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-025417
Duplicate member record retired
Member services
Noah Salazar: 4 enrollment records collapsed into UHC-77146-22
Enrollment records
4
Member id
UHC-77146-22
MBR-027534
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025418
Duplicate member record retired
Member services
Emmily Mills: 2 enrollment records collapsed into UHC-19723-89
Enrollment records
2
Member id
UHC-19723-89
MBR-027540
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025419
Duplicate member record retired
Member services
Jeremy Howell: 2 enrollment records collapsed into UHC-26033-66
Enrollment records
2
Member id
UHC-26033-66
MBR-027581
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025420
Duplicate member record retired
Member services
Alexander Turner: 2 enrollment records collapsed into UHC-44580-36
Enrollment records
2
Member id
UHC-44580-36
MBR-027636
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025421
Duplicate member record retired
Member services
Joyce Andrews: 2 enrollment records collapsed into UHC-90507-70
Enrollment records
2
Member id
UHC-90507-70
MBR-027638
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025422
Duplicate member record retired
Member services
Frank Wright: 2 enrollment records collapsed into UHC-79600-13
Enrollment records
2
Member id
UHC-79600-13
MBR-027640
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025423
Duplicate member record retired
Member services
Daniel Owens: 2 enrollment records collapsed into UHC-62595-38
Enrollment records
2
Member id
UHC-62595-38
MBR-027650
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025424
Duplicate member record retired
Member services
Lauren Olson: 2 enrollment records collapsed into UHC-21681-25
Enrollment records
2
Member id
UHC-21681-25
MBR-027656
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025425
Duplicate member record retired
Member services
Michael Berry: 2 enrollment records collapsed into UHC-59279-12
Enrollment records
2
Member id
UHC-59279-12
MBR-027660
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025426
Duplicate member record retired
Member services
Nicholas Garza: 2 enrollment records collapsed into UHC-27340-32
Enrollment records
2
Member id
UHC-27340-32
MBR-027672
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025427
Duplicate member record retired
Member services
Julia Foster: 2 enrollment records collapsed into UHC-42461-59
Enrollment records
2
Member id
UHC-42461-59
MBR-027682
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025428
Duplicate member record retired
Member services
James Fernandez: 3 enrollment records collapsed into UHC-25043-68
Enrollment records
3
Member id
UHC-25043-68
MBR-027700
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025429
Duplicate member record retired
Member services
Omar Espinoza: 2 enrollment records collapsed into UHC-74422-88
Enrollment records
2
Member id
UHC-74422-88
MBR-027703
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025430
Duplicate member record retired
Member services
Jesse Diaz: 2 enrollment records collapsed into UHC-17665-61
Enrollment records
2
Member id
UHC-17665-61
MBR-027706
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025431
Duplicate member record retired
Member services
Kimberly Martinez: 2 enrollment records collapsed into UHC-26260-43
Enrollment records
2
Member id
UHC-26260-43
MBR-027711
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025432
Duplicate member record retired
Member services
Aaron Ward: 2 enrollment records collapsed into UHC-75003-39
Enrollment records
2
Member id
UHC-75003-39
MBR-027717
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025433
Duplicate member record retired
Member services
Patricia Russlel: 2 enrollment records collapsed into UHC-42955-40
Enrollment records
2
Member id
UHC-42955-40
MBR-027718
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025434
Duplicate member record retired
Member services
Jerry Wood: 2 enrollment records collapsed into UHC-02505-37
Enrollment records
2
Member id
UHC-02505-37
MBR-027724
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025435
Duplicate member record retired
Member services
Carol Ross: 2 enrollment records collapsed into UHC-83134-19
Enrollment records
2
Member id
UHC-83134-19
MBR-027727
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025436
Duplicate member record retired
Member services
Juan Kelly: 2 enrollment records collapsed into UHC-79297-20
Enrollment records
2
Member id
UHC-79297-20
MBR-027733
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025437
Duplicate member record retired
Member services
Kayla Hart: 2 enrollment records collapsed into UHC-59228-60
Enrollment records
2
Member id
UHC-59228-60
MBR-027737
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025438
Duplicate member record retired
Member services
Pamela Lynch: 2 enrollment records collapsed into UHC-10784-98
Enrollment records
2
Member id
UHC-10784-98
MBR-027740
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025439
Duplicate member record retired
Member services
Rebecca Ford: 2 enrollment records collapsed into UHC-16239-13
Enrollment records
2
Member id
UHC-16239-13
MBR-027743
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025440
Duplicate member record retired
Member services
Catherine Luna: 2 enrollment records collapsed into UHC-54238-50
Enrollment records
2
Member id
UHC-54238-50
MBR-027750
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025441
Duplicate member record retired
Member services
Hannah Little: 2 enrollment records collapsed into UHC-24374-25
Enrollment records
2
Member id
UHC-24374-25
MBR-027753
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025442
Duplicate member record retired
Member services
Omar Boyd: 2 enrollment records collapsed into UHC-90001-13
Enrollment records
2
Member id
UHC-90001-13
MBR-027759
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025443
Duplicate member record retired
Member services
Henry Allen: 2 enrollment records collapsed into UHC-76663-03
Enrollment records
2
Member id
UHC-76663-03
MBR-027762
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025444
Duplicate member record retired
Member services
Nicholas Lynch: 2 enrollment records collapsed into UHC-28009-85
Enrollment records
2
Member id
UHC-28009-85
MBR-027765
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025445
Duplicate member record retired
Member services
Janet Dixon: 2 enrollment records collapsed into UHC-86590-78
Enrollment records
2
Member id
UHC-86590-78
MBR-027771
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025446
Duplicate member record retired
Member services
Brittany Guerrero: 2 enrollment records collapsed into UHC-24257-81
Enrollment records
2
Member id
UHC-24257-81
MBR-027772
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025447
Duplicate member record retired
Member services
Joseph Riley: 2 enrollment records collapsed into UHC-21875-34
Enrollment records
2
Member id
UHC-21875-34
MBR-027784
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025448
Duplicate member record retired
Member services
Richard Hicks: 2 enrollment records collapsed into UHC-29945-79
Enrollment records
2
Member id
UHC-29945-79
MBR-027790
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025449
Duplicate member record retired
Member services
Ronald Contreras: 2 enrollment records collapsed into UHC-28878-34
Enrollment records
2
Member id
UHC-28878-34
MBR-027793
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025450
Duplicate member record retired
Member services
Emma Adams: 2 enrollment records collapsed into UHC-68871-40
Enrollment records
2
Member id
UHC-68871-40
MBR-027817
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025451
Duplicate member record retired
Member services
Laura Nguyen: 2 enrollment records collapsed into UHC-92774-80
Enrollment records
2
Member id
UHC-92774-80
MBR-027820
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025452
Duplicate member record retired
Member services
Sean Barnes: 2 enrollment records collapsed into UHC-81350-59
Enrollment records
2
Member id
UHC-81350-59
MBR-027839
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025453
Duplicate member record retired
Member services
Cheryl Fernandez: 2 enrollment records collapsed into UHC-03714-35
Enrollment records
2
Member id
UHC-03714-35
MBR-027851
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025454
Duplicate member record retired
Member services
Russell Parker: 2 enrollment records collapsed into UHC-91285-73
Enrollment records
2
Member id
UHC-91285-73
MBR-027855
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025455
Duplicate member record retired
Member services
Tyler Berry: 2 enrollment records collapsed into UHC-30421-49
Enrollment records
2
Member id
UHC-30421-49
MBR-027883
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025456
Duplicate member record retired
Member services
Logan Bell: 2 enrollment records collapsed into UHC-88125-05
Enrollment records
2
Member id
UHC-88125-05
MBR-027917
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025457
Duplicate member record retired
Member services
Cynthia Jimenez: 2 enrollment records collapsed into UHC-68580-40
Enrollment records
2
Member id
UHC-68580-40
MBR-027920
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025458
Duplicate member record retired
Member services
Donna Crawford: 2 enrollment records collapsed into UHC-15832-60
Enrollment records
2
Member id
UHC-15832-60
MBR-027929
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025459
Duplicate member record retired
Member services
Donna Cook: 2 enrollment records collapsed into UHC-09751-96
Enrollment records
2
Member id
UHC-09751-96
MBR-027933
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025460
Duplicate member record retired
Member services
Ana Knight: 2 enrollment records collapsed into UHC-00835-26
Enrollment records
2
Member id
UHC-00835-26
MBR-027941
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025461
Duplicate member record retired
Member services
Joyce Duncan: 2 enrollment records collapsed into UHC-27486-99
Enrollment records
2
Member id
UHC-27486-99
MBR-027942
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025462
Duplicate member record retired
Member services
Tyler Dean: 2 enrollment records collapsed into UHC-88040-86
Enrollment records
2
Member id
UHC-88040-86
MBR-027949
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025463
Duplicate member record retired
Member services
Cynthia Bishop: 2 enrollment records collapsed into UHC-36612-67
Enrollment records
2
Member id
UHC-36612-67
MBR-027986
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025464
Duplicate member record retired
Member services
Mariana Moore: 2 enrollment records collapsed into UHC-57676-62
Enrollment records
2
Member id
UHC-57676-62
MBR-027997
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025465
Duplicate member record retired
Member services
Alice Walker: 2 enrollment records collapsed into UHC-55066-76
Enrollment records
2
Member id
UHC-55066-76
MBR-028007
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025466
Duplicate member record retired
Member services
Anthony Jackson: 2 enrollment records collapsed into UHC-65660-68
Enrollment records
2
Member id
UHC-65660-68
MBR-028012
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 76 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.