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-026017
Duplicate member record retired
Member services
Patricia Hart: 2 enrollment records collapsed into UHC-97214-71
Enrollment records
2
Member id
UHC-97214-71
MBR-034096
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026018
Duplicate member record retired
Member services
Sofia Jones: 2 enrollment records collapsed into UHC-63162-84
Enrollment records
2
Member id
UHC-63162-84
MBR-034129
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026019
Duplicate member record retired
Member services
Jerry Dixon: 2 enrollment records collapsed into UHC-66083-03
Enrollment records
2
Member id
UHC-66083-03
MBR-034171
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026020
Duplicate member record retired
Member services
Philip Robinson: 2 enrollment records collapsed into UHC-17592-55
Enrollment records
2
Member id
UHC-17592-55
MBR-034173
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026021
Duplicate member record retired
Member services
Samuel Richardson: 2 enrollment records collapsed into UHC-82787-14
Enrollment records
2
Member id
UHC-82787-14
MBR-034182
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026022
Duplicate member record retired
Member services
Teresa Sims: 2 enrollment records collapsed into UHC-19809-99
Enrollment records
2
Member id
UHC-19809-99
MBR-034183
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026023
Duplicate member record retired
Member services
Noah Allen: 2 enrollment records collapsed into UHC-20780-46
Enrollment records
2
Member id
UHC-20780-46
MBR-034187
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026024
Duplicate member record retired
Member services
Kyle Gonzalez: 2 enrollment records collapsed into UHC-63081-75
Enrollment records
2
Member id
UHC-63081-75
MBR-034193
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026025
Duplicate member record retired
Member services
Wayne Williams: 2 enrollment records collapsed into UHC-69696-29
Enrollment records
2
Member id
UHC-69696-29
MBR-034205
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026026
Duplicate member record retired
Member services
Carl Chapman: 2 enrollment records collapsed into UHC-14869-57
Enrollment records
2
Member id
UHC-14869-57
MBR-034227
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026027
Duplicate member record retired
Member services
Thompson Jerry: 2 enrollment records collapsed into UHC-09925-69
Enrollment records
2
Member id
UHC-09925-69
MBR-034234
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026028
Duplicate member record retired
Member services
Alice Hansen: 2 enrollment records collapsed into UHC-76717-35
Enrollment records
2
Member id
UHC-76717-35
MBR-034238
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026029
Duplicate member record retired
Member services
Jordan Jordan: 2 enrollment records collapsed into UHC-52030-27
Enrollment records
2
Member id
UHC-52030-27
MBR-034244
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026030
Duplicate member record retired
Member services
Scott Garrdner: 3 enrollment records collapsed into UHC-89463-27
Enrollment records
3
Member id
UHC-89463-27
MBR-034251
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026031
Duplicate member record retired
Member services
Brittany Morales: 2 enrollment records collapsed into UHC-09344-34
Enrollment records
2
Member id
UHC-09344-34
MBR-034257
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026032
Duplicate member record retired
Member services
Joseph Tran: 2 enrollment records collapsed into UHC-70624-20
Enrollment records
2
Member id
UHC-70624-20
MBR-034264
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026033
Duplicate member record retired
Member services
Jack Sullivan: 2 enrollment records collapsed into UHC-56237-02
Enrollment records
2
Member id
UHC-56237-02
MBR-034266
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026034
Duplicate member record retired
Member services
Kim Morales: 2 enrollment records collapsed into UHC-52189-91
Enrollment records
2
Member id
UHC-52189-91
MBR-034294
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026035
Duplicate member record retired
Member services
Mark Hart: 2 enrollment records collapsed into UHC-12044-87
Enrollment records
2
Member id
UHC-12044-87
MBR-034295
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026036
Duplicate member record retired
Member services
Arjun Weber: 2 enrollment records collapsed into UHC-19405-15
Enrollment records
2
Member id
UHC-19405-15
MBR-034296
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026037
Duplicate member record retired
Member services
Heather Carpenter: 2 enrollment records collapsed into UHC-81594-70
Enrollment records
2
Member id
UHC-81594-70
MBR-034299
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026038
Duplicate member record retired
Member services
Roger Carroll: 2 enrollment records collapsed into UHC-99287-92
Enrollment records
2
Member id
UHC-99287-92
MBR-034328
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026039
Duplicate member record retired
Member services
Virginia Moore: 2 enrollment records collapsed into UHC-66744-78
Enrollment records
2
Member id
UHC-66744-78
MBR-034336
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026040
Duplicate member record retired
Member services
James Fowler: 2 enrollment records collapsed into UHC-97018-67
Enrollment records
2
Member id
UHC-97018-67
MBR-034340
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026041
Duplicate member record retired
Member services
Bobby Sanchez: 2 enrollment records collapsed into UHC-44876-72
Enrollment records
2
Member id
UHC-44876-72
MBR-034341
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026042
Duplicate member record retired
Member services
Bobby Harper: 2 enrollment records collapsed into UHC-24069-93
Enrollment records
2
Member id
UHC-24069-93
MBR-034367
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026043
Duplicate member record retired
Member services
Mei Reid: 2 enrollment records collapsed into UHC-17477-15
Enrollment records
2
Member id
UHC-17477-15
MBR-034376
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026044
Duplicate member record retired
Member services
Wei Weebb: 2 enrollment records collapsed into UHC-25774-97
Enrollment records
2
Member id
UHC-25774-97
MBR-034383
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026045
Duplicate member record retired
Member services
Stephen Miller: 3 enrollment records collapsed into UHC-10946-99
Enrollment records
3
Member id
UHC-10946-99
MBR-034388
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026046
Duplicate member record retired
Member services
Sharon Gibson: 2 enrollment records collapsed into UHC-58719-97
Enrollment records
2
Member id
UHC-58719-97
MBR-034396
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026047
Duplicate member record retired
Member services
Diana Hanson: 2 enrollment records collapsed into UHC-23006-28
Enrollment records
2
Member id
UHC-23006-28
MBR-034398
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026048
Duplicate member record retired
Member services
Sophia Bennett: 3 enrollment records collapsed into UHC-18922-15
Enrollment records
3
Member id
UHC-18922-15
MBR-034410
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026049
Duplicate member record retired
Member services
Hannaah Taylor: 2 enrollment records collapsed into UHC-49582-39
Enrollment records
2
Member id
UHC-49582-39
MBR-034443
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026050
Duplicate member record retired
Member services
Jose Day: 2 enrollment records collapsed into UHC-65678-01
Enrollment records
2
Member id
UHC-65678-01
MBR-034469
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026051
Duplicate member record retired
Member services
Adam Sandoval: 2 enrollment records collapsed into UHC-12411-34
Enrollment records
2
Member id
UHC-12411-34
MBR-034471
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026052
Duplicate member record retired
Member services
Sarah Chpman: 2 enrollment records collapsed into UHC-78688-10
Enrollment records
2
Member id
UHC-78688-10
MBR-034501
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026053
Duplicate member record retired
Member services
Marcus Richardson: 2 enrollment records collapsed into UHC-45648-36
Enrollment records
2
Member id
UHC-45648-36
MBR-034520
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026054
Duplicate member record retired
Member services
Amber Delgado: 2 enrollment records collapsed into UHC-36033-37
Enrollment records
2
Member id
UHC-36033-37
MBR-034524
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026055
Duplicate member record retired
Member services
Denise Guerrero: 2 enrollment records collapsed into UHC-92483-29
Enrollment records
2
Member id
UHC-92483-29
MBR-034531
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026056
Duplicate member record retired
Member services
Mateo Singh: 2 enrollment records collapsed into UHC-58469-79
Enrollment records
2
Member id
UHC-58469-79
MBR-034536
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026057
Duplicate member record retired
Member services
Jdy Cook: 2 enrollment records collapsed into UHC-73916-71
Enrollment records
2
Member id
UHC-73916-71
MBR-034538
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026058
Duplicate member record retired
Member services
Jean Myers: 2 enrollment records collapsed into UHC-89681-88
Enrollment records
2
Member id
UHC-89681-88
MBR-034540
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026059
Duplicate member record retired
Member services
Ryan Mendez: 2 enrollment records collapsed into UHC-96450-94
Enrollment records
2
Member id
UHC-96450-94
MBR-034546
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026060
Duplicate member record retired
Member services
Bobby Kelly: 3 enrollment records collapsed into UHC-98988-55
Enrollment records
3
Member id
UHC-98988-55
MBR-034565
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026061
Duplicate member record retired
Member services
Charlotte Dixon: 2 enrollment records collapsed into UHC-64837-59
Enrollment records
2
Member id
UHC-64837-59
MBR-034570
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026062
Duplicate member record retired
Member services
Bradley Foster: 3 enrollment records collapsed into UHC-61179-72
Enrollment records
3
Member id
UHC-61179-72
MBR-034579
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026063
Duplicate member record retired
Member services
Camila Knight: 2 enrollment records collapsed into UHC-56856-16
Enrollment records
2
Member id
UHC-56856-16
MBR-034583
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026064
Duplicate member record retired
Member services
Brenda Tucker: 2 enrollment records collapsed into UHC-97550-61
Enrollment records
2
Member id
UHC-97550-61
MBR-034589
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026065
Duplicate member record retired
Member services
Frances Espinoza: 2 enrollment records collapsed into UHC-41544-16
Enrollment records
2
Member id
UHC-41544-16
MBR-034610
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026066
Duplicate member record retired
Member services
Frank Payne: 3 enrollment records collapsed into UHC-69731-21
Enrollment records
3
Member id
UHC-69731-21
MBR-034641
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 88 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.