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-022455
Duplicate member record retired
Member services
Jose Richardson: 2 enrollment records collapsed into UHC-61622-11
Enrollment records
2
Member id
UHC-61622-11
MBR-004869
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022456
Duplicate member record retired
Member services
Stephen Hoffman: 2 enrollment records collapsed into UHC-34421-69
Enrollment records
2
Member id
UHC-34421-69
MBR-004870
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022457
Duplicate member record retired
Member services
Edward Coleman: 2 enrollment records collapsed into UHC-02650-81
Enrollment records
2
Member id
UHC-02650-81
MBR-004872
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022458
Duplicate member record retired
Member services
Stephanie Ramirez: 2 enrollment records collapsed into UHC-11118-07
Enrollment records
2
Member id
UHC-11118-07
MBR-004874
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022459
Duplicate member record retired
Member services
Judy Espinoza: 2 enrollment records collapsed into UHC-18199-45
Enrollment records
2
Member id
UHC-18199-45
MBR-004887
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022460
Duplicate member record retired
Member services
Jason Murphy: 2 enrollment records collapsed into UHC-15372-66
Enrollment records
2
Member id
UHC-15372-66
MBR-004902
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022461
Duplicate member record retired
Member services
Melissa Park: 2 enrollment records collapsed into UHC-93563-20
Enrollment records
2
Member id
UHC-93563-20
MBR-004915
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022462
Duplicate member record retired
Member services
Samantha Simmons: 2 enrollment records collapsed into UHC-59590-89
Enrollment records
2
Member id
UHC-59590-89
MBR-004923
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022463
Duplicate member record retired
Member services
Santiago Jimenez: 2 enrollment records collapsed into UHC-19952-85
Enrollment records
2
Member id
UHC-19952-85
MBR-004929
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022464
Duplicate member record retired
Member services
Randy Weaver: 3 enrollment records collapsed into UHC-09967-04
Enrollment records
3
Member id
UHC-09967-04
MBR-004932
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022465
Duplicate member record retired
Member services
Ethan Rogers: 2 enrollment records collapsed into UHC-76883-32
Enrollment records
2
Member id
UHC-76883-32
MBR-004933
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022466
Duplicate member record retired
Member services
Amber Ross: 2 enrollment records collapsed into UHC-76266-30
Enrollment records
2
Member id
UHC-76266-30
MBR-004938
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022467
Duplicate member record retired
Member services
Charles Alvarado: 2 enrollment records collapsed into UHC-02972-27
Enrollment records
2
Member id
UHC-02972-27
MBR-004943
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022468
Duplicate member record retired
Member services
Beverly Morales: 2 enrollment records collapsed into UHC-59503-45
Enrollment records
2
Member id
UHC-59503-45
MBR-004969
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022469
Duplicate member record retired
Member services
Sandra Jackson: 2 enrollment records collapsed into UHC-78773-38
Enrollment records
2
Member id
UHC-78773-38
MBR-004973
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022470
Duplicate member record retired
Member services
Albert Dean: 2 enrollment records collapsed into UHC-88054-86
Enrollment records
2
Member id
UHC-88054-86
MBR-004975
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022471
Duplicate member record retired
Member services
Shirley Munoz: 2 enrollment records collapsed into UHC-28956-10
Enrollment records
2
Member id
UHC-28956-10
MBR-004980
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022472
Duplicate member record retired
Member services
Gabriel Ruiz: 2 enrollment records collapsed into UHC-87163-08
Enrollment records
2
Member id
UHC-87163-08
MBR-004991
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022473
Duplicate member record retired
Member services
Lawrence Harris: 2 enrollment records collapsed into UHC-52485-42
Enrollment records
2
Member id
UHC-52485-42
MBR-004992
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022474
Duplicate member record retired
Member services
Paul Coleman: 2 enrollment records collapsed into UHC-62015-28
Enrollment records
2
Member id
UHC-62015-28
MBR-004997
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022475
Duplicate member record retired
Member services
Lisa Rose: 3 enrollment records collapsed into UHC-08980-34
Enrollment records
3
Member id
UHC-08980-34
MBR-004999
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022476
Duplicate member record retired
Member services
Matthew Greene: 2 enrollment records collapsed into UHC-91766-10
Enrollment records
2
Member id
UHC-91766-10
MBR-005001
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022477
Duplicate member record retired
Member services
Lauren Jackson: 2 enrollment records collapsed into UHC-07467-12
Enrollment records
2
Member id
UHC-07467-12
MBR-005002
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022478
Duplicate member record retired
Member services
Judith Nguyen: 2 enrollment records collapsed into UHC-77598-64
Enrollment records
2
Member id
UHC-77598-64
MBR-005010
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022479
Duplicate member record retired
Member services
Logan Santos: 2 enrollment records collapsed into UHC-71830-89
Enrollment records
2
Member id
UHC-71830-89
MBR-005025
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022480
Duplicate member record retired
Member services
Cheryl Daniels: 2 enrollment records collapsed into UHC-21002-42
Enrollment records
2
Member id
UHC-21002-42
MBR-005030
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022481
Duplicate member record retired
Member services
Lori Wellch: 2 enrollment records collapsed into UHC-23895-82
Enrollment records
2
Member id
UHC-23895-82
MBR-005046
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022482
Duplicate member record retired
Member services
Helen Morales: 3 enrollment records collapsed into UHC-42089-79
Enrollment records
3
Member id
UHC-42089-79
MBR-005053
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022483
Duplicate member record retired
Member services
Jacob Watkins: 2 enrollment records collapsed into UHC-84596-80
Enrollment records
2
Member id
UHC-84596-80
MBR-005060
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022484
Duplicate member record retired
Member services
Natalie Wang: 2 enrollment records collapsed into UHC-11557-27
Enrollment records
2
Member id
UHC-11557-27
MBR-005061
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022485
Duplicate member record retired
Member services
Ann Dominguez: 2 enrollment records collapsed into UHC-89013-57
Enrollment records
2
Member id
UHC-89013-57
MBR-005063
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022486
Duplicate member record retired
Member services
Diego Dean: 2 enrollment records collapsed into UHC-15193-16
Enrollment records
2
Member id
UHC-15193-16
MBR-005068
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022487
Duplicate member record retired
Member services
Vincent Santos: 2 enrollment records collapsed into UHC-03098-68
Enrollment records
2
Member id
UHC-03098-68
MBR-005072
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022488
Duplicate member record retired
Member services
Martha Jenkins: 2 enrollment records collapsed into UHC-38108-73
Enrollment records
2
Member id
UHC-38108-73
MBR-005073
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022489
Duplicate member record retired
Member services
Kelly Perez: 2 enrollment records collapsed into UHC-12316-29
Enrollment records
2
Member id
UHC-12316-29
MBR-005083
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022490
Duplicate member record retired
Member services
Hiroshi Chen: 2 enrollment records collapsed into UHC-17645-40
Enrollment records
2
Member id
UHC-17645-40
MBR-005091
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022491
Duplicate member record retired
Member services
Kenneth Fisher: 2 enrollment records collapsed into UHC-65531-04
Enrollment records
2
Member id
UHC-65531-04
MBR-005103
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022492
Duplicate member record retired
Member services
Logan Hoffman: 2 enrollment records collapsed into UHC-61403-22
Enrollment records
2
Member id
UHC-61403-22
MBR-005105
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022493
Duplicate member record retired
Member services
Juan Harris: 2 enrollment records collapsed into UHC-78189-72
Enrollment records
2
Member id
UHC-78189-72
MBR-005106
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022494
Duplicate member record retired
Member services
Diana James: 2 enrollment records collapsed into UHC-12444-24
Enrollment records
2
Member id
UHC-12444-24
MBR-005109
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022495
Duplicate member record retired
Member services
Emily Fuller: 2 enrollment records collapsed into UHC-95211-89
Enrollment records
2
Member id
UHC-95211-89
MBR-005111
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022496
Duplicate member record retired
Member services
Emma Ramirez: 2 enrollment records collapsed into UHC-73494-10
Enrollment records
2
Member id
UHC-73494-10
MBR-005113
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022497
Duplicate member record retired
Member services
Kimberly Harris: 3 enrollment records collapsed into UHC-10041-73
Enrollment records
3
Member id
UHC-10041-73
MBR-005115
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022498
Duplicate member record retired
Member services
Dennis Ruiz: 3 enrollment records collapsed into UHC-75844-12
Enrollment records
3
Member id
UHC-75844-12
MBR-005122
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022499
Duplicate member record retired
Member services
David Andrews: 2 enrollment records collapsed into UHC-01919-18
Enrollment records
2
Member id
UHC-01919-18
MBR-005124
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022500
Duplicate member record retired
Member services
Elizabeth Gibson: 2 enrollment records collapsed into UHC-53210-52
Enrollment records
2
Member id
UHC-53210-52
MBR-005125
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022501
Duplicate member record retired
Member services
Elijah Reyes: 2 enrollment records collapsed into UHC-97983-29
Enrollment records
2
Member id
UHC-97983-29
MBR-005141
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022502
Duplicate member record retired
Member services
Katherine Hamilton: 2 enrollment records collapsed into UHC-73729-70
Enrollment records
2
Member id
UHC-73729-70
MBR-005142
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022503
Duplicate member record retired
Member services
Alexander Reid: 2 enrollment records collapsed into UHC-77022-69
Enrollment records
2
Member id
UHC-77022-69
MBR-005153
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022504
Duplicate member record retired
Member services
Scott Duncan: 3 enrollment records collapsed into UHC-47476-28
Enrollment records
3
Member id
UHC-47476-28
MBR-005154
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 199 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.