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-021967
Duplicate member record retired
Member services
Nicholas Gomez: 2 enrollment records collapsed into UHC-74967-12
Enrollment records
2
Member id
UHC-74967-12
MBR-001804
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021968
Duplicate member record retired
Member services
Aaron Munoz: 2 enrollment records collapsed into UHC-15982-66
Enrollment records
2
Member id
UHC-15982-66
MBR-001805
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021969
Duplicate member record retired
Member services
Priya Tucker: 2 enrollment records collapsed into UHC-26060-45
Enrollment records
2
Member id
UHC-26060-45
MBR-001814
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021970
Duplicate member record retired
Member services
Lucia Graham: 2 enrollment records collapsed into UHC-22262-48
Enrollment records
2
Member id
UHC-22262-48
MBR-001816
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021971
Duplicate member record retired
Member services
Camila Walsh: 2 enrollment records collapsed into UHC-95340-27
Enrollment records
2
Member id
UHC-95340-27
MBR-001820
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021972
Duplicate member record retired
Member services
Jeremy Duncan: 2 enrollment records collapsed into UHC-03261-36
Enrollment records
2
Member id
UHC-03261-36
MBR-001826
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021973
Duplicate member record retired
Member services
Natalie Le: 2 enrollment records collapsed into UHC-92405-09
Enrollment records
2
Member id
UHC-92405-09
MBR-001830
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021974
Duplicate member record retired
Member services
Virginia Weber: 3 enrollment records collapsed into UHC-10635-06
Enrollment records
3
Member id
UHC-10635-06
MBR-001838
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021975
Duplicate member record retired
Member services
Anna Taylor: 3 enrollment records collapsed into UHC-89479-07
Enrollment records
3
Member id
UHC-89479-07
MBR-001843
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021976
Duplicate member record retired
Member services
Frances Mitchell: 2 enrollment records collapsed into UHC-84213-11
Enrollment records
2
Member id
UHC-84213-11
MBR-001852
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021977
Duplicate member record retired
Member services
Philip Morgan: 2 enrollment records collapsed into UHC-74681-79
Enrollment records
2
Member id
UHC-74681-79
MBR-001853
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021978
Duplicate member record retired
Member services
Linda Garrett: 2 enrollment records collapsed into UHC-52045-15
Enrollment records
2
Member id
UHC-52045-15
MBR-001868
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021979
Duplicate member record retired
Member services
Alexis Olson: 2 enrollment records collapsed into UHC-58648-50
Enrollment records
2
Member id
UHC-58648-50
MBR-001870
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021980
Duplicate member record retired
Member services
Betty Cooper: 2 enrollment records collapsed into UHC-83087-08
Enrollment records
2
Member id
UHC-83087-08
MBR-001873
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021981
Duplicate member record retired
Member services
Jacob Jenkins: 2 enrollment records collapsed into UHC-53925-63
Enrollment records
2
Member id
UHC-53925-63
MBR-001875
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021982
Duplicate member record retired
Member services
Arjun Wright: 2 enrollment records collapsed into UHC-27547-79
Enrollment records
2
Member id
UHC-27547-79
MBR-001882
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021983
Duplicate member record retired
Member services
Logan Bailey: 2 enrollment records collapsed into UHC-62349-08
Enrollment records
2
Member id
UHC-62349-08
MBR-001890
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021984
Duplicate member record retired
Member services
Jose Nelson: 2 enrollment records collapsed into UHC-60100-97
Enrollment records
2
Member id
UHC-60100-97
MBR-001900
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021985
Duplicate member record retired
Member services
Nathan Gutierrez: 2 enrollment records collapsed into UHC-41662-03
Enrollment records
2
Member id
UHC-41662-03
MBR-001901
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021986
Duplicate member record retired
Member services
Scott Scott: 2 enrollment records collapsed into UHC-61124-09
Enrollment records
2
Member id
UHC-61124-09
MBR-001912
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021987
Duplicate member record retired
Member services
Bryan Elliott: 2 enrollment records collapsed into UHC-17957-06
Enrollment records
2
Member id
UHC-17957-06
MBR-001913
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021988
Duplicate member record retired
Member services
Julia Soot: 2 enrollment records collapsed into UHC-52203-01
Enrollment records
2
Member id
UHC-52203-01
MBR-001919
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021989
Duplicate member record retired
Member services
Jordan Padilla: 2 enrollment records collapsed into UHC-26828-27
Enrollment records
2
Member id
UHC-26828-27
MBR-001920
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021990
Duplicate member record retired
Member services
Emily Anderson: 2 enrollment records collapsed into UHC-77460-19
Enrollment records
2
Member id
UHC-77460-19
MBR-001921
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021991
Duplicate member record retired
Member services
Lucia Vega: 3 enrollment records collapsed into UHC-18096-62
Enrollment records
3
Member id
UHC-18096-62
MBR-001929
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021992
Duplicate member record retired
Member services
Mei Morrison: 3 enrollment records collapsed into UHC-89772-23
Enrollment records
3
Member id
UHC-89772-23
MBR-001939
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021993
Duplicate member record retired
Member services
Elijah Schultz: 2 enrollment records collapsed into UHC-61716-81
Enrollment records
2
Member id
UHC-61716-81
MBR-001941
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021994
Duplicate member record retired
Member services
Judy Ward: 2 enrollment records collapsed into UHC-72375-15
Enrollment records
2
Member id
UHC-72375-15
MBR-001957
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021995
Duplicate member record retired
Member services
George Austin: 2 enrollment records collapsed into UHC-64229-61
Enrollment records
2
Member id
UHC-64229-61
MBR-001962
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021996
Duplicate member record retired
Member services
Arjun Martinez: 2 enrollment records collapsed into UHC-42845-59
Enrollment records
2
Member id
UHC-42845-59
MBR-001976
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021997
Duplicate member record retired
Member services
Alexander Ross: 2 enrollment records collapsed into UHC-40145-93
Enrollment records
2
Member id
UHC-40145-93
MBR-001979
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021998
Duplicate member record retired
Member services
Julie Vasquez: 2 enrollment records collapsed into UHC-85680-48
Enrollment records
2
Member id
UHC-85680-48
MBR-001982
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021999
Duplicate member record retired
Member services
Dorothy Vega: 3 enrollment records collapsed into UHC-62516-28
Enrollment records
3
Member id
UHC-62516-28
MBR-001986
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022000
Duplicate member record retired
Member services
Ann Lawrence: 2 enrollment records collapsed into UHC-40605-61
Enrollment records
2
Member id
UHC-40605-61
MBR-001990
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022001
Duplicate member record retired
Member services
Lori Willis: 2 enrollment records collapsed into UHC-64947-31
Enrollment records
2
Member id
UHC-64947-31
MBR-001999
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022002
Duplicate member record retired
Member services
Mariana Green: 2 enrollment records collapsed into UHC-41515-80
Enrollment records
2
Member id
UHC-41515-80
MBR-002007
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022003
Duplicate member record retired
Member services
Camila Snyder: 2 enrollment records collapsed into UHC-87849-68
Enrollment records
2
Member id
UHC-87849-68
MBR-002012
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022004
Duplicate member record retired
Member services
Diane Carter: 2 enrollment records collapsed into UHC-52209-86
Enrollment records
2
Member id
UHC-52209-86
MBR-002014
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022005
Duplicate member record retired
Member services
Justin Fuller: 2 enrollment records collapsed into UHC-95343-24
Enrollment records
2
Member id
UHC-95343-24
MBR-002018
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022006
Duplicate member record retired
Member services
Charles Watson: 2 enrollment records collapsed into UHC-58095-79
Enrollment records
2
Member id
UHC-58095-79
MBR-002032
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022007
Duplicate member record retired
Member services
Beverly Knight: 2 enrollment records collapsed into UHC-98679-81
Enrollment records
2
Member id
UHC-98679-81
MBR-002041
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022008
Duplicate member record retired
Member services
Ana Contreras: 2 enrollment records collapsed into UHC-79284-72
Enrollment records
2
Member id
UHC-79284-72
MBR-002046
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022009
Duplicate member record retired
Member services
Patrick Gilbert: 2 enrollment records collapsed into UHC-38235-14
Enrollment records
2
Member id
UHC-38235-14
MBR-002053
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022010
Duplicate member record retired
Member services
Katherine James: 2 enrollment records collapsed into UHC-89876-40
Enrollment records
2
Member id
UHC-89876-40
MBR-002058
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022011
Duplicate member record retired
Member services
Samuel Clark: 2 enrollment records collapsed into UHC-46047-49
Enrollment records
2
Member id
UHC-46047-49
MBR-002065
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022012
Duplicate member record retired
Member services
Christian Kennedy: 2 enrollment records collapsed into UHC-25677-82
Enrollment records
2
Member id
UHC-25677-82
MBR-002067
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022013
Duplicate member record retired
Member services
Ryan Rogers: 2 enrollment records collapsed into UHC-87700-61
Enrollment records
2
Member id
UHC-87700-61
MBR-002075
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022014
Duplicate member record retired
Member services
David Hunter: 2 enrollment records collapsed into
Enrollment records
2
Member id
MBR-002092
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022015
Duplicate member record retired
Member services
Denise Hughes: 2 enrollment records collapsed into UHC-47133-47
Enrollment records
2
Member id
UHC-47133-47
MBR-002094
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022016
Duplicate member record retired
Member services
James Long: 2 enrollment records collapsed into UHC-80524-88
Enrollment records
2
Member id
UHC-80524-88
MBR-002098
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 7 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.