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-026367
Duplicate member record retired
Member services
Amber Torres: 2 enrollment records collapsed into UHC-33887-71
Enrollment records
2
Member id
UHC-33887-71
MBR-039446
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026368
Duplicate member record retired
Member services
Ana Wheeeler: 2 enrollment records collapsed into UHC-60445-48
Enrollment records
2
Member id
UHC-60445-48
MBR-039449
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026369
Duplicate member record retired
Member services
Bradley Reyes: 2 enrollment records collapsed into UHC-09729-29
Enrollment records
2
Member id
UHC-09729-29
MBR-039454
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026370
Duplicate member record retired
Member services
Laura Jacobs: 2 enrollment records collapsed into UHC-87411-82
Enrollment records
2
Member id
UHC-87411-82
MBR-039471
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026371
Duplicate member record retired
Member services
Jason Yang: 2 enrollment records collapsed into UHC-26238-79
Enrollment records
2
Member id
UHC-26238-79
MBR-039473
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026372
Duplicate member record retired
Member services
Carolyn Butler: 2 enrollment records collapsed into UHC-60274-91
Enrollment records
2
Member id
UHC-60274-91
MBR-039482
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026373
Duplicate member record retired
Member services
Natalie Daniels: 2 enrollment records collapsed into UHC-39276-13
Enrollment records
2
Member id
UHC-39276-13
MBR-039499
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026374
Duplicate member record retired
Member services
Amanda Marshall: 2 enrollment records collapsed into UHC-03865-31
Enrollment records
2
Member id
UHC-03865-31
MBR-039509
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026375
Duplicate member record retired
Member services
Luis Vasquez: 2 enrollment records collapsed into UHC-02521-15
Enrollment records
2
Member id
UHC-02521-15
MBR-039511
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026376
Duplicate member record retired
Member services
David Taylor: 2 enrollment records collapsed into UHC-80641-10
Enrollment records
2
Member id
UHC-80641-10
MBR-039523
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026377
Duplicate member record retired
Member services
Alexis Meyer: 2 enrollment records collapsed into UHC-17132-60
Enrollment records
2
Member id
UHC-17132-60
MBR-039561
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026378
Duplicate member record retired
Member services
Dennis Nelson: 2 enrollment records collapsed into UHC-45196-98
Enrollment records
2
Member id
UHC-45196-98
MBR-039578
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026379
Duplicate member record retired
Member services
Jerry Williamson: 2 enrollment records collapsed into UHC-31382-25
Enrollment records
2
Member id
UHC-31382-25
MBR-039647
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026380
Duplicate member record retired
Member services
Justin Gilbert: 2 enrollment records collapsed into UHC-98842-28
Enrollment records
2
Member id
UHC-98842-28
MBR-039648
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026381
Duplicate member record retired
Member services
Lauren Lynch: 2 enrollment records collapsed into UHC-13897-33
Enrollment records
2
Member id
UHC-13897-33
MBR-039674
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026382
Duplicate member record retired
Member services
Jordan Tucker: 2 enrollment records collapsed into UHC-04978-28
Enrollment records
2
Member id
UHC-04978-28
MBR-039684
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026383
Duplicate member record retired
Member services
Ronald Howard: 2 enrollment records collapsed into UHC-79531-36
Enrollment records
2
Member id
UHC-79531-36
MBR-039705
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026384
Duplicate member record retired
Member services
Sean Brown: 2 enrollment records collapsed into UHC-14347-49
Enrollment records
2
Member id
UHC-14347-49
MBR-039709
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026385
Duplicate member record retired
Member services
Maria Morrison: 2 enrollment records collapsed into UHC-51251-52
Enrollment records
2
Member id
UHC-51251-52
MBR-039719
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026386
Duplicate member record retired
Member services
Kevin Morales: 2 enrollment records collapsed into UHC-41017-23
Enrollment records
2
Member id
UHC-41017-23
MBR-039722
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026387
Duplicate member record retired
Member services
Danielle Patterson: 2 enrollment records collapsed into UHC-68603-82
Enrollment records
2
Member id
UHC-68603-82
MBR-039738
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026388
Duplicate member record retired
Member services
Douglas Ward: 2 enrollment records collapsed into UHC-33773-76
Enrollment records
2
Member id
UHC-33773-76
MBR-039747
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026389
Duplicate member record retired
Member services
Hannah Cooper: 2 enrollment records collapsed into UHC-05330-12
Enrollment records
2
Member id
UHC-05330-12
MBR-039762
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026390
Duplicate member record retired
Member services
Shirley Stewart: 2 enrollment records collapsed into UHC-32404-55
Enrollment records
2
Member id
UHC-32404-55
MBR-039805
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026391
Duplicate member record retired
Member services
Mariana Mendoza: 2 enrollment records collapsed into UHC-10274-79
Enrollment records
2
Member id
UHC-10274-79
MBR-039808
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026392
Duplicate member record retired
Member services
Joseph Hernandez: 2 enrollment records collapsed into UHC-40659-34
Enrollment records
2
Member id
UHC-40659-34
MBR-039810
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026393
Duplicate member record retired
Member services
Elijah Ross: 2 enrollment records collapsed into UHC-43383-31
Enrollment records
2
Member id
UHC-43383-31
MBR-039839
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026394
Duplicate member record retired
Member services
Josh Dean: 2 enrollment records collapsed into UHC-26412-58
Enrollment records
2
Member id
UHC-26412-58
MBR-039849
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026395
Duplicate member record retired
Member services
Isabella Howard: 2 enrollment records collapsed into UHC-57509-85
Enrollment records
2
Member id
UHC-57509-85
MBR-039851
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026396
Duplicate member record retired
Member services
Daniel Jensen: 2 enrollment records collapsed into UHC-77446-05
Enrollment records
2
Member id
UHC-77446-05
MBR-039904
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026397
Duplicate member record retired
Member services
Lucia Gutierrez: 2 enrollment records collapsed into UHC-40274-73
Enrollment records
2
Member id
UHC-40274-73
MBR-039907
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026398
Duplicate member record retired
Member services
Christian Bowman: 2 enrollment records collapsed into UHC-29041-37
Enrollment records
2
Member id
UHC-29041-37
MBR-039948
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026399
Duplicate member record retired
Member services
Brown Diana: 2 enrollment records collapsed into UHC-33049-18
Enrollment records
2
Member id
UHC-33049-18
MBR-039950
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026400
Duplicate member record retired
Member services
Catherine Hawkins: 2 enrollment records collapsed into UHC-45783-13
Enrollment records
2
Member id
UHC-45783-13
MBR-039996
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026401
Duplicate member record retired
Member services
Donna Torres: 2 enrollment records collapsed into UHC-22870-14
Enrollment records
2
Member id
UHC-22870-14
MBR-040042
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026402
Duplicate member record retired
Member services
Mariana Alvarado: 2 enrollment records collapsed into UHC-74798-45
Enrollment records
2
Member id
UHC-74798-45
MBR-040045
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026403
Duplicate member record retired
Member services
Steven Griffin: 2 enrollment records collapsed into UHC-95954-44
Enrollment records
2
Member id
UHC-95954-44
MBR-040052
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026404
Duplicate member record retired
Member services
Mei Armstrong: 2 enrollment records collapsed into UHC-83413-64
Enrollment records
2
Member id
UHC-83413-64
MBR-040061
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026405
Duplicate member record retired
Member services
Betty Hall: 2 enrollment records collapsed into UHC-11261-09
Enrollment records
2
Member id
UHC-11261-09
MBR-040084
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026406
Duplicate member record retired
Member services
Henry Boyd: 2 enrollment records collapsed into UHC-56800-60
Enrollment records
2
Member id
UHC-56800-60
MBR-040089
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026407
Duplicate member record retired
Member services
Aisha Willliams: 2 enrollment records collapsed into UHC-18589-90
Enrollment records
2
Member id
UHC-18589-90
MBR-040098
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026408
Duplicate member record retired
Member services
Jesse Wilson: 2 enrollment records collapsed into UHC-96437-49
Enrollment records
2
Member id
UHC-96437-49
MBR-040106
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026409
Duplicate member record retired
Member services
Carl Ruiz: 2 enrollment records collapsed into UHC-13349-63
Enrollment records
2
Member id
UHC-13349-63
MBR-040121
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026410
Duplicate member record retired
Member services
Jerry Edwards: 2 enrollment records collapsed into UHC-51204-16
Enrollment records
2
Member id
UHC-51204-16
MBR-040149
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026411
Duplicate member record retired
Member services
Dennis Berry: 2 enrollment records collapsed into UHC-82134-43
Enrollment records
2
Member id
UHC-82134-43
MBR-040179
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026412
Duplicate member record retired
Member services
Pamela Espinoza: 2 enrollment records collapsed into UHC-94759-24
Enrollment records
2
Member id
UHC-94759-24
MBR-040248
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026413
Duplicate member record retired
Member services
Cynthia Bowman: 2 enrollment records collapsed into UHC-97143-22
Enrollment records
2
Member id
UHC-97143-22
MBR-040254
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026414
Duplicate member record retired
Member services
Michelle Jimenez: 3 enrollment records collapsed into UHC-07901-84
Enrollment records
3
Member id
UHC-07901-84
MBR-040260
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026415
Duplicate member record retired
Member services
Jessica Dunn: 2 enrollment records collapsed into UHC-68316-98
Enrollment records
2
Member id
UHC-68316-98
MBR-040288
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026416
Duplicate member record retired
Member services
Sharon Myers: 2 enrollment records collapsed into UHC-36520-56
Enrollment records
2
Member id
UHC-36520-56
MBR-040311
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 95 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.