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-026317
Duplicate member record retired
Member services
Amber Walker: 3 enrollment records collapsed into UHC-76429-95
Enrollment records
3
Member id
UHC-76429-95
MBR-038473
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026318
Duplicate member record retired
Member services
Eugene Tucker: 2 enrollment records collapsed into UHC-26271-13
Enrollment records
2
Member id
UHC-26271-13
MBR-038487
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026319
Duplicate member record retired
Member services
Luis Cox: 2 enrollment records collapsed into UHC-34441-71
Enrollment records
2
Member id
UHC-34441-71
MBR-038509
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026320
Duplicate member record retired
Member services
Cristian Kennedy: 2 enrollment records collapsed into UHC-57080-27
Enrollment records
2
Member id
UHC-57080-27
MBR-038516
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026321
Duplicate member record retired
Member services
Billy Ellis: 2 enrollment records collapsed into UHC-74256-63
Enrollment records
2
Member id
UHC-74256-63
MBR-038539
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026322
Duplicate member record retired
Member services
Robert Cole: 2 enrollment records collapsed into UHC-43175-44
Enrollment records
2
Member id
UHC-43175-44
MBR-038554
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026323
Duplicate member record retired
Member services
Gloria Walker: 2 enrollment records collapsed into UHC-25531-36
Enrollment records
2
Member id
UHC-25531-36
MBR-038560
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026324
Duplicate member record retired
Member services
Elizabeth Vasquez: 2 enrollment records collapsed into UHC-93180-18
Enrollment records
2
Member id
UHC-93180-18
MBR-038599
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026325
Duplicate member record retired
Member services
Jessica Simpson: 2 enrollment records collapsed into UHC-67675-29
Enrollment records
2
Member id
UHC-67675-29
MBR-038624
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026326
Duplicate member record retired
Member services
Aisha Moore: 2 enrollment records collapsed into UHC-86816-93
Enrollment records
2
Member id
UHC-86816-93
MBR-038697
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026327
Duplicate member record retired
Member services
Yuki Scott: 2 enrollment records collapsed into UHC-24168-55
Enrollment records
2
Member id
UHC-24168-55
MBR-038702
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026328
Duplicate member record retired
Member services
Doorthy Myers: 2 enrollment records collapsed into UHC-06278-26
Enrollment records
2
Member id
UHC-06278-26
MBR-038723
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026329
Duplicate member record retired
Member services
Janet Elliott: 2 enrollment records collapsed into UHC-79307-30
Enrollment records
2
Member id
UHC-79307-30
MBR-038734
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026330
Duplicate member record retired
Member services
Sean Padilla: 3 enrollment records collapsed into UHC-71398-04
Enrollment records
3
Member id
UHC-71398-04
MBR-038742
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026331
Duplicate member record retired
Member services
Bobby Carr: 2 enrollment records collapsed into UHC-15965-61
Enrollment records
2
Member id
UHC-15965-61
MBR-038752
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026332
Duplicate member record retired
Member services
Frank Ramirez: 2 enrollment records collapsed into UHC-91761-82
Enrollment records
2
Member id
UHC-91761-82
MBR-038753
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026333
Duplicate member record retired
Member services
Debra Bailey: 2 enrollment records collapsed into UHC-85402-79
Enrollment records
2
Member id
UHC-85402-79
MBR-038763
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026334
Duplicate member record retired
Member services
Denise Riley: 2 enrollment records collapsed into UHC-21428-38
Enrollment records
2
Member id
UHC-21428-38
MBR-038775
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026335
Duplicate member record retired
Member services
Kathleen Cole: 2 enrollment records collapsed into UHC-27256-01
Enrollment records
2
Member id
UHC-27256-01
MBR-038788
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026336
Duplicate member record retired
Member services
Omar Duncan: 2 enrollment records collapsed into UHC-54702-01
Enrollment records
2
Member id
UHC-54702-01
MBR-038792
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026337
Duplicate member record retired
Member services
Maggie Cruz: 2 enrollment records collapsed into UHC-61807-71
Enrollment records
2
Member id
UHC-61807-71
MBR-038830
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026338
Duplicate member record retired
Member services
Willie Gordon: 2 enrollment records collapsed into UHC-53886-67
Enrollment records
2
Member id
UHC-53886-67
MBR-038834
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026339
Duplicate member record retired
Member services
Jonathan Wong: 2 enrollment records collapsed into UHC-51013-50
Enrollment records
2
Member id
UHC-51013-50
MBR-038866
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026340
Duplicate member record retired
Member services
Maria Jensen: 2 enrollment records collapsed into UHC-84904-08
Enrollment records
2
Member id
UHC-84904-08
MBR-038882
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026341
Duplicate member record retired
Member services
Jennifer Woods: 2 enrollment records collapsed into UHC-51311-85
Enrollment records
2
Member id
UHC-51311-85
MBR-038884
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026342
Duplicate member record retired
Member services
Mary Moore: 2 enrollment records collapsed into UHC-12862-24
Enrollment records
2
Member id
UHC-12862-24
MBR-038917
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026343
Duplicate member record retired
Member services
Isabella Gomez: 2 enrollment records collapsed into UHC-64666-87
Enrollment records
2
Member id
UHC-64666-87
MBR-038980
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026344
Duplicate member record retired
Member services
Bruce Watson: 2 enrollment records collapsed into UHC-58660-37
Enrollment records
2
Member id
UHC-58660-37
MBR-038986
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026345
Duplicate member record retired
Member services
Nancy Maldonado: 2 enrollment records collapsed into UHC-45547-55
Enrollment records
2
Member id
UHC-45547-55
MBR-039015
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026346
Duplicate member record retired
Member services
Julia Ryan: 2 enrollment records collapsed into UHC-35022-68
Enrollment records
2
Member id
UHC-35022-68
MBR-039052
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026347
Duplicate member record retired
Member services
Saamantha Gordon: 2 enrollment records collapsed into UHC-25459-19
Enrollment records
2
Member id
UHC-25459-19
MBR-039066
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026348
Duplicate member record retired
Member services
Ahmed Jones: 2 enrollment records collapsed into UHC-81105-23
Enrollment records
2
Member id
UHC-81105-23
MBR-039084
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026349
Duplicate member record retired
Member services
Victoria Diaz: 2 enrollment records collapsed into UHC-29726-97
Enrollment records
2
Member id
UHC-29726-97
MBR-039101
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026350
Duplicate member record retired
Member services
Robert Jenkins: 2 enrollment records collapsed into UHC-46816-23
Enrollment records
2
Member id
UHC-46816-23
MBR-039116
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026351
Duplicate member record retired
Member services
Cheryl Scott: 2 enrollment records collapsed into UHC-54074-36
Enrollment records
2
Member id
UHC-54074-36
MBR-039144
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026352
Duplicate member record retired
Member services
Sophia Bowamn: 2 enrollment records collapsed into UHC-14385-23
Enrollment records
2
Member id
UHC-14385-23
MBR-039223
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026353
Duplicate member record retired
Member services
Sean Dunn: 2 enrollment records collapsed into UHC-23236-10
Enrollment records
2
Member id
UHC-23236-10
MBR-039229
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026354
Duplicate member record retired
Member services
Katherine Silva: 2 enrollment records collapsed into UHC-05146-68
Enrollment records
2
Member id
UHC-05146-68
MBR-039242
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026355
Duplicate member record retired
Member services
Juan Weber: 2 enrollment records collapsed into UHC-19071-94
Enrollment records
2
Member id
UHC-19071-94
MBR-039249
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026356
Duplicate member record retired
Member services
Rooger Carroll: 2 enrollment records collapsed into UHC-33517-97
Enrollment records
2
Member id
UHC-33517-97
MBR-039287
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026357
Duplicate member record retired
Member services
Heather Sandoval: 2 enrollment records collapsed into UHC-42851-40
Enrollment records
2
Member id
UHC-42851-40
MBR-039322
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026358
Duplicate member record retired
Member services
Megan Banks: 2 enrollment records collapsed into UHC-43841-45
Enrollment records
2
Member id
UHC-43841-45
MBR-039328
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026359
Duplicate member record retired
Member services
Ralph Barnes: 2 enrollment records collapsed into UHC-25693-03
Enrollment records
2
Member id
UHC-25693-03
MBR-039387
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026360
Duplicate member record retired
Member services
Katherine Rose: 2 enrollment records collapsed into UHC-31860-41
Enrollment records
2
Member id
UHC-31860-41
MBR-039388
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026361
Duplicate member record retired
Member services
Michael Reynolds: 2 enrollment records collapsed into UHC-88165-10
Enrollment records
2
Member id
UHC-88165-10
MBR-039394
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026362
Duplicate member record retired
Member services
Cynthia Bowman: 2 enrollment records collapsed into UHC-62360-48
Enrollment records
2
Member id
UHC-62360-48
MBR-039397
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026363
Duplicate member record retired
Member services
Carlos Buton: 2 enrollment records collapsed into UHC-79729-62
Enrollment records
2
Member id
UHC-79729-62
MBR-039413
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026364
Duplicate member record retired
Member services
Peter Parker: 2 enrollment records collapsed into UHC-44964-27
Enrollment records
2
Member id
UHC-44964-27
MBR-039414
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026365
Duplicate member record retired
Member services
Ralph Lynch: 2 enrollment records collapsed into UHC-06478-38
Enrollment records
2
Member id
UHC-06478-38
MBR-039417
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026366
Duplicate member record retired
Member services
Jose Crawford: 2 enrollment records collapsed into UHC-88067-96
Enrollment records
2
Member id
UHC-88067-96
MBR-039432
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 94 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.