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-025817
Duplicate member record retired
Member services
Theresa Hoffman: 2 enrollment records collapsed into UHC-15893-12
Enrollment records
2
Member id
UHC-15893-12
MBR-031791
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025818
Duplicate member record retired
Member services
Jeremy Snyder: 2 enrollment records collapsed into UHC-65942-65
Enrollment records
2
Member id
UHC-65942-65
MBR-031800
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025819
Duplicate member record retired
Member services
Mason Lawrence: 3 enrollment records collapsed into UHC-62902-14
Enrollment records
3
Member id
UHC-62902-14
MBR-031805
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025820
Duplicate member record retired
Member services
Mateo Medina: 2 enrollment records collapsed into UHC-80796-72
Enrollment records
2
Member id
UHC-80796-72
MBR-031806
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025821
Duplicate member record retired
Member services
Rebecca Spencer: 2 enrollment records collapsed into UHC-40057-75
Enrollment records
2
Member id
UHC-40057-75
MBR-031823
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025822
Duplicate member record retired
Member services
Diego Ross: 3 enrollment records collapsed into UHC-73403-26
Enrollment records
3
Member id
UHC-73403-26
MBR-031830
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025823
Duplicate member record retired
Member services
Elijah Watson: 2 enrollment records collapsed into UHC-72077-16
Enrollment records
2
Member id
UHC-72077-16
MBR-031837
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025824
Duplicate member record retired
Member services
Ralph Cruz: 2 enrollment records collapsed into UHC-07469-71
Enrollment records
2
Member id
UHC-07469-71
MBR-031850
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025825
Duplicate member record retired
Member services
Marilyn Carr: 3 enrollment records collapsed into UHC-90566-07
Enrollment records
3
Member id
UHC-90566-07
MBR-031875
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025826
Duplicate member record retired
Member services
Ahmed Hughes: 2 enrollment records collapsed into UHC-53596-51
Enrollment records
2
Member id
UHC-53596-51
MBR-031879
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025827
Duplicate member record retired
Member services
Nathan Fernandez: 2 enrollment records collapsed into UHC-35679-26
Enrollment records
2
Member id
UHC-35679-26
MBR-031886
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025828
Duplicate member record retired
Member services
Patrick Harris: 2 enrollment records collapsed into UHC-30417-93
Enrollment records
2
Member id
UHC-30417-93
MBR-031891
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025829
Duplicate member record retired
Member services
Logan Cruz: 2 enrollment records collapsed into UHC-96867-11
Enrollment records
2
Member id
UHC-96867-11
MBR-031893
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025830
Duplicate member record retired
Member services
Melissa Collins: 2 enrollment records collapsed into UHC-84977-60
Enrollment records
2
Member id
UHC-84977-60
MBR-031933
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025831
Duplicate member record retired
Member services
Ranndy Martinez: 2 enrollment records collapsed into UHC-44160-31
Enrollment records
2
Member id
UHC-44160-31
MBR-031946
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025832
Duplicate member record retired
Member services
Judith Olson: 2 enrollment records collapsed into UHC-31184-68
Enrollment records
2
Member id
UHC-31184-68
MBR-031955
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025833
Duplicate member record retired
Member services
Yuki Kelley: 2 enrollment records collapsed into UHC-53122-07
Enrollment records
2
Member id
UHC-53122-07
MBR-031957
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025834
Duplicate member record retired
Member services
Valentina Wheeler: 3 enrollment records collapsed into UHC-44407-74
Enrollment records
3
Member id
UHC-44407-74
MBR-031961
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025835
Duplicate member record retired
Member services
Albert Wilson: 2 enrollment records collapsed into UHC-98937-02
Enrollment records
2
Member id
UHC-98937-02
MBR-031962
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025836
Duplicate member record retired
Member services
Andrea Richards: 2 enrollment records collapsed into UHC-85331-38
Enrollment records
2
Member id
UHC-85331-38
MBR-031972
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025837
Duplicate member record retired
Member services
Donaald Ramirez: 2 enrollment records collapsed into UHC-32962-76
Enrollment records
2
Member id
UHC-32962-76
MBR-031983
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025838
Duplicate member record retired
Member services
Teresa Yang: 2 enrollment records collapsed into UHC-95957-35
Enrollment records
2
Member id
UHC-95957-35
MBR-032017
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025839
Duplicate member record retired
Member services
Joshua Watsun: 2 enrollment records collapsed into UHC-62896-70
Enrollment records
2
Member id
UHC-62896-70
MBR-032026
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025840
Duplicate member record retired
Member services
Michelle Fields: 2 enrollment records collapsed into UHC-78616-92
Enrollment records
2
Member id
UHC-78616-92
MBR-032034
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025841
Duplicate member record retired
Member services
Karen Soto: 2 enrollment records collapsed into UHC-32772-57
Enrollment records
2
Member id
UHC-32772-57
MBR-032043
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025842
Duplicate member record retired
Member services
Cynthia Peterson: 2 enrollment records collapsed into UHC-59351-27
Enrollment records
2
Member id
UHC-59351-27
MBR-032047
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025843
Duplicate member record retired
Member services
Doris West: 2 enrollment records collapsed into UHC-47060-88
Enrollment records
2
Member id
UHC-47060-88
MBR-032056
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025844
Duplicate member record retired
Member services
Edwad Santiago: 2 enrollment records collapsed into UHC-06807-55
Enrollment records
2
Member id
UHC-06807-55
MBR-032057
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025845
Duplicate member record retired
Member services
Michael Black: 2 enrollment records collapsed into UHC-49575-80
Enrollment records
2
Member id
UHC-49575-80
MBR-032060
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025846
Duplicate member record retired
Member services
Amber Perez: 2 enrollment records collapsed into UHC-24581-99
Enrollment records
2
Member id
UHC-24581-99
MBR-032089
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025847
Duplicate member record retired
Member services
Carlos Moreno: 2 enrollment records collapsed into UHC-89088-65
Enrollment records
2
Member id
UHC-89088-65
MBR-032092
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025848
Duplicate member record retired
Member services
George Jordan: 2 enrollment records collapsed into UHC-51226-22
Enrollment records
2
Member id
UHC-51226-22
MBR-032097
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025849
Duplicate member record retired
Member services
Anthony Ryan: 2 enrollment records collapsed into UHC-95677-68
Enrollment records
2
Member id
UHC-95677-68
MBR-032103
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025850
Duplicate member record retired
Member services
Jose Robinson: 2 enrollment records collapsed into UHC-39115-68
Enrollment records
2
Member id
UHC-39115-68
MBR-032105
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025851
Duplicate member record retired
Member services
Jerry Harrison: 2 enrollment records collapsed into UHC-34375-67
Enrollment records
2
Member id
UHC-34375-67
MBR-032120
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025852
Duplicate member record retired
Member services
Janet Elliott: 3 enrollment records collapsed into UHC-44835-28
Enrollment records
3
Member id
UHC-44835-28
MBR-032129
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025853
Duplicate member record retired
Member services
Frances Rogers: 2 enrollment records collapsed into UHC-18099-21
Enrollment records
2
Member id
UHC-18099-21
MBR-032144
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025854
Duplicate member record retired
Member services
Justin Robertson: 2 enrollment records collapsed into UHC-36053-50
Enrollment records
2
Member id
UHC-36053-50
MBR-032148
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025855
Duplicate member record retired
Member services
Joshua Wagner: 2 enrollment records collapsed into UHC-39831-74
Enrollment records
2
Member id
UHC-39831-74
MBR-032153
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025856
Duplicate member record retired
Member services
Gabriel Hill: 2 enrollment records collapsed into UHC-71046-40
Enrollment records
2
Member id
UHC-71046-40
MBR-032222
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025857
Duplicate member record retired
Member services
Sean Kelly: 2 enrollment records collapsed into UHC-24159-74
Enrollment records
2
Member id
UHC-24159-74
MBR-032228
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025858
Duplicate member record retired
Member services
Arjun Austin: 2 enrollment records collapsed into UHC-84919-23
Enrollment records
2
Member id
UHC-84919-23
MBR-032230
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025859
Duplicate member record retired
Member services
Christian Gutierrez: 2 enrollment records collapsed into UHC-21146-73
Enrollment records
2
Member id
UHC-21146-73
MBR-032257
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025860
Duplicate member record retired
Member services
Hiroshi Marshall: 2 enrollment records collapsed into UHC-00465-86
Enrollment records
2
Member id
UHC-00465-86
MBR-032258
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025861
Duplicate member record retired
Member services
Kayla Sims: 2 enrollment records collapsed into UHC-14286-28
Enrollment records
2
Member id
UHC-14286-28
MBR-032266
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025862
Duplicate member record retired
Member services
Ethan Vargas: 2 enrollment records collapsed into UHC-32789-06
Enrollment records
2
Member id
UHC-32789-06
MBR-032275
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025863
Duplicate member record retired
Member services
Noah Ross: 2 enrollment records collapsed into UHC-85850-73
Enrollment records
2
Member id
UHC-85850-73
MBR-032291
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025864
Duplicate member record retired
Member services
Alexander Dixon: 2 enrollment records collapsed into UHC-80497-62
Enrollment records
2
Member id
UHC-80497-62
MBR-032325
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025865
Duplicate member record retired
Member services
Sam Thompson: 2 enrollment records collapsed into UHC-36071-05
Enrollment records
2
Member id
UHC-36071-05
MBR-032339
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025866
Duplicate member record retired
Member services
Jacob Reed: 3 enrollment records collapsed into UHC-01120-63
Enrollment records
3
Member id
UHC-01120-63
MBR-032345
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 84 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.