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-024917
Duplicate member record retired
Member services
Timothy Jacobs: 2 enrollment records collapsed into UHC-20013-02
Enrollment records
2
Member id
UHC-20013-02
MBR-022887
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024918
Duplicate member record retired
Member services
Sara Coleman: 2 enrollment records collapsed into UHC-14505-51
Enrollment records
2
Member id
UHC-14505-51
MBR-022888
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024919
Duplicate member record retired
Member services
Jonathan Johnson: 2 enrollment records collapsed into UHC-35364-89
Enrollment records
2
Member id
UHC-35364-89
MBR-022900
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024920
Duplicate member record retired
Member services
Bradley Baker: 2 enrollment records collapsed into UHC-79476-20
Enrollment records
2
Member id
UHC-79476-20
MBR-022912
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024921
Duplicate member record retired
Member services
Paul Singh: 2 enrollment records collapsed into UHC-57553-42
Enrollment records
2
Member id
UHC-57553-42
MBR-022938
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024922
Duplicate member record retired
Member services
Justin Rojas: 2 enrollment records collapsed into UHC-93944-47
Enrollment records
2
Member id
UHC-93944-47
MBR-022939
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024923
Duplicate member record retired
Member services
Ryan Li: 2 enrollment records collapsed into UHC-59343-89
Enrollment records
2
Member id
UHC-59343-89
MBR-022944
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024924
Duplicate member record retired
Member services
Heather Black: 2 enrollment records collapsed into UHC-29594-73
Enrollment records
2
Member id
UHC-29594-73
MBR-022954
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024925
Duplicate member record retired
Member services
Lori Valdez: 2 enrollment records collapsed into UHC-27056-91
Enrollment records
2
Member id
UHC-27056-91
MBR-022955
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024926
Duplicate member record retired
Member services
Kyle Olson: 2 enrollment records collapsed into UHC-95004-65
Enrollment records
2
Member id
UHC-95004-65
MBR-022974
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024927
Duplicate member record retired
Member services
Priya Collins: 2 enrollment records collapsed into UHC-14575-37
Enrollment records
2
Member id
UHC-14575-37
MBR-022982
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024928
Duplicate member record retired
Member services
Harold Mnoz: 2 enrollment records collapsed into UHC-01866-69
Enrollment records
2
Member id
UHC-01866-69
MBR-022997
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024929
Duplicate member record retired
Member services
Anthony Jackson: 2 enrollment records collapsed into UHC-47435-53
Enrollment records
2
Member id
UHC-47435-53
MBR-023006
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024930
Duplicate member record retired
Member services
Shirley Cruz: 2 enrollment records collapsed into UHC-86255-78
Enrollment records
2
Member id
UHC-86255-78
MBR-023007
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024931
Duplicate member record retired
Member services
Jason Moreno: 2 enrollment records collapsed into UHC-09388-80
Enrollment records
2
Member id
UHC-09388-80
MBR-023010
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024932
Duplicate member record retired
Member services
Kevin Cunningham: 3 enrollment records collapsed into UHC-96334-53
Enrollment records
3
Member id
UHC-96334-53
MBR-023020
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024933
Duplicate member record retired
Member services
Victoria Cox: 2 enrollment records collapsed into UHC-92289-61
Enrollment records
2
Member id
UHC-92289-61
MBR-023030
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024934
Duplicate member record retired
Member services
Sandra Morgan: 2 enrollment records collapsed into UHC-28897-69
Enrollment records
2
Member id
UHC-28897-69
MBR-023034
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024935
Duplicate member record retired
Member services
Denise Woods: 2 enrollment records collapsed into UHC-11661-57
Enrollment records
2
Member id
UHC-11661-57
MBR-023072
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024936
Duplicate member record retired
Member services
Matthew Flores: 2 enrollment records collapsed into UHC-14137-64
Enrollment records
2
Member id
UHC-14137-64
MBR-023078
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024937
Duplicate member record retired
Member services
Jerry Romero: 2 enrollment records collapsed into UHC-98312-99
Enrollment records
2
Member id
UHC-98312-99
MBR-023099
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024938
Duplicate member record retired
Member services
Mateo Hunter: 2 enrollment records collapsed into UHC-25062-14
Enrollment records
2
Member id
UHC-25062-14
MBR-023110
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024939
Duplicate member record retired
Member services
Patricia Wilson: 3 enrollment records collapsed into UHC-11066-40
Enrollment records
3
Member id
UHC-11066-40
MBR-023111
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024940
Duplicate member record retired
Member services
Adam Griffin: 2 enrollment records collapsed into UHC-17159-27
Enrollment records
2
Member id
UHC-17159-27
MBR-023117
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024941
Duplicate member record retired
Member services
Kayla Hansen: 2 enrollment records collapsed into UHC-30978-47
Enrollment records
2
Member id
UHC-30978-47
MBR-023126
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024942
Duplicate member record retired
Member services
Henry Salazar: 2 enrollment records collapsed into UHC-44361-63
Enrollment records
2
Member id
UHC-44361-63
MBR-023129
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024943
Duplicate member record retired
Member services
Kayla Greene: 3 enrollment records collapsed into UHC-73169-03
Enrollment records
3
Member id
UHC-73169-03
MBR-023135
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024944
Duplicate member record retired
Member services
Saa Greene: 2 enrollment records collapsed into UHC-27441-33
Enrollment records
2
Member id
UHC-27441-33
MBR-023149
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024945
Duplicate member record retired
Member services
Alexis Tran: 2 enrollment records collapsed into UHC-80596-07
Enrollment records
2
Member id
UHC-80596-07
MBR-023156
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024946
Duplicate member record retired
Member services
Nancy Dixon: 2 enrollment records collapsed into UHC-18593-21
Enrollment records
2
Member id
UHC-18593-21
MBR-023163
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024947
Duplicate member record retired
Member services
Michael McCoy: 2 enrollment records collapsed into UHC-72849-01
Enrollment records
2
Member id
UHC-72849-01
MBR-023170
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024948
Duplicate member record retired
Member services
Keith Ortega: 2 enrollment records collapsed into UHC-22224-56
Enrollment records
2
Member id
UHC-22224-56
MBR-023173
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024949
Duplicate member record retired
Member services
Webb Webb: 2 enrollment records collapsed into UHC-32485-80
Enrollment records
2
Member id
UHC-32485-80
MBR-023183
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024950
Duplicate member record retired
Member services
Patricia Perry: 2 enrollment records collapsed into UHC-59294-16
Enrollment records
2
Member id
UHC-59294-16
MBR-023189
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024951
Duplicate member record retired
Member services
Joseph Obrien: 2 enrollment records collapsed into UHC-03406-45
Enrollment records
2
Member id
UHC-03406-45
MBR-023190
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024952
Duplicate member record retired
Member services
Justin Lawrence: 2 enrollment records collapsed into UHC-56970-09
Enrollment records
2
Member id
UHC-56970-09
MBR-023202
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024953
Duplicate member record retired
Member services
Gary Prker: 2 enrollment records collapsed into UHC-57560-60
Enrollment records
2
Member id
UHC-57560-60
MBR-023215
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024954
Duplicate member record retired
Member services
Valentina Kelly: 2 enrollment records collapsed into UHC-36802-31
Enrollment records
2
Member id
UHC-36802-31
MBR-023216
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024955
Duplicate member record retired
Member services
Santiago Owens: 2 enrollment records collapsed into UHC-49699-73
Enrollment records
2
Member id
UHC-49699-73
MBR-023223
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024956
Duplicate member record retired
Member services
Roy Marquez: 2 enrollment records collapsed into UHC-81106-25
Enrollment records
2
Member id
UHC-81106-25
MBR-023225
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024957
Duplicate member record retired
Member services
Raymond Cole: 2 enrollment records collapsed into UHC-49275-83
Enrollment records
2
Member id
UHC-49275-83
MBR-023229
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024958
Duplicate member record retired
Member services
Andrea Peters: 2 enrollment records collapsed into UHC-05108-52
Enrollment records
2
Member id
UHC-05108-52
MBR-023233
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024959
Duplicate member record retired
Member services
Natalie Crawford: 3 enrollment records collapsed into UHC-94219-79
Enrollment records
3
Member id
UHC-94219-79
MBR-023239
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024960
Duplicate member record retired
Member services
Katherine Daniels: 3 enrollment records collapsed into UHC-46531-41
Enrollment records
3
Member id
UHC-46531-41
MBR-023240
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024961
Duplicate member record retired
Member services
Elizzabeth Lucas: 2 enrollment records collapsed into UHC-40561-13
Enrollment records
2
Member id
UHC-40561-13
MBR-023241
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024962
Duplicate member record retired
Member services
Anna Luna: 2 enrollment records collapsed into UHC-47812-78
Enrollment records
2
Member id
UHC-47812-78
MBR-023243
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024963
Duplicate member record retired
Member services
Ann Holmes: 2 enrollment records collapsed into UHC-62292-14
Enrollment records
2
Member id
UHC-62292-14
MBR-023245
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024964
Duplicate member record retired
Member services
Shirley Fernandez: 2 enrollment records collapsed into UHC-32823-27
Enrollment records
2
Member id
UHC-32823-27
MBR-023262
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024965
Duplicate member record retired
Member services
Jeremy Austin: 2 enrollment records collapsed into UHC-43876-06
Enrollment records
2
Member id
UHC-43876-06
MBR-023281
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024966
Duplicate member record retired
Member services
Rachel Soto: 2 enrollment records collapsed into UHC-26861-94
Enrollment records
2
Member id
UHC-26861-94
MBR-023294
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 66 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.