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-026267
Duplicate member record retired
Member services
Priya Long: 2 enrollment records collapsed into UHC-81049-33
Enrollment records
2
Member id
UHC-81049-33
MBR-037728
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026268
Duplicate member record retired
Member services
Tyler Moreno: 2 enrollment records collapsed into UHC-67882-42
Enrollment records
2
Member id
UHC-67882-42
MBR-037730
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026269
Duplicate member record retired
Member services
Mariilyn Moreno: 2 enrollment records collapsed into UHC-76547-83
Enrollment records
2
Member id
UHC-76547-83
MBR-037755
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026270
Duplicate member record retired
Member services
Arthur Bell: 2 enrollment records collapsed into UHC-76121-17
Enrollment records
2
Member id
UHC-76121-17
MBR-037770
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026271
Duplicate member record retired
Member services
Cheryl Pierce: 2 enrollment records collapsed into UHC-79286-56
Enrollment records
2
Member id
UHC-79286-56
MBR-037776
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026272
Duplicate member record retired
Member services
Debra Vega: 2 enrollment records collapsed into UHC-56890-18
Enrollment records
2
Member id
UHC-56890-18
MBR-037819
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026273
Duplicate member record retired
Member services
Jose Singh: 2 enrollment records collapsed into UHC-64453-09
Enrollment records
2
Member id
UHC-64453-09
MBR-037824
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026274
Duplicate member record retired
Member services
Steven Wheeler: 2 enrollment records collapsed into UHC-11820-74
Enrollment records
2
Member id
UHC-11820-74
MBR-037825
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026275
Duplicate member record retired
Member services
Mason Pierce: 2 enrollment records collapsed into UHC-14486-45
Enrollment records
2
Member id
UHC-14486-45
MBR-037847
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026276
Duplicate member record retired
Member services
Aaron Webb: 3 enrollment records collapsed into UHC-75621-63
Enrollment records
3
Member id
UHC-75621-63
MBR-037856
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026277
Duplicate member record retired
Member services
Julie Salazar: 2 enrollment records collapsed into UHC-75947-68
Enrollment records
2
Member id
UHC-75947-68
MBR-037862
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026278
Duplicate member record retired
Member services
Anthony Maldonado: 2 enrollment records collapsed into UHC-32650-08
Enrollment records
2
Member id
UHC-32650-08
MBR-037890
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026279
Duplicate member record retired
Member services
Edward Delgado: 2 enrollment records collapsed into UHC-03441-65
Enrollment records
2
Member id
UHC-03441-65
MBR-037891
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026280
Duplicate member record retired
Member services
Charlotte Ross: 2 enrollment records collapsed into UHC-74607-96
Enrollment records
2
Member id
UHC-74607-96
MBR-037900
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026281
Duplicate member record retired
Member services
Sophia Knight: 3 enrollment records collapsed into UHC-81254-07
Enrollment records
3
Member id
UHC-81254-07
MBR-037907
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026282
Duplicate member record retired
Member services
Gabriel Roberts: 2 enrollment records collapsed into UHC-27827-85
Enrollment records
2
Member id
UHC-27827-85
MBR-037943
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026283
Duplicate member record retired
Member services
Judy Spencer: 2 enrollment records collapsed into UHC-59212-16
Enrollment records
2
Member id
UHC-59212-16
MBR-037964
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026284
Duplicate member record retired
Member services
Elizabeth Moreno: 2 enrollment records collapsed into UHC-58804-83
Enrollment records
2
Member id
UHC-58804-83
MBR-037975
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026285
Duplicate member record retired
Member services
Marilyn Fernandez: 2 enrollment records collapsed into UHC-92069-19
Enrollment records
2
Member id
UHC-92069-19
MBR-037985
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026286
Duplicate member record retired
Member services
Mei James: 2 enrollment records collapsed into UHC-58231-15
Enrollment records
2
Member id
UHC-58231-15
MBR-037987
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026287
Duplicate member record retired
Member services
Russell Torres: 2 enrollment records collapsed into UHC-27828-45
Enrollment records
2
Member id
UHC-27828-45
MBR-038045
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026288
Duplicate member record retired
Member services
Mariana Wheeler: 2 enrollment records collapsed into UHC-14508-74
Enrollment records
2
Member id
UHC-14508-74
MBR-038047
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026289
Duplicate member record retired
Member services
Helen Watson: 2 enrollment records collapsed into UHC-33900-83
Enrollment records
2
Member id
UHC-33900-83
MBR-038049
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026290
Duplicate member record retired
Member services
Julie Wilson: 2 enrollment records collapsed into UHC-09434-86
Enrollment records
2
Member id
UHC-09434-86
MBR-038063
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026291
Duplicate member record retired
Member services
Raymond Dixon: 2 enrollment records collapsed into UHC-79273-76
Enrollment records
2
Member id
UHC-79273-76
MBR-038064
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026292
Duplicate member record retired
Member services
Brittany Richardson: 2 enrollment records collapsed into UHC-80551-30
Enrollment records
2
Member id
UHC-80551-30
MBR-038087
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026293
Duplicate member record retired
Member services
Ethan Rice: 2 enrollment records collapsed into UHC-54339-21
Enrollment records
2
Member id
UHC-54339-21
MBR-038115
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026294
Duplicate member record retired
Member services
Joyce Chen: 2 enrollment records collapsed into UHC-35540-15
Enrollment records
2
Member id
UHC-35540-15
MBR-038131
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026295
Duplicate member record retired
Member services
Janet Robinson: 2 enrollment records collapsed into UHC-84144-35
Enrollment records
2
Member id
UHC-84144-35
MBR-038198
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026296
Duplicate member record retired
Member services
Alan Ward: 2 enrollment records collapsed into UHC-62329-22
Enrollment records
2
Member id
UHC-62329-22
MBR-038200
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026297
Duplicate member record retired
Member services
Betty Ramirez: 2 enrollment records collapsed into UHC-44743-71
Enrollment records
2
Member id
UHC-44743-71
MBR-038210
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026298
Duplicate member record retired
Member services
Diane Mejia: 2 enrollment records collapsed into UHC-22232-12
Enrollment records
2
Member id
UHC-22232-12
MBR-038213
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026299
Duplicate member record retired
Member services
Judith Cooper: 2 enrollment records collapsed into UHC-87105-36
Enrollment records
2
Member id
UHC-87105-36
MBR-038218
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026300
Duplicate member record retired
Member services
Russell Little: 2 enrollment records collapsed into UHC-66311-10
Enrollment records
2
Member id
UHC-66311-10
MBR-038225
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026301
Duplicate member record retired
Member services
Bobby Gonzales: 2 enrollment records collapsed into UHC-06949-29
Enrollment records
2
Member id
UHC-06949-29
MBR-038229
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026302
Duplicate member record retired
Member services
Luis Simmons: 2 enrollment records collapsed into UHC-91105-47
Enrollment records
2
Member id
UHC-91105-47
MBR-038242
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026303
Duplicate member record retired
Member services
David Maldonado: 2 enrollment records collapsed into UHC-72772-21
Enrollment records
2
Member id
UHC-72772-21
MBR-038244
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026304
Duplicate member record retired
Member services
Sean Patel: 2 enrollment records collapsed into UHC-21829-90
Enrollment records
2
Member id
UHC-21829-90
MBR-038253
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026305
Duplicate member record retired
Member services
Ashley Ryan: 2 enrollment records collapsed into UHC-36732-55
Enrollment records
2
Member id
UHC-36732-55
MBR-038255
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026306
Duplicate member record retired
Member services
Keith Long: 2 enrollment records collapsed into UHC-61870-19
Enrollment records
2
Member id
UHC-61870-19
MBR-038281
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026307
Duplicate member record retired
Member services
Julia Hunt: 2 enrollment records collapsed into UHC-27781-50
Enrollment records
2
Member id
UHC-27781-50
MBR-038290
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026308
Duplicate member record retired
Member services
Priya Reid: 2 enrollment records collapsed into UHC-78064-90
Enrollment records
2
Member id
UHC-78064-90
MBR-038356
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026309
Duplicate member record retired
Member services
John Boyd: 2 enrollment records collapsed into UHC-18966-41
Enrollment records
2
Member id
UHC-18966-41
MBR-038365
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026310
Duplicate member record retired
Member services
James Brooks: 2 enrollment records collapsed into UHC-89968-28
Enrollment records
2
Member id
UHC-89968-28
MBR-038375
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026311
Duplicate member record retired
Member services
Russell Le: 2 enrollment records collapsed into UHC-78818-18
Enrollment records
2
Member id
UHC-78818-18
MBR-038379
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026312
Duplicate member record retired
Member services
Rachel Scott: 2 enrollment records collapsed into UHC-97354-60
Enrollment records
2
Member id
UHC-97354-60
MBR-038433
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026313
Duplicate member record retired
Member services
Christina Obrien: 3 enrollment records collapsed into UHC-57093-33
Enrollment records
3
Member id
UHC-57093-33
MBR-038434
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026314
Duplicate member record retired
Member services
Benjamin Tran: 2 enrollment records collapsed into UHC-71519-79
Enrollment records
2
Member id
UHC-71519-79
MBR-038436
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026315
Duplicate member record retired
Member services
Rogger Wagner: 2 enrollment records collapsed into UHC-09506-68
Enrollment records
2
Member id
UHC-09506-68
MBR-038438
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026316
Duplicate member record retired
Member services
Christyan Meyer: 2 enrollment records collapsed into UHC-44347-43
Enrollment records
2
Member id
UHC-44347-43
MBR-038464
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 93 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.