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-025467
Duplicate member record retired
Member services
Dylan Valdez: 2 enrollment records collapsed into UHC-75352-30
Enrollment records
2
Member id
UHC-75352-30
MBR-028022
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025468
Duplicate member record retired
Member services
Terry Wong: 2 enrollment records collapsed into UHC-43194-92
Enrollment records
2
Member id
UHC-43194-92
MBR-028023
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025469
Duplicate member record retired
Member services
Priya Benntt: 2 enrollment records collapsed into UHC-29512-27
Enrollment records
2
Member id
UHC-29512-27
MBR-028026
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025470
Duplicate member record retired
Member services
Gary Jordan: 2 enrollment records collapsed into UHC-93960-98
Enrollment records
2
Member id
UHC-93960-98
MBR-028030
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025471
Duplicate member record retired
Member services
Helen Anderson: 2 enrollment records collapsed into UHC-20220-42
Enrollment records
2
Member id
UHC-20220-42
MBR-028042
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025472
Duplicate member record retired
Member services
Christina Marquez: 2 enrollment records collapsed into UHC-60866-73
Enrollment records
2
Member id
UHC-60866-73
MBR-028048
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025473
Duplicate member record retired
Member services
Sarah Crawford: 2 enrollment records collapsed into UHC-03646-77
Enrollment records
2
Member id
UHC-03646-77
MBR-028069
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025474
Duplicate member record retired
Member services
Ray Padilla: 2 enrollment records collapsed into UHC-70470-12
Enrollment records
2
Member id
UHC-70470-12
MBR-028076
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025475
Duplicate member record retired
Member services
Martha Marquez: 2 enrollment records collapsed into UHC-95428-18
Enrollment records
2
Member id
UHC-95428-18
MBR-028087
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025476
Duplicate member record retired
Member services
Theresa Sims: 2 enrollment records collapsed into UHC-55226-19
Enrollment records
2
Member id
UHC-55226-19
MBR-028088
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025477
Duplicate member record retired
Member services
Brian Hansen: 3 enrollment records collapsed into UHC-10706-35
Enrollment records
3
Member id
UHC-10706-35
MBR-028090
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025478
Duplicate member record retired
Member services
Samantha Burns: 2 enrollment records collapsed into UHC-61304-66
Enrollment records
2
Member id
UHC-61304-66
MBR-028093
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025479
Duplicate member record retired
Member services
Natalie Yang: 2 enrollment records collapsed into UHC-04083-81
Enrollment records
2
Member id
UHC-04083-81
MBR-028100
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025480
Duplicate member record retired
Member services
Noha Nichols: 2 enrollment records collapsed into UHC-91163-81
Enrollment records
2
Member id
UHC-91163-81
MBR-028102
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025481
Duplicate member record retired
Member services
Joyce Carroll: 2 enrollment records collapsed into UHC-18329-37
Enrollment records
2
Member id
UHC-18329-37
MBR-028107
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025482
Duplicate member record retired
Member services
Fatima Pena: 2 enrollment records collapsed into UHC-87570-72
Enrollment records
2
Member id
UHC-87570-72
MBR-028110
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025483
Duplicate member record retired
Member services
Matthew Anderson: 3 enrollment records collapsed into UHC-25095-70
Enrollment records
3
Member id
UHC-25095-70
MBR-028116
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025484
Duplicate member record retired
Member services
Doris Kelly: 2 enrollment records collapsed into UHC-00217-48
Enrollment records
2
Member id
UHC-00217-48
MBR-028141
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025485
Duplicate member record retired
Member services
Austin Cox: 2 enrollment records collapsed into UHC-69639-21
Enrollment records
2
Member id
UHC-69639-21
MBR-028150
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025486
Duplicate member record retired
Member services
Ana Ortiz: 3 enrollment records collapsed into UHC-28766-26
Enrollment records
3
Member id
UHC-28766-26
MBR-028152
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025487
Duplicate member record retired
Member services
Sofia Jordan: 2 enrollment records collapsed into UHC-02274-85
Enrollment records
2
Member id
UHC-02274-85
MBR-028159
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025488
Duplicate member record retired
Member services
Julie Fernandez: 2 enrollment records collapsed into UHC-84577-80
Enrollment records
2
Member id
UHC-84577-80
MBR-028161
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025489
Duplicate member record retired
Member services
Michelle Simmons: 2 enrollment records collapsed into UHC-88476-26
Enrollment records
2
Member id
UHC-88476-26
MBR-028172
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025490
Duplicate member record retired
Member services
Ethan Harvey: 2 enrollment records collapsed into UHC-44646-94
Enrollment records
2
Member id
UHC-44646-94
MBR-028192
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025491
Duplicate member record retired
Member services
Rebecca Luna: 2 enrollment records collapsed into UHC-65111-39
Enrollment records
2
Member id
UHC-65111-39
MBR-028211
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025492
Duplicate member record retired
Member services
Michael Young: 2 enrollment records collapsed into UHC-00382-28
Enrollment records
2
Member id
UHC-00382-28
MBR-028230
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025493
Duplicate member record retired
Member services
Zachary Wallace: 2 enrollment records collapsed into UHC-31902-21
Enrollment records
2
Member id
UHC-31902-21
MBR-028234
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025494
Duplicate member record retired
Member services
Mateo Simpson: 2 enrollment records collapsed into UHC-48188-73
Enrollment records
2
Member id
UHC-48188-73
MBR-028235
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025495
Duplicate member record retired
Member services
Alan Snyder: 2 enrollment records collapsed into UHC-29214-46
Enrollment records
2
Member id
UHC-29214-46
MBR-028239
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025496
Duplicate member record retired
Member services
Megan Ryan: 2 enrollment records collapsed into UHC-59968-26
Enrollment records
2
Member id
UHC-59968-26
MBR-028241
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025497
Duplicate member record retired
Member services
Samuel Singh: 2 enrollment records collapsed into UHC-22508-64
Enrollment records
2
Member id
UHC-22508-64
MBR-028274
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025498
Duplicate member record retired
Member services
Lucia Mendoza: 2 enrollment records collapsed into UHC-92600-02
Enrollment records
2
Member id
UHC-92600-02
MBR-028275
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025499
Duplicate member record retired
Member services
Jordan Hoffman: 2 enrollment records collapsed into UHC-31665-66
Enrollment records
2
Member id
UHC-31665-66
MBR-028286
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025500
Duplicate member record retired
Member services
Lori Gray: 2 enrollment records collapsed into UHC-53251-10
Enrollment records
2
Member id
UHC-53251-10
MBR-028303
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025501
Duplicate member record retired
Member services
Jordan Black: 2 enrollment records collapsed into UHC-64391-75
Enrollment records
2
Member id
UHC-64391-75
MBR-028305
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025502
Duplicate member record retired
Member services
Heather Boyd: 2 enrollment records collapsed into UHC-21223-18
Enrollment records
2
Member id
UHC-21223-18
MBR-028318
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025503
Duplicate member record retired
Member services
Margaret Margaret: 2 enrollment records collapsed into UHC-99842-43
Enrollment records
2
Member id
UHC-99842-43
MBR-028319
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025504
Duplicate member record retired
Member services
Barb Martinez: 3 enrollment records collapsed into UHC-80756-39
Enrollment records
3
Member id
UHC-80756-39
MBR-028328
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025505
Duplicate member record retired
Member services
Sofia Grant: 2 enrollment records collapsed into UHC-68246-83
Enrollment records
2
Member id
UHC-68246-83
MBR-028333
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025506
Duplicate member record retired
Member services
Marcus Scott: 2 enrollment records collapsed into UHC-58921-89
Enrollment records
2
Member id
UHC-58921-89
MBR-028339
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025507
Duplicate member record retired
Member services
Charlotte Le: 2 enrollment records collapsed into UHC-73579-53
Enrollment records
2
Member id
UHC-73579-53
MBR-028369
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025508
Duplicate member record retired
Member services
Jeremy Chapman: 2 enrollment records collapsed into UHC-44520-76
Enrollment records
2
Member id
UHC-44520-76
MBR-028373
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025509
Duplicate member record retired
Member services
Walter Wang: 2 enrollment records collapsed into UHC-97777-83
Enrollment records
2
Member id
UHC-97777-83
MBR-028383
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025510
Duplicate member record retired
Member services
Christine Cooper: 2 enrollment records collapsed into UHC-90180-01
Enrollment records
2
Member id
UHC-90180-01
MBR-028399
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025511
Duplicate member record retired
Member services
Jesse Pierce: 2 enrollment records collapsed into UHC-13009-43
Enrollment records
2
Member id
UHC-13009-43
MBR-028406
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025512
Duplicate member record retired
Member services
Sean Nunez: 2 enrollment records collapsed into UHC-56320-70
Enrollment records
2
Member id
UHC-56320-70
MBR-028426
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025513
Duplicate member record retired
Member services
Anthony Harper: 3 enrollment records collapsed into UHC-93669-60
Enrollment records
3
Member id
UHC-93669-60
MBR-028427
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025514
Duplicate member record retired
Member services
Joan Le: 2 enrollment records collapsed into UHC-35979-49
Enrollment records
2
Member id
UHC-35979-49
MBR-028433
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025515
Duplicate member record retired
Member services
Maira Kim: 2 enrollment records collapsed into UHC-95297-64
Enrollment records
2
Member id
UHC-95297-64
MBR-028437
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025516
Duplicate member record retired
Member services
Dylan Parker: 2 enrollment records collapsed into UHC-07807-62
Enrollment records
2
Member id
UHC-07807-62
MBR-028448
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 77 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.