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-022017
Duplicate member record retired
Member services
Mariana Mason: 3 enrollment records collapsed into UHC-25369-28
Enrollment records
3
Member id
UHC-25369-28
MBR-002101
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022018
Duplicate member record retired
Member services
Samantha Marshall: 2 enrollment records collapsed into UHC-35254-25
Enrollment records
2
Member id
UHC-35254-25
MBR-002108
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022019
Duplicate member record retired
Member services
Ken Burns: 2 enrollment records collapsed into UHC-20662-45
Enrollment records
2
Member id
UHC-20662-45
MBR-002109
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022020
Duplicate member record retired
Member services
Dorothy Nunez: 3 enrollment records collapsed into UHC-27583-32
Enrollment records
3
Member id
UHC-27583-32
MBR-002124
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022021
Duplicate member record retired
Member services
Pamela Harvey: 2 enrollment records collapsed into UHC-71603-21
Enrollment records
2
Member id
UHC-71603-21
MBR-002128
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022022
Duplicate member record retired
Member services
Mason Vasquez: 2 enrollment records collapsed into UHC-56594-06
Enrollment records
2
Member id
UHC-56594-06
MBR-002129
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022023
Duplicate member record retired
Member services
Angela Hawkins: 2 enrollment records collapsed into UHC-86812-10
Enrollment records
2
Member id
UHC-86812-10
MBR-002138
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022024
Duplicate member record retired
Member services
William Cook: 2 enrollment records collapsed into UHC-06442-14
Enrollment records
2
Member id
UHC-06442-14
MBR-002141
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022025
Duplicate member record retired
Member services
Jack Yang: 2 enrollment records collapsed into UHC-07057-61
Enrollment records
2
Member id
UHC-07057-61
MBR-002153
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022026
Duplicate member record retired
Member services
Albert Murray: 2 enrollment records collapsed into UHC-91617-74
Enrollment records
2
Member id
UHC-91617-74
MBR-002154
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022027
Duplicate member record retired
Member services
George Le: 2 enrollment records collapsed into UHC-06211-11
Enrollment records
2
Member id
UHC-06211-11
MBR-002155
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022028
Duplicate member record retired
Member services
Timothy Yang: 2 enrollment records collapsed into UHC-70570-53
Enrollment records
2
Member id
UHC-70570-53
MBR-002156
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022029
Duplicate member record retired
Member services
Kenneth Contreras: 2 enrollment records collapsed into UHC-79730-70
Enrollment records
2
Member id
UHC-79730-70
MBR-002157
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022030
Duplicate member record retired
Member services
Patricia Ross: 2 enrollment records collapsed into UHC-68744-18
Enrollment records
2
Member id
UHC-68744-18
MBR-002162
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022031
Duplicate member record retired
Member services
Gary Gutierrez: 2 enrollment records collapsed into UHC-65560-71
Enrollment records
2
Member id
UHC-65560-71
MBR-002163
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022032
Duplicate member record retired
Member services
Kenneth Stewart: 2 enrollment records collapsed into UHC-91857-26
Enrollment records
2
Member id
UHC-91857-26
MBR-002169
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022033
Duplicate member record retired
Member services
Samantah Castillo: 2 enrollment records collapsed into UHC-23757-47
Enrollment records
2
Member id
UHC-23757-47
MBR-002182
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022034
Duplicate member record retired
Member services
Denise Roberts: 2 enrollment records collapsed into UHC-19669-31
Enrollment records
2
Member id
UHC-19669-31
MBR-002184
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022035
Duplicate member record retired
Member services
Mari Wang: 2 enrollment records collapsed into UHC-01269-47
Enrollment records
2
Member id
UHC-01269-47
MBR-002187
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022036
Duplicate member record retired
Member services
Rachel Baker: 3 enrollment records collapsed into UHC-32037-03
Enrollment records
3
Member id
UHC-32037-03
MBR-002200
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022037
Duplicate member record retired
Member services
Jennifer Banks: 2 enrollment records collapsed into UHC-67222-51
Enrollment records
2
Member id
UHC-67222-51
MBR-002209
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022038
Duplicate member record retired
Member services
Lisa Taylor: 2 enrollment records collapsed into UHC-20686-86
Enrollment records
2
Member id
UHC-20686-86
MBR-002217
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022039
Duplicate member record retired
Member services
Dylan Meyer: 2 enrollment records collapsed into UHC-95805-53
Enrollment records
2
Member id
UHC-95805-53
MBR-002221
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022040
Duplicate member record retired
Member services
Angela Fowler: 2 enrollment records collapsed into UHC-91761-70
Enrollment records
2
Member id
UHC-91761-70
MBR-002226
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022041
Duplicate member record retired
Member services
Shirley Patel: 2 enrollment records collapsed into UHC-16580-02
Enrollment records
2
Member id
UHC-16580-02
MBR-002228
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022042
Duplicate member record retired
Member services
Terry Carter: 3 enrollment records collapsed into UHC-90297-29
Enrollment records
3
Member id
UHC-90297-29
MBR-002234
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022043
Duplicate member record retired
Member services
Elijah Brown: 2 enrollment records collapsed into UHC-79098-85
Enrollment records
2
Member id
UHC-79098-85
MBR-002240
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022044
Duplicate member record retired
Member services
Joshua Phillips: 2 enrollment records collapsed into UHC-93601-34
Enrollment records
2
Member id
UHC-93601-34
MBR-002241
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022045
Duplicate member record retired
Member services
Sandra Porter: 2 enrollment records collapsed into UHC-18433-35
Enrollment records
2
Member id
UHC-18433-35
MBR-002244
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022046
Duplicate member record retired
Member services
Helen Dominguez: 2 enrollment records collapsed into UHC-96057-46
Enrollment records
2
Member id
UHC-96057-46
MBR-002246
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022047
Duplicate member record retired
Member services
Eugene Delgado: 2 enrollment records collapsed into UHC-54477-15
Enrollment records
2
Member id
UHC-54477-15
MBR-002255
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022048
Duplicate member record retired
Member services
Nicholas Stevens: 2 enrollment records collapsed into UHC-17491-69
Enrollment records
2
Member id
UHC-17491-69
MBR-002256
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022049
Duplicate member record retired
Member services
Kelly Gonzalez: 2 enrollment records collapsed into UHC-45875-06
Enrollment records
2
Member id
UHC-45875-06
MBR-002260
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022050
Duplicate member record retired
Member services
Andrea Kennedy: 2 enrollment records collapsed into UHC-99655-87
Enrollment records
2
Member id
UHC-99655-87
MBR-002267
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022051
Duplicate member record retired
Member services
Paul Patel: 2 enrollment records collapsed into UHC-67299-32
Enrollment records
2
Member id
UHC-67299-32
MBR-002274
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022052
Duplicate member record retired
Member services
Melissa Walsh: 2 enrollment records collapsed into UHC-81070-15
Enrollment records
2
Member id
UHC-81070-15
MBR-002278
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022053
Duplicate member record retired
Member services
Samantha Dean: 2 enrollment records collapsed into UHC-17723-18
Enrollment records
2
Member id
UHC-17723-18
MBR-002281
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022054
Duplicate member record retired
Member services
Amy Dunn: 2 enrollment records collapsed into UHC-33934-78
Enrollment records
2
Member id
UHC-33934-78
MBR-002284
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022055
Duplicate member record retired
Member services
Joan Gilbert: 2 enrollment records collapsed into UHC-72248-27
Enrollment records
2
Member id
UHC-72248-27
MBR-002323
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022056
Duplicate member record retired
Member services
Denise Morales: 2 enrollment records collapsed into UHC-22051-95
Enrollment records
2
Member id
UHC-22051-95
MBR-002333
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022057
Duplicate member record retired
Member services
Daniel Hernandez: 2 enrollment records collapsed into UHC-23992-53
Enrollment records
2
Member id
UHC-23992-53
MBR-002334
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022058
Duplicate member record retired
Member services
Lucia Banks: 2 enrollment records collapsed into UHC-18333-25
Enrollment records
2
Member id
UHC-18333-25
MBR-002340
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022059
Duplicate member record retired
Member services
Margaret Bell: 2 enrollment records collapsed into UHC-39574-66
Enrollment records
2
Member id
UHC-39574-66
MBR-002342
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022060
Duplicate member record retired
Member services
Edward Lawson: 2 enrollment records collapsed into UHC-29283-46
Enrollment records
2
Member id
UHC-29283-46
MBR-002368
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022061
Duplicate member record retired
Member services
Shirley Holmes: 2 enrollment records collapsed into UHC-39460-01
Enrollment records
2
Member id
UHC-39460-01
MBR-002372
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022062
Duplicate member record retired
Member services
Olivia Padilla: 2 enrollment records collapsed into UHC-81861-12
Enrollment records
2
Member id
UHC-81861-12
MBR-002374
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022063
Duplicate member record retired
Member services
Martha Ruiz: 2 enrollment records collapsed into UHC-79278-09
Enrollment records
2
Member id
UHC-79278-09
MBR-002375
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022064
Duplicate member record retired
Member services
Alan Johnston: 2 enrollment records collapsed into UHC-44462-04
Enrollment records
2
Member id
UHC-44462-04
MBR-002378
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022065
Duplicate member record retired
Member services
Ruth Stephens: 2 enrollment records collapsed into UHC-49733-39
Enrollment records
2
Member id
UHC-49733-39
MBR-002384
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022066
Duplicate member record retired
Member services
Billy Nunez: 2 enrollment records collapsed into UHC-35702-03
Enrollment records
2
Member id
UHC-35702-03
MBR-002385
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 8 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.