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-025217
Duplicate member record retired
Member services
Nathan Tucker: 2 enrollment records collapsed into UHC-69609-12
Enrollment records
2
Member id
UHC-69609-12
MBR-025540
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025218
Duplicate member record retired
Member services
Donna Le: 2 enrollment records collapsed into UHC-38557-93
Enrollment records
2
Member id
UHC-38557-93
MBR-025541
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025219
Duplicate member record retired
Member services
Jrry Day: 3 enrollment records collapsed into UHC-84674-73
Enrollment records
3
Member id
UHC-84674-73
MBR-025551
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025220
Duplicate member record retired
Member services
Ashley Robertson: 2 enrollment records collapsed into UHC-49686-73
Enrollment records
2
Member id
UHC-49686-73
MBR-025567
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025221
Duplicate member record retired
Member services
Daniel Wright: 2 enrollment records collapsed into UHC-99361-39
Enrollment records
2
Member id
UHC-99361-39
MBR-025581
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025222
Duplicate member record retired
Member services
Carl West: 2 enrollment records collapsed into UHC-42112-04
Enrollment records
2
Member id
UHC-42112-04
MBR-025601
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025223
Duplicate member record retired
Member services
Gabriel Sullivan: 2 enrollment records collapsed into UHC-51151-71
Enrollment records
2
Member id
UHC-51151-71
MBR-025613
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025224
Duplicate member record retired
Member services
Jeremy Chen: 2 enrollment records collapsed into UHC-98905-98
Enrollment records
2
Member id
UHC-98905-98
MBR-025615
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025225
Duplicate member record retired
Member services
Rachel Li: 2 enrollment records collapsed into UHC-49940-99
Enrollment records
2
Member id
UHC-49940-99
MBR-025616
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025226
Duplicate member record retired
Member services
Sara Phillips: 2 enrollment records collapsed into UHC-60451-51
Enrollment records
2
Member id
UHC-60451-51
MBR-025618
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025227
Duplicate member record retired
Member services
Karen Wells: 2 enrollment records collapsed into UHC-15913-51
Enrollment records
2
Member id
UHC-15913-51
MBR-025622
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025228
Duplicate member record retired
Member services
Nancy Alvarez: 2 enrollment records collapsed into UHC-44268-52
Enrollment records
2
Member id
UHC-44268-52
MBR-025626
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025229
Duplicate member record retired
Member services
Adam Turner: 2 enrollment records collapsed into UHC-00556-15
Enrollment records
2
Member id
UHC-00556-15
MBR-025635
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025230
Duplicate member record retired
Member services
Carolyn Hunter: 2 enrollment records collapsed into UHC-52116-16
Enrollment records
2
Member id
UHC-52116-16
MBR-025661
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025231
Duplicate member record retired
Member services
Artuhr Knight: 2 enrollment records collapsed into UHC-47920-07
Enrollment records
2
Member id
UHC-47920-07
MBR-025680
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025232
Duplicate member record retired
Member services
Emma Soot: 2 enrollment records collapsed into UHC-80867-23
Enrollment records
2
Member id
UHC-80867-23
MBR-025684
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025233
Duplicate member record retired
Member services
Jason Kim: 2 enrollment records collapsed into UHC-17134-05
Enrollment records
2
Member id
UHC-17134-05
MBR-025714
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025234
Duplicate member record retired
Member services
Sharon Simmons: 3 enrollment records collapsed into UHC-71089-33
Enrollment records
3
Member id
UHC-71089-33
MBR-025732
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025235
Duplicate member record retired
Member services
Roger Jackson: 2 enrollment records collapsed into UHC-80282-80
Enrollment records
2
Member id
UHC-80282-80
MBR-025770
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025236
Duplicate member record retired
Member services
Terry Williams: 2 enrollment records collapsed into UHC-02175-32
Enrollment records
2
Member id
UHC-02175-32
MBR-025787
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025237
Duplicate member record retired
Member services
Beverly Young: 2 enrollment records collapsed into UHC-77513-85
Enrollment records
2
Member id
UHC-77513-85
MBR-025790
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025238
Duplicate member record retired
Member services
Joseph Ortiz: 2 enrollment records collapsed into UHC-93470-79
Enrollment records
2
Member id
UHC-93470-79
MBR-025796
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025239
Duplicate member record retired
Member services
Elijah Phillips: 2 enrollment records collapsed into UHC-93293-77
Enrollment records
2
Member id
UHC-93293-77
MBR-025802
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025240
Duplicate member record retired
Member services
Camila Ramos: 2 enrollment records collapsed into UHC-23396-60
Enrollment records
2
Member id
UHC-23396-60
MBR-025822
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025241
Duplicate member record retired
Member services
Roger Watson: 2 enrollment records collapsed into UHC-88620-95
Enrollment records
2
Member id
UHC-88620-95
MBR-025823
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025242
Duplicate member record retired
Member services
Pamela Tran: 2 enrollment records collapsed into UHC-95837-67
Enrollment records
2
Member id
UHC-95837-67
MBR-025846
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025243
Duplicate member record retired
Member services
Patricia Schultz: 2 enrollment records collapsed into UHC-79313-90
Enrollment records
2
Member id
UHC-79313-90
MBR-025847
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025244
Duplicate member record retired
Member services
Bradley Richardson: 2 enrollment records collapsed into UHC-31604-51
Enrollment records
2
Member id
UHC-31604-51
MBR-025850
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025245
Duplicate member record retired
Member services
Steven Richards: 2 enrollment records collapsed into UHC-94453-06
Enrollment records
2
Member id
UHC-94453-06
MBR-025856
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025246
Duplicate member record retired
Member services
Paul Martinez: 2 enrollment records collapsed into UHC-85993-86
Enrollment records
2
Member id
UHC-85993-86
MBR-025859
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025247
Duplicate member record retired
Member services
Amy Bryant: 2 enrollment records collapsed into UHC-84464-07
Enrollment records
2
Member id
UHC-84464-07
MBR-025864
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025248
Duplicate member record retired
Member services
Kayla Reed: 2 enrollment records collapsed into UHC-77914-24
Enrollment records
2
Member id
UHC-77914-24
MBR-025879
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025249
Duplicate member record retired
Member services
Christina Mitchell: 2 enrollment records collapsed into UHC-77759-59
Enrollment records
2
Member id
UHC-77759-59
MBR-025892
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025250
Duplicate member record retired
Member services
Helen Maldonado: 2 enrollment records collapsed into UHC-15722-40
Enrollment records
2
Member id
UHC-15722-40
MBR-025896
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025251
Duplicate member record retired
Member services
Marcus White: 2 enrollment records collapsed into UHC-00927-15
Enrollment records
2
Member id
UHC-00927-15
MBR-025905
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025252
Duplicate member record retired
Member services
Adam Collins: 2 enrollment records collapsed into UHC-14438-70
Enrollment records
2
Member id
UHC-14438-70
MBR-025911
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025253
Duplicate member record retired
Member services
Karen Lucas: 2 enrollment records collapsed into UHC-43243-09
Enrollment records
2
Member id
UHC-43243-09
MBR-025925
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025254
Duplicate member record retired
Member services
Diane Meyer: 2 enrollment records collapsed into UHC-37316-71
Enrollment records
2
Member id
UHC-37316-71
MBR-025942
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025255
Duplicate member record retired
Member services
Samantha Sandoval: 2 enrollment records collapsed into UHC-73299-12
Enrollment records
2
Member id
UHC-73299-12
MBR-025943
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025256
Duplicate member record retired
Member services
Sophia Vasquez: 2 enrollment records collapsed into UHC-21463-60
Enrollment records
2
Member id
UHC-21463-60
MBR-025954
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025257
Duplicate member record retired
Member services
Charles Dunn: 2 enrollment records collapsed into UHC-26801-85
Enrollment records
2
Member id
UHC-26801-85
MBR-025965
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025258
Duplicate member record retired
Member services
Jose Pena: 2 enrollment records collapsed into UHC-68169-21
Enrollment records
2
Member id
UHC-68169-21
MBR-025966
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025259
Duplicate member record retired
Member services
Hiroshi Murphy: 2 enrollment records collapsed into UHC-37424-59
Enrollment records
2
Member id
UHC-37424-59
MBR-025967
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025260
Duplicate member record retired
Member services
Robert Ray: 2 enrollment records collapsed into UHC-38009-75
Enrollment records
2
Member id
UHC-38009-75
MBR-025974
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025261
Duplicate member record retired
Member services
Jessica Garza: 2 enrollment records collapsed into UHC-17947-20
Enrollment records
2
Member id
UHC-17947-20
MBR-025976
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025262
Duplicate member record retired
Member services
Sara Williams: 2 enrollment records collapsed into UHC-98807-33
Enrollment records
2
Member id
UHC-98807-33
MBR-026000
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025263
Duplicate member record retired
Member services
Jerry Thompson: 2 enrollment records collapsed into UHC-70094-70
Enrollment records
2
Member id
UHC-70094-70
MBR-026026
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025264
Duplicate member record retired
Member services
Patricia Richards: 2 enrollment records collapsed into UHC-53338-88
Enrollment records
2
Member id
UHC-53338-88
MBR-026027
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025265
Duplicate member record retired
Member services
Bradley Dean: 2 enrollment records collapsed into UHC-57976-31
Enrollment records
2
Member id
UHC-57976-31
MBR-026047
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025266
Duplicate member record retired
Member services
Jason Nelson: 2 enrollment records collapsed into UHC-26606-97
Enrollment records
2
Member id
UHC-26606-97
MBR-026050
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 72 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.