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
ActionTypeTitleDetailLinked toStatusExecuted
ACT-021755
Duplicate member record retired
Member services
Anthony Ramos: 2 enrollment records collapsed into UHC-18057-93
Enrollment records
2
Member id
UHC-18057-93
MBR-000540
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021756
Duplicate member record retired
Member services
Jean Pena: 2 enrollment records collapsed into UHC-63144-44
Enrollment records
2
Member id
UHC-63144-44
MBR-000543
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021757
Duplicate member record retired
Member services
Debra Burton: 2 enrollment records collapsed into UHC-42500-84
Enrollment records
2
Member id
UHC-42500-84
MBR-000550
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021758
Duplicate member record retired
Member services
Mateo Simpson: 2 enrollment records collapsed into UHC-34741-79
Enrollment records
2
Member id
UHC-34741-79
MBR-000588
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021759
Duplicate member record retired
Member services
Jesse Pierce: 2 enrollment records collapsed into UHC-50645-43
Enrollment records
2
Member id
UHC-50645-43
MBR-000589
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021760
Duplicate member record retired
Member services
Emily Little: 4 enrollment records collapsed into UHC-12266-19
Enrollment records
4
Member id
UHC-12266-19
MBR-000592
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021761
Duplicate member record retired
Member services
Alexander Morrison: 2 enrollment records collapsed into UHC-72453-69
Enrollment records
2
Member id
UHC-72453-69
MBR-000593
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021762
Duplicate member record retired
Member services
Aisha Snyder: 2 enrollment records collapsed into UHC-55261-40
Enrollment records
2
Member id
UHC-55261-40
MBR-000597
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021763
Duplicate member record retired
Member services
Lisa Morales: 3 enrollment records collapsed into UHC-21468-84
Enrollment records
3
Member id
UHC-21468-84
MBR-000605
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021764
Duplicate member record retired
Member services
Tyler Rojas: 2 enrollment records collapsed into UHC-70710-72
Enrollment records
2
Member id
UHC-70710-72
MBR-000606
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021765
Duplicate member record retired
Member services
Christine Morgan: 2 enrollment records collapsed into UHC-43385-83
Enrollment records
2
Member id
UHC-43385-83
MBR-000607
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021766
Duplicate member record retired
Member services
Frank Howard: 2 enrollment records collapsed into UHC-75968-98
Enrollment records
2
Member id
UHC-75968-98
MBR-000609
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021767
Duplicate member record retired
Member services
Michelle Payne: 2 enrollment records collapsed into UHC-32156-45
Enrollment records
2
Member id
UHC-32156-45
MBR-000619
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021768
Duplicate member record retired
Member services
Danielle Murray: 2 enrollment records collapsed into UHC-55126-74
Enrollment records
2
Member id
UHC-55126-74
MBR-000626
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021769
Duplicate member record retired
Member services
Kathleen Hanson: 2 enrollment records collapsed into UHC-09595-21
Enrollment records
2
Member id
UHC-09595-21
MBR-000630
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021770
Duplicate member record retired
Member services
Nicole Snyder: 2 enrollment records collapsed into UHC-47909-54
Enrollment records
2
Member id
UHC-47909-54
MBR-000638
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021771
Duplicate member record retired
Member services
Jason Espinoza: 2 enrollment records collapsed into UHC-11220-61
Enrollment records
2
Member id
UHC-11220-61
MBR-000639
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021772
Duplicate member record retired
Member services
Christine Contreras: 2 enrollment records collapsed into UHC-67401-81
Enrollment records
2
Member id
UHC-67401-81
MBR-000645
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021773
Duplicate member record retired
Member services
Nancy Bishop: 2 enrollment records collapsed into UHC-38129-07
Enrollment records
2
Member id
UHC-38129-07
MBR-000647
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021774
Duplicate member record retired
Member services
Nicole Sanders: 2 enrollment records collapsed into UHC-28472-75
Enrollment records
2
Member id
UHC-28472-75
MBR-000652
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021775
Duplicate member record retired
Member services
Kyle Wang: 3 enrollment records collapsed into UHC-03682-21
Enrollment records
3
Member id
UHC-03682-21
MBR-000655
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021776
Duplicate member record retired
Member services
Lucia Little: 2 enrollment records collapsed into UHC-11404-43
Enrollment records
2
Member id
UHC-11404-43
MBR-000659
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021777
Duplicate member record retired
Member services
Omar Le: 2 enrollment records collapsed into UHC-94958-54
Enrollment records
2
Member id
UHC-94958-54
MBR-000660
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021778
Duplicate member record retired
Member services
Wei Arnold: 2 enrollment records collapsed into UHC-93430-91
Enrollment records
2
Member id
UHC-93430-91
MBR-000661
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021779
Duplicate member record retired
Member services
Jacqueline Cox: 2 enrollment records collapsed into UHC-39035-76
Enrollment records
2
Member id
UHC-39035-76
MBR-000663
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021780
Duplicate member record retired
Member services
Zachary Bryant: 2 enrollment records collapsed into UHC-87908-27
Enrollment records
2
Member id
UHC-87908-27
MBR-000664
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021781
Duplicate member record retired
Member services
Nathan Gomez: 2 enrollment records collapsed into UHC-24011-85
Enrollment records
2
Member id
UHC-24011-85
MBR-000666
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021782
Duplicate member record retired
Member services
Omar Ortiz: 2 enrollment records collapsed into UHC-62827-27
Enrollment records
2
Member id
UHC-62827-27
MBR-000678
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021783
Duplicate member record retired
Member services
Jeremy Black: 2 enrollment records collapsed into UHC-57324-01
Enrollment records
2
Member id
UHC-57324-01
MBR-000684
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021784
Duplicate member record retired
Member services
Christine Singh: 2 enrollment records collapsed into UHC-80809-93
Enrollment records
2
Member id
UHC-80809-93
MBR-000686
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021785
Duplicate member record retired
Member services
Heaher Knight: 2 enrollment records collapsed into UHC-24200-09
Enrollment records
2
Member id
UHC-24200-09
MBR-000689
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021786
Duplicate member record retired
Member services
Ann Santiago: 2 enrollment records collapsed into UHC-72018-89
Enrollment records
2
Member id
UHC-72018-89
MBR-000691
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021787
Duplicate member record retired
Member services
Lauren Martinez: 2 enrollment records collapsed into UHC-67061-31
Enrollment records
2
Member id
UHC-67061-31
MBR-000698
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021788
Duplicate member record retired
Member services
Martha Rodriguez: 2 enrollment records collapsed into UHC-02773-73
Enrollment records
2
Member id
UHC-02773-73
MBR-000708
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021789
Duplicate member record retired
Member services
Sndra Patel: 3 enrollment records collapsed into UHC-84344-21
Enrollment records
3
Member id
UHC-84344-21
MBR-000709
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021790
Duplicate member record retired
Member services
Christine Barnes: 2 enrollment records collapsed into UHC-70917-32
Enrollment records
2
Member id
UHC-70917-32
MBR-000714
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021791
Duplicate member record retired
Member services
Amanda Santiago: 3 enrollment records collapsed into UHC-25419-96
Enrollment records
3
Member id
UHC-25419-96
MBR-000720
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021792
Duplicate member record retired
Member services
Santiago Robinson: 2 enrollment records collapsed into UHC-06217-27
Enrollment records
2
Member id
UHC-06217-27
MBR-000722
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021793
Duplicate member record retired
Member services
Raymond Duncan: 2 enrollment records collapsed into UHC-08532-14
Enrollment records
2
Member id
UHC-08532-14
MBR-000734
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021794
Duplicate member record retired
Member services
Juan Chen: 2 enrollment records collapsed into UHC-72089-26
Enrollment records
2
Member id
UHC-72089-26
MBR-000735
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021795
Duplicate member record retired
Member services
Isabella Montgomery: 2 enrollment records collapsed into UHC-13566-87
Enrollment records
2
Member id
UHC-13566-87
MBR-000739
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021796
Duplicate member record retired
Member services
Mariana Weaver: 2 enrollment records collapsed into UHC-60976-77
Enrollment records
2
Member id
UHC-60976-77
MBR-000740
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021797
Duplicate member record retired
Member services
Christina Larson: 2 enrollment records collapsed into UHC-21863-98
Enrollment records
2
Member id
UHC-21863-98
MBR-000763
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021798
Duplicate member record retired
Member services
George Lawrence: 2 enrollment records collapsed into UHC-88302-44
Enrollment records
2
Member id
UHC-88302-44
MBR-000765
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021799
Duplicate member record retired
Member services
Danielle King: 2 enrollment records collapsed into UHC-43311-50
Enrollment records
2
Member id
UHC-43311-50
MBR-000772
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021800
Duplicate member record retired
Member services
Susan Hanson: 2 enrollment records collapsed into UHC-29460-45
Enrollment records
2
Member id
UHC-29460-45
MBR-000777
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021801
Duplicate member record retired
Member services
Brenda Nguyen: 2 enrollment records collapsed into UHC-96686-39
Enrollment records
2
Member id
UHC-96686-39
MBR-000780
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021802
Duplicate member record retired
Member services
Kathleen Roberts: 2 enrollment records collapsed into UHC-60959-76
Enrollment records
2
Member id
UHC-60959-76
MBR-000783
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021803
Duplicate member record retired
Member services
Samuel Reyes: 2 enrollment records collapsed into UHC-82409-02
Enrollment records
2
Member id
UHC-82409-02
MBR-000794
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021804
Duplicate member record retired
Member services
Mateo Berry: 2 enrollment records collapsed into UHC-83479-46
Enrollment records
2
Member id
UHC-83479-46
MBR-000800
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 185 of 282PreviousNext

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.