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-025917
Duplicate member record retired
Member services
Carl Obrien: 2 enrollment records collapsed into UHC-87879-70
Enrollment records
2
Member id
UHC-87879-70
MBR-033024
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025918
Duplicate member record retired
Member services
Amber Obrien: 2 enrollment records collapsed into UHC-23418-47
Enrollment records
2
Member id
UHC-23418-47
MBR-033026
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025919
Duplicate member record retired
Member services
Janice Reed: 2 enrollment records collapsed into UHC-32316-34
Enrollment records
2
Member id
UHC-32316-34
MBR-033047
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025920
Duplicate member record retired
Member services
Kathryn Watson: 2 enrollment records collapsed into UHC-76128-80
Enrollment records
2
Member id
UHC-76128-80
MBR-033051
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025921
Duplicate member record retired
Member services
Christine Franklin: 2 enrollment records collapsed into UHC-52518-67
Enrollment records
2
Member id
UHC-52518-67
MBR-033063
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025922
Duplicate member record retired
Member services
Ann Singh: 3 enrollment records collapsed into UHC-68432-82
Enrollment records
3
Member id
UHC-68432-82
MBR-033064
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025923
Duplicate member record retired
Member services
Jose Rose: 2 enrollment records collapsed into UHC-51129-80
Enrollment records
2
Member id
UHC-51129-80
MBR-033069
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025924
Duplicate member record retired
Member services
Aisha Weaver: 2 enrollment records collapsed into UHC-45713-40
Enrollment records
2
Member id
UHC-45713-40
MBR-033085
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025925
Duplicate member record retired
Member services
Eric Daniels: 2 enrollment records collapsed into UHC-60880-20
Enrollment records
2
Member id
UHC-60880-20
MBR-033086
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025926
Duplicate member record retired
Member services
Joyce Jenkins: 2 enrollment records collapsed into UHC-89318-82
Enrollment records
2
Member id
UHC-89318-82
MBR-033102
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025927
Duplicate member record retired
Member services
Judith Mendez: 2 enrollment records collapsed into UHC-87211-70
Enrollment records
2
Member id
UHC-87211-70
MBR-033107
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025928
Duplicate member record retired
Member services
Kenneth Black: 2 enrollment records collapsed into UHC-44296-79
Enrollment records
2
Member id
UHC-44296-79
MBR-033109
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025929
Duplicate member record retired
Member services
Arjun Walsh: 2 enrollment records collapsed into UHC-14006-97
Enrollment records
2
Member id
UHC-14006-97
MBR-033129
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025930
Duplicate member record retired
Member services
Joshua Yang: 2 enrollment records collapsed into UHC-41387-41
Enrollment records
2
Member id
UHC-41387-41
MBR-033138
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025931
Duplicate member record retired
Member services
Jessica Miller: 2 enrollment records collapsed into UHC-28040-04
Enrollment records
2
Member id
UHC-28040-04
MBR-033143
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025932
Duplicate member record retired
Member services
Diana Mills: 2 enrollment records collapsed into UHC-78735-87
Enrollment records
2
Member id
UHC-78735-87
MBR-033154
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025933
Duplicate member record retired
Member services
Wei Stevens: 2 enrollment records collapsed into UHC-61657-92
Enrollment records
2
Member id
UHC-61657-92
MBR-033162
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025934
Duplicate member record retired
Member services
Catherine Alexander: 2 enrollment records collapsed into UHC-81631-23
Enrollment records
2
Member id
UHC-81631-23
MBR-033163
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025935
Duplicate member record retired
Member services
Julie Hunt: 2 enrollment records collapsed into UHC-98129-61
Enrollment records
2
Member id
UHC-98129-61
MBR-033169
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025936
Duplicate member record retired
Member services
Douglas Hill: 2 enrollment records collapsed into UHC-33322-25
Enrollment records
2
Member id
UHC-33322-25
MBR-033175
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025937
Duplicate member record retired
Member services
Bruce Graham: 2 enrollment records collapsed into UHC-62566-62
Enrollment records
2
Member id
UHC-62566-62
MBR-033179
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025938
Duplicate member record retired
Member services
Emily Burns: 2 enrollment records collapsed into UHC-83733-14
Enrollment records
2
Member id
UHC-83733-14
MBR-033202
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025939
Duplicate member record retired
Member services
Julia Wong: 2 enrollment records collapsed into UHC-71698-20
Enrollment records
2
Member id
UHC-71698-20
MBR-033206
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025940
Duplicate member record retired
Member services
Crlos Grant: 2 enrollment records collapsed into UHC-23187-98
Enrollment records
2
Member id
UHC-23187-98
MBR-033211
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025941
Duplicate member record retired
Member services
Kayla Wagner: 3 enrollment records collapsed into UHC-41223-83
Enrollment records
3
Member id
UHC-41223-83
MBR-033212
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025942
Duplicate member record retired
Member services
Melissa Kennedy: 2 enrollment records collapsed into UHC-91517-70
Enrollment records
2
Member id
UHC-91517-70
MBR-033213
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025943
Duplicate member record retired
Member services
Margaret Wright: 2 enrollment records collapsed into UHC-58142-21
Enrollment records
2
Member id
UHC-58142-21
MBR-033243
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025944
Duplicate member record retired
Member services
Maria Marshall: 2 enrollment records collapsed into UHC-73511-04
Enrollment records
2
Member id
UHC-73511-04
MBR-033257
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025945
Duplicate member record retired
Member services
Albert Brown: 2 enrollment records collapsed into UHC-45592-15
Enrollment records
2
Member id
UHC-45592-15
MBR-033267
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025946
Duplicate member record retired
Member services
Evelyn Kim: 2 enrollment records collapsed into UHC-34692-99
Enrollment records
2
Member id
UHC-34692-99
MBR-033299
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025947
Duplicate member record retired
Member services
Teresa Meyer: 2 enrollment records collapsed into UHC-07697-73
Enrollment records
2
Member id
UHC-07697-73
MBR-033311
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025948
Duplicate member record retired
Member services
Sharon Woods: 2 enrollment records collapsed into UHC-33271-36
Enrollment records
2
Member id
UHC-33271-36
MBR-033324
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025949
Duplicate member record retired
Member services
Hannah Ortiz: 2 enrollment records collapsed into UHC-87191-37
Enrollment records
2
Member id
UHC-87191-37
MBR-033334
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025950
Duplicate member record retired
Member services
Laura Bowman: 3 enrollment records collapsed into UHC-16543-14
Enrollment records
3
Member id
UHC-16543-14
MBR-033335
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025951
Duplicate member record retired
Member services
Grace Alexander: 2 enrollment records collapsed into UHC-60724-18
Enrollment records
2
Member id
UHC-60724-18
MBR-033354
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025952
Duplicate member record retired
Member services
Noah Vasquez: 2 enrollment records collapsed into UHC-51486-14
Enrollment records
2
Member id
UHC-51486-14
MBR-033355
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025953
Duplicate member record retired
Member services
Karen Shaw: 2 enrollment records collapsed into UHC-04059-22
Enrollment records
2
Member id
UHC-04059-22
MBR-033375
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025954
Duplicate member record retired
Member services
Dorothy Burke: 2 enrollment records collapsed into UHC-46982-08
Enrollment records
2
Member id
UHC-46982-08
MBR-033383
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025955
Duplicate member record retired
Member services
Jacob Allen: 2 enrollment records collapsed into UHC-64592-60
Enrollment records
2
Member id
UHC-64592-60
MBR-033384
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025956
Duplicate member record retired
Member services
Cynthia Chavez: 2 enrollment records collapsed into UHC-34928-29
Enrollment records
2
Member id
UHC-34928-29
MBR-033386
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025957
Duplicate member record retired
Member services
Arthur Wagner: 2 enrollment records collapsed into UHC-67545-55
Enrollment records
2
Member id
UHC-67545-55
MBR-033394
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025958
Duplicate member record retired
Member services
Christopher Ruiz: 2 enrollment records collapsed into UHC-69936-01
Enrollment records
2
Member id
UHC-69936-01
MBR-033397
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025959
Duplicate member record retired
Member services
Donald Butler: 2 enrollment records collapsed into UHC-30325-41
Enrollment records
2
Member id
UHC-30325-41
MBR-033400
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025960
Duplicate member record retired
Member services
Lucia Jenkins: 3 enrollment records collapsed into UHC-65576-36
Enrollment records
3
Member id
UHC-65576-36
MBR-033432
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025961
Duplicate member record retired
Member services
Stephanie Henderson: 3 enrollment records collapsed into UHC-71447-86
Enrollment records
3
Member id
UHC-71447-86
MBR-033434
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025962
Duplicate member record retired
Member services
Sofia Weber: 2 enrollment records collapsed into UHC-90595-76
Enrollment records
2
Member id
UHC-90595-76
MBR-033436
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025963
Duplicate member record retired
Member services
Nancy Soto: 2 enrollment records collapsed into UHC-74442-37
Enrollment records
2
Member id
UHC-74442-37
MBR-033447
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025964
Duplicate member record retired
Member services
Rebecca Chavez: 2 enrollment records collapsed into UHC-48366-81
Enrollment records
2
Member id
UHC-48366-81
MBR-033456
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025965
Duplicate member record retired
Member services
Isabella Lynch: 2 enrollment records collapsed into UHC-07898-24
Enrollment records
2
Member id
UHC-07898-24
MBR-033476
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025966
Duplicate member record retired
Member services
Grace Welch: 2 enrollment records collapsed into UHC-28155-26
Enrollment records
2
Member id
UHC-28155-26
MBR-033477
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 86 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.