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-025967
Duplicate member record retired
Member services
Carol Owens: 2 enrollment records collapsed into UHC-59852-07
Enrollment records
2
Member id
UHC-59852-07
MBR-033511
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025968
Duplicate member record retired
Member services
Matthew Payne: 3 enrollment records collapsed into UHC-29793-81
Enrollment records
3
Member id
UHC-29793-81
MBR-033533
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025969
Duplicate member record retired
Member services
Brandon Wheeler: 2 enrollment records collapsed into UHC-40767-81
Enrollment records
2
Member id
UHC-40767-81
MBR-033553
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025970
Duplicate member record retired
Member services
Frank Lynch: 2 enrollment records collapsed into UHC-82691-28
Enrollment records
2
Member id
UHC-82691-28
MBR-033558
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025971
Duplicate member record retired
Member services
Ana Espinoza: 2 enrollment records collapsed into UHC-35329-82
Enrollment records
2
Member id
UHC-35329-82
MBR-033570
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025972
Duplicate member record retired
Member services
Kevin Turner: 2 enrollment records collapsed into UHC-30904-19
Enrollment records
2
Member id
UHC-30904-19
MBR-033571
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025973
Duplicate member record retired
Member services
Ahmed Jordan: 3 enrollment records collapsed into UHC-80312-48
Enrollment records
3
Member id
UHC-80312-48
MBR-033579
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025974
Duplicate member record retired
Member services
Noah Franklin: 2 enrollment records collapsed into UHC-74947-71
Enrollment records
2
Member id
UHC-74947-71
MBR-033585
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025975
Duplicate member record retired
Member services
Shirley Harrison: 2 enrollment records collapsed into UHC-28453-44
Enrollment records
2
Member id
UHC-28453-44
MBR-033586
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025976
Duplicate member record retired
Member services
Priya Bowman: 2 enrollment records collapsed into UHC-20261-11
Enrollment records
2
Member id
UHC-20261-11
MBR-033607
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025977
Duplicate member record retired
Member services
Jack Alexander: 2 enrollment records collapsed into UHC-89498-08
Enrollment records
2
Member id
UHC-89498-08
MBR-033611
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025978
Duplicate member record retired
Member services
Jerry Young: 2 enrollment records collapsed into UHC-52799-01
Enrollment records
2
Member id
UHC-52799-01
MBR-033628
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025979
Duplicate member record retired
Member services
Wayne Jimenez: 2 enrollment records collapsed into UHC-31574-79
Enrollment records
2
Member id
UHC-31574-79
MBR-033635
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025980
Duplicate member record retired
Member services
Cynthia Stephens: 2 enrollment records collapsed into UHC-44022-07
Enrollment records
2
Member id
UHC-44022-07
MBR-033678
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025981
Duplicate member record retired
Member services
Abigail Luna: 2 enrollment records collapsed into UHC-74464-69
Enrollment records
2
Member id
UHC-74464-69
MBR-033705
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025982
Duplicate member record retired
Member services
Diego Willis: 3 enrollment records collapsed into UHC-27057-09
Enrollment records
3
Member id
UHC-27057-09
MBR-033707
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025983
Duplicate member record retired
Member services
Willie Sullivan: 2 enrollment records collapsed into UHC-36684-20
Enrollment records
2
Member id
UHC-36684-20
MBR-033711
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025984
Duplicate member record retired
Member services
Pamela Brown: 2 enrollment records collapsed into UHC-00296-23
Enrollment records
2
Member id
UHC-00296-23
MBR-033717
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025985
Duplicate member record retired
Member services
Brenda Jimenez: 2 enrollment records collapsed into UHC-65193-54
Enrollment records
2
Member id
UHC-65193-54
MBR-033731
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025986
Duplicate member record retired
Member services
Kathleen Luna: 2 enrollment records collapsed into UHC-95919-91
Enrollment records
2
Member id
UHC-95919-91
MBR-033734
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025987
Duplicate member record retired
Member services
Lawrence Gibson: 2 enrollment records collapsed into UHC-42339-18
Enrollment records
2
Member id
UHC-42339-18
MBR-033765
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025988
Duplicate member record retired
Member services
Virginia Delgado: 2 enrollment records collapsed into UHC-25625-24
Enrollment records
2
Member id
UHC-25625-24
MBR-033784
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025989
Duplicate member record retired
Member services
Keith Hamilton: 2 enrollment records collapsed into UHC-65870-45
Enrollment records
2
Member id
UHC-65870-45
MBR-033813
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025990
Duplicate member record retired
Member services
Ronald Cooper: 2 enrollment records collapsed into UHC-75874-34
Enrollment records
2
Member id
UHC-75874-34
MBR-033834
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025991
Duplicate member record retired
Member services
Billy Diaz: 3 enrollment records collapsed into UHC-25565-73
Enrollment records
3
Member id
UHC-25565-73
MBR-033848
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025992
Duplicate member record retired
Member services
Joe Bishop: 2 enrollment records collapsed into UHC-19037-06
Enrollment records
2
Member id
UHC-19037-06
MBR-033877
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025993
Duplicate member record retired
Member services
Body Judith: 2 enrollment records collapsed into UHC-79532-53
Enrollment records
2
Member id
UHC-79532-53
MBR-033878
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025994
Duplicate member record retired
Member services
Evelyn Ortega: 2 enrollment records collapsed into UHC-60381-37
Enrollment records
2
Member id
UHC-60381-37
MBR-033901
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025995
Duplicate member record retired
Member services
Christian Ruiz: 2 enrollment records collapsed into UHC-87732-27
Enrollment records
2
Member id
UHC-87732-27
MBR-033917
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025996
Duplicate member record retired
Member services
Lucia White: 2 enrollment records collapsed into UHC-66434-91
Enrollment records
2
Member id
UHC-66434-91
MBR-033924
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025997
Duplicate member record retired
Member services
Donna Bell: 2 enrollment records collapsed into UHC-52060-01
Enrollment records
2
Member id
UHC-52060-01
MBR-033950
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025998
Duplicate member record retired
Member services
Janice Hamilton: 2 enrollment records collapsed into UHC-98453-76
Enrollment records
2
Member id
UHC-98453-76
MBR-033953
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025999
Duplicate member record retired
Member services
Martha Walker: 2 enrollment records collapsed into UHC-95006-84
Enrollment records
2
Member id
UHC-95006-84
MBR-033955
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026000
Duplicate member record retired
Member services
Luis Salazar: 2 enrollment records collapsed into UHC-88223-20
Enrollment records
2
Member id
UHC-88223-20
MBR-033965
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026001
Duplicate member record retired
Member services
Dennis Hunt: 2 enrollment records collapsed into UHC-89275-42
Enrollment records
2
Member id
UHC-89275-42
MBR-033966
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026002
Duplicate member record retired
Member services
Cynthia Bowman: 2 enrollment records collapsed into UHC-47047-03
Enrollment records
2
Member id
UHC-47047-03
MBR-033968
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026003
Duplicate member record retired
Member services
Sam Washington: 2 enrollment records collapsed into UHC-41066-05
Enrollment records
2
Member id
UHC-41066-05
MBR-033972
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026004
Duplicate member record retired
Member services
Rachel Reyes: 2 enrollment records collapsed into UHC-60809-53
Enrollment records
2
Member id
UHC-60809-53
MBR-033994
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026005
Duplicate member record retired
Member services
Jaent Cunningham: 2 enrollment records collapsed into UHC-41719-33
Enrollment records
2
Member id
UHC-41719-33
MBR-034001
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026006
Duplicate member record retired
Member services
Mason Perkins: 2 enrollment records collapsed into UHC-30649-64
Enrollment records
2
Member id
UHC-30649-64
MBR-034010
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026007
Duplicate member record retired
Member services
Scott Mills: 2 enrollment records collapsed into UHC-95658-73
Enrollment records
2
Member id
UHC-95658-73
MBR-034011
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026008
Duplicate member record retired
Member services
Charlotte Alvarez: 2 enrollment records collapsed into UHC-27907-28
Enrollment records
2
Member id
UHC-27907-28
MBR-034019
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026009
Duplicate member record retired
Member services
Michelle Luna: 2 enrollment records collapsed into UHC-80345-60
Enrollment records
2
Member id
UHC-80345-60
MBR-034055
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026010
Duplicate member record retired
Member services
Ahmed Grant: 2 enrollment records collapsed into UHC-33822-70
Enrollment records
2
Member id
UHC-33822-70
MBR-034058
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026011
Duplicate member record retired
Member services
Sarah Williams: 2 enrollment records collapsed into UHC-18323-04
Enrollment records
2
Member id
UHC-18323-04
MBR-034061
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026012
Duplicate member record retired
Member services
Sean Hamilton: 2 enrollment records collapsed into UHC-23119-97
Enrollment records
2
Member id
UHC-23119-97
MBR-034063
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026013
Duplicate member record retired
Member services
Sarah Weaver: 2 enrollment records collapsed into UHC-47275-12
Enrollment records
2
Member id
UHC-47275-12
MBR-034079
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026014
Duplicate member record retired
Member services
Susan Herrera: 2 enrollment records collapsed into UHC-51841-46
Enrollment records
2
Member id
UHC-51841-46
MBR-034083
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026015
Duplicate member record retired
Member services
Carlos McDonald: 3 enrollment records collapsed into UHC-52759-39
Enrollment records
3
Member id
UHC-52759-39
MBR-034091
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026016
Duplicate member record retired
Member services
Chhristian Carroll: 3 enrollment records collapsed into UHC-52814-08
Enrollment records
3
Member id
UHC-52814-08
MBR-034095
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 87 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.