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-022655
Duplicate member record retired
Member services
Dot Clark: 3 enrollment records collapsed into UHC-97273-05
Enrollment records
3
Member id
UHC-97273-05
MBR-006190
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022656
Duplicate member record retired
Member services
Christian Wheeler: 2 enrollment records collapsed into UHC-52926-58
Enrollment records
2
Member id
UHC-52926-58
MBR-006197
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022657
Duplicate member record retired
Member services
Jacob Hughes: 2 enrollment records collapsed into UHC-24664-28
Enrollment records
2
Member id
UHC-24664-28
MBR-006201
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022658
Duplicate member record retired
Member services
Olivia Wright: 2 enrollment records collapsed into UHC-55221-95
Enrollment records
2
Member id
UHC-55221-95
MBR-006209
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022659
Duplicate member record retired
Member services
Marcus McCoy: 2 enrollment records collapsed into UHC-61266-82
Enrollment records
2
Member id
UHC-61266-82
MBR-006223
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022660
Duplicate member record retired
Member services
Wei Sanders: 2 enrollment records collapsed into UHC-34725-21
Enrollment records
2
Member id
UHC-34725-21
MBR-006234
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022661
Duplicate member record retired
Member services
Brandon Fowler: 2 enrollment records collapsed into UHC-57396-57
Enrollment records
2
Member id
UHC-57396-57
MBR-006238
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022662
Duplicate member record retired
Member services
Jeremy Franklin: 2 enrollment records collapsed into UHC-69691-36
Enrollment records
2
Member id
UHC-69691-36
MBR-006258
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022663
Duplicate member record retired
Member services
Sophia Welch: 3 enrollment records collapsed into UHC-08969-87
Enrollment records
3
Member id
UHC-08969-87
MBR-006275
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022664
Duplicate member record retired
Member services
Alan Herrera: 2 enrollment records collapsed into UHC-14048-79
Enrollment records
2
Member id
UHC-14048-79
MBR-006294
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022665
Duplicate member record retired
Member services
Denise White: 2 enrollment records collapsed into UHC-43105-62
Enrollment records
2
Member id
UHC-43105-62
MBR-006305
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022666
Duplicate member record retired
Member services
Raymond Vargas: 2 enrollment records collapsed into UHC-85125-76
Enrollment records
2
Member id
UHC-85125-76
MBR-006310
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022667
Duplicate member record retired
Member services
Gabriel Perry: 2 enrollment records collapsed into UHC-42198-20
Enrollment records
2
Member id
UHC-42198-20
MBR-006325
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022668
Duplicate member record retired
Member services
Angela Greene: 2 enrollment records collapsed into UHC-77777-60
Enrollment records
2
Member id
UHC-77777-60
MBR-006332
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022669
Duplicate member record retired
Member services
Randy Fisher: 2 enrollment records collapsed into UHC-09845-24
Enrollment records
2
Member id
UHC-09845-24
MBR-006337
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022670
Duplicate member record retired
Member services
Pamela Rodriguez: 2 enrollment records collapsed into UHC-63913-60
Enrollment records
2
Member id
UHC-63913-60
MBR-006367
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022671
Duplicate member record retired
Member services
Joshua Willis: 2 enrollment records collapsed into UHC-25334-79
Enrollment records
2
Member id
UHC-25334-79
MBR-006374
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022672
Duplicate member record retired
Member services
Scott Sullivan: 2 enrollment records collapsed into UHC-92896-53
Enrollment records
2
Member id
UHC-92896-53
MBR-006380
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022673
Duplicate member record retired
Member services
Hannah Coleman: 2 enrollment records collapsed into UHC-98061-34
Enrollment records
2
Member id
UHC-98061-34
MBR-006397
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022674
Duplicate member record retired
Member services
Samantha Armstrong: 2 enrollment records collapsed into UHC-46849-18
Enrollment records
2
Member id
UHC-46849-18
MBR-006411
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022675
Duplicate member record retired
Member services
Keith Jordan: 2 enrollment records collapsed into UHC-94244-68
Enrollment records
2
Member id
UHC-94244-68
MBR-006415
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022676
Duplicate member record retired
Member services
Maria Davis: 3 enrollment records collapsed into UHC-39155-11
Enrollment records
3
Member id
UHC-39155-11
MBR-006418
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022677
Duplicate member record retired
Member services
Anna Wallace: 3 enrollment records collapsed into UHC-03491-04
Enrollment records
3
Member id
UHC-03491-04
MBR-006420
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022678
Duplicate member record retired
Member services
Jason Rose: 2 enrollment records collapsed into UHC-44955-22
Enrollment records
2
Member id
UHC-44955-22
MBR-006422
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022679
Duplicate member record retired
Member services
Sara Freeman: 2 enrollment records collapsed into UHC-04806-77
Enrollment records
2
Member id
UHC-04806-77
MBR-006424
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022680
Duplicate member record retired
Member services
Matthew Cruz: 2 enrollment records collapsed into UHC-75757-50
Enrollment records
2
Member id
UHC-75757-50
MBR-006433
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022681
Duplicate member record retired
Member services
Patrick Gardner: 2 enrollment records collapsed into UHC-61113-46
Enrollment records
2
Member id
UHC-61113-46
MBR-006446
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022682
Duplicate member record retired
Member services
Hiroshi Wheeler: 2 enrollment records collapsed into UHC-60484-53
Enrollment records
2
Member id
UHC-60484-53
MBR-006453
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022683
Duplicate member record retired
Member services
Marcus Stone: 2 enrollment records collapsed into UHC-59211-18
Enrollment records
2
Member id
UHC-59211-18
MBR-006470
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022684
Duplicate member record retired
Member services
Christina Hamilton: 2 enrollment records collapsed into UHC-45758-40
Enrollment records
2
Member id
UHC-45758-40
MBR-006476
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022685
Duplicate member record retired
Member services
Dorothy Austin: 2 enrollment records collapsed into UHC-48631-14
Enrollment records
2
Member id
UHC-48631-14
MBR-006487
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022686
Duplicate member record retired
Member services
Wei Gardner: 3 enrollment records collapsed into UHC-94736-96
Enrollment records
3
Member id
UHC-94736-96
MBR-006490
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022687
Duplicate member record retired
Member services
Cynthia Moore: 2 enrollment records collapsed into UHC-70365-62
Enrollment records
2
Member id
UHC-70365-62
MBR-006492
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022688
Duplicate member record retired
Member services
Shirley Collins: 2 enrollment records collapsed into UHC-48765-83
Enrollment records
2
Member id
UHC-48765-83
MBR-006494
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022689
Duplicate member record retired
Member services
Joseph Lucas: 2 enrollment records collapsed into UHC-25670-12
Enrollment records
2
Member id
UHC-25670-12
MBR-006500
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022690
Duplicate member record retired
Member services
Steven Cole: 3 enrollment records collapsed into UHC-97690-65
Enrollment records
3
Member id
UHC-97690-65
MBR-006513
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022691
Duplicate member record retired
Member services
Frances Porter: 2 enrollment records collapsed into UHC-23993-16
Enrollment records
2
Member id
UHC-23993-16
MBR-006514
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022692
Duplicate member record retired
Member services
Bruce Sanchez: 2 enrollment records collapsed into UHC-82303-65
Enrollment records
2
Member id
UHC-82303-65
MBR-006515
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022693
Duplicate member record retired
Member services
Rchard Welch: 2 enrollment records collapsed into UHC-94329-01
Enrollment records
2
Member id
UHC-94329-01
MBR-006531
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022694
Duplicate member record retired
Member services
Brandon Burke: 3 enrollment records collapsed into UHC-96135-51
Enrollment records
3
Member id
UHC-96135-51
MBR-006533
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022695
Duplicate member record retired
Member services
Walter Munoz: 2 enrollment records collapsed into UHC-46892-79
Enrollment records
2
Member id
UHC-46892-79
MBR-006537
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022696
Duplicate member record retired
Member services
Stephanie Carroll: 2 enrollment records collapsed into UHC-24239-35
Enrollment records
2
Member id
UHC-24239-35
MBR-006538
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022697
Duplicate member record retired
Member services
Billy Gardner: 2 enrollment records collapsed into UHC-71292-65
Enrollment records
2
Member id
UHC-71292-65
MBR-006540
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022698
Duplicate member record retired
Member services
Megan Bishop: 2 enrollment records collapsed into UHC-44146-84
Enrollment records
2
Member id
UHC-44146-84
MBR-006543
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022699
Duplicate member record retired
Member services
Katherine Wheeler: 2 enrollment records collapsed into UHC-14259-82
Enrollment records
2
Member id
UHC-14259-82
MBR-006551
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022700
Duplicate member record retired
Member services
Daniel Black: 2 enrollment records collapsed into UHC-29762-38
Enrollment records
2
Member id
UHC-29762-38
MBR-006555
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022701
Duplicate member record retired
Member services
Charles Little: 2 enrollment records collapsed into UHC-14557-08
Enrollment records
2
Member id
UHC-14557-08
MBR-006556
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022702
Duplicate member record retired
Member services
Mateo Dean: 3 enrollment records collapsed into UHC-92928-49
Enrollment records
3
Member id
UHC-92928-49
MBR-006581
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022703
Duplicate member record retired
Member services
Madison Montgomery: 2 enrollment records collapsed into UHC-92303-01
Enrollment records
2
Member id
UHC-92303-01
MBR-006584
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022704
Duplicate member record retired
Member services
Austin Robertson: 2 enrollment records collapsed into UHC-21088-14
Enrollment records
2
Member id
UHC-21088-14
MBR-006590
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 203 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.