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-025367
Duplicate member record retired
Member services
Hanah Howard: 2 enrollment records collapsed into UHC-78722-81
Enrollment records
2
Member id
UHC-78722-81
MBR-027064
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025368
Duplicate member record retired
Member services
Debra Park: 2 enrollment records collapsed into UHC-68058-17
Enrollment records
2
Member id
UHC-68058-17
MBR-027072
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025369
Duplicate member record retired
Member services
Mei Hansen: 2 enrollment records collapsed into UHC-60681-93
Enrollment records
2
Member id
UHC-60681-93
MBR-027099
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025370
Duplicate member record retired
Member services
Susan Hayes: 2 enrollment records collapsed into UHC-57014-25
Enrollment records
2
Member id
UHC-57014-25
MBR-027103
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025371
Duplicate member record retired
Member services
Martha Bradley: 2 enrollment records collapsed into UHC-66043-35
Enrollment records
2
Member id
UHC-66043-35
MBR-027112
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025372
Duplicate member record retired
Member services
Peter Diaz: 2 enrollment records collapsed into UHC-02885-51
Enrollment records
2
Member id
UHC-02885-51
MBR-027120
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025373
Duplicate member record retired
Member services
Katherine Romero: 2 enrollment records collapsed into UHC-36132-96
Enrollment records
2
Member id
UHC-36132-96
MBR-027133
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025374
Duplicate member record retired
Member services
Frances Guerrero: 2 enrollment records collapsed into UHC-33432-90
Enrollment records
2
Member id
UHC-33432-90
MBR-027145
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025375
Duplicate member record retired
Member services
Kimberly Santiago: 2 enrollment records collapsed into UHC-16774-11
Enrollment records
2
Member id
UHC-16774-11
MBR-027150
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025376
Duplicate member record retired
Member services
Susan Schmidt: 2 enrollment records collapsed into UHC-94571-79
Enrollment records
2
Member id
UHC-94571-79
MBR-027155
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025377
Duplicate member record retired
Member services
Stephen Fuller: 2 enrollment records collapsed into UHC-14276-03
Enrollment records
2
Member id
UHC-14276-03
MBR-027175
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025378
Duplicate member record retired
Member services
Evelyn Adams: 2 enrollment records collapsed into UHC-78739-98
Enrollment records
2
Member id
UHC-78739-98
MBR-027177
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025379
Duplicate member record retired
Member services
Catherine Sanchez: 2 enrollment records collapsed into UHC-57995-64
Enrollment records
2
Member id
UHC-57995-64
MBR-027181
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025380
Duplicate member record retired
Member services
Shirley Reynolds: 2 enrollment records collapsed into UHC-14074-32
Enrollment records
2
Member id
UHC-14074-32
MBR-027182
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025381
Duplicate member record retired
Member services
Sophia Chavez: 2 enrollment records collapsed into UHC-76734-22
Enrollment records
2
Member id
UHC-76734-22
MBR-027195
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025382
Duplicate member record retired
Member services
Justin Adams: 2 enrollment records collapsed into UHC-67105-04
Enrollment records
2
Member id
UHC-67105-04
MBR-027199
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025383
Duplicate member record retired
Member services
Henry Chen: 2 enrollment records collapsed into UHC-49957-77
Enrollment records
2
Member id
UHC-49957-77
MBR-027200
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025384
Duplicate member record retired
Member services
Helen Padilla: 2 enrollment records collapsed into UHC-77953-98
Enrollment records
2
Member id
UHC-77953-98
MBR-027203
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025385
Duplicate member record retired
Member services
Ashley Watkins: 2 enrollment records collapsed into UHC-85690-41
Enrollment records
2
Member id
UHC-85690-41
MBR-027224
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025386
Duplicate member record retired
Member services
Nicole Rice: 2 enrollment records collapsed into UHC-22461-47
Enrollment records
2
Member id
UHC-22461-47
MBR-027225
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025387
Duplicate member record retired
Member services
Christine Young: 2 enrollment records collapsed into UHC-29927-75
Enrollment records
2
Member id
UHC-29927-75
MBR-027234
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025388
Duplicate member record retired
Member services
Steven Morgan: 2 enrollment records collapsed into UHC-62140-91
Enrollment records
2
Member id
UHC-62140-91
MBR-027254
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025389
Duplicate member record retired
Member services
Dylan Oliver: 2 enrollment records collapsed into UHC-07328-18
Enrollment records
2
Member id
UHC-07328-18
MBR-027262
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025390
Duplicate member record retired
Member services
Helen Mendez: 2 enrollment records collapsed into UHC-76991-24
Enrollment records
2
Member id
UHC-76991-24
MBR-027266
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025391
Duplicate member record retired
Member services
Ralph Reed: 2 enrollment records collapsed into UHC-28797-29
Enrollment records
2
Member id
UHC-28797-29
MBR-027273
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025392
Duplicate member record retired
Member services
Zachary Schultz: 2 enrollment records collapsed into UHC-17530-09
Enrollment records
2
Member id
UHC-17530-09
MBR-027274
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025393
Duplicate member record retired
Member services
Anna Vega: 2 enrollment records collapsed into UHC-59908-76
Enrollment records
2
Member id
UHC-59908-76
MBR-027292
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025394
Duplicate member record retired
Member services
Luis Hoffman: 2 enrollment records collapsed into UHC-08461-37
Enrollment records
2
Member id
UHC-08461-37
MBR-027293
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025395
Duplicate member record retired
Member services
Dylan Alvarado: 2 enrollment records collapsed into UHC-10348-25
Enrollment records
2
Member id
UHC-10348-25
MBR-027294
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025396
Duplicate member record retired
Member services
Raymond Woods: 3 enrollment records collapsed into UHC-91976-08
Enrollment records
3
Member id
UHC-91976-08
MBR-027311
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025397
Duplicate member record retired
Member services
Pauul Bradley: 2 enrollment records collapsed into UHC-81814-37
Enrollment records
2
Member id
UHC-81814-37
MBR-027312
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025398
Duplicate member record retired
Member services
Mateo Burton: 3 enrollment records collapsed into UHC-08742-63
Enrollment records
3
Member id
UHC-08742-63
MBR-027319
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025399
Duplicate member record retired
Member services
Paul Warren: 2 enrollment records collapsed into UHC-23202-90
Enrollment records
2
Member id
UHC-23202-90
MBR-027322
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025400
Duplicate member record retired
Member services
Grace Romero: 2 enrollment records collapsed into UHC-31170-76
Enrollment records
2
Member id
UHC-31170-76
MBR-027324
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025401
Duplicate member record retired
Member services
Lauren Howell: 2 enrollment records collapsed into UHC-02859-87
Enrollment records
2
Member id
UHC-02859-87
MBR-027344
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025402
Duplicate member record retired
Member services
Brian Warren: 2 enrollment records collapsed into UHC-45028-86
Enrollment records
2
Member id
UHC-45028-86
MBR-027360
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025403
Duplicate member record retired
Member services
Welch Dennis: 2 enrollment records collapsed into UHC-89611-15
Enrollment records
2
Member id
UHC-89611-15
MBR-027383
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025404
Duplicate member record retired
Member services
Angela George: 2 enrollment records collapsed into UHC-43479-59
Enrollment records
2
Member id
UHC-43479-59
MBR-027401
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025405
Duplicate member record retired
Member services
Mariana Maritnez: 2 enrollment records collapsed into UHC-91751-31
Enrollment records
2
Member id
UHC-91751-31
MBR-027406
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025406
Duplicate member record retired
Member services
Sofia Stone: 2 enrollment records collapsed into UHC-26887-79
Enrollment records
2
Member id
UHC-26887-79
MBR-027415
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025407
Duplicate member record retired
Member services
Alexander Turner: 3 enrollment records collapsed into UHC-98406-32
Enrollment records
3
Member id
UHC-98406-32
MBR-027427
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025408
Duplicate member record retired
Member services
Chris Brown: 2 enrollment records collapsed into UHC-23351-30
Enrollment records
2
Member id
UHC-23351-30
MBR-027446
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025409
Duplicate member record retired
Member services
Jerry Washington: 2 enrollment records collapsed into UHC-80565-05
Enrollment records
2
Member id
UHC-80565-05
MBR-027459
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025410
Duplicate member record retired
Member services
Bruce Jacobs: 2 enrollment records collapsed into UHC-94100-19
Enrollment records
2
Member id
UHC-94100-19
MBR-027460
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025411
Duplicate member record retired
Member services
Debra Riley: 2 enrollment records collapsed into UHC-50659-18
Enrollment records
2
Member id
UHC-50659-18
MBR-027482
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025412
Duplicate member record retired
Member services
Jesse Li: 2 enrollment records collapsed into UHC-90320-42
Enrollment records
2
Member id
UHC-90320-42
MBR-027498
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025413
Duplicate member record retired
Member services
Aaron Daniels: 2 enrollment records collapsed into UHC-38053-93
Enrollment records
2
Member id
UHC-38053-93
MBR-027501
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025414
Duplicate member record retired
Member services
Brittany Romero: 2 enrollment records collapsed into UHC-23742-38
Enrollment records
2
Member id
UHC-23742-38
MBR-027504
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025415
Duplicate member record retired
Member services
Sofia Owens: 2 enrollment records collapsed into UHC-02113-98
Enrollment records
2
Member id
UHC-02113-98
MBR-027509
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025416
Duplicate member record retired
Member services
Danil Flores: 2 enrollment records collapsed into UHC-20989-27
Enrollment records
2
Member id
UHC-20989-27
MBR-027532
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 75 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.