2 enrollment records collapsed into UHC-98768-47
Enrollment records
2
Member id
UHC-98768-47
MBR-021680
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024790
Duplicate member record retired
Member services
Aaron Ford: 3 enrollment records collapsed into UHC-64440-42
Enrollment records
3
Member id
UHC-64440-42
MBR-021681
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024791
Duplicate member record retired
Member services
Jimmy Holmes: 2 enrollment records collapsed into UHC-51529-10
Enrollment records
2
Member id
UHC-51529-10
MBR-021688
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024792
Duplicate member record retired
Member services
Danielle Herrera: 2 enrollment records collapsed into UHC-14995-82
Enrollment records
2
Member id
UHC-14995-82
MBR-021702
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024793
Duplicate member record retired
Member services
Gregory Willis: 2 enrollment records collapsed into UHC-33667-24
Enrollment records
2
Member id
UHC-33667-24
MBR-021708
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024794
Duplicate member record retired
Member services
Kathryn Li: 3 enrollment records collapsed into UHC-12085-61
Enrollment records
3
Member id
UHC-12085-61
MBR-021712
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024795
Duplicate member record retired
Member services
Emma Clark: 2 enrollment records collapsed into UHC-33936-99
Enrollment records
2
Member id
UHC-33936-99
MBR-021718
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024796
Duplicate member record retired
Member services
Kathleen Kathleen: 2 enrollment records collapsed into UHC-77297-29
Enrollment records
2
Member id
UHC-77297-29
MBR-021726
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024797
Duplicate member record retired
Member services
Yuki Jenkins: 2 enrollment records collapsed into UHC-89458-27
Enrollment records
2
Member id
UHC-89458-27
MBR-021728
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024798
Duplicate member record retired
Member services
Bradley Schmidt: 2 enrollment records collapsed into UHC-91040-77
Enrollment records
2
Member id
UHC-91040-77
MBR-021729
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024799
Duplicate member record retired
Member services
Priya Bryant: 2 enrollment records collapsed into UHC-21221-38
Enrollment records
2
Member id
UHC-21221-38
MBR-021734
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024800
Duplicate member record retired
Member services
Timothy Mills: 2 enrollment records collapsed into UHC-97279-49
Enrollment records
2
Member id
UHC-97279-49
MBR-021737
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024801
Duplicate member record retired
Member services
Lisa Vargas: 3 enrollment records collapsed into UHC-03351-44
Enrollment records
3
Member id
UHC-03351-44
MBR-021738
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024802
Duplicate member record retired
Member services
Philip Wood: 2 enrollment records collapsed into UHC-74863-07
Enrollment records
2
Member id
UHC-74863-07
MBR-021752
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024803
Duplicate member record retired
Member services
Heather Burton: 2 enrollment records collapsed into UHC-86821-62
Enrollment records
2
Member id
UHC-86821-62
MBR-021766
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024804
Duplicate member record retired
Member services
Santiago Kelley: 2 enrollment records collapsed into UHC-71672-31
Enrollment records
2
Member id
UHC-71672-31
MBR-021770
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024805
Duplicate member record retired
Member services
Kimberly Ramirez: 2 enrollment records collapsed into UHC-25631-35
Enrollment records
2
Member id
UHC-25631-35
MBR-021789
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024806
Duplicate member record retired
Member services
Jeffrey Maldonado: 2 enrollment records collapsed into UHC-80273-31
Enrollment records
2
Member id
UHC-80273-31
MBR-021822
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024807
Duplicate member record retired
Member services
Linda Valdez: 2 enrollment records collapsed into UHC-19258-88
Enrollment records
2
Member id
UHC-19258-88
MBR-021824
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024808
Duplicate member record retired
Member services
Gerald Harris: 2 enrollment records collapsed into UHC-66605-66
Enrollment records
2
Member id
UHC-66605-66
MBR-021831
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024809
Duplicate member record retired
Member services
Joan Hamilton: 2 enrollment records collapsed into UHC-96999-97
Enrollment records
2
Member id
UHC-96999-97
MBR-021849
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024810
Duplicate member record retired
Member services
Gloria Gomez: 2 enrollment records collapsed into UHC-96827-74
Enrollment records
2
Member id
UHC-96827-74
MBR-021858
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024811
Duplicate member record retired
Member services
Carolyn Wright: 2 enrollment records collapsed into UHC-94808-34
Enrollment records
2
Member id
UHC-94808-34
MBR-021862
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024812
Duplicate member record retired
Member services
Alan Mills: 3 enrollment records collapsed into UHC-85719-06
Enrollment records
3
Member id
UHC-85719-06
MBR-021875
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024813
Duplicate member record retired
Member services
Roy Smith: 2 enrollment records collapsed into UHC-64287-90
Enrollment records
2
Member id
UHC-64287-90
MBR-021882
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024814
Duplicate member record retired
Member services
Terry Nunez: 2 enrollment records collapsed into UHC-45934-01
Enrollment records
2
Member id
UHC-45934-01
MBR-021899
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024815
Duplicate member record retired
Member services
Hiroshi Kelley: 2 enrollment records collapsed into UHC-89921-68
Enrollment records
2
Member id
UHC-89921-68
MBR-021900
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024816
Duplicate member record retired
Member services
Christine Brooks: 2 enrollment records collapsed into UHC-05235-32
Enrollment records
2
Member id
UHC-05235-32
MBR-021912
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 63 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.