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-026067
Duplicate member record retired
Member services
Austin Bennett: 2 enrollment records collapsed into UHC-98289-93
Enrollment records
2
Member id
UHC-98289-93
MBR-034648
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026068
Duplicate member record retired
Member services
Karen Gutierrez: 3 enrollment records collapsed into UHC-40050-34
Enrollment records
3
Member id
UHC-40050-34
MBR-034650
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026069
Duplicate member record retired
Member services
Carolyn Roberts: 2 enrollment records collapsed into UHC-06363-32
Enrollment records
2
Member id
UHC-06363-32
MBR-034658
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026070
Duplicate member record retired
Member services
Jordan Watson: 2 enrollment records collapsed into UHC-22725-60
Enrollment records
2
Member id
UHC-22725-60
MBR-034684
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026071
Duplicate member record retired
Member services
Gerald Ruiz: 2 enrollment records collapsed into UHC-14467-45
Enrollment records
2
Member id
UHC-14467-45
MBR-034688
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026072
Duplicate member record retired
Member services
Charles Fields: 2 enrollment records collapsed into UHC-66165-35
Enrollment records
2
Member id
UHC-66165-35
MBR-034703
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026073
Duplicate member record retired
Member services
Joe Gray: 2 enrollment records collapsed into UHC-46590-86
Enrollment records
2
Member id
UHC-46590-86
MBR-034704
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026074
Duplicate member record retired
Member services
Harold Herrera: 2 enrollment records collapsed into UHC-89206-91
Enrollment records
2
Member id
UHC-89206-91
MBR-034714
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026075
Duplicate member record retired
Member services
Edward Bradley: 2 enrollment records collapsed into UHC-46461-64
Enrollment records
2
Member id
UHC-46461-64
MBR-034715
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026076
Duplicate member record retired
Member services
Nicole Estrada: 2 enrollment records collapsed into UHC-39156-12
Enrollment records
2
Member id
UHC-39156-12
MBR-034722
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026077
Duplicate member record retired
Member services
Jack Bishop: 3 enrollment records collapsed into UHC-95340-02
Enrollment records
3
Member id
UHC-95340-02
MBR-034750
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026078
Duplicate member record retired
Member services
Mary Shaw: 2 enrollment records collapsed into UHC-19721-07
Enrollment records
2
Member id
UHC-19721-07
MBR-034753
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026079
Duplicate member record retired
Member services
Deborah Owens: 2 enrollment records collapsed into UHC-36207-21
Enrollment records
2
Member id
UHC-36207-21
MBR-034769
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026080
Duplicate member record retired
Member services
Scott Alvarez: 2 enrollment records collapsed into UHC-73594-80
Enrollment records
2
Member id
UHC-73594-80
MBR-034810
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026081
Duplicate member record retired
Member services
Denise Smith: 2 enrollment records collapsed into UHC-92718-75
Enrollment records
2
Member id
UHC-92718-75
MBR-034839
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026082
Duplicate member record retired
Member services
Aaron Moore: 2 enrollment records collapsed into UHC-40687-94
Enrollment records
2
Member id
UHC-40687-94
MBR-034844
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026083
Duplicate member record retired
Member services
Btty Gutierrez: 2 enrollment records collapsed into UHC-29030-63
Enrollment records
2
Member id
UHC-29030-63
MBR-034849
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026084
Duplicate member record retired
Member services
Jacqueline Sanders: 3 enrollment records collapsed into UHC-67570-52
Enrollment records
3
Member id
UHC-67570-52
MBR-034872
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026085
Duplicate member record retired
Member services
Brandon Smith: 2 enrollment records collapsed into UHC-16733-19
Enrollment records
2
Member id
UHC-16733-19
MBR-034876
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026086
Duplicate member record retired
Member services
Andrew Obrien: 2 enrollment records collapsed into UHC-28831-78
Enrollment records
2
Member id
UHC-28831-78
MBR-034877
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026087
Duplicate member record retired
Member services
Elizabeth Wang: 2 enrollment records collapsed into UHC-37493-35
Enrollment records
2
Member id
UHC-37493-35
MBR-034879
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026088
Duplicate member record retired
Member services
Roger Taylor: 2 enrollment records collapsed into UHC-26029-98
Enrollment records
2
Member id
UHC-26029-98
MBR-034899
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026089
Duplicate member record retired
Member services
Jacqueline Graham: 2 enrollment records collapsed into UHC-66972-89
Enrollment records
2
Member id
UHC-66972-89
MBR-034902
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026090
Duplicate member record retired
Member services
Marcus King: 2 enrollment records collapsed into UHC-75675-84
Enrollment records
2
Member id
UHC-75675-84
MBR-034907
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026091
Duplicate member record retired
Member services
Martha Jacobs: 2 enrollment records collapsed into UHC-57381-01
Enrollment records
2
Member id
UHC-57381-01
MBR-034934
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026092
Duplicate member record retired
Member services
Mei Obrien: 2 enrollment records collapsed into UHC-15488-51
Enrollment records
2
Member id
UHC-15488-51
MBR-034935
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026093
Duplicate member record retired
Member services
Hiroshi Medina: 2 enrollment records collapsed into UHC-21576-77
Enrollment records
2
Member id
UHC-21576-77
MBR-034942
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026094
Duplicate member record retired
Member services
Janet Harris: 2 enrollment records collapsed into UHC-03351-82
Enrollment records
2
Member id
UHC-03351-82
MBR-034963
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026095
Duplicate member record retired
Member services
Gloria Chapman: 2 enrollment records collapsed into UHC-10323-58
Enrollment records
2
Member id
UHC-10323-58
MBR-034964
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026096
Duplicate member record retired
Member services
Aaron Reid: 2 enrollment records collapsed into UHC-70326-11
Enrollment records
2
Member id
UHC-70326-11
MBR-034998
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026097
Duplicate member record retired
Member services
Carolyn Gordun: 2 enrollment records collapsed into UHC-33886-46
Enrollment records
2
Member id
UHC-33886-46
MBR-035016
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026098
Duplicate member record retired
Member services
Timothy Dunn: 2 enrollment records collapsed into UHC-00270-77
Enrollment records
2
Member id
UHC-00270-77
MBR-035063
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026099
Duplicate member record retired
Member services
Roy Lawrence: 2 enrollment records collapsed into UHC-96696-03
Enrollment records
2
Member id
UHC-96696-03
MBR-035070
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026100
Duplicate member record retired
Member services
Laura Wood: 2 enrollment records collapsed into UHC-73210-09
Enrollment records
2
Member id
UHC-73210-09
MBR-035072
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026101
Duplicate member record retired
Member services
Robert Washington: 3 enrollment records collapsed into UHC-52616-95
Enrollment records
3
Member id
UHC-52616-95
MBR-035086
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026102
Duplicate member record retired
Member services
Brittany Lucas: 2 enrollment records collapsed into UHC-07347-22
Enrollment records
2
Member id
UHC-07347-22
MBR-035121
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026103
Duplicate member record retired
Member services
Teresa Larson: 2 enrollment records collapsed into UHC-41793-54
Enrollment records
2
Member id
UHC-41793-54
MBR-035125
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026104
Duplicate member record retired
Member services
Priya Ryan: 3 enrollment records collapsed into UHC-22153-20
Enrollment records
3
Member id
UHC-22153-20
MBR-035126
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026105
Duplicate member record retired
Member services
Dorothy Wood: 2 enrollment records collapsed into UHC-31545-27
Enrollment records
2
Member id
UHC-31545-27
MBR-035132
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026106
Duplicate member record retired
Member services
Alan Ferguson: 2 enrollment records collapsed into UHC-70793-11
Enrollment records
2
Member id
UHC-70793-11
MBR-035146
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026107
Duplicate member record retired
Member services
Debra Wod: 2 enrollment records collapsed into UHC-63319-04
Enrollment records
2
Member id
UHC-63319-04
MBR-035154
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026108
Duplicate member record retired
Member services
John Le: 2 enrollment records collapsed into UHC-50789-41
Enrollment records
2
Member id
UHC-50789-41
MBR-035156
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026109
Duplicate member record retired
Member services
Susan Estrada: 2 enrollment records collapsed into UHC-65247-52
Enrollment records
2
Member id
UHC-65247-52
MBR-035161
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026110
Duplicate member record retired
Member services
Ethan Thompson: 2 enrollment records collapsed into UHC-90196-95
Enrollment records
2
Member id
UHC-90196-95
MBR-035164
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026111
Duplicate member record retired
Member services
Janet Jnoes: 2 enrollment records collapsed into UHC-89184-92
Enrollment records
2
Member id
UHC-89184-92
MBR-035179
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026112
Duplicate member record retired
Member services
Paul Kniight: 2 enrollment records collapsed into UHC-30214-82
Enrollment records
2
Member id
UHC-30214-82
MBR-035209
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026113
Duplicate member record retired
Member services
George Knight: 2 enrollment records collapsed into UHC-05781-78
Enrollment records
2
Member id
UHC-05781-78
MBR-035235
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026114
Duplicate member record retired
Member services
Roy Hansen: 2 enrollment records collapsed into UHC-25734-43
Enrollment records
2
Member id
UHC-25734-43
MBR-035237
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026115
Duplicate member record retired
Member services
Sophia Diaz: 2 enrollment records collapsed into UHC-97392-72
Enrollment records
2
Member id
UHC-97392-72
MBR-035263
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026116
Duplicate member record retired
Member services
Luis Johnson: 2 enrollment records collapsed into UHC-05639-79
Enrollment records
2
Member id
UHC-05639-79
MBR-035283
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 89 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.