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-025117
Duplicate member record retired
Member services
Jeffrey Obrien: 2 enrollment records collapsed into UHC-07591-74
Enrollment records
2
Member id
UHC-07591-74
MBR-024632
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025118
Duplicate member record retired
Member services
Heather Arnold: 2 enrollment records collapsed into UHC-93459-97
Enrollment records
2
Member id
UHC-93459-97
MBR-024639
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025119
Duplicate member record retired
Member services
Heather Rodriguez: 3 enrollment records collapsed into UHC-31342-40
Enrollment records
3
Member id
UHC-31342-40
MBR-024660
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025120
Duplicate member record retired
Member services
Dorothy Fowler: 2 enrollment records collapsed into UHC-66322-93
Enrollment records
2
Member id
UHC-66322-93
MBR-024664
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025121
Duplicate member record retired
Member services
Patricia Yang: 2 enrollment records collapsed into UHC-62514-96
Enrollment records
2
Member id
UHC-62514-96
MBR-024676
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025122
Duplicate member record retired
Member services
Diego Jimenez: 2 enrollment records collapsed into UHC-77788-72
Enrollment records
2
Member id
UHC-77788-72
MBR-024683
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025123
Duplicate member record retired
Member services
Sophia Anderson: 2 enrollment records collapsed into UHC-17148-98
Enrollment records
2
Member id
UHC-17148-98
MBR-024688
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025124
Duplicate member record retired
Member services
Mason Harris: 2 enrollment records collapsed into UHC-66482-78
Enrollment records
2
Member id
UHC-66482-78
MBR-024693
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025125
Duplicate member record retired
Member services
Barbara Rodriguez: 2 enrollment records collapsed into UHC-75032-93
Enrollment records
2
Member id
UHC-75032-93
MBR-024701
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025126
Duplicate member record retired
Member services
Carl Schmidt: 2 enrollment records collapsed into UHC-97348-98
Enrollment records
2
Member id
UHC-97348-98
MBR-024702
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025127
Duplicate member record retired
Member services
Walter Andrews: 2 enrollment records collapsed into UHC-25990-64
Enrollment records
2
Member id
UHC-25990-64
MBR-024714
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025128
Duplicate member record retired
Member services
Nathan Howell: 2 enrollment records collapsed into UHC-07876-80
Enrollment records
2
Member id
UHC-07876-80
MBR-024718
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025129
Duplicate member record retired
Member services
Evelyn Johnston: 2 enrollment records collapsed into UHC-38642-51
Enrollment records
2
Member id
UHC-38642-51
MBR-024724
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025130
Duplicate member record retired
Member services
Joe Fox: 2 enrollment records collapsed into UHC-72012-65
Enrollment records
2
Member id
UHC-72012-65
MBR-024733
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025131
Duplicate member record retired
Member services
Russell Hudson: 2 enrollment records collapsed into UHC-66326-40
Enrollment records
2
Member id
UHC-66326-40
MBR-024744
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025132
Duplicate member record retired
Member services
Richard Stevens: 2 enrollment records collapsed into UHC-04926-63
Enrollment records
2
Member id
UHC-04926-63
MBR-024747
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025133
Duplicate member record retired
Member services
Judith Aguilar: 2 enrollment records collapsed into UHC-01588-51
Enrollment records
2
Member id
UHC-01588-51
MBR-024749
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025134
Duplicate member record retired
Member services
Michelle Gutierrez: 2 enrollment records collapsed into UHC-90571-23
Enrollment records
2
Member id
UHC-90571-23
MBR-024754
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025135
Duplicate member record retired
Member services
Elizabeth Specner: 2 enrollment records collapsed into UHC-10467-32
Enrollment records
2
Member id
UHC-10467-32
MBR-024755
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025136
Duplicate member record retired
Member services
Mateo Hawkins: 2 enrollment records collapsed into UHC-43519-55
Enrollment records
2
Member id
UHC-43519-55
MBR-024781
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025137
Duplicate member record retired
Member services
Anthony Weber: 3 enrollment records collapsed into UHC-65934-35
Enrollment records
3
Member id
UHC-65934-35
MBR-024784
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025138
Duplicate member record retired
Member services
Kathryn Vasquez: 2 enrollment records collapsed into UHC-16182-62
Enrollment records
2
Member id
UHC-16182-62
MBR-024789
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025139
Duplicate member record retired
Member services
Omar Baker: 2 enrollment records collapsed into UHC-82232-61
Enrollment records
2
Member id
UHC-82232-61
MBR-024798
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025140
Duplicate member record retired
Member services
Evelyn Gomez: 3 enrollment records collapsed into UHC-57767-40
Enrollment records
3
Member id
UHC-57767-40
MBR-024805
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025141
Duplicate member record retired
Member services
Ryan Hill: 2 enrollment records collapsed into UHC-29944-94
Enrollment records
2
Member id
UHC-29944-94
MBR-024807
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025142
Duplicate member record retired
Member services
Arrjun Hudson: 2 enrollment records collapsed into UHC-28802-41
Enrollment records
2
Member id
UHC-28802-41
MBR-024810
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025143
Duplicate member record retired
Member services
Ralph Martin: 2 enrollment records collapsed into UHC-12107-12
Enrollment records
2
Member id
UHC-12107-12
MBR-024812
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025144
Duplicate member record retired
Member services
Michael George: 2 enrollment records collapsed into UHC-99535-98
Enrollment records
2
Member id
UHC-99535-98
MBR-024816
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025145
Duplicate member record retired
Member services
Carl Mendez: 2 enrollment records collapsed into UHC-48311-13
Enrollment records
2
Member id
UHC-48311-13
MBR-024831
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025146
Duplicate member record retired
Member services
Jonathan Peterson: 2 enrollment records collapsed into UHC-80951-24
Enrollment records
2
Member id
UHC-80951-24
MBR-024848
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025147
Duplicate member record retired
Member services
Pamela Lopez: 3 enrollment records collapsed into UHC-70393-55
Enrollment records
3
Member id
UHC-70393-55
MBR-024851
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025148
Duplicate member record retired
Member services
Kelly Welch: 2 enrollment records collapsed into UHC-86290-81
Enrollment records
2
Member id
UHC-86290-81
MBR-024853
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025149
Duplicate member record retired
Member services
Ethan Warren: 2 enrollment records collapsed into UHC-72208-50
Enrollment records
2
Member id
UHC-72208-50
MBR-024864
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025150
Duplicate member record retired
Member services
Russell Reyes: 2 enrollment records collapsed into UHC-38084-98
Enrollment records
2
Member id
UHC-38084-98
MBR-024873
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025151
Duplicate member record retired
Member services
Abigail Gomez: 2 enrollment records collapsed into UHC-76184-54
Enrollment records
2
Member id
UHC-76184-54
MBR-024876
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025152
Duplicate member record retired
Member services
Mateo Ortiz: 2 enrollment records collapsed into UHC-47672-96
Enrollment records
2
Member id
UHC-47672-96
MBR-024888
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025153
Duplicate member record retired
Member services
Justin Myers: 2 enrollment records collapsed into UHC-69978-94
Enrollment records
2
Member id
UHC-69978-94
MBR-024890
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025154
Duplicate member record retired
Member services
Harold Murphy: 2 enrollment records collapsed into UHC-22265-13
Enrollment records
2
Member id
UHC-22265-13
MBR-024891
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025155
Duplicate member record retired
Member services
Juuan Padilla: 2 enrollment records collapsed into UHC-00148-63
Enrollment records
2
Member id
UHC-00148-63
MBR-024896
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025156
Duplicate member record retired
Member services
Joseph Flores: 2 enrollment records collapsed into UHC-55754-19
Enrollment records
2
Member id
UHC-55754-19
MBR-024906
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025157
Duplicate member record retired
Member services
Charles Shaw: 2 enrollment records collapsed into UHC-76406-27
Enrollment records
2
Member id
UHC-76406-27
MBR-024921
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025158
Duplicate member record retired
Member services
Justin Jenkins: 2 enrollment records collapsed into UHC-35967-43
Enrollment records
2
Member id
UHC-35967-43
MBR-024924
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025159
Duplicate member record retired
Member services
Martha Dean: 2 enrollment records collapsed into UHC-45430-60
Enrollment records
2
Member id
UHC-45430-60
MBR-024963
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025160
Duplicate member record retired
Member services
Bradley Crawford: 2 enrollment records collapsed into UHC-16738-82
Enrollment records
2
Member id
UHC-16738-82
MBR-024965
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025161
Duplicate member record retired
Member services
Dorothy Miller: 2 enrollment records collapsed into UHC-57023-37
Enrollment records
2
Member id
UHC-57023-37
MBR-024970
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025162
Duplicate member record retired
Member services
Russell Flores: 2 enrollment records collapsed into UHC-79290-49
Enrollment records
2
Member id
UHC-79290-49
MBR-024972
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025163
Duplicate member record retired
Member services
Stephanie Perry: 2 enrollment records collapsed into UHC-67445-50
Enrollment records
2
Member id
UHC-67445-50
MBR-024980
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025164
Duplicate member record retired
Member services
Willie Li: 2 enrollment records collapsed into UHC-81208-23
Enrollment records
2
Member id
UHC-81208-23
MBR-024992
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025165
Duplicate member record retired
Member services
Christine Carter: 2 enrollment records collapsed into UHC-65972-85
Enrollment records
2
Member id
UHC-65972-85
MBR-025032
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025166
Duplicate member record retired
Member services
Benjamin Evans: 2 enrollment records collapsed into UHC-28667-26
Enrollment records
2
Member id
UHC-28667-26
MBR-025035
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 70 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.