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-025667
Duplicate member record retired
Member services
Mariana Campbell: 3 enrollment records collapsed into UHC-52447-06
Enrollment records
3
Member id
UHC-52447-06
MBR-030108
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025668
Duplicate member record retired
Member services
Maria Lawson: 2 enrollment records collapsed into UHC-70296-83
Enrollment records
2
Member id
UHC-70296-83
MBR-030117
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025669
Duplicate member record retired
Member services
Sara Carr: 2 enrollment records collapsed into UHC-76869-45
Enrollment records
2
Member id
UHC-76869-45
MBR-030120
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025670
Duplicate member record retired
Member services
Amy Lnych: 2 enrollment records collapsed into UHC-95037-78
Enrollment records
2
Member id
UHC-95037-78
MBR-030123
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025671
Duplicate member record retired
Member services
Anna Bowman: 2 enrollment records collapsed into UHC-89187-82
Enrollment records
2
Member id
UHC-89187-82
MBR-030140
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025672
Duplicate member record retired
Member services
Deborah Espinoza: 2 enrollment records collapsed into UHC-30342-49
Enrollment records
2
Member id
UHC-30342-49
MBR-030181
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025673
Duplicate member record retired
Member services
Lisa Campbell: 2 enrollment records collapsed into UHC-87281-93
Enrollment records
2
Member id
UHC-87281-93
MBR-030188
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025674
Duplicate member record retired
Member services
Emily Perez: 2 enrollment records collapsed into UHC-91616-98
Enrollment records
2
Member id
UHC-91616-98
MBR-030197
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025675
Duplicate member record retired
Member services
Kimberly Flores: 2 enrollment records collapsed into UHC-66093-90
Enrollment records
2
Member id
UHC-66093-90
MBR-030208
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025676
Duplicate member record retired
Member services
Christine Mendez: 2 enrollment records collapsed into UHC-65186-08
Enrollment records
2
Member id
UHC-65186-08
MBR-030219
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025677
Duplicate member record retired
Member services
Valentina Guzman: 2 enrollment records collapsed into UHC-80745-68
Enrollment records
2
Member id
UHC-80745-68
MBR-030220
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025678
Duplicate member record retired
Member services
Alexander Hanson: 2 enrollment records collapsed into UHC-67625-60
Enrollment records
2
Member id
UHC-67625-60
MBR-030242
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025679
Duplicate member record retired
Member services
Ashley Hunt: 2 enrollment records collapsed into UHC-17135-04
Enrollment records
2
Member id
UHC-17135-04
MBR-030243
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025680
Duplicate member record retired
Member services
Marilyn Peters: 2 enrollment records collapsed into UHC-57980-91
Enrollment records
2
Member id
UHC-57980-91
MBR-030266
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025681
Duplicate member record retired
Member services
Aisha Cole: 2 enrollment records collapsed into UHC-86878-50
Enrollment records
2
Member id
UHC-86878-50
MBR-030273
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025682
Duplicate member record retired
Member services
Christine Salazar: 2 enrollment records collapsed into UHC-75118-47
Enrollment records
2
Member id
UHC-75118-47
MBR-030274
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025683
Duplicate member record retired
Member services
Arnold Hiroshi: 2 enrollment records collapsed into UHC-91468-21
Enrollment records
2
Member id
UHC-91468-21
MBR-030285
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025684
Duplicate member record retired
Member services
Keitth Salazar: 2 enrollment records collapsed into UHC-87404-77
Enrollment records
2
Member id
UHC-87404-77
MBR-030293
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025685
Duplicate member record retired
Member services
Vincent Campbell: 2 enrollment records collapsed into UHC-73442-08
Enrollment records
2
Member id
UHC-73442-08
MBR-030303
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025686
Duplicate member record retired
Member services
Stephanie Mitchell: 2 enrollment records collapsed into UHC-04952-68
Enrollment records
2
Member id
UHC-04952-68
MBR-030312
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025687
Duplicate member record retired
Member services
John Palmer: 2 enrollment records collapsed into UHC-49938-60
Enrollment records
2
Member id
UHC-49938-60
MBR-030316
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025688
Duplicate member record retired
Member services
Diego Berry: 2 enrollment records collapsed into UHC-56283-01
Enrollment records
2
Member id
UHC-56283-01
MBR-030321
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025689
Duplicate member record retired
Member services
Harold Hunt: 2 enrollment records collapsed into UHC-87704-14
Enrollment records
2
Member id
UHC-87704-14
MBR-030322
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025690
Duplicate member record retired
Member services
Patricia Edwards: 2 enrollment records collapsed into UHC-98173-36
Enrollment records
2
Member id
UHC-98173-36
MBR-030324
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025691
Duplicate member record retired
Member services
Nancy Moraales: 2 enrollment records collapsed into UHC-83703-84
Enrollment records
2
Member id
UHC-83703-84
MBR-030338
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025692
Duplicate member record retired
Member services
Judy Harvey: 2 enrollment records collapsed into UHC-36773-55
Enrollment records
2
Member id
UHC-36773-55
MBR-030348
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025693
Duplicate member record retired
Member services
Pat Ruiz: 2 enrollment records collapsed into UHC-33799-24
Enrollment records
2
Member id
UHC-33799-24
MBR-030350
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025694
Duplicate member record retired
Member services
Emma Alvarez: 2 enrollment records collapsed into UHC-46560-03
Enrollment records
2
Member id
UHC-46560-03
MBR-030359
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025695
Duplicate member record retired
Member services
Charlotte Duncan: 2 enrollment records collapsed into UHC-98897-59
Enrollment records
2
Member id
UHC-98897-59
MBR-030362
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025696
Duplicate member record retired
Member services
Adam Green: 3 enrollment records collapsed into UHC-08215-14
Enrollment records
3
Member id
UHC-08215-14
MBR-030421
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025697
Duplicate member record retired
Member services
Adam Lynch: 2 enrollment records collapsed into UHC-96043-54
Enrollment records
2
Member id
UHC-96043-54
MBR-030429
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025698
Duplicate member record retired
Member services
Wayne Duncan: 2 enrollment records collapsed into UHC-81346-56
Enrollment records
2
Member id
UHC-81346-56
MBR-030466
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025699
Duplicate member record retired
Member services
Carol Murray: 2 enrollment records collapsed into UHC-75188-27
Enrollment records
2
Member id
UHC-75188-27
MBR-030470
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025700
Duplicate member record retired
Member services
Obrien Wei: 2 enrollment records collapsed into UHC-10895-13
Enrollment records
2
Member id
UHC-10895-13
MBR-030477
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025701
Duplicate member record retired
Member services
Alexander Lawrence: 3 enrollment records collapsed into UHC-18319-88
Enrollment records
3
Member id
UHC-18319-88
MBR-030479
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025702
Duplicate member record retired
Member services
Rick Castillo: 2 enrollment records collapsed into UHC-32013-85
Enrollment records
2
Member id
UHC-32013-85
MBR-030481
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025703
Duplicate member record retired
Member services
Adam Simpson: 2 enrollment records collapsed into UHC-19865-62
Enrollment records
2
Member id
UHC-19865-62
MBR-030497
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025704
Duplicate member record retired
Member services
Maria Moreno: 2 enrollment records collapsed into UHC-61343-62
Enrollment records
2
Member id
UHC-61343-62
MBR-030501
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025705
Duplicate member record retired
Member services
Marcus Little: 3 enrollment records collapsed into UHC-92454-63
Enrollment records
3
Member id
UHC-92454-63
MBR-030502
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025706
Duplicate member record retired
Member services
George Estrada: 2 enrollment records collapsed into UHC-50821-50
Enrollment records
2
Member id
UHC-50821-50
MBR-030503
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025707
Duplicate member record retired
Member services
Linda Luna: 2 enrollment records collapsed into UHC-58794-29
Enrollment records
2
Member id
UHC-58794-29
MBR-030505
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025708
Duplicate member record retired
Member services
Aaron Reyes: 2 enrollment records collapsed into UHC-11041-58
Enrollment records
2
Member id
UHC-11041-58
MBR-030506
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025709
Duplicate member record retired
Member services
Alexander Wells: 2 enrollment records collapsed into UHC-58614-40
Enrollment records
2
Member id
UHC-58614-40
MBR-030523
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025710
Duplicate member record retired
Member services
Jack Robertson: 2 enrollment records collapsed into UHC-88651-91
Enrollment records
2
Member id
UHC-88651-91
MBR-030538
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025711
Duplicate member record retired
Member services
Isabella Burton: 2 enrollment records collapsed into UHC-09055-50
Enrollment records
2
Member id
UHC-09055-50
MBR-030585
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025712
Duplicate member record retired
Member services
Beverly Carlson: 2 enrollment records collapsed into UHC-50578-50
Enrollment records
2
Member id
UHC-50578-50
MBR-030592
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025713
Duplicate member record retired
Member services
Carlos Ryan: 2 enrollment records collapsed into UHC-09464-45
Enrollment records
2
Member id
UHC-09464-45
MBR-030596
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025714
Duplicate member record retired
Member services
Liz Phillips: 2 enrollment records collapsed into UHC-72639-34
Enrollment records
2
Member id
UHC-72639-34
MBR-030598
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025715
Duplicate member record retired
Member services
Jason Flores: 2 enrollment records collapsed into UHC-47912-69
Enrollment records
2
Member id
UHC-47912-69
MBR-030604
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025716
Duplicate member record retired
Member services
Hiroshi Lynch: 2 enrollment records collapsed into UHC-75411-44
Enrollment records
2
Member id
UHC-75411-44
MBR-030605
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 81 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.