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-026517
Duplicate member record retired
Member services
Lawrence Turer: 2 enrollment records collapsed into UHC-15183-89
Enrollment records
2
Member id
UHC-15183-89
MBR-042467
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026518
Duplicate member record retired
Member services
Adam Richardson: 2 enrollment records collapsed into UHC-32993-82
Enrollment records
2
Member id
UHC-32993-82
MBR-042506
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026519
Duplicate member record retired
Member services
Kimberly Harris: 2 enrollment records collapsed into UHC-91348-73
Enrollment records
2
Member id
UHC-91348-73
MBR-042565
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026520
Duplicate member record retired
Member services
Kayla Talor: 2 enrollment records collapsed into UHC-97205-63
Enrollment records
2
Member id
UHC-97205-63
MBR-042578
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026521
Duplicate member record retired
Member services
Matthew Chavez: 2 enrollment records collapsed into UHC-42506-98
Enrollment records
2
Member id
UHC-42506-98
MBR-042608
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026522
Duplicate member record retired
Member services
Amber Hamilton: 2 enrollment records collapsed into UHC-84817-87
Enrollment records
2
Member id
UHC-84817-87
MBR-042647
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026523
Duplicate member record retired
Member services
Carol Wheeler: 2 enrollment records collapsed into UHC-52629-10
Enrollment records
2
Member id
UHC-52629-10
MBR-042662
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026524
Duplicate member record retired
Member services
Jack Jackson: 2 enrollment records collapsed into UHC-08906-65
Enrollment records
2
Member id
UHC-08906-65
MBR-042757
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026525
Duplicate member record retired
Member services
Anna Mendza: 2 enrollment records collapsed into UHC-01935-15
Enrollment records
2
Member id
UHC-01935-15
MBR-042770
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026526
Duplicate member record retired
Member services
Kathryn Black: 2 enrollment records collapsed into UHC-47024-45
Enrollment records
2
Member id
UHC-47024-45
MBR-042820
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026527
Duplicate member record retired
Member services
Ahmed Sullivan: 2 enrollment records collapsed into UHC-97738-74
Enrollment records
2
Member id
UHC-97738-74
MBR-042821
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026528
Duplicate member record retired
Member services
Gary Stone: 2 enrollment records collapsed into UHC-84473-40
Enrollment records
2
Member id
UHC-84473-40
MBR-042846
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026529
Duplicate member record retired
Member services
Mari Schmidt: 2 enrollment records collapsed into UHC-33033-18
Enrollment records
2
Member id
UHC-33033-18
MBR-042850
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026530
Duplicate member record retired
Member services
Lauuren Harrison: 2 enrollment records collapsed into UHC-14437-61
Enrollment records
2
Member id
UHC-14437-61
MBR-042856
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026531
Duplicate member record retired
Member services
Marcus Jimenez: 2 enrollment records collapsed into UHC-07817-62
Enrollment records
2
Member id
UHC-07817-62
MBR-042869
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026532
Duplicate member record retired
Member services
Mark Schmidt: 2 enrollment records collapsed into UHC-60593-83
Enrollment records
2
Member id
UHC-60593-83
MBR-042870
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026533
Duplicate member record retired
Member services
Jonathan Wong: 2 enrollment records collapsed into UHC-36675-44
Enrollment records
2
Member id
UHC-36675-44
MBR-042890
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026534
Duplicate member record retired
Member services
Christine Wright: 2 enrollment records collapsed into UHC-27440-91
Enrollment records
2
Member id
UHC-27440-91
MBR-042921
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026535
Duplicate member record retired
Member services
Mason Alvarez: 2 enrollment records collapsed into UHC-46407-37
Enrollment records
2
Member id
UHC-46407-37
MBR-042939
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026536
Duplicate member record retired
Member services
Daniel Bennett: 2 enrollment records collapsed into UHC-68092-51
Enrollment records
2
Member id
UHC-68092-51
MBR-042966
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026537
Duplicate member record retired
Member services
Russell Dunn: 2 enrollment records collapsed into UHC-34872-87
Enrollment records
2
Member id
UHC-34872-87
MBR-043036
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026538
Duplicate member record retired
Member services
Karan Baker: 2 enrollment records collapsed into UHC-03116-01
Enrollment records
2
Member id
UHC-03116-01
MBR-043062
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026539
Duplicate member record retired
Member services
Bobby Romero: 2 enrollment records collapsed into UHC-25052-40
Enrollment records
2
Member id
UHC-25052-40
MBR-043086
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026540
Duplicate member record retired
Member services
Alexander Meyer: 2 enrollment records collapsed into UHC-60817-83
Enrollment records
2
Member id
UHC-60817-83
MBR-043158
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026541
Duplicate member record retired
Member services
Michael Hudson: 2 enrollment records collapsed into UHC-30221-14
Enrollment records
2
Member id
UHC-30221-14
MBR-043180
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026542
Duplicate member record retired
Member services
Angela Castillo: 3 enrollment records collapsed into UHC-62876-52
Enrollment records
3
Member id
UHC-62876-52
MBR-043230
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026543
Duplicate member record retired
Member services
Sophia Olson: 2 enrollment records collapsed into UHC-24314-77
Enrollment records
2
Member id
UHC-24314-77
MBR-043246
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026544
Duplicate member record retired
Member services
Grace Armstrong: 2 enrollment records collapsed into UHC-82000-99
Enrollment records
2
Member id
UHC-82000-99
MBR-043269
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026545
Duplicate member record retired
Member services
Joey Simpson: 2 enrollment records collapsed into UHC-40911-71
Enrollment records
2
Member id
UHC-40911-71
MBR-043281
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026546
Duplicate member record retired
Member services
Frances Garza: 2 enrollment records collapsed into UHC-66708-43
Enrollment records
2
Member id
UHC-66708-43
MBR-043343
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026547
Duplicate member record retired
Member services
Arthur Dunnn: 2 enrollment records collapsed into UHC-59490-98
Enrollment records
2
Member id
UHC-59490-98
MBR-043377
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026548
Duplicate member record retired
Member services
Noah Campbell: 2 enrollment records collapsed into UHC-25272-68
Enrollment records
2
Member id
UHC-25272-68
MBR-043394
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026549
Duplicate member record retired
Member services
Megan Perez: 2 enrollment records collapsed into UHC-05661-59
Enrollment records
2
Member id
UHC-05661-59
MBR-043414
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026550
Duplicate member record retired
Member services
Amber Crzu: 2 enrollment records collapsed into UHC-94738-75
Enrollment records
2
Member id
UHC-94738-75
MBR-043457
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026551
Duplicate member record retired
Member services
Vincent Collins: 2 enrollment records collapsed into UHC-86875-59
Enrollment records
2
Member id
UHC-86875-59
MBR-043508
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026552
Duplicate member record retired
Member services
Samuel Bowman: 2 enrollment records collapsed into UHC-16338-08
Enrollment records
2
Member id
UHC-16338-08
MBR-043570
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026553
Duplicate member record retired
Member services
Alan Guzman: 2 enrollment records collapsed into UHC-08812-07
Enrollment records
2
Member id
UHC-08812-07
MBR-043684
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026554
Duplicate member record retired
Member services
Chapman Kevin: 2 enrollment records collapsed into UHC-05392-63
Enrollment records
2
Member id
UHC-05392-63
MBR-043697
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026555
Duplicate member record retired
Member services
Aaron Howell: 2 enrollment records collapsed into UHC-17844-07
Enrollment records
2
Member id
UHC-17844-07
MBR-043739
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026556
Duplicate member record retired
Member services
Lawrence King: 2 enrollment records collapsed into UHC-50289-20
Enrollment records
2
Member id
UHC-50289-20
MBR-043783
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026557
Duplicate member record retired
Member services
Sofia Ortega: 2 enrollment records collapsed into UHC-75425-82
Enrollment records
2
Member id
UHC-75425-82
MBR-043784
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026558
Duplicate member record retired
Member services
Rebecca Wheeler: 2 enrollment records collapsed into UHC-99980-37
Enrollment records
2
Member id
UHC-99980-37
MBR-043809
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026559
Duplicate member record retired
Member services
Jeffrey Garrett: 2 enrollment records collapsed into UHC-19175-98
Enrollment records
2
Member id
UHC-19175-98
MBR-043816
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026560
Duplicate member record retired
Member services
Kelly Mejia: 2 enrollment records collapsed into UHC-32436-76
Enrollment records
2
Member id
UHC-32436-76
MBR-043820
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026561
Duplicate member record retired
Member services
Diego Lawrence: 2 enrollment records collapsed into UHC-54929-35
Enrollment records
2
Member id
UHC-54929-35
MBR-043895
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026562
Duplicate member record retired
Member services
Natalie Jacobs: 3 enrollment records collapsed into UHC-20927-65
Enrollment records
3
Member id
UHC-20927-65
MBR-043917
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026563
Duplicate member record retired
Member services
Ashley Fernandez: 2 enrollment records collapsed into UHC-00933-59
Enrollment records
2
Member id
UHC-00933-59
MBR-043958
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026564
Duplicate member record retired
Member services
Bradley Tran: 2 enrollment records collapsed into UHC-24626-93
Enrollment records
2
Member id
UHC-24626-93
MBR-043981
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026565
Duplicate member record retired
Member services
Rebecca Yang: 2 enrollment records collapsed into UHC-52938-04
Enrollment records
2
Member id
UHC-52938-04
MBR-043998
Executed
resolution_agent
2026-10-22 12:47:23
ACT-026566
Duplicate member record retired
Member services
Melissa Lewis: 2 enrollment records collapsed into UHC-02738-68
Enrollment records
2
Member id
UHC-02738-68
MBR-044078
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 98 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.