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-025717
Duplicate member record retired
Member services
Terry Le: 3 enrollment records collapsed into UHC-38720-12
Enrollment records
3
Member id
UHC-38720-12
MBR-030615
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025718
Duplicate member record retired
Member services
Kyle Cook: 2 enrollment records collapsed into UHC-80562-19
Enrollment records
2
Member id
UHC-80562-19
MBR-030651
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025719
Duplicate member record retired
Member services
Rlaph Pierce: 3 enrollment records collapsed into UHC-14332-62
Enrollment records
3
Member id
UHC-14332-62
MBR-030659
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025720
Duplicate member record retired
Member services
Virginia Castillo: 2 enrollment records collapsed into UHC-00947-15
Enrollment records
2
Member id
UHC-00947-15
MBR-030664
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025721
Duplicate member record retired
Member services
Emma Rodriguez: 2 enrollment records collapsed into UHC-89972-01
Enrollment records
2
Member id
UHC-89972-01
MBR-030667
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025722
Duplicate member record retired
Member services
Gregory Gutierrez: 3 enrollment records collapsed into UHC-09302-32
Enrollment records
3
Member id
UHC-09302-32
MBR-030668
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025723
Duplicate member record retired
Member services
Jason Guerrero: 3 enrollment records collapsed into UHC-14738-35
Enrollment records
3
Member id
UHC-14738-35
MBR-030670
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025724
Duplicate member record retired
Member services
Lucia Turner: 2 enrollment records collapsed into UHC-13056-72
Enrollment records
2
Member id
UHC-13056-72
MBR-030676
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025725
Duplicate member record retired
Member services
Sofia Thompson: 2 enrollment records collapsed into UHC-38712-64
Enrollment records
2
Member id
UHC-38712-64
MBR-030715
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025726
Duplicate member record retired
Member services
Mateo Perkins: 3 enrollment records collapsed into UHC-15495-94
Enrollment records
3
Member id
UHC-15495-94
MBR-030739
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025727
Duplicate member record retired
Member services
Mateo Diaz: 2 enrollment records collapsed into UHC-11556-42
Enrollment records
2
Member id
UHC-11556-42
MBR-030741
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025728
Duplicate member record retired
Member services
Randy Lewis: 2 enrollment records collapsed into UHC-17476-87
Enrollment records
2
Member id
UHC-17476-87
MBR-030752
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025729
Duplicate member record retired
Member services
Harold Singh: 2 enrollment records collapsed into UHC-27892-54
Enrollment records
2
Member id
UHC-27892-54
MBR-030753
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025730
Duplicate member record retired
Member services
Alex Diaz: 2 enrollment records collapsed into UHC-67481-57
Enrollment records
2
Member id
UHC-67481-57
MBR-030779
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025731
Duplicate member record retired
Member services
Olivia Chavez: 3 enrollment records collapsed into UHC-71126-91
Enrollment records
3
Member id
UHC-71126-91
MBR-030783
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025732
Duplicate member record retired
Member services
Diego Wong: 2 enrollment records collapsed into UHC-08180-68
Enrollment records
2
Member id
UHC-08180-68
MBR-030808
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025733
Duplicate member record retired
Member services
Priya Weber: 2 enrollment records collapsed into UHC-74953-20
Enrollment records
2
Member id
UHC-74953-20
MBR-030813
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025734
Duplicate member record retired
Member services
Brittany Nunez: 2 enrollment records collapsed into UHC-13686-89
Enrollment records
2
Member id
UHC-13686-89
MBR-030833
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025735
Duplicate member record retired
Member services
Mari Mendez: 2 enrollment records collapsed into UHC-87975-31
Enrollment records
2
Member id
UHC-87975-31
MBR-030835
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025736
Duplicate member record retired
Member services
Amanda Williamson: 3 enrollment records collapsed into UHC-93564-15
Enrollment records
3
Member id
UHC-93564-15
MBR-030842
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025737
Duplicate member record retired
Member services
Omar Medina: 2 enrollment records collapsed into UHC-37490-97
Enrollment records
2
Member id
UHC-37490-97
MBR-030846
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025738
Duplicate member record retired
Member services
Kyle Harper: 2 enrollment records collapsed into UHC-68942-57
Enrollment records
2
Member id
UHC-68942-57
MBR-030868
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025739
Duplicate member record retired
Member services
Soifa Lewis: 2 enrollment records collapsed into UHC-63635-58
Enrollment records
2
Member id
UHC-63635-58
MBR-030870
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025740
Duplicate member record retired
Member services
Jeremy Roberts: 2 enrollment records collapsed into UHC-15499-53
Enrollment records
2
Member id
UHC-15499-53
MBR-030884
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025741
Duplicate member record retired
Member services
Paul Harper: 3 enrollment records collapsed into UHC-17112-43
Enrollment records
3
Member id
UHC-17112-43
MBR-030894
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025742
Duplicate member record retired
Member services
Arjun Ellis: 2 enrollment records collapsed into UHC-70282-36
Enrollment records
2
Member id
UHC-70282-36
MBR-030900
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025743
Duplicate member record retired
Member services
Sara Richards: 2 enrollment records collapsed into UHC-84051-02
Enrollment records
2
Member id
UHC-84051-02
MBR-030907
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025744
Duplicate member record retired
Member services
Doris Diaz: 2 enrollment records collapsed into UHC-30771-40
Enrollment records
2
Member id
UHC-30771-40
MBR-030909
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025745
Duplicate member record retired
Member services
Jason Harvey: 2 enrollment records collapsed into UHC-27403-64
Enrollment records
2
Member id
UHC-27403-64
MBR-030911
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025746
Duplicate member record retired
Member services
Cheryl Guzman: 3 enrollment records collapsed into UHC-71613-42
Enrollment records
3
Member id
UHC-71613-42
MBR-030913
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025747
Duplicate member record retired
Member services
Jesse Santos: 2 enrollment records collapsed into UHC-21978-49
Enrollment records
2
Member id
UHC-21978-49
MBR-030934
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025748
Duplicate member record retired
Member services
Sharon Guzman: 2 enrollment records collapsed into UHC-16998-40
Enrollment records
2
Member id
UHC-16998-40
MBR-030935
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025749
Duplicate member record retired
Member services
Omar Gardner: 2 enrollment records collapsed into UHC-50030-98
Enrollment records
2
Member id
UHC-50030-98
MBR-030937
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025750
Duplicate member record retired
Member services
David Grant: 2 enrollment records collapsed into UHC-65417-85
Enrollment records
2
Member id
UHC-65417-85
MBR-030951
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025751
Duplicate member record retired
Member services
Carl Hill: 2 enrollment records collapsed into UHC-13848-92
Enrollment records
2
Member id
UHC-13848-92
MBR-030952
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025752
Duplicate member record retired
Member services
Aaron Richardson: 2 enrollment records collapsed into UHC-17201-17
Enrollment records
2
Member id
UHC-17201-17
MBR-030966
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025753
Duplicate member record retired
Member services
Pamela Cooper: 3 enrollment records collapsed into UHC-77721-65
Enrollment records
3
Member id
UHC-77721-65
MBR-030980
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025754
Duplicate member record retired
Member services
Natalie Roberts: 2 enrollment records collapsed into UHC-16923-99
Enrollment records
2
Member id
UHC-16923-99
MBR-030983
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025755
Duplicate member record retired
Member services
Jacob Ward: 2 enrollment records collapsed into UHC-58162-21
Enrollment records
2
Member id
UHC-58162-21
MBR-031002
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025756
Duplicate member record retired
Member services
Olivia Hughes: 2 enrollment records collapsed into UHC-11245-96
Enrollment records
2
Member id
UHC-11245-96
MBR-031026
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025757
Duplicate member record retired
Member services
Betty Kelly: 2 enrollment records collapsed into UHC-64201-19
Enrollment records
2
Member id
UHC-64201-19
MBR-031028
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025758
Duplicate member record retired
Member services
Jessica Montgomery: 2 enrollment records collapsed into UHC-28580-22
Enrollment records
2
Member id
UHC-28580-22
MBR-031035
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025759
Duplicate member record retired
Member services
Ann Simmons: 2 enrollment records collapsed into UHC-19311-66
Enrollment records
2
Member id
UHC-19311-66
MBR-031050
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025760
Duplicate member record retired
Member services
Walter Porter: 2 enrollment records collapsed into UHC-68877-75
Enrollment records
2
Member id
UHC-68877-75
MBR-031060
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025761
Duplicate member record retired
Member services
Lori Griffin: 2 enrollment records collapsed into UHC-27335-85
Enrollment records
2
Member id
UHC-27335-85
MBR-031097
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025762
Duplicate member record retired
Member services
Omar Cruz: 2 enrollment records collapsed into UHC-81755-94
Enrollment records
2
Member id
UHC-81755-94
MBR-031151
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025763
Duplicate member record retired
Member services
Diana Hudson: 3 enrollment records collapsed into UHC-99151-84
Enrollment records
3
Member id
UHC-99151-84
MBR-031154
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025764
Duplicate member record retired
Member services
Luis Smith: 2 enrollment records collapsed into UHC-09878-93
Enrollment records
2
Member id
UHC-09878-93
MBR-031168
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025765
Duplicate member record retired
Member services
Jordan Bowman: 4 enrollment records collapsed into UHC-13738-33
Enrollment records
4
Member id
UHC-13738-33
MBR-031196
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025766
Duplicate member record retired
Member services
Joshua Santiago: 2 enrollment records collapsed into UHC-23843-59
Enrollment records
2
Member id
UHC-23843-59
MBR-031200
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 82 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.