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-022067
Duplicate member record retired
Member services
Emily Little: 2 enrollment records collapsed into UHC-13577-79
Enrollment records
2
Member id
UHC-13577-79
MBR-002389
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022068
Duplicate member record retired
Member services
Valentina Williams: 2 enrollment records collapsed into UHC-42568-28
Enrollment records
2
Member id
UHC-42568-28
MBR-002396
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022069
Duplicate member record retired
Member services
Nancy Williams: 2 enrollment records collapsed into UHC-38414-77
Enrollment records
2
Member id
UHC-38414-77
MBR-002403
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022070
Duplicate member record retired
Member services
Jonathan Rivera: 4 enrollment records collapsed into UHC-64480-79
Enrollment records
4
Member id
UHC-64480-79
MBR-002406
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022071
Duplicate member record retired
Member services
Pamela Rychardson: 2 enrollment records collapsed into UHC-65975-52
Enrollment records
2
Member id
UHC-65975-52
MBR-002418
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022072
Duplicate member record retired
Member services
Mei Bradley: 3 enrollment records collapsed into UHC-98883-33
Enrollment records
3
Member id
UHC-98883-33
MBR-002432
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022073
Duplicate member record retired
Member services
Hannah Simpson: 4 enrollment records collapsed into UHC-46037-77
Enrollment records
4
Member id
UHC-46037-77
MBR-002434
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022074
Duplicate member record retired
Member services
Anna Freeman: 2 enrollment records collapsed into UHC-84558-26
Enrollment records
2
Member id
UHC-84558-26
MBR-002448
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022075
Duplicate member record retired
Member services
Joyce Barnes: 2 enrollment records collapsed into UHC-71080-12
Enrollment records
2
Member id
UHC-71080-12
MBR-002455
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022076
Duplicate member record retired
Member services
Amber Wells: 2 enrollment records collapsed into UHC-80479-97
Enrollment records
2
Member id
UHC-80479-97
MBR-002456
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022077
Duplicate member record retired
Member services
Betty Santiago: 3 enrollment records collapsed into UHC-84720-46
Enrollment records
3
Member id
UHC-84720-46
MBR-002459
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022078
Duplicate member record retired
Member services
Ana Morgan: 2 enrollment records collapsed into UHC-89767-67
Enrollment records
2
Member id
UHC-89767-67
MBR-002463
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022079
Duplicate member record retired
Member services
Margaret Lane: 2 enrollment records collapsed into UHC-85163-67
Enrollment records
2
Member id
UHC-85163-67
MBR-002468
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022080
Duplicate member record retired
Member services
Arthur Ray: 2 enrollment records collapsed into UHC-79109-70
Enrollment records
2
Member id
UHC-79109-70
MBR-002469
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022081
Duplicate member record retired
Member services
Bryan Jenkins: 2 enrollment records collapsed into UHC-92838-28
Enrollment records
2
Member id
UHC-92838-28
MBR-002478
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022082
Duplicate member record retired
Member services
Barbara Jacobs: 2 enrollment records collapsed into UHC-84370-28
Enrollment records
2
Member id
UHC-84370-28
MBR-002484
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022083
Duplicate member record retired
Member services
Mariana Roberts: 2 enrollment records collapsed into UHC-17847-12
Enrollment records
2
Member id
UHC-17847-12
MBR-002500
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022084
Duplicate member record retired
Member services
Theresa Larson: 2 enrollment records collapsed into UHC-75355-53
Enrollment records
2
Member id
UHC-75355-53
MBR-002524
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022085
Duplicate member record retired
Member services
Pat Jensen: 2 enrollment records collapsed into UHC-29674-55
Enrollment records
2
Member id
UHC-29674-55
MBR-002537
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022086
Duplicate member record retired
Member services
Amber Fields: 2 enrollment records collapsed into UHC-04870-75
Enrollment records
2
Member id
UHC-04870-75
MBR-002543
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022087
Duplicate member record retired
Member services
Aisha Gardner: 2 enrollment records collapsed into UHC-26182-08
Enrollment records
2
Member id
UHC-26182-08
MBR-002546
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022088
Duplicate member record retired
Member services
Valentina Marquez: 2 enrollment records collapsed into UHC-01154-91
Enrollment records
2
Member id
UHC-01154-91
MBR-002553
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022089
Duplicate member record retired
Member services
Megan Hawkins: 2 enrollment records collapsed into
Enrollment records
2
Member id
MBR-002554
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022090
Duplicate member record retired
Member services
Cheryl Obrien: 2 enrollment records collapsed into UHC-58364-11
Enrollment records
2
Member id
UHC-58364-11
MBR-002556
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022091
Duplicate member record retired
Member services
Evelyn Coleman: 2 enrollment records collapsed into UHC-30106-17
Enrollment records
2
Member id
UHC-30106-17
MBR-002558
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022092
Duplicate member record retired
Member services
Sharon Jordan: 2 enrollment records collapsed into UHC-95905-11
Enrollment records
2
Member id
UHC-95905-11
MBR-002563
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022093
Duplicate member record retired
Member services
Lori Santos: 2 enrollment records collapsed into UHC-54330-79
Enrollment records
2
Member id
UHC-54330-79
MBR-002566
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022094
Duplicate member record retired
Member services
Olivia Chapman: 2 enrollment records collapsed into UHC-95278-33
Enrollment records
2
Member id
UHC-95278-33
MBR-002569
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022095
Duplicate member record retired
Member services
Doris Guzman: 2 enrollment records collapsed into UHC-56787-59
Enrollment records
2
Member id
UHC-56787-59
MBR-002577
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022096
Duplicate member record retired
Member services
Robert Murphy: 2 enrollment records collapsed into UHC-28931-58
Enrollment records
2
Member id
UHC-28931-58
MBR-002582
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022097
Duplicate member record retired
Member services
Russell Marquez: 2 enrollment records collapsed into UHC-20668-29
Enrollment records
2
Member id
UHC-20668-29
MBR-002588
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022098
Duplicate member record retired
Member services
Amy Elliott: 3 enrollment records collapsed into UHC-64891-74
Enrollment records
3
Member id
UHC-64891-74
MBR-002593
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022099
Duplicate member record retired
Member services
Dennis Cole: 2 enrollment records collapsed into UHC-96366-62
Enrollment records
2
Member id
UHC-96366-62
MBR-002597
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022100
Duplicate member record retired
Member services
Lauren Ryan: 2 enrollment records collapsed into UHC-80172-58
Enrollment records
2
Member id
UHC-80172-58
MBR-002598
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022101
Duplicate member record retired
Member services
Grace Coleman: 2 enrollment records collapsed into UHC-12992-59
Enrollment records
2
Member id
UHC-12992-59
MBR-002602
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022102
Duplicate member record retired
Member services
Jose Gordon: 2 enrollment records collapsed into UHC-27613-60
Enrollment records
2
Member id
UHC-27613-60
MBR-002618
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022103
Duplicate member record retired
Member services
Mateo Thomas: 3 enrollment records collapsed into UHC-30713-28
Enrollment records
3
Member id
UHC-30713-28
MBR-002623
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022104
Duplicate member record retired
Member services
Nicholas Simmons: 2 enrollment records collapsed into UHC-65254-29
Enrollment records
2
Member id
UHC-65254-29
MBR-002640
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022105
Duplicate member record retired
Member services
Brittany Shaw: 2 enrollment records collapsed into UHC-51205-94
Enrollment records
2
Member id
UHC-51205-94
MBR-002642
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022106
Duplicate member record retired
Member services
Matthew Sandoval: 2 enrollment records collapsed into UHC-42875-42
Enrollment records
2
Member id
UHC-42875-42
MBR-002656
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022107
Duplicate member record retired
Member services
Lawrence Mejia: 2 enrollment records collapsed into UHC-44229-83
Enrollment records
2
Member id
UHC-44229-83
MBR-002665
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022108
Duplicate member record retired
Member services
Marcus Carpenter: 2 enrollment records collapsed into UHC-47961-55
Enrollment records
2
Member id
UHC-47961-55
MBR-002677
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022109
Duplicate member record retired
Member services
Juan Powell: 2 enrollment records collapsed into UHC-99289-88
Enrollment records
2
Member id
UHC-99289-88
MBR-002683
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022110
Duplicate member record retired
Member services
Christopher Hawkins: 2 enrollment records collapsed into UHC-49024-83
Enrollment records
2
Member id
UHC-49024-83
MBR-002685
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022111
Duplicate member record retired
Member services
Christina Cruz: 2 enrollment records collapsed into UHC-96388-39
Enrollment records
2
Member id
UHC-96388-39
MBR-002707
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022112
Duplicate member record retired
Member services
Carl Weber: 2 enrollment records collapsed into UHC-17260-12
Enrollment records
2
Member id
UHC-17260-12
MBR-002709
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022113
Duplicate member record retired
Member services
Edward Moreno: 2 enrollment records collapsed into UHC-32630-39
Enrollment records
2
Member id
UHC-32630-39
MBR-002710
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022114
Duplicate member record retired
Member services
Willie Jensen: 2 enrollment records collapsed into UHC-76046-12
Enrollment records
2
Member id
UHC-76046-12
MBR-002716
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022115
Duplicate member record retired
Member services
Dennis Warren: 2 enrollment records collapsed into UHC-83107-26
Enrollment records
2
Member id
UHC-83107-26
MBR-002718
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022116
Duplicate member record retired
Member services
Andrew Burke: 2 enrollment records collapsed into UHC-48174-87
Enrollment records
2
Member id
UHC-48174-87
MBR-002726
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 9 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.