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-022355
Duplicate member record retired
Member services
Jerry Armstrong: 2 enrollment records collapsed into UHC-40480-51
Enrollment records
2
Member id
UHC-40480-51
MBR-004210
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022356
Duplicate member record retired
Member services
Bryan Freeman: 2 enrollment records collapsed into UHC-23532-29
Enrollment records
2
Member id
UHC-23532-29
MBR-004220
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022357
Duplicate member record retired
Member services
David Vezquez: 2 enrollment records collapsed into UHC-60007-82
Enrollment records
2
Member id
UHC-60007-82
MBR-004225
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022358
Duplicate member record retired
Member services
Catherine Andrews: 2 enrollment records collapsed into UHC-95338-32
Enrollment records
2
Member id
UHC-95338-32
MBR-004226
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022359
Duplicate member record retired
Member services
Dorothy Moreno: 3 enrollment records collapsed into UHC-95806-45
Enrollment records
3
Member id
UHC-95806-45
MBR-004232
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022360
Duplicate member record retired
Member services
Jose Ryan: 3 enrollment records collapsed into UHC-19407-98
Enrollment records
3
Member id
UHC-19407-98
MBR-004235
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022361
Duplicate member record retired
Member services
Andrea Reyes: 2 enrollment records collapsed into UHC-04373-65
Enrollment records
2
Member id
UHC-04373-65
MBR-004250
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022362
Duplicate member record retired
Member services
Pamela Hunt: 4 enrollment records collapsed into UHC-33974-06
Enrollment records
4
Member id
UHC-33974-06
MBR-004253
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022363
Duplicate member record retired
Member services
Sofia Padilla: 3 enrollment records collapsed into UHC-77527-78
Enrollment records
3
Member id
UHC-77527-78
MBR-004256
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022364
Duplicate member record retired
Member services
Christopher Hall: 2 enrollment records collapsed into UHC-25937-42
Enrollment records
2
Member id
UHC-25937-42
MBR-004262
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022365
Duplicate member record retired
Member services
Helen Patel: 2 enrollment records collapsed into UHC-69833-28
Enrollment records
2
Member id
UHC-69833-28
MBR-004263
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022366
Duplicate member record retired
Member services
Raymond Sullivan: 2 enrollment records collapsed into UHC-05981-64
Enrollment records
2
Member id
UHC-05981-64
MBR-004273
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022367
Duplicate member record retired
Member services
Natalie Weber: 2 enrollment records collapsed into UHC-23318-25
Enrollment records
2
Member id
UHC-23318-25
MBR-004277
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022368
Duplicate member record retired
Member services
Elijah Willaims: 2 enrollment records collapsed into UHC-10327-07
Enrollment records
2
Member id
UHC-10327-07
MBR-004282
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022369
Duplicate member record retired
Member services
Amy Lawrence: 2 enrollment records collapsed into UHC-73297-66
Enrollment records
2
Member id
UHC-73297-66
MBR-004287
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022370
Duplicate member record retired
Member services
Ryan White: 2 enrollment records collapsed into UHC-97161-39
Enrollment records
2
Member id
UHC-97161-39
MBR-004289
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022371
Duplicate member record retired
Member services
Patrick Henderson: 2 enrollment records collapsed into UHC-63091-04
Enrollment records
2
Member id
UHC-63091-04
MBR-004311
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022372
Duplicate member record retired
Member services
James Rivera: 2 enrollment records collapsed into UHC-90965-61
Enrollment records
2
Member id
UHC-90965-61
MBR-004312
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022373
Duplicate member record retired
Member services
Donald Yang: 2 enrollment records collapsed into UHC-31855-28
Enrollment records
2
Member id
UHC-31855-28
MBR-004331
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022374
Duplicate member record retired
Member services
Maria Estrada: 2 enrollment records collapsed into UHC-10803-92
Enrollment records
2
Member id
UHC-10803-92
MBR-004332
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022375
Duplicate member record retired
Member services
Christina Young: 2 enrollment records collapsed into UHC-65599-85
Enrollment records
2
Member id
UHC-65599-85
MBR-004333
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022376
Duplicate member record retired
Member services
Sandra Patel: 2 enrollment records collapsed into UHC-95354-02
Enrollment records
2
Member id
UHC-95354-02
MBR-004350
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022377
Duplicate member record retired
Member services
Alexander Nichols: 2 enrollment records collapsed into UHC-34500-91
Enrollment records
2
Member id
UHC-34500-91
MBR-004353
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022378
Duplicate member record retired
Member services
Nathan McCoy: 2 enrollment records collapsed into UHC-35142-11
Enrollment records
2
Member id
UHC-35142-11
MBR-004369
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022379
Duplicate member record retired
Member services
Mariana Jackson: 2 enrollment records collapsed into UHC-36939-96
Enrollment records
2
Member id
UHC-36939-96
MBR-004381
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022380
Duplicate member record retired
Member services
Linda Martin: 2 enrollment records collapsed into UHC-16338-39
Enrollment records
2
Member id
UHC-16338-39
MBR-004384
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022381
Duplicate member record retired
Member services
Ronald Rojas: 2 enrollment records collapsed into UHC-59380-90
Enrollment records
2
Member id
UHC-59380-90
MBR-004389
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022382
Duplicate member record retired
Member services
Mei Hart: 2 enrollment records collapsed into UHC-61106-25
Enrollment records
2
Member id
UHC-61106-25
MBR-004394
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022383
Duplicate member record retired
Member services
Charlotte Thomas: 2 enrollment records collapsed into UHC-46370-05
Enrollment records
2
Member id
UHC-46370-05
MBR-004395
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022384
Duplicate member record retired
Member services
Margaret Stone: 2 enrollment records collapsed into UHC-82602-39
Enrollment records
2
Member id
UHC-82602-39
MBR-004410
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022385
Duplicate member record retired
Member services
David Powell: 2 enrollment records collapsed into UHC-50609-62
Enrollment records
2
Member id
UHC-50609-62
MBR-004431
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022386
Duplicate member record retired
Member services
Lori Nunez: 2 enrollment records collapsed into UHC-64875-75
Enrollment records
2
Member id
UHC-64875-75
MBR-004432
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022387
Duplicate member record retired
Member services
Madison Armstrong: 2 enrollment records collapsed into UHC-95183-75
Enrollment records
2
Member id
UHC-95183-75
MBR-004451
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022388
Duplicate member record retired
Member services
Joshua Guerrero: 2 enrollment records collapsed into UHC-94844-47
Enrollment records
2
Member id
UHC-94844-47
MBR-004457
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022389
Duplicate member record retired
Member services
Judy Alvarez: 3 enrollment records collapsed into UHC-22408-95
Enrollment records
3
Member id
UHC-22408-95
MBR-004459
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022390
Duplicate member record retired
Member services
Amanda Aguilar: 3 enrollment records collapsed into UHC-57660-55
Enrollment records
3
Member id
UHC-57660-55
MBR-004462
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022391
Duplicate member record retired
Member services
Danielle Ward: 2 enrollment records collapsed into UHC-81974-47
Enrollment records
2
Member id
UHC-81974-47
MBR-004465
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022392
Duplicate member record retired
Member services
Ashley Roberts: 2 enrollment records collapsed into UHC-42068-49
Enrollment records
2
Member id
UHC-42068-49
MBR-004466
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022393
Duplicate member record retired
Member services
Lori Johnston: 2 enrollment records collapsed into UHC-64408-29
Enrollment records
2
Member id
UHC-64408-29
MBR-004472
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022394
Duplicate member record retired
Member services
Beverly Nunez: 2 enrollment records collapsed into UHC-70757-60
Enrollment records
2
Member id
UHC-70757-60
MBR-004477
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022395
Duplicate member record retired
Member services
Virginia Smith: 2 enrollment records collapsed into UHC-62024-73
Enrollment records
2
Member id
UHC-62024-73
MBR-004480
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022396
Duplicate member record retired
Member services
Cynthia King: 2 enrollment records collapsed into UHC-15784-43
Enrollment records
2
Member id
UHC-15784-43
MBR-004493
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022397
Duplicate member record retired
Member services
Sophia Lynch: 2 enrollment records collapsed into UHC-90674-61
Enrollment records
2
Member id
UHC-90674-61
MBR-004499
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022398
Duplicate member record retired
Member services
Zachary Scott: 2 enrollment records collapsed into UHC-64427-62
Enrollment records
2
Member id
UHC-64427-62
MBR-004507
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022399
Duplicate member record retired
Member services
Martha Ellis: 2 enrollment records collapsed into UHC-51149-93
Enrollment records
2
Member id
UHC-51149-93
MBR-004508
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022400
Duplicate member record retired
Member services
Aisha Romero: 2 enrollment records collapsed into UHC-46815-36
Enrollment records
2
Member id
UHC-46815-36
MBR-004513
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022401
Duplicate member record retired
Member services
Aaron Bell: 3 enrollment records collapsed into UHC-97382-48
Enrollment records
3
Member id
UHC-97382-48
MBR-004519
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022402
Duplicate member record retired
Member services
Jack Kelly: 2 enrollment records collapsed into UHC-72971-02
Enrollment records
2
Member id
UHC-72971-02
MBR-004520
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022403
Duplicate member record retired
Member services
Nathan Fowler: 2 enrollment records collapsed into UHC-98829-17
Enrollment records
2
Member id
UHC-98829-17
MBR-004530
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022404
Duplicate member record retired
Member services
Alexis Vasquez: 3 enrollment records collapsed into UHC-44563-43
Enrollment records
3
Member id
UHC-44563-43
MBR-004532
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 197 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.