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-021805
Duplicate member record retired
Member services
Billy Robinson: 2 enrollment records collapsed into UHC-48999-54
Enrollment records
2
Member id
UHC-48999-54
MBR-000801
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021806
Duplicate member record retired
Member services
Christian Long: 2 enrollment records collapsed into UHC-14914-29
Enrollment records
2
Member id
UHC-14914-29
MBR-000802
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021807
Duplicate member record retired
Member services
Roy McCoy: 2 enrollment records collapsed into UHC-81798-84
Enrollment records
2
Member id
UHC-81798-84
MBR-000811
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021808
Duplicate member record retired
Member services
Adam Richards: 2 enrollment records collapsed into UHC-56502-17
Enrollment records
2
Member id
UHC-56502-17
MBR-000812
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021809
Duplicate member record retired
Member services
Mariana Evans: 3 enrollment records collapsed into UHC-97361-74
Enrollment records
3
Member id
UHC-97361-74
MBR-000816
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021810
Duplicate member record retired
Member services
Ralph Graham: 2 enrollment records collapsed into UHC-10242-73
Enrollment records
2
Member id
UHC-10242-73
MBR-000817
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021811
Duplicate member record retired
Member services
Patricia Thompson: 2 enrollment records collapsed into UHC-18570-72
Enrollment records
2
Member id
UHC-18570-72
MBR-000821
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021812
Duplicate member record retired
Member services
Mary Jacobs: 2 enrollment records collapsed into UHC-68644-16
Enrollment records
2
Member id
UHC-68644-16
MBR-000828
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021813
Duplicate member record retired
Member services
Mary George: 2 enrollment records collapsed into UHC-99908-37
Enrollment records
2
Member id
UHC-99908-37
MBR-000829
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021814
Duplicate member record retired
Member services
Peter Herrera: 2 enrollment records collapsed into UHC-90166-98
Enrollment records
2
Member id
UHC-90166-98
MBR-000830
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021815
Duplicate member record retired
Member services
Henry Perkins: 2 enrollment records collapsed into UHC-17569-05
Enrollment records
2
Member id
UHC-17569-05
MBR-000833
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021816
Duplicate member record retired
Member services
Zachary Watkins: 2 enrollment records collapsed into UHC-26709-92
Enrollment records
2
Member id
UHC-26709-92
MBR-000842
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021817
Duplicate member record retired
Member services
Grace Little: 2 enrollment records collapsed into UHC-70114-35
Enrollment records
2
Member id
UHC-70114-35
MBR-000849
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021818
Duplicate member record retired
Member services
Michelle Schultz: 2 enrollment records collapsed into UHC-25246-36
Enrollment records
2
Member id
UHC-25246-36
MBR-000850
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021819
Duplicate member record retired
Member services
Priya Roberts: 2 enrollment records collapsed into UHC-42307-61
Enrollment records
2
Member id
UHC-42307-61
MBR-000857
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021820
Duplicate member record retired
Member services
Jerry Anderson: 2 enrollment records collapsed into UHC-02296-66
Enrollment records
2
Member id
UHC-02296-66
MBR-000860
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021821
Duplicate member record retired
Member services
Alexis Edwards: 2 enrollment records collapsed into UHC-06470-32
Enrollment records
2
Member id
UHC-06470-32
MBR-000864
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021822
Duplicate member record retired
Member services
Brandon Hansen: 2 enrollment records collapsed into UHC-59196-09
Enrollment records
2
Member id
UHC-59196-09
MBR-000868
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021823
Duplicate member record retired
Member services
William Bradley: 2 enrollment records collapsed into UHC-33492-59
Enrollment records
2
Member id
UHC-33492-59
MBR-000873
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021824
Duplicate member record retired
Member services
Julia Carroll: 2 enrollment records collapsed into UHC-35780-70
Enrollment records
2
Member id
UHC-35780-70
MBR-000875
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021825
Duplicate member record retired
Member services
Mei Ward: 2 enrollment records collapsed into UHC-21084-45
Enrollment records
2
Member id
UHC-21084-45
MBR-000880
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021826
Duplicate member record retired
Member services
Carlos Henderson: 2 enrollment records collapsed into UHC-04658-83
Enrollment records
2
Member id
UHC-04658-83
MBR-000885
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021827
Duplicate member record retired
Member services
Sandra White: 2 enrollment records collapsed into UHC-73374-01
Enrollment records
2
Member id
UHC-73374-01
MBR-000887
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021828
Duplicate member record retired
Member services
Ana Nunez: 2 enrollment records collapsed into UHC-27580-31
Enrollment records
2
Member id
UHC-27580-31
MBR-000901
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021829
Duplicate member record retired
Member services
Lisa Obrien: 3 enrollment records collapsed into UHC-77989-41
Enrollment records
3
Member id
UHC-77989-41
MBR-000903
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021830
Duplicate member record retired
Member services
Russell Fernandez: 2 enrollment records collapsed into UHC-14589-20
Enrollment records
2
Member id
UHC-14589-20
MBR-000913
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021831
Duplicate member record retired
Member services
Betty Wallace: 2 enrollment records collapsed into UHC-44888-61
Enrollment records
2
Member id
UHC-44888-61
MBR-000925
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021832
Duplicate member record retired
Member services
Grace Williams: 2 enrollment records collapsed into UHC-70016-34
Enrollment records
2
Member id
UHC-70016-34
MBR-000932
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021833
Duplicate member record retired
Member services
Alice Robertson: 3 enrollment records collapsed into UHC-51048-68
Enrollment records
3
Member id
UHC-51048-68
MBR-000936
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021834
Duplicate member record retired
Member services
Wayne Payne: 2 enrollment records collapsed into UHC-86755-25
Enrollment records
2
Member id
UHC-86755-25
MBR-000938
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021835
Duplicate member record retired
Member services
Kenneth Austin: 2 enrollment records collapsed into UHC-79067-76
Enrollment records
2
Member id
UHC-79067-76
MBR-000945
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021836
Duplicate member record retired
Member services
Sean Berry: 4 enrollment records collapsed into UHC-17584-75
Enrollment records
4
Member id
UHC-17584-75
MBR-000954
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021837
Duplicate member record retired
Member services
Chris Moreno: 3 enrollment records collapsed into UHC-90490-58
Enrollment records
3
Member id
UHC-90490-58
MBR-000963
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021838
Duplicate member record retired
Member services
Jack Brooks: 2 enrollment records collapsed into UHC-28522-72
Enrollment records
2
Member id
UHC-28522-72
MBR-000970
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021839
Duplicate member record retired
Member services
Carol Wallace: 2 enrollment records collapsed into UHC-60601-66
Enrollment records
2
Member id
UHC-60601-66
MBR-000974
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021840
Duplicate member record retired
Member services
Sandra Scott: 2 enrollment records collapsed into UHC-95286-62
Enrollment records
2
Member id
UHC-95286-62
MBR-000981
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021841
Duplicate member record retired
Member services
Elizabeth Olson: 2 enrollment records collapsed into UHC-70010-46
Enrollment records
2
Member id
UHC-70010-46
MBR-000987
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021842
Duplicate member record retired
Member services
Melissa Edwards: 2 enrollment records collapsed into UHC-63985-13
Enrollment records
2
Member id
UHC-63985-13
MBR-000988
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021843
Duplicate member record retired
Member services
Bobby Alexander: 2 enrollment records collapsed into UHC-39102-26
Enrollment records
2
Member id
UHC-39102-26
MBR-000990
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021844
Duplicate member record retired
Member services
Carl Graham: 2 enrollment records collapsed into UHC-39434-89
Enrollment records
2
Member id
UHC-39434-89
MBR-001004
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021845
Duplicate member record retired
Member services
Ahmed Matthews: 2 enrollment records collapsed into UHC-67757-69
Enrollment records
2
Member id
UHC-67757-69
MBR-001007
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021846
Duplicate member record retired
Member services
Diane Rojas: 2 enrollment records collapsed into UHC-02332-24
Enrollment records
2
Member id
UHC-02332-24
MBR-001024
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021847
Duplicate member record retired
Member services
Ann Bishop: 2 enrollment records collapsed into UHC-44942-90
Enrollment records
2
Member id
UHC-44942-90
MBR-001025
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021848
Duplicate member record retired
Member services
Peggy Cooper: 2 enrollment records collapsed into UHC-09187-36
Enrollment records
2
Member id
UHC-09187-36
MBR-001034
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021849
Duplicate member record retired
Member services
Scott Kim: 2 enrollment records collapsed into UHC-98455-86
Enrollment records
2
Member id
UHC-98455-86
MBR-001036
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021850
Duplicate member record retired
Member services
Donald Russell: 2 enrollment records collapsed into UHC-63213-46
Enrollment records
2
Member id
UHC-63213-46
MBR-001037
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021851
Duplicate member record retired
Member services
Priya Kelly: 2 enrollment records collapsed into UHC-02663-92
Enrollment records
2
Member id
UHC-02663-92
MBR-001038
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021852
Duplicate member record retired
Member services
Omar Lopez: 2 enrollment records collapsed into UHC-67709-81
Enrollment records
2
Member id
UHC-67709-81
MBR-001042
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021853
Duplicate member record retired
Member services
Julia Rice: 2 enrollment records collapsed into UHC-46090-42
Enrollment records
2
Member id
UHC-46090-42
MBR-001055
Executed
resolution_agent
2026-10-22 12:47:23
ACT-021854
Duplicate member record retired
Member services
Megan Rios: 2 enrollment records collapsed into UHC-47867-27
Enrollment records
2
Member id
UHC-47867-27
MBR-001071
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 186 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.