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-025867
Duplicate member record retired
Member services
Marcus Barnes: 2 enrollment records collapsed into UHC-28940-99
Enrollment records
2
Member id
UHC-28940-99
MBR-032354
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025868
Duplicate member record retired
Member services
Billy Vargas: 4 enrollment records collapsed into UHC-55865-83
Enrollment records
4
Member id
UHC-55865-83
MBR-032367
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025869
Duplicate member record retired
Member services
Kyle Wong: 2 enrollment records collapsed into UHC-64030-81
Enrollment records
2
Member id
UHC-64030-81
MBR-032390
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025870
Duplicate member record retired
Member services
Raymond Freeman: 3 enrollment records collapsed into UHC-96816-88
Enrollment records
3
Member id
UHC-96816-88
MBR-032392
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025871
Duplicate member record retired
Member services
Jason Proter: 2 enrollment records collapsed into UHC-48950-27
Enrollment records
2
Member id
UHC-48950-27
MBR-032421
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025872
Duplicate member record retired
Member services
Marcus Crawford: 2 enrollment records collapsed into UHC-03736-13
Enrollment records
2
Member id
UHC-03736-13
MBR-032422
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025873
Duplicate member record retired
Member services
Helen Berry: 2 enrollment records collapsed into UHC-43309-12
Enrollment records
2
Member id
UHC-43309-12
MBR-032430
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025874
Duplicate member record retired
Member services
Vincent Gomez: 2 enrollment records collapsed into UHC-78820-41
Enrollment records
2
Member id
UHC-78820-41
MBR-032437
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025875
Duplicate member record retired
Member services
Wayne Daniels: 2 enrollment records collapsed into UHC-26291-31
Enrollment records
2
Member id
UHC-26291-31
MBR-032451
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025876
Duplicate member record retired
Member services
Linda Martinez: 3 enrollment records collapsed into UHC-63238-73
Enrollment records
3
Member id
UHC-63238-73
MBR-032455
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025877
Duplicate member record retired
Member services
Diane Snyder: 2 enrollment records collapsed into UHC-68765-36
Enrollment records
2
Member id
UHC-68765-36
MBR-032467
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025878
Duplicate member record retired
Member services
Martha Murphy: 2 enrollment records collapsed into UHC-96988-57
Enrollment records
2
Member id
UHC-96988-57
MBR-032487
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025879
Duplicate member record retired
Member services
Benjamin Fowler: 2 enrollment records collapsed into UHC-67914-70
Enrollment records
2
Member id
UHC-67914-70
MBR-032499
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025880
Duplicate member record retired
Member services
Andrew Freeman: 2 enrollment records collapsed into UHC-02052-01
Enrollment records
2
Member id
UHC-02052-01
MBR-032516
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025881
Duplicate member record retired
Member services
Jordan Brery: 2 enrollment records collapsed into UHC-06988-44
Enrollment records
2
Member id
UHC-06988-44
MBR-032520
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025882
Duplicate member record retired
Member services
Natalie Martinez: 2 enrollment records collapsed into UHC-91807-65
Enrollment records
2
Member id
UHC-91807-65
MBR-032528
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025883
Duplicate member record retired
Member services
Wayne Castillo: 2 enrollment records collapsed into UHC-95042-59
Enrollment records
2
Member id
UHC-95042-59
MBR-032533
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025884
Duplicate member record retired
Member services
Abigail Snyder: 2 enrollment records collapsed into UHC-30299-02
Enrollment records
2
Member id
UHC-30299-02
MBR-032537
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025885
Duplicate member record retired
Member services
Gloria Hart: 2 enrollment records collapsed into UHC-42892-41
Enrollment records
2
Member id
UHC-42892-41
MBR-032567
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025886
Duplicate member record retired
Member services
Anna Montgomery: 2 enrollment records collapsed into UHC-65162-84
Enrollment records
2
Member id
UHC-65162-84
MBR-032617
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025887
Duplicate member record retired
Member services
Willie Delgado: 3 enrollment records collapsed into UHC-47830-16
Enrollment records
3
Member id
UHC-47830-16
MBR-032656
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025888
Duplicate member record retired
Member services
Steven Butler: 2 enrollment records collapsed into UHC-75930-09
Enrollment records
2
Member id
UHC-75930-09
MBR-032657
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025889
Duplicate member record retired
Member services
Randy Edwards: 2 enrollment records collapsed into UHC-20618-09
Enrollment records
2
Member id
UHC-20618-09
MBR-032672
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025890
Duplicate member record retired
Member services
Dylan Berry: 2 enrollment records collapsed into UHC-73876-98
Enrollment records
2
Member id
UHC-73876-98
MBR-032678
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025891
Duplicate member record retired
Member services
Diego Schmidt: 2 enrollment records collapsed into UHC-25673-02
Enrollment records
2
Member id
UHC-25673-02
MBR-032682
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025892
Duplicate member record retired
Member services
Christopher Miller: 2 enrollment records collapsed into UHC-58051-99
Enrollment records
2
Member id
UHC-58051-99
MBR-032687
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025893
Duplicate member record retired
Member services
Catherine Coleman: 2 enrollment records collapsed into UHC-75249-39
Enrollment records
2
Member id
UHC-75249-39
MBR-032707
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025894
Duplicate member record retired
Member services
Zachary Black: 2 enrollment records collapsed into UHC-26635-36
Enrollment records
2
Member id
UHC-26635-36
MBR-032708
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025895
Duplicate member record retired
Member services
Carolyn Mills: 2 enrollment records collapsed into UHC-54330-82
Enrollment records
2
Member id
UHC-54330-82
MBR-032713
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025896
Duplicate member record retired
Member services
Teresa Wang: 2 enrollment records collapsed into UHC-66405-35
Enrollment records
2
Member id
UHC-66405-35
MBR-032722
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025897
Duplicate member record retired
Member services
Billy Grant: 2 enrollment records collapsed into UHC-16300-53
Enrollment records
2
Member id
UHC-16300-53
MBR-032736
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025898
Duplicate member record retired
Member services
Christina Rodriguez: 2 enrollment records collapsed into UHC-61766-76
Enrollment records
2
Member id
UHC-61766-76
MBR-032742
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025899
Duplicate member record retired
Member services
Matthew Banks: 2 enrollment records collapsed into UHC-11963-65
Enrollment records
2
Member id
UHC-11963-65
MBR-032752
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025900
Duplicate member record retired
Member services
Deborah Burke: 2 enrollment records collapsed into UHC-62683-57
Enrollment records
2
Member id
UHC-62683-57
MBR-032773
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025901
Duplicate member record retired
Member services
Ethan Olson: 2 enrollment records collapsed into UHC-70689-35
Enrollment records
2
Member id
UHC-70689-35
MBR-032781
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025902
Duplicate member record retired
Member services
Mariana West: 2 enrollment records collapsed into UHC-37899-83
Enrollment records
2
Member id
UHC-37899-83
MBR-032785
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025903
Duplicate member record retired
Member services
William Stewart: 2 enrollment records collapsed into UHC-93919-22
Enrollment records
2
Member id
UHC-93919-22
MBR-032804
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025904
Duplicate member record retired
Member services
Ana Gordon: 2 enrollment records collapsed into UHC-94961-90
Enrollment records
2
Member id
UHC-94961-90
MBR-032822
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025905
Duplicate member record retired
Member services
Gabriel Russell: 2 enrollment records collapsed into UHC-05189-61
Enrollment records
2
Member id
UHC-05189-61
MBR-032869
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025906
Duplicate member record retired
Member services
Sandra Hughes: 2 enrollment records collapsed into UHC-80842-64
Enrollment records
2
Member id
UHC-80842-64
MBR-032942
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025907
Duplicate member record retired
Member services
Christina Walsh: 2 enrollment records collapsed into UHC-65890-94
Enrollment records
2
Member id
UHC-65890-94
MBR-032950
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025908
Duplicate member record retired
Member services
Eugene Hudson: 2 enrollment records collapsed into UHC-10757-21
Enrollment records
2
Member id
UHC-10757-21
MBR-032964
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025909
Duplicate member record retired
Member services
Mason Castro: 2 enrollment records collapsed into UHC-78844-52
Enrollment records
2
Member id
UHC-78844-52
MBR-032969
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025910
Duplicate member record retired
Member services
Stephen Graham: 2 enrollment records collapsed into UHC-19980-14
Enrollment records
2
Member id
UHC-19980-14
MBR-032977
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025911
Duplicate member record retired
Member services
Mateo Alvarez: 2 enrollment records collapsed into UHC-77283-62
Enrollment records
2
Member id
UHC-77283-62
MBR-032978
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025912
Duplicate member record retired
Member services
Albert Gray: 2 enrollment records collapsed into UHC-15346-69
Enrollment records
2
Member id
UHC-15346-69
MBR-032988
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025913
Duplicate member record retired
Member services
Billly Peterson: 2 enrollment records collapsed into UHC-29755-09
Enrollment records
2
Member id
UHC-29755-09
MBR-033002
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025914
Duplicate member record retired
Member services
Cheryl Maldonado: 2 enrollment records collapsed into UHC-13415-08
Enrollment records
2
Member id
UHC-13415-08
MBR-033012
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025915
Duplicate member record retired
Member services
Jordan Williams: 2 enrollment records collapsed into UHC-60590-75
Enrollment records
2
Member id
UHC-60590-75
MBR-033013
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025916
Duplicate member record retired
Member services
Ethan Owens: 2 enrollment records collapsed into UHC-45302-33
Enrollment records
2
Member id
UHC-45302-33
MBR-033022
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 85 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.