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-026117
Duplicate member record retired
Member services
Arthur Richards: 2 enrollment records collapsed into UHC-97857-60
Enrollment records
2
Member id
UHC-97857-60
MBR-035316
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026118
Duplicate member record retired
Member services
Noah Vasquez: 2 enrollment records collapsed into UHC-16757-75
Enrollment records
2
Member id
UHC-16757-75
MBR-035324
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026119
Duplicate member record retired
Member services
Priya Burton: 3 enrollment records collapsed into UHC-30034-12
Enrollment records
3
Member id
UHC-30034-12
MBR-035325
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026120
Duplicate member record retired
Member services
Jennifer Santiago: 2 enrollment records collapsed into UHC-46898-90
Enrollment records
2
Member id
UHC-46898-90
MBR-035328
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026121
Duplicate member record retired
Member services
Kelly Shaw: 2 enrollment records collapsed into UHC-70062-36
Enrollment records
2
Member id
UHC-70062-36
MBR-035330
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026122
Duplicate member record retired
Member services
Justin Evans: 2 enrollment records collapsed into UHC-25755-07
Enrollment records
2
Member id
UHC-25755-07
MBR-035333
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026123
Duplicate member record retired
Member services
Henry Obrien: 2 enrollment records collapsed into UHC-71537-80
Enrollment records
2
Member id
UHC-71537-80
MBR-035344
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026124
Duplicate member record retired
Member services
Haroold Burns: 2 enrollment records collapsed into
Enrollment records
2
Member id
MBR-035346
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026125
Duplicate member record retired
Member services
Richard Yang: 2 enrollment records collapsed into UHC-13935-20
Enrollment records
2
Member id
UHC-13935-20
MBR-035359
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026126
Duplicate member record retired
Member services
Denie Miller: 2 enrollment records collapsed into UHC-85977-64
Enrollment records
2
Member id
UHC-85977-64
MBR-035361
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026127
Duplicate member record retired
Member services
Henry Mills: 2 enrollment records collapsed into UHC-00734-23
Enrollment records
2
Member id
UHC-00734-23
MBR-035387
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026128
Duplicate member record retired
Member services
Arthur Simpson: 2 enrollment records collapsed into UHC-42939-64
Enrollment records
2
Member id
UHC-42939-64
MBR-035406
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026129
Duplicate member record retired
Member services
Eric Smith: 2 enrollment records collapsed into UHC-59513-92
Enrollment records
2
Member id
UHC-59513-92
MBR-035425
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026130
Duplicate member record retired
Member services
Laura Johnson: 2 enrollment records collapsed into UHC-73708-61
Enrollment records
2
Member id
UHC-73708-61
MBR-035437
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026131
Duplicate member record retired
Member services
Mariana Russell: 2 enrollment records collapsed into UHC-35952-60
Enrollment records
2
Member id
UHC-35952-60
MBR-035440
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026132
Duplicate member record retired
Member services
Carol James: 2 enrollment records collapsed into UHC-38761-26
Enrollment records
2
Member id
UHC-38761-26
MBR-035445
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026133
Duplicate member record retired
Member services
Elijah Salazar: 2 enrollment records collapsed into UHC-61738-02
Enrollment records
2
Member id
UHC-61738-02
MBR-035462
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026134
Duplicate member record retired
Member services
Jean Santiago: 2 enrollment records collapsed into UHC-49960-87
Enrollment records
2
Member id
UHC-49960-87
MBR-035496
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026135
Duplicate member record retired
Member services
Alice Larson: 2 enrollment records collapsed into UHC-47376-36
Enrollment records
2
Member id
UHC-47376-36
MBR-035503
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026136
Duplicate member record retired
Member services
Maria Ramos: 2 enrollment records collapsed into UHC-15701-44
Enrollment records
2
Member id
UHC-15701-44
MBR-035537
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026137
Duplicate member record retired
Member services
Sean Vazquez: 2 enrollment records collapsed into UHC-69280-43
Enrollment records
2
Member id
UHC-69280-43
MBR-035566
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026138
Duplicate member record retired
Member services
Logan Bradley: 2 enrollment records collapsed into UHC-10378-53
Enrollment records
2
Member id
UHC-10378-53
MBR-035584
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026139
Duplicate member record retired
Member services
George Martinez: 2 enrollment records collapsed into UHC-76584-21
Enrollment records
2
Member id
UHC-76584-21
MBR-035596
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026140
Duplicate member record retired
Member services
Deborah Matthews: 2 enrollment records collapsed into UHC-61134-65
Enrollment records
2
Member id
UHC-61134-65
MBR-035606
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026141
Duplicate member record retired
Member services
Sharon Black: 2 enrollment records collapsed into UHC-75238-63
Enrollment records
2
Member id
UHC-75238-63
MBR-035631
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026142
Duplicate member record retired
Member services
Sarah Hall: 2 enrollment records collapsed into UHC-42069-39
Enrollment records
2
Member id
UHC-42069-39
MBR-035655
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026143
Duplicate member record retired
Member services
Stephen Butler: 2 enrollment records collapsed into UHC-10227-99
Enrollment records
2
Member id
UHC-10227-99
MBR-035657
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026144
Duplicate member record retired
Member services
Jeremy Fernandez: 2 enrollment records collapsed into UHC-50658-84
Enrollment records
2
Member id
UHC-50658-84
MBR-035664
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026145
Duplicate member record retired
Member services
Brian Bailey: 3 enrollment records collapsed into UHC-51571-55
Enrollment records
3
Member id
UHC-51571-55
MBR-035670
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026146
Duplicate member record retired
Member services
Abigail Black: 2 enrollment records collapsed into UHC-48689-98
Enrollment records
2
Member id
UHC-48689-98
MBR-035672
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026147
Duplicate member record retired
Member services
Karen Bailey: 2 enrollment records collapsed into UHC-48498-11
Enrollment records
2
Member id
UHC-48498-11
MBR-035695
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026148
Duplicate member record retired
Member services
Pattrick Espinoza: 2 enrollment records collapsed into UHC-97471-75
Enrollment records
2
Member id
UHC-97471-75
MBR-035732
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026149
Duplicate member record retired
Member services
Paul Ramirez: 2 enrollment records collapsed into UHC-57526-13
Enrollment records
2
Member id
UHC-57526-13
MBR-035737
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026150
Duplicate member record retired
Member services
Heather Parker: 2 enrollment records collapsed into UHC-09095-27
Enrollment records
2
Member id
UHC-09095-27
MBR-035750
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026151
Duplicate member record retired
Member services
Vincent Hayes: 2 enrollment records collapsed into UHC-40423-93
Enrollment records
2
Member id
UHC-40423-93
MBR-035758
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026152
Duplicate member record retired
Member services
Evelyn Austin: 2 enrollment records collapsed into UHC-82037-47
Enrollment records
2
Member id
UHC-82037-47
MBR-035769
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026153
Duplicate member record retired
Member services
Isabella Hall: 2 enrollment records collapsed into UHC-37852-11
Enrollment records
2
Member id
UHC-37852-11
MBR-035787
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026154
Duplicate member record retired
Member services
Hannah Owens: 2 enrollment records collapsed into UHC-20754-86
Enrollment records
2
Member id
UHC-20754-86
MBR-035841
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026155
Duplicate member record retired
Member services
Edward Young: 2 enrollment records collapsed into
Enrollment records
2
Member id
MBR-035847
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026156
Duplicate member record retired
Member services
Larry Santiago: 2 enrollment records collapsed into UHC-60044-91
Enrollment records
2
Member id
UHC-60044-91
MBR-035850
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026157
Duplicate member record retired
Member services
Deborah Gomez: 2 enrollment records collapsed into UHC-13902-47
Enrollment records
2
Member id
UHC-13902-47
MBR-035854
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026158
Duplicate member record retired
Member services
Charlotte Ross: 2 enrollment records collapsed into UHC-07779-40
Enrollment records
2
Member id
UHC-07779-40
MBR-035878
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026159
Duplicate member record retired
Member services
John Dean: 2 enrollment records collapsed into UHC-03494-74
Enrollment records
2
Member id
UHC-03494-74
MBR-035885
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026160
Duplicate member record retired
Member services
Kenneth Valdez: 2 enrollment records collapsed into UHC-39425-26
Enrollment records
2
Member id
UHC-39425-26
MBR-035914
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026161
Duplicate member record retired
Member services
Elizabeth Pena: 2 enrollment records collapsed into UHC-73696-38
Enrollment records
2
Member id
UHC-73696-38
MBR-035917
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026162
Duplicate member record retired
Member services
Timothy Bennett: 2 enrollment records collapsed into UHC-58565-83
Enrollment records
2
Member id
UHC-58565-83
MBR-035938
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026163
Duplicate member record retired
Member services
Angela Carroll: 2 enrollment records collapsed into UHC-74951-15
Enrollment records
2
Member id
UHC-74951-15
MBR-035940
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026164
Duplicate member record retired
Member services
Victoria Santiago: 2 enrollment records collapsed into UHC-11021-88
Enrollment records
2
Member id
UHC-11021-88
MBR-035962
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026165
Duplicate member record retired
Member services
Bobby Thomas: 2 enrollment records collapsed into
Enrollment records
2
Member id
MBR-035999
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026166
Duplicate member record retired
Member services
Tyler Marquez: 2 enrollment records collapsed into UHC-77037-17
Enrollment records
2
Member id
UHC-77037-17
MBR-036026
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 90 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.