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-022155
Duplicate member record retired
Member services
Danielle White: 2 enrollment records collapsed into UHC-49036-24
Enrollment records
2
Member id
UHC-49036-24
MBR-002971
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022156
Duplicate member record retired
Member services
Ray McCoy: 2 enrollment records collapsed into UHC-38052-26
Enrollment records
2
Member id
UHC-38052-26
MBR-002987
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022157
Duplicate member record retired
Member services
Hannah Morrison: 2 enrollment records collapsed into UHC-56979-48
Enrollment records
2
Member id
UHC-56979-48
MBR-002992
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022158
Duplicate member record retired
Member services
Samuel Castro: 2 enrollment records collapsed into UHC-99010-79
Enrollment records
2
Member id
UHC-99010-79
MBR-003000
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022159
Duplicate member record retired
Member services
Alice James: 2 enrollment records collapsed into UHC-50230-34
Enrollment records
2
Member id
UHC-50230-34
MBR-003001
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022160
Duplicate member record retired
Member services
Billy Hayes: 2 enrollment records collapsed into UHC-52327-99
Enrollment records
2
Member id
UHC-52327-99
MBR-003002
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022161
Duplicate member record retired
Member services
Eugene Cox: 2 enrollment records collapsed into UHC-38773-39
Enrollment records
2
Member id
UHC-38773-39
MBR-003003
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022162
Duplicate member record retired
Member services
Alice Knight: 3 enrollment records collapsed into UHC-58125-21
Enrollment records
3
Member id
UHC-58125-21
MBR-003007
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022163
Duplicate member record retired
Member services
Heather Walsh: 2 enrollment records collapsed into UHC-45163-98
Enrollment records
2
Member id
UHC-45163-98
MBR-003010
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022164
Duplicate member record retired
Member services
Robert Weber: 2 enrollment records collapsed into UHC-94741-69
Enrollment records
2
Member id
UHC-94741-69
MBR-003015
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022165
Duplicate member record retired
Member services
Sandra Obrien: 2 enrollment records collapsed into UHC-04569-93
Enrollment records
2
Member id
UHC-04569-93
MBR-003017
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022166
Duplicate member record retired
Member services
Carlos Salazar: 3 enrollment records collapsed into UHC-04052-21
Enrollment records
3
Member id
UHC-04052-21
MBR-003032
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022167
Duplicate member record retired
Member services
Scott Long: 2 enrollment records collapsed into UHC-61646-64
Enrollment records
2
Member id
UHC-61646-64
MBR-003038
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022168
Duplicate member record retired
Member services
Deborah Smith: 2 enrollment records collapsed into UHC-06521-05
Enrollment records
2
Member id
UHC-06521-05
MBR-003042
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022169
Duplicate member record retired
Member services
Bruce Perkins: 2 enrollment records collapsed into UHC-27600-51
Enrollment records
2
Member id
UHC-27600-51
MBR-003045
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022170
Duplicate member record retired
Member services
Chris Stevens: 2 enrollment records collapsed into UHC-11824-83
Enrollment records
2
Member id
UHC-11824-83
MBR-003052
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022171
Duplicate member record retired
Member services
Carolyn Harrison: 2 enrollment records collapsed into UHC-59431-11
Enrollment records
2
Member id
UHC-59431-11
MBR-003058
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022172
Duplicate member record retired
Member services
Christina Ortega: 2 enrollment records collapsed into UHC-06273-61
Enrollment records
2
Member id
UHC-06273-61
MBR-003066
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022173
Duplicate member record retired
Member services
Ralph Washington: 2 enrollment records collapsed into UHC-16447-67
Enrollment records
2
Member id
UHC-16447-67
MBR-003071
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022174
Duplicate member record retired
Member services
Nathan Peters: 2 enrollment records collapsed into UHC-70952-79
Enrollment records
2
Member id
UHC-70952-79
MBR-003072
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022175
Duplicate member record retired
Member services
Elijah Stephens: 2 enrollment records collapsed into UHC-35712-96
Enrollment records
2
Member id
UHC-35712-96
MBR-003076
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022176
Duplicate member record retired
Member services
Ashley Perry: 2 enrollment records collapsed into UHC-37171-05
Enrollment records
2
Member id
UHC-37171-05
MBR-003077
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022177
Duplicate member record retired
Member services
Sarrah Rose: 2 enrollment records collapsed into UHC-73535-83
Enrollment records
2
Member id
UHC-73535-83
MBR-003098
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022178
Duplicate member record retired
Member services
Alan Matthews: 2 enrollment records collapsed into UHC-27608-39
Enrollment records
2
Member id
UHC-27608-39
MBR-003101
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022179
Duplicate member record retired
Member services
George Austin: 2 enrollment records collapsed into UHC-22482-04
Enrollment records
2
Member id
UHC-22482-04
MBR-003104
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022180
Duplicate member record retired
Member services
Danielle Bradley: 2 enrollment records collapsed into UHC-12229-41
Enrollment records
2
Member id
UHC-12229-41
MBR-003110
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022181
Duplicate member record retired
Member services
Christina Guzman: 2 enrollment records collapsed into UHC-18324-39
Enrollment records
2
Member id
UHC-18324-39
MBR-003116
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022182
Duplicate member record retired
Member services
Elijah Hudson: 2 enrollment records collapsed into UHC-28101-71
Enrollment records
2
Member id
UHC-28101-71
MBR-003118
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022183
Duplicate member record retired
Member services
Gary Herrera: 2 enrollment records collapsed into UHC-69117-24
Enrollment records
2
Member id
UHC-69117-24
MBR-003122
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022184
Duplicate member record retired
Member services
Bradley Burton: 2 enrollment records collapsed into UHC-86273-40
Enrollment records
2
Member id
UHC-86273-40
MBR-003125
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022185
Duplicate member record retired
Member services
Eric Hoffman: 2 enrollment records collapsed into UHC-44737-83
Enrollment records
2
Member id
UHC-44737-83
MBR-003132
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022186
Duplicate member record retired
Member services
Linda Carroll: 2 enrollment records collapsed into UHC-43840-07
Enrollment records
2
Member id
UHC-43840-07
MBR-003141
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022187
Duplicate member record retired
Member services
Justin Fox: 2 enrollment records collapsed into UHC-85137-13
Enrollment records
2
Member id
UHC-85137-13
MBR-003143
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022188
Duplicate member record retired
Member services
Jose Yang: 2 enrollment records collapsed into UHC-63980-93
Enrollment records
2
Member id
UHC-63980-93
MBR-003144
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022189
Duplicate member record retired
Member services
Adam Long: 2 enrollment records collapsed into UHC-08708-37
Enrollment records
2
Member id
UHC-08708-37
MBR-003153
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022190
Duplicate member record retired
Member services
Arjun Cole: 2 enrollment records collapsed into UHC-22790-95
Enrollment records
2
Member id
UHC-22790-95
MBR-003156
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022191
Duplicate member record retired
Member services
Jeremy Armstrong: 2 enrollment records collapsed into UHC-07659-04
Enrollment records
2
Member id
UHC-07659-04
MBR-003159
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022192
Duplicate member record retired
Member services
Priya Ellis: 2 enrollment records collapsed into UHC-18180-64
Enrollment records
2
Member id
UHC-18180-64
MBR-003168
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022193
Duplicate member record retired
Member services
Jennifer Rogers: 2 enrollment records collapsed into UHC-08853-68
Enrollment records
2
Member id
UHC-08853-68
MBR-003171
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022194
Duplicate member record retired
Member services
Bobby Banks: 2 enrollment records collapsed into UHC-35737-64
Enrollment records
2
Member id
UHC-35737-64
MBR-003177
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022195
Duplicate member record retired
Member services
Olivia Anderrson: 2 enrollment records collapsed into UHC-67941-30
Enrollment records
2
Member id
UHC-67941-30
MBR-003180
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022196
Duplicate member record retired
Member services
Frank Ramos: 2 enrollment records collapsed into UHC-76600-57
Enrollment records
2
Member id
UHC-76600-57
MBR-003182
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022197
Duplicate member record retired
Member services
Cynthia Vazquez: 2 enrollment records collapsed into UHC-10386-45
Enrollment records
2
Member id
UHC-10386-45
MBR-003183
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022198
Duplicate member record retired
Member services
Justin Ramirez: 2 enrollment records collapsed into UHC-79273-51
Enrollment records
2
Member id
UHC-79273-51
MBR-003191
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022199
Duplicate member record retired
Member services
Lucia Anderson: 2 enrollment records collapsed into UHC-24339-08
Enrollment records
2
Member id
UHC-24339-08
MBR-003194
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022200
Duplicate member record retired
Member services
Mei Nelson: 2 enrollment records collapsed into UHC-81996-09
Enrollment records
2
Member id
UHC-81996-09
MBR-003198
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022201
Duplicate member record retired
Member services
George Silva: 2 enrollment records collapsed into UHC-43784-68
Enrollment records
2
Member id
UHC-43784-68
MBR-003201
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022202
Duplicate member record retired
Member services
Roy Price: 2 enrollment records collapsed into UHC-50198-86
Enrollment records
2
Member id
UHC-50198-86
MBR-003203
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022203
Duplicate member record retired
Member services
Marilyn Romero: 2 enrollment records collapsed into UHC-22595-40
Enrollment records
2
Member id
UHC-22595-40
MBR-003206
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022204
Duplicate member record retired
Member services
Aaron Cox: 2 enrollment records collapsed into UHC-64407-76
Enrollment records
2
Member id
UHC-64407-76
MBR-003219
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 193 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.