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-022305
Duplicate member record retired
Member services
Billy Weber: 3 enrollment records collapsed into UHC-14482-44
Enrollment records
3
Member id
UHC-14482-44
MBR-003896
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022306
Duplicate member record retired
Member services
Olivia Gilbert: 2 enrollment records collapsed into UHC-20851-36
Enrollment records
2
Member id
UHC-20851-36
MBR-003905
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022307
Duplicate member record retired
Member services
Charlotte Edwards: 3 enrollment records collapsed into UHC-97135-95
Enrollment records
3
Member id
UHC-97135-95
MBR-003906
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022308
Duplicate member record retired
Member services
Brandon Herrera: 2 enrollment records collapsed into UHC-70155-85
Enrollment records
2
Member id
UHC-70155-85
MBR-003913
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022309
Duplicate member record retired
Member services
Mateo Vega: 2 enrollment records collapsed into UHC-55251-71
Enrollment records
2
Member id
UHC-55251-71
MBR-003916
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022310
Duplicate member record retired
Member services
Michael Rios: 2 enrollment records collapsed into UHC-88156-15
Enrollment records
2
Member id
UHC-88156-15
MBR-003917
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022311
Duplicate member record retired
Member services
Theresa Cunningham: 2 enrollment records collapsed into UHC-57506-28
Enrollment records
2
Member id
UHC-57506-28
MBR-003918
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022312
Duplicate member record retired
Member services
Wei Jackson: 2 enrollment records collapsed into UHC-16036-11
Enrollment records
2
Member id
UHC-16036-11
MBR-003919
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022313
Duplicate member record retired
Member services
Joan Sanchez: 2 enrollment records collapsed into UHC-91458-47
Enrollment records
2
Member id
UHC-91458-47
MBR-003921
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022314
Duplicate member record retired
Member services
Peter Fowler: 2 enrollment records collapsed into UHC-94395-87
Enrollment records
2
Member id
UHC-94395-87
MBR-003925
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022315
Duplicate member record retired
Member services
Scott Shaw: 2 enrollment records collapsed into UHC-47109-16
Enrollment records
2
Member id
UHC-47109-16
MBR-003939
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022316
Duplicate member record retired
Member services
Marilyn Sullivan: 2 enrollment records collapsed into UHC-59465-80
Enrollment records
2
Member id
UHC-59465-80
MBR-003942
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022317
Duplicate member record retired
Member services
Willie George: 2 enrollment records collapsed into UHC-14786-97
Enrollment records
2
Member id
UHC-14786-97
MBR-003945
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022318
Duplicate member record retired
Member services
Debra Olson: 2 enrollment records collapsed into UHC-20571-53
Enrollment records
2
Member id
UHC-20571-53
MBR-003954
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022319
Duplicate member record retired
Member services
Judith Ramirez: 2 enrollment records collapsed into UHC-78656-78
Enrollment records
2
Member id
UHC-78656-78
MBR-003955
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022320
Duplicate member record retired
Member services
Carol King: 2 enrollment records collapsed into UHC-51452-61
Enrollment records
2
Member id
UHC-51452-61
MBR-003963
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022321
Duplicate member record retired
Member services
Cynthia Sanders: 2 enrollment records collapsed into UHC-47513-40
Enrollment records
2
Member id
UHC-47513-40
MBR-003964
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022322
Duplicate member record retired
Member services
Pamela Arnold: 2 enrollment records collapsed into UHC-73899-09
Enrollment records
2
Member id
UHC-73899-09
MBR-003968
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022323
Duplicate member record retired
Member services
Roger Fox: 2 enrollment records collapsed into UHC-96985-70
Enrollment records
2
Member id
UHC-96985-70
MBR-003970
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022324
Duplicate member record retired
Member services
Larry Jones: 2 enrollment records collapsed into UHC-94064-39
Enrollment records
2
Member id
UHC-94064-39
MBR-003991
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022325
Duplicate member record retired
Member services
Deborah Sandoval: 3 enrollment records collapsed into UHC-24249-17
Enrollment records
3
Member id
UHC-24249-17
MBR-004004
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022326
Duplicate member record retired
Member services
Melissa Hudson: 2 enrollment records collapsed into UHC-13861-49
Enrollment records
2
Member id
UHC-13861-49
MBR-004006
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022327
Duplicate member record retired
Member services
Danielle Walsh: 2 enrollment records collapsed into UHC-00298-63
Enrollment records
2
Member id
UHC-00298-63
MBR-004008
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022328
Duplicate member record retired
Member services
Santiago Bennett: 2 enrollment records collapsed into UHC-00928-23
Enrollment records
2
Member id
UHC-00928-23
MBR-004010
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022329
Duplicate member record retired
Member services
Justin Hansen: 2 enrollment records collapsed into UHC-01798-59
Enrollment records
2
Member id
UHC-01798-59
MBR-004011
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022330
Duplicate member record retired
Member services
Nancy Myers: 2 enrollment records collapsed into UHC-82208-74
Enrollment records
2
Member id
UHC-82208-74
MBR-004015
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022331
Duplicate member record retired
Member services
Jason Phillips: 2 enrollment records collapsed into UHC-16875-64
Enrollment records
2
Member id
UHC-16875-64
MBR-004024
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022332
Duplicate member record retired
Member services
Steven Ball: 2 enrollment records collapsed into UHC-14759-22
Enrollment records
2
Member id
UHC-14759-22
MBR-004044
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022333
Duplicate member record retired
Member services
Edward Delgado: 2 enrollment records collapsed into UHC-98565-10
Enrollment records
2
Member id
UHC-98565-10
MBR-004046
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022334
Duplicate member record retired
Member services
Dorothy Ward: 3 enrollment records collapsed into UHC-79814-12
Enrollment records
3
Member id
UHC-79814-12
MBR-004059
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022335
Duplicate member record retired
Member services
Frank Richards: 2 enrollment records collapsed into UHC-92254-86
Enrollment records
2
Member id
UHC-92254-86
MBR-004071
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022336
Duplicate member record retired
Member services
Lucia Little: 2 enrollment records collapsed into UHC-70129-25
Enrollment records
2
Member id
UHC-70129-25
MBR-004073
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022337
Duplicate member record retired
Member services
Gloria Ortega: 2 enrollment records collapsed into UHC-54492-82
Enrollment records
2
Member id
UHC-54492-82
MBR-004086
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022338
Duplicate member record retired
Member services
Hiroshi West: 3 enrollment records collapsed into UHC-60964-87
Enrollment records
3
Member id
UHC-60964-87
MBR-004110
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022339
Duplicate member record retired
Member services
Eugene Payne: 2 enrollment records collapsed into UHC-90395-97
Enrollment records
2
Member id
UHC-90395-97
MBR-004113
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022340
Duplicate member record retired
Member services
Jack Vazquez: 2 enrollment records collapsed into UHC-72930-75
Enrollment records
2
Member id
UHC-72930-75
MBR-004116
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022341
Duplicate member record retired
Member services
Gerald Ramirez: 2 enrollment records collapsed into UHC-09097-49
Enrollment records
2
Member id
UHC-09097-49
MBR-004120
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022342
Duplicate member record retired
Member services
Logan Sims: 3 enrollment records collapsed into UHC-95454-32
Enrollment records
3
Member id
UHC-95454-32
MBR-004122
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022343
Duplicate member record retired
Member services
Alice Lynch: 2 enrollment records collapsed into UHC-12665-44
Enrollment records
2
Member id
UHC-12665-44
MBR-004137
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022344
Duplicate member record retired
Member services
Heather Wagner: 2 enrollment records collapsed into UHC-68131-47
Enrollment records
2
Member id
UHC-68131-47
MBR-004145
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022345
Duplicate member record retired
Member services
Arthur Gray: 2 enrollment records collapsed into UHC-88638-18
Enrollment records
2
Member id
UHC-88638-18
MBR-004150
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022346
Duplicate member record retired
Member services
Arthur Bailey: 2 enrollment records collapsed into UHC-42737-39
Enrollment records
2
Member id
UHC-42737-39
MBR-004154
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022347
Duplicate member record retired
Member services
Mark Gomez: 2 enrollment records collapsed into UHC-95727-77
Enrollment records
2
Member id
UHC-95727-77
MBR-004158
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022348
Duplicate member record retired
Member services
Paul Woods: 2 enrollment records collapsed into UHC-41066-57
Enrollment records
2
Member id
UHC-41066-57
MBR-004161
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022349
Duplicate member record retired
Member services
Kyle Smith: 2 enrollment records collapsed into UHC-64566-52
Enrollment records
2
Member id
UHC-64566-52
MBR-004164
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022350
Duplicate member record retired
Member services
Scott Pena: 2 enrollment records collapsed into UHC-95096-66
Enrollment records
2
Member id
UHC-95096-66
MBR-004165
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022351
Duplicate member record retired
Member services
Mark Green: 2 enrollment records collapsed into UHC-58036-68
Enrollment records
2
Member id
UHC-58036-68
MBR-004167
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022352
Duplicate member record retired
Member services
Alexander Patterson: 2 enrollment records collapsed into UHC-10024-45
Enrollment records
2
Member id
UHC-10024-45
MBR-004169
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022353
Duplicate member record retired
Member services
Lucia Gray: 2 enrollment records collapsed into UHC-38544-29
Enrollment records
2
Member id
UHC-38544-29
MBR-004172
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022354
Duplicate member record retired
Member services
Alexis Duncan: 2 enrollment records collapsed into UHC-03463-23
Enrollment records
2
Member id
UHC-03463-23
MBR-004177
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 196 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.