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-026417
Duplicate member record retired
Member services
Mark Vazquez: 2 enrollment records collapsed into UHC-54827-07
Enrollment records
2
Member id
UHC-54827-07
MBR-040331
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026418
Duplicate member record retired
Member services
Christopher Morrison: 2 enrollment records collapsed into UHC-26057-22
Enrollment records
2
Member id
UHC-26057-22
MBR-040338
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026419
Duplicate member record retired
Member services
Linda Kelley: 2 enrollment records collapsed into UHC-65744-09
Enrollment records
2
Member id
UHC-65744-09
MBR-040349
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026420
Duplicate member record retired
Member services
Danielle Gordon: 2 enrollment records collapsed into UHC-68096-32
Enrollment records
2
Member id
UHC-68096-32
MBR-040350
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026421
Duplicate member record retired
Member services
Ryan Warren: 2 enrollment records collapsed into UHC-88327-63
Enrollment records
2
Member id
UHC-88327-63
MBR-040371
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026422
Duplicate member record retired
Member services
Michael Soot: 2 enrollment records collapsed into UHC-17977-66
Enrollment records
2
Member id
UHC-17977-66
MBR-040441
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026423
Duplicate member record retired
Member services
Michael Fisher: 2 enrollment records collapsed into UHC-99907-59
Enrollment records
2
Member id
UHC-99907-59
MBR-040444
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026424
Duplicate member record retired
Member services
Bradley Vazquez: 2 enrollment records collapsed into UHC-91363-51
Enrollment records
2
Member id
UHC-91363-51
MBR-040459
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026425
Duplicate member record retired
Member services
Sandra Vazquez: 2 enrollment records collapsed into UHC-04341-40
Enrollment records
2
Member id
UHC-04341-40
MBR-040467
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026426
Duplicate member record retired
Member services
Grace Johnston: 2 enrollment records collapsed into UHC-06724-33
Enrollment records
2
Member id
UHC-06724-33
MBR-040541
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026427
Duplicate member record retired
Member services
Luis Warren: 2 enrollment records collapsed into UHC-32432-18
Enrollment records
2
Member id
UHC-32432-18
MBR-040547
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026428
Duplicate member record retired
Member services
Vincent Reed: 2 enrollment records collapsed into UHC-02355-17
Enrollment records
2
Member id
UHC-02355-17
MBR-040556
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026429
Duplicate member record retired
Member services
Amanda Garrza: 2 enrollment records collapsed into UHC-35690-22
Enrollment records
2
Member id
UHC-35690-22
MBR-040562
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026430
Duplicate member record retired
Member services
Andrew Payne: 2 enrollment records collapsed into UHC-05998-67
Enrollment records
2
Member id
UHC-05998-67
MBR-040571
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026431
Duplicate member record retired
Member services
Alan Diaz: 2 enrollment records collapsed into UHC-47621-31
Enrollment records
2
Member id
UHC-47621-31
MBR-040616
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026432
Duplicate member record retired
Member services
Karen Wells: 2 enrollment records collapsed into UHC-21724-15
Enrollment records
2
Member id
UHC-21724-15
MBR-040650
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026433
Duplicate member record retired
Member services
Brittany Wheeler: 2 enrollment records collapsed into UHC-55556-45
Enrollment records
2
Member id
UHC-55556-45
MBR-040682
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026434
Duplicate member record retired
Member services
Alice Spencer: 2 enrollment records collapsed into UHC-71190-27
Enrollment records
2
Member id
UHC-71190-27
MBR-040693
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026435
Duplicate member record retired
Member services
Natalie Morris: 2 enrollment records collapsed into UHC-66123-66
Enrollment records
2
Member id
UHC-66123-66
MBR-040727
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026436
Duplicate member record retired
Member services
Philip Duncan: 2 enrollment records collapsed into UHC-10517-31
Enrollment records
2
Member id
UHC-10517-31
MBR-040775
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026437
Duplicate member record retired
Member services
Danielle Burns: 2 enrollment records collapsed into UHC-52250-99
Enrollment records
2
Member id
UHC-52250-99
MBR-040806
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026438
Duplicate member record retired
Member services
Carlos Hughes: 2 enrollment records collapsed into UHC-29904-36
Enrollment records
2
Member id
UHC-29904-36
MBR-040838
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026439
Duplicate member record retired
Member services
Douglas Tucker: 2 enrollment records collapsed into UHC-69945-91
Enrollment records
2
Member id
UHC-69945-91
MBR-040847
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026440
Duplicate member record retired
Member services
Judith Gray: 2 enrollment records collapsed into UHC-94603-39
Enrollment records
2
Member id
UHC-94603-39
MBR-040875
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026441
Duplicate member record retired
Member services
Evelyn Carter: 2 enrollment records collapsed into UHC-89393-16
Enrollment records
2
Member id
UHC-89393-16
MBR-040915
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026442
Duplicate member record retired
Member services
Russell Cox: 2 enrollment records collapsed into UHC-24189-14
Enrollment records
2
Member id
UHC-24189-14
MBR-040924
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026443
Duplicate member record retired
Member services
Evelyn Carroll: 2 enrollment records collapsed into UHC-18887-72
Enrollment records
2
Member id
UHC-18887-72
MBR-040954
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026444
Duplicate member record retired
Member services
Helen Hoowell: 2 enrollment records collapsed into UHC-88933-28
Enrollment records
2
Member id
UHC-88933-28
MBR-040962
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026445
Duplicate member record retired
Member services
Rachel Schmidt: 2 enrollment records collapsed into UHC-48968-94
Enrollment records
2
Member id
UHC-48968-94
MBR-040997
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026446
Duplicate member record retired
Member services
Megan Baker: 2 enrollment records collapsed into UHC-45792-28
Enrollment records
2
Member id
UHC-45792-28
MBR-041001
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026447
Duplicate member record retired
Member services
David Weaver: 2 enrollment records collapsed into UHC-30385-23
Enrollment records
2
Member id
UHC-30385-23
MBR-041014
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026448
Duplicate member record retired
Member services
Kenneth Fernandez: 2 enrollment records collapsed into UHC-00016-47
Enrollment records
2
Member id
UHC-00016-47
MBR-041038
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026449
Duplicate member record retired
Member services
Ann Oliiver: 2 enrollment records collapsed into UHC-78603-21
Enrollment records
2
Member id
UHC-78603-21
MBR-041045
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026450
Duplicate member record retired
Member services
Cheryl Rogers: 2 enrollment records collapsed into UHC-59176-36
Enrollment records
2
Member id
UHC-59176-36
MBR-041056
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026451
Duplicate member record retired
Member services
Sandra Burton: 2 enrollment records collapsed into UHC-08084-85
Enrollment records
2
Member id
UHC-08084-85
MBR-041058
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026452
Duplicate member record retired
Member services
Mary Nguyen: 2 enrollment records collapsed into UHC-55840-85
Enrollment records
2
Member id
UHC-55840-85
MBR-041072
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026453
Duplicate member record retired
Member services
Brian Watson: 2 enrollment records collapsed into UHC-01614-26
Enrollment records
2
Member id
UHC-01614-26
MBR-041076
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026454
Duplicate member record retired
Member services
Julia Hicks: 2 enrollment records collapsed into UHC-00561-02
Enrollment records
2
Member id
UHC-00561-02
MBR-041081
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026455
Duplicate member record retired
Member services
Larry Graham: 2 enrollment records collapsed into UHC-76788-10
Enrollment records
2
Member id
UHC-76788-10
MBR-041088
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026456
Duplicate member record retired
Member services
Kyle Kennedy: 2 enrollment records collapsed into UHC-01849-87
Enrollment records
2
Member id
UHC-01849-87
MBR-041111
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026457
Duplicate member record retired
Member services
Melissa Delgado: 2 enrollment records collapsed into UHC-61902-21
Enrollment records
2
Member id
UHC-61902-21
MBR-041112
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026458
Duplicate member record retired
Member services
Jordan Barnes: 2 enrollment records collapsed into UHC-71584-67
Enrollment records
2
Member id
UHC-71584-67
MBR-041114
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026459
Duplicate member record retired
Member services
William Harris: 2 enrollment records collapsed into UHC-03532-97
Enrollment records
2
Member id
UHC-03532-97
MBR-041118
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026460
Duplicate member record retired
Member services
Bradley Green: 2 enrollment records collapsed into UHC-21055-73
Enrollment records
2
Member id
UHC-21055-73
MBR-041133
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026461
Duplicate member record retired
Member services
Jaack Guerrero: 2 enrollment records collapsed into UHC-47990-80
Enrollment records
2
Member id
UHC-47990-80
MBR-041148
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026462
Duplicate member record retired
Member services
Jerry McDonald: 2 enrollment records collapsed into UHC-42185-25
Enrollment records
2
Member id
UHC-42185-25
MBR-041159
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026463
Duplicate member record retired
Member services
Brenda Carpenter: 2 enrollment records collapsed into UHC-35786-55
Enrollment records
2
Member id
UHC-35786-55
MBR-041168
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026464
Duplicate member record retired
Member services
Lisa Fuller: 2 enrollment records collapsed into UHC-57845-73
Enrollment records
2
Member id
UHC-57845-73
MBR-041193
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026465
Duplicate member record retired
Member services
Mei Robertson: 2 enrollment records collapsed into UHC-47647-46
Enrollment records
2
Member id
UHC-47647-46
MBR-041217
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026466
Duplicate member record retired
Member services
James Herrera: 2 enrollment records collapsed into UHC-24048-03
Enrollment records
2
Member id
UHC-24048-03
MBR-041236
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 96 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.