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

TypeAllDuplicate member record retired4,974
StatusAllProposed8,228Executed14,086Held4,326Released0
ActionTypeTitleDetailLinked toStatusExecuted
ACT-024517
Duplicate member record retired
Member services
Douglas Weaver: 2 enrollment records collapsed into UHC-61518-06
Enrollment records
2
Member id
UHC-61518-06
MBR-019151
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024518
Duplicate member record retired
Member services
Tyler Mason: 2 enrollment records collapsed into UHC-65746-05
Enrollment records
2
Member id
UHC-65746-05
MBR-019155
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024519
Duplicate member record retired
Member services
Helen Patel: 2 enrollment records collapsed into UHC-28883-81
Enrollment records
2
Member id
UHC-28883-81
MBR-019157
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024520
Duplicate member record retired
Member services
Megan Le: 2 enrollment records collapsed into UHC-32794-78
Enrollment records
2
Member id
UHC-32794-78
MBR-019158
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024521
Duplicate member record retired
Member services
Diane Wells: 2 enrollment records collapsed into UHC-04452-60
Enrollment records
2
Member id
UHC-04452-60
MBR-019173
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024522
Duplicate member record retired
Member services
Nancy Myers: 3 enrollment records collapsed into UHC-26902-60
Enrollment records
3
Member id
UHC-26902-60
MBR-019198
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024523
Duplicate member record retired
Member services
Mei Vega: 3 enrollment records collapsed into UHC-96916-94
Enrollment records
3
Member id
UHC-96916-94
MBR-019204
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024524
Duplicate member record retired
Member services
Benjamin Jensen: 2 enrollment records collapsed into UHC-32488-62
Enrollment records
2
Member id
UHC-32488-62
MBR-019210
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024525
Duplicate member record retired
Member services
Lauren Nguyen: 2 enrollment records collapsed into UHC-81167-55
Enrollment records
2
Member id
UHC-81167-55
MBR-019219
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024526
Duplicate member record retired
Member services
Kyle Jensen: 2 enrollment records collapsed into UHC-25407-01
Enrollment records
2
Member id
UHC-25407-01
MBR-019229
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024527
Duplicate member record retired
Member services
Jesse Kim: 2 enrollment records collapsed into UHC-45304-40
Enrollment records
2
Member id
UHC-45304-40
MBR-019234
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024528
Duplicate member record retired
Member services
Laura Stevens: 2 enrollment records collapsed into UHC-21915-73
Enrollment records
2
Member id
UHC-21915-73
MBR-019237
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024529
Duplicate member record retired
Member services
Eugene Roberts: 2 enrollment records collapsed into UHC-61925-07
Enrollment records
2
Member id
UHC-61925-07
MBR-019238
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024530
Duplicate member record retired
Member services
Theresa Reiid: 2 enrollment records collapsed into UHC-63053-40
Enrollment records
2
Member id
UHC-63053-40
MBR-019248
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024531
Duplicate member record retired
Member services
Karen Perez: 2 enrollment records collapsed into UHC-71408-38
Enrollment records
2
Member id
UHC-71408-38
MBR-019255
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024532
Duplicate member record retired
Member services
Walter Alvarez: 2 enrollment records collapsed into UHC-53497-10
Enrollment records
2
Member id
UHC-53497-10
MBR-019263
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024533
Duplicate member record retired
Member services
Zachary Baker: 2 enrollment records collapsed into UHC-62292-08
Enrollment records
2
Member id
UHC-62292-08
MBR-019270
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024534
Duplicate member record retired
Member services
Mary Franklin: 3 enrollment records collapsed into UHC-63571-51
Enrollment records
3
Member id
UHC-63571-51
MBR-019273
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024535
Duplicate member record retired
Member services
Eric Hudson: 2 enrollment records collapsed into UHC-87974-59
Enrollment records
2
Member id
UHC-87974-59
MBR-019275
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024536
Duplicate member record retired
Member services
Jacob Roberts: 2 enrollment records collapsed into UHC-64537-46
Enrollment records
2
Member id
UHC-64537-46
MBR-019289
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024537
Duplicate member record retired
Member services
Michelle Welch: 2 enrollment records collapsed into UHC-94322-99
Enrollment records
2
Member id
UHC-94322-99
MBR-019295
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024538
Duplicate member record retired
Member services
Isabella Burns: 2 enrollment records collapsed into UHC-10907-04
Enrollment records
2
Member id
UHC-10907-04
MBR-019301
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024539
Duplicate member record retired
Member services
Christina Austin: 2 enrollment records collapsed into UHC-18686-11
Enrollment records
2
Member id
UHC-18686-11
MBR-019313
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024540
Duplicate member record retired
Member services
Ethan Ramos: 3 enrollment records collapsed into UHC-43094-43
Enrollment records
3
Member id
UHC-43094-43
MBR-019342
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024541
Duplicate member record retired
Member services
Kathy Herrera: 2 enrollment records collapsed into UHC-75560-68
Enrollment records
2
Member id
UHC-75560-68
MBR-019350
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024542
Duplicate member record retired
Member services
Heather Carpenter: 2 enrollment records collapsed into UHC-25991-83
Enrollment records
2
Member id
UHC-25991-83
MBR-019356
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024543
Duplicate member record retired
Member services
Mei Johnson: 2 enrollment records collapsed into UHC-36165-09
Enrollment records
2
Member id
UHC-36165-09
MBR-019362
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024544
Duplicate member record retired
Member services
Jesse Snyder: 2 enrollment records collapsed into UHC-23086-52
Enrollment records
2
Member id
UHC-23086-52
MBR-019364
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024545
Duplicate member record retired
Member services
Willie Austin: 2 enrollment records collapsed into UHC-42539-11
Enrollment records
2
Member id
UHC-42539-11
MBR-019365
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024546
Duplicate member record retired
Member services
Gabriel Price: 2 enrollment records collapsed into UHC-79021-88
Enrollment records
2
Member id
UHC-79021-88
MBR-019380
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024547
Duplicate member record retired
Member services
Gray Lawrence: 2 enrollment records collapsed into UHC-31573-55
Enrollment records
2
Member id
UHC-31573-55
MBR-019381
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024548
Duplicate member record retired
Member services
Judy Carroll: 2 enrollment records collapsed into UHC-24401-98
Enrollment records
2
Member id
UHC-24401-98
MBR-019383
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024549
Duplicate member record retired
Member services
Alan Mendez: 2 enrollment records collapsed into UHC-09937-27
Enrollment records
2
Member id
UHC-09937-27
MBR-019391
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024550
Duplicate member record retired
Member services
William Robertosn: 2 enrollment records collapsed into UHC-55402-15
Enrollment records
2
Member id
UHC-55402-15
MBR-019392
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024551
Duplicate member record retired
Member services
Sophia Ferguson: 2 enrollment records collapsed into UHC-38535-74
Enrollment records
2
Member id
UHC-38535-74
MBR-019405
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024552
Duplicate member record retired
Member services
David Yang: 2 enrollment records collapsed into UHC-99596-65
Enrollment records
2
Member id
UHC-99596-65
MBR-019417
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024553
Duplicate member record retired
Member services
Stephen Cox: 2 enrollment records collapsed into UHC-59464-99
Enrollment records
2
Member id
UHC-59464-99
MBR-019428
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024554
Duplicate member record retired
Member services
Megan Garcia: 2 enrollment records collapsed into UHC-85835-94
Enrollment records
2
Member id
UHC-85835-94
MBR-019430
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024555
Duplicate member record retired
Member services
Jennifer Hayes: 2 enrollment records collapsed into UHC-67865-24
Enrollment records
2
Member id
UHC-67865-24
MBR-019439
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024556
Duplicate member record retired
Member services
Mary Foster: 2 enrollment records collapsed into UHC-70030-68
Enrollment records
2
Member id
UHC-70030-68
MBR-019444
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024557
Duplicate member record retired
Member services
Walter Mejia: 2 enrollment records collapsed into UHC-68970-84
Enrollment records
2
Member id
UHC-68970-84
MBR-019452
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024558
Duplicate member record retired
Member services
Soia Guerrero: 2 enrollment records collapsed into UHC-77814-77
Enrollment records
2
Member id
UHC-77814-77
MBR-019458
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024559
Duplicate member record retired
Member services
Dick Murray: 2 enrollment records collapsed into UHC-12024-59
Enrollment records
2
Member id
UHC-12024-59
MBR-019459
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024560
Duplicate member record retired
Member services
Emily Jenkins: 2 enrollment records collapsed into UHC-79681-97
Enrollment records
2
Member id
UHC-79681-97
MBR-019462
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024561
Duplicate member record retired
Member services
Mateeo Moreno: 2 enrollment records collapsed into UHC-39345-31
Enrollment records
2
Member id
UHC-39345-31
MBR-019464
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024562
Duplicate member record retired
Member services
Evelyn Hawkins: 2 enrollment records collapsed into UHC-71285-92
Enrollment records
2
Member id
UHC-71285-92
MBR-019493
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024563
Duplicate member record retired
Member services
Judith Cunningham: 2 enrollment records collapsed into UHC-01302-60
Enrollment records
2
Member id
UHC-01302-60
MBR-019500
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024564
Duplicate member record retired
Member services
Samuel Cruz: 3 enrollment records collapsed into UHC-58921-61
Enrollment records
3
Member id
UHC-58921-61
MBR-019509
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024565
Duplicate member record retired
Member services
Santiago Price: 2 enrollment records collapsed into UHC-44765-45
Enrollment records
2
Member id
UHC-44765-45
MBR-019516
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024566
Duplicate member record retired
Member services
Beverly Green: 3 enrollment records collapsed into UHC-01481-07
Enrollment records
3
Member id
UHC-01481-07
MBR-019526
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 58 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.