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-024967
Duplicate member record retired
Member services
Michelle Chavez: 2 enrollment records collapsed into UHC-36979-40
Enrollment records
2
Member id
UHC-36979-40
MBR-023303
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024968
Duplicate member record retired
Member services
Charlotte Berry: 2 enrollment records collapsed into UHC-48530-99
Enrollment records
2
Member id
UHC-48530-99
MBR-023310
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024969
Duplicate member record retired
Member services
Jacob Porter: 3 enrollment records collapsed into UHC-09627-22
Enrollment records
3
Member id
UHC-09627-22
MBR-023311
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024970
Duplicate member record retired
Member services
Edward Cook: 2 enrollment records collapsed into UHC-04537-80
Enrollment records
2
Member id
UHC-04537-80
MBR-023324
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024971
Duplicate member record retired
Member services
Sandra Murphy: 2 enrollment records collapsed into UHC-50635-15
Enrollment records
2
Member id
UHC-50635-15
MBR-023331
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024972
Duplicate member record retired
Member services
William Griffin: 2 enrollment records collapsed into UHC-50393-25
Enrollment records
2
Member id
UHC-50393-25
MBR-023339
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024973
Duplicate member record retired
Member services
Kimberly Armstrong: 2 enrollment records collapsed into UHC-44215-61
Enrollment records
2
Member id
UHC-44215-61
MBR-023343
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024974
Duplicate member record retired
Member services
Donald Castillo: 2 enrollment records collapsed into UHC-10489-73
Enrollment records
2
Member id
UHC-10489-73
MBR-023348
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024975
Duplicate member record retired
Member services
Jack Kennedy: 2 enrollment records collapsed into UHC-82804-57
Enrollment records
2
Member id
UHC-82804-57
MBR-023350
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024976
Duplicate member record retired
Member services
Mark Espinoza: 2 enrollment records collapsed into UHC-46329-47
Enrollment records
2
Member id
UHC-46329-47
MBR-023357
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024977
Duplicate member record retired
Member services
Lisa Wang: 2 enrollment records collapsed into UHC-01264-90
Enrollment records
2
Member id
UHC-01264-90
MBR-023360
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024978
Duplicate member record retired
Member services
Austin Cox: 2 enrollment records collapsed into UHC-98527-54
Enrollment records
2
Member id
UHC-98527-54
MBR-023362
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024979
Duplicate member record retired
Member services
Kayla Dunn: 2 enrollment records collapsed into UHC-36255-45
Enrollment records
2
Member id
UHC-36255-45
MBR-023369
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024980
Duplicate member record retired
Member services
Wayne Arnold: 2 enrollment records collapsed into UHC-85666-65
Enrollment records
2
Member id
UHC-85666-65
MBR-023371
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024981
Duplicate member record retired
Member services
Adam Vasquez: 2 enrollment records collapsed into UHC-91157-09
Enrollment records
2
Member id
UHC-91157-09
MBR-023381
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024982
Duplicate member record retired
Member services
Luis Reynolds: 2 enrollment records collapsed into UHC-81820-65
Enrollment records
2
Member id
UHC-81820-65
MBR-023384
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024983
Duplicate member record retired
Member services
Sophia Butler: 2 enrollment records collapsed into UHC-88598-31
Enrollment records
2
Member id
UHC-88598-31
MBR-023391
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024984
Duplicate member record retired
Member services
Sara Roberts: 2 enrollment records collapsed into UHC-52367-88
Enrollment records
2
Member id
UHC-52367-88
MBR-023404
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024985
Duplicate member record retired
Member services
Doris Meyer: 2 enrollment records collapsed into UHC-45303-32
Enrollment records
2
Member id
UHC-45303-32
MBR-023407
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024986
Duplicate member record retired
Member services
Deborah Hughes: 2 enrollment records collapsed into UHC-56499-04
Enrollment records
2
Member id
UHC-56499-04
MBR-023416
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024987
Duplicate member record retired
Member services
Justin Aguilar: 2 enrollment records collapsed into UHC-83597-02
Enrollment records
2
Member id
UHC-83597-02
MBR-023424
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024988
Duplicate member record retired
Member services
Albert Marshall: 2 enrollment records collapsed into UHC-01330-32
Enrollment records
2
Member id
UHC-01330-32
MBR-023427
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024989
Duplicate member record retired
Member services
Santiago Woods: 2 enrollment records collapsed into UHC-32440-04
Enrollment records
2
Member id
UHC-32440-04
MBR-023436
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024990
Duplicate member record retired
Member services
Donald Peters: 2 enrollment records collapsed into UHC-55654-50
Enrollment records
2
Member id
UHC-55654-50
MBR-023438
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024991
Duplicate member record retired
Member services
Joan Lawrence: 2 enrollment records collapsed into UHC-41562-28
Enrollment records
2
Member id
UHC-41562-28
MBR-023442
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024992
Duplicate member record retired
Member services
Isabella Robertson: 2 enrollment records collapsed into UHC-25638-63
Enrollment records
2
Member id
UHC-25638-63
MBR-023447
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024993
Duplicate member record retired
Member services
Arjun Mejia: 2 enrollment records collapsed into UHC-51233-72
Enrollment records
2
Member id
UHC-51233-72
MBR-023468
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024994
Duplicate member record retired
Member services
Amanda Hicks: 3 enrollment records collapsed into UHC-66518-56
Enrollment records
3
Member id
UHC-66518-56
MBR-023476
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024995
Duplicate member record retired
Member services
Kathryn Gray: 2 enrollment records collapsed into UHC-34431-13
Enrollment records
2
Member id
UHC-34431-13
MBR-023491
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024996
Duplicate member record retired
Member services
Carol Carter: 2 enrollment records collapsed into UHC-97175-90
Enrollment records
2
Member id
UHC-97175-90
MBR-023493
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024997
Duplicate member record retired
Member services
Diana Miller: 2 enrollment records collapsed into UHC-13192-58
Enrollment records
2
Member id
UHC-13192-58
MBR-023500
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024998
Duplicate member record retired
Member services
Bryan Ferguson: 2 enrollment records collapsed into UHC-51134-40
Enrollment records
2
Member id
UHC-51134-40
MBR-023502
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024999
Duplicate member record retired
Member services
Brenda Howell: 2 enrollment records collapsed into UHC-55377-54
Enrollment records
2
Member id
UHC-55377-54
MBR-023526
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025000
Duplicate member record retired
Member services
Denise Gray: 2 enrollment records collapsed into UHC-88527-68
Enrollment records
2
Member id
UHC-88527-68
MBR-023529
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025001
Duplicate member record retired
Member services
Gloria Guerrero: 2 enrollment records collapsed into UHC-00519-84
Enrollment records
2
Member id
UHC-00519-84
MBR-023532
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025002
Duplicate member record retired
Member services
Sandra Dixon: 3 enrollment records collapsed into UHC-02208-33
Enrollment records
3
Member id
UHC-02208-33
MBR-023544
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025003
Duplicate member record retired
Member services
Justin Hamilton: 2 enrollment records collapsed into UHC-41100-42
Enrollment records
2
Member id
UHC-41100-42
MBR-023549
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025004
Duplicate member record retired
Member services
Debra Moore: 2 enrollment records collapsed into UHC-69722-62
Enrollment records
2
Member id
UHC-69722-62
MBR-023554
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025005
Duplicate member record retired
Member services
Amy Hayes: 2 enrollment records collapsed into UHC-13328-28
Enrollment records
2
Member id
UHC-13328-28
MBR-023572
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025006
Duplicate member record retired
Member services
Randy Daniels: 2 enrollment records collapsed into UHC-90910-84
Enrollment records
2
Member id
UHC-90910-84
MBR-023574
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025007
Duplicate member record retired
Member services
Gerald Burns: 2 enrollment records collapsed into UHC-01240-20
Enrollment records
2
Member id
UHC-01240-20
MBR-023582
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025008
Duplicate member record retired
Member services
Austin Lopez: 2 enrollment records collapsed into UHC-10967-15
Enrollment records
2
Member id
UHC-10967-15
MBR-023605
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025009
Duplicate member record retired
Member services
Brandon Sanders: 2 enrollment records collapsed into UHC-71390-78
Enrollment records
2
Member id
UHC-71390-78
MBR-023609
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025010
Duplicate member record retired
Member services
Paul Perez: 2 enrollment records collapsed into UHC-31595-01
Enrollment records
2
Member id
UHC-31595-01
MBR-023615
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025011
Duplicate member record retired
Member services
Gerald Ellis: 2 enrollment records collapsed into UHC-40481-26
Enrollment records
2
Member id
UHC-40481-26
MBR-023618
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025012
Duplicate member record retired
Member services
Joan Estrada: 2 enrollment records collapsed into UHC-34172-38
Enrollment records
2
Member id
UHC-34172-38
MBR-023624
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025013
Duplicate member record retired
Member services
Frank Murray: 2 enrollment records collapsed into UHC-51068-95
Enrollment records
2
Member id
UHC-51068-95
MBR-023625
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025014
Duplicate member record retired
Member services
Danielle Jackson: 2 enrollment records collapsed into UHC-84944-11
Enrollment records
2
Member id
UHC-84944-11
MBR-023629
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025015
Duplicate member record retired
Member services
Alice Palmer: 2 enrollment records collapsed into UHC-90767-83
Enrollment records
2
Member id
UHC-90767-83
MBR-023647
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025016
Duplicate member record retired
Member services
Hiroshi Wang: 2 enrollment records collapsed into UHC-08450-66
Enrollment records
2
Member id
UHC-08450-66
MBR-023650
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 67 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.