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-026167
Duplicate member record retired
Member services
Nicholas Perry: 2 enrollment records collapsed into UHC-33463-19
Enrollment records
2
Member id
UHC-33463-19
MBR-036027
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026168
Duplicate member record retired
Member services
Rebecca Reed: 2 enrollment records collapsed into UHC-81612-39
Enrollment records
2
Member id
UHC-81612-39
MBR-036036
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026169
Duplicate member record retired
Member services
Bruce Hudson: 2 enrollment records collapsed into UHC-80355-87
Enrollment records
2
Member id
UHC-80355-87
MBR-036038
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026170
Duplicate member record retired
Member services
Judith Foster: 2 enrollment records collapsed into UHC-50144-99
Enrollment records
2
Member id
UHC-50144-99
MBR-036043
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026171
Duplicate member record retired
Member services
Doris Little: 2 enrollment records collapsed into UHC-78387-34
Enrollment records
2
Member id
UHC-78387-34
MBR-036044
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026172
Duplicate member record retired
Member services
Amanda Olson: 2 enrollment records collapsed into UHC-71463-79
Enrollment records
2
Member id
UHC-71463-79
MBR-036080
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026173
Duplicate member record retired
Member services
Ahmed Hayes: 2 enrollment records collapsed into UHC-61342-46
Enrollment records
2
Member id
UHC-61342-46
MBR-036099
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026174
Duplicate member record retired
Member services
Bradley Vega: 2 enrollment records collapsed into UHC-37376-17
Enrollment records
2
Member id
UHC-37376-17
MBR-036109
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026175
Duplicate member record retired
Member services
Austin Burton: 2 enrollment records collapsed into UHC-38884-47
Enrollment records
2
Member id
UHC-38884-47
MBR-036116
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026176
Duplicate member record retired
Member services
Sophia Robinson: 2 enrollment records collapsed into UHC-79179-78
Enrollment records
2
Member id
UHC-79179-78
MBR-036144
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026177
Duplicate member record retired
Member services
Justin Shaw: 2 enrollment records collapsed into UHC-36800-97
Enrollment records
2
Member id
UHC-36800-97
MBR-036146
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026178
Duplicate member record retired
Member services
Deborah Willis: 2 enrollment records collapsed into UHC-78282-13
Enrollment records
2
Member id
UHC-78282-13
MBR-036178
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026179
Duplicate member record retired
Member services
Matthew Nichols: 2 enrollment records collapsed into UHC-90051-49
Enrollment records
2
Member id
UHC-90051-49
MBR-036180
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026180
Duplicate member record retired
Member services
Lauren Walker: 2 enrollment records collapsed into UHC-33374-01
Enrollment records
2
Member id
UHC-33374-01
MBR-036191
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026181
Duplicate member record retired
Member services
Brandon Cunningham: 2 enrollment records collapsed into UHC-63026-22
Enrollment records
2
Member id
UHC-63026-22
MBR-036200
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026182
Duplicate member record retired
Member services
Brian Rice: 3 enrollment records collapsed into UHC-93672-68
Enrollment records
3
Member id
UHC-93672-68
MBR-036219
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026183
Duplicate member record retired
Member services
Ethan Herrera: 2 enrollment records collapsed into UHC-58484-97
Enrollment records
2
Member id
UHC-58484-97
MBR-036267
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026184
Duplicate member record retired
Member services
Hannah Fox: 2 enrollment records collapsed into UHC-68631-94
Enrollment records
2
Member id
UHC-68631-94
MBR-036315
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026185
Duplicate member record retired
Member services
Angela Santos: 2 enrollment records collapsed into UHC-19477-69
Enrollment records
2
Member id
UHC-19477-69
MBR-036316
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026186
Duplicate member record retired
Member services
Barbara Brooks: 2 enrollment records collapsed into UHC-49696-28
Enrollment records
2
Member id
UHC-49696-28
MBR-036336
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026187
Duplicate member record retired
Member services
Kimberly Wiliamson: 3 enrollment records collapsed into UHC-18983-05
Enrollment records
3
Member id
UHC-18983-05
MBR-036337
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026188
Duplicate member record retired
Member services
Margaret Little: 2 enrollment records collapsed into UHC-72661-22
Enrollment records
2
Member id
UHC-72661-22
MBR-036343
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026189
Duplicate member record retired
Member services
Katherine Chapman: 2 enrollment records collapsed into UHC-91355-21
Enrollment records
2
Member id
UHC-91355-21
MBR-036351
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026190
Duplicate member record retired
Member services
Danielle Cruz: 2 enrollment records collapsed into UHC-94204-22
Enrollment records
2
Member id
UHC-94204-22
MBR-036363
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026191
Duplicate member record retired
Member services
Ann Morgan: 2 enrollment records collapsed into UHC-18409-32
Enrollment records
2
Member id
UHC-18409-32
MBR-036366
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026192
Duplicate member record retired
Member services
Anthnoy Perry: 2 enrollment records collapsed into UHC-95088-14
Enrollment records
2
Member id
UHC-95088-14
MBR-036375
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026193
Duplicate member record retired
Member services
Douglas Hall: 2 enrollment records collapsed into UHC-41939-31
Enrollment records
2
Member id
UHC-41939-31
MBR-036391
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026194
Duplicate member record retired
Member services
Mei Scott: 3 enrollment records collapsed into UHC-55509-56
Enrollment records
3
Member id
UHC-55509-56
MBR-036445
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026195
Duplicate member record retired
Member services
Christian Reid: 2 enrollment records collapsed into UHC-73377-60
Enrollment records
2
Member id
UHC-73377-60
MBR-036494
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026196
Duplicate member record retired
Member services
Janice Phillips: 2 enrollment records collapsed into UHC-17792-86
Enrollment records
2
Member id
UHC-17792-86
MBR-036532
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026197
Duplicate member record retired
Member services
Victoria Lawson: 2 enrollment records collapsed into UHC-84803-60
Enrollment records
2
Member id
UHC-84803-60
MBR-036534
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026198
Duplicate member record retired
Member services
Ken Austin: 2 enrollment records collapsed into UHC-51251-30
Enrollment records
2
Member id
UHC-51251-30
MBR-036542
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026199
Duplicate member record retired
Member services
Michelle Hayes: 2 enrollment records collapsed into UHC-81661-07
Enrollment records
2
Member id
UHC-81661-07
MBR-036548
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026200
Duplicate member record retired
Member services
Roy Olson: 2 enrollment records collapsed into UHC-80127-17
Enrollment records
2
Member id
UHC-80127-17
MBR-036565
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026201
Duplicate member record retired
Member services
Brandon Yang: 2 enrollment records collapsed into UHC-45397-06
Enrollment records
2
Member id
UHC-45397-06
MBR-036566
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026202
Duplicate member record retired
Member services
Alan Perkins: 2 enrollment records collapsed into UHC-26524-01
Enrollment records
2
Member id
UHC-26524-01
MBR-036568
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026203
Duplicate member record retired
Member services
Christian Burton: 2 enrollment records collapsed into UHC-48813-22
Enrollment records
2
Member id
UHC-48813-22
MBR-036584
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026204
Duplicate member record retired
Member services
Christian Rogers: 2 enrollment records collapsed into UHC-98160-36
Enrollment records
2
Member id
UHC-98160-36
MBR-036595
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026205
Duplicate member record retired
Member services
Michael Olson: 3 enrollment records collapsed into UHC-99283-82
Enrollment records
3
Member id
UHC-99283-82
MBR-036600
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026206
Duplicate member record retired
Member services
Valentina Bishop: 2 enrollment records collapsed into UHC-77430-04
Enrollment records
2
Member id
UHC-77430-04
MBR-036605
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026207
Duplicate member record retired
Member services
Luis Powell: 2 enrollment records collapsed into UHC-83291-95
Enrollment records
2
Member id
UHC-83291-95
MBR-036611
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026208
Duplicate member record retired
Member services
Kenneth Schmidt: 2 enrollment records collapsed into UHC-63880-62
Enrollment records
2
Member id
UHC-63880-62
MBR-036701
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026209
Duplicate member record retired
Member services
Margaret Yang: 2 enrollment records collapsed into UHC-97427-60
Enrollment records
2
Member id
UHC-97427-60
MBR-036707
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026210
Duplicate member record retired
Member services
Nicole Lee: 2 enrollment records collapsed into UHC-13335-65
Enrollment records
2
Member id
UHC-13335-65
MBR-036711
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026211
Duplicate member record retired
Member services
Samuel Castro: 2 enrollment records collapsed into UHC-38821-19
Enrollment records
2
Member id
UHC-38821-19
MBR-036731
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026212
Duplicate member record retired
Member services
Roger Kelley: 2 enrollment records collapsed into UHC-99844-35
Enrollment records
2
Member id
UHC-99844-35
MBR-036732
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026213
Duplicate member record retired
Member services
William Ryan: 3 enrollment records collapsed into UHC-34641-99
Enrollment records
3
Member id
UHC-34641-99
MBR-036768
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026214
Duplicate member record retired
Member services
Jerry Stevens: 3 enrollment records collapsed into UHC-69450-06
Enrollment records
3
Member id
UHC-69450-06
MBR-036788
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026215
Duplicate member record retired
Member services
Beverly Crawford: 2 enrollment records collapsed into UHC-90671-22
Enrollment records
2
Member id
UHC-90671-22
MBR-036799
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026216
Duplicate member record retired
Member services
Douglas Fernandez: 2 enrollment records collapsed into UHC-20086-55
Enrollment records
2
Member id
UHC-20086-55
MBR-036815
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 91 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.