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-022705
Duplicate member record retired
Member services
Lauren Herny: 2 enrollment records collapsed into UHC-79485-14
Enrollment records
2
Member id
UHC-79485-14
MBR-006591
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022706
Duplicate member record retired
Member services
Susan Kennedy: 2 enrollment records collapsed into UHC-76091-41
Enrollment records
2
Member id
UHC-76091-41
MBR-006593
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022707
Duplicate member record retired
Member services
Emma Carter: 2 enrollment records collapsed into UHC-03566-32
Enrollment records
2
Member id
UHC-03566-32
MBR-006596
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022708
Duplicate member record retired
Member services
Brittany Wright: 2 enrollment records collapsed into UHC-09549-37
Enrollment records
2
Member id
UHC-09549-37
MBR-006597
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022709
Duplicate member record retired
Member services
Anthony Wells: 2 enrollment records collapsed into UHC-46535-81
Enrollment records
2
Member id
UHC-46535-81
MBR-006606
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022710
Duplicate member record retired
Member services
Fatima Jacobs: 2 enrollment records collapsed into UHC-41356-33
Enrollment records
2
Member id
UHC-41356-33
MBR-006607
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022711
Duplicate member record retired
Member services
Steeve Bryant: 2 enrollment records collapsed into UHC-24376-50
Enrollment records
2
Member id
UHC-24376-50
MBR-006613
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022712
Duplicate member record retired
Member services
Madison Taylor: 2 enrollment records collapsed into UHC-93143-71
Enrollment records
2
Member id
UHC-93143-71
MBR-006620
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022713
Duplicate member record retired
Member services
Janet Young: 2 enrollment records collapsed into UHC-69097-81
Enrollment records
2
Member id
UHC-69097-81
MBR-006630
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022714
Duplicate member record retired
Member services
Stephen Herrera: 3 enrollment records collapsed into UHC-99274-57
Enrollment records
3
Member id
UHC-99274-57
MBR-006636
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022715
Duplicate member record retired
Member services
Jerry Sandoval: 3 enrollment records collapsed into UHC-15546-21
Enrollment records
3
Member id
UHC-15546-21
MBR-006644
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022716
Duplicate member record retired
Member services
William Castro: 2 enrollment records collapsed into UHC-34758-35
Enrollment records
2
Member id
UHC-34758-35
MBR-006648
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022717
Duplicate member record retired
Member services
Kathryn Pierce: 2 enrollment records collapsed into UHC-95401-16
Enrollment records
2
Member id
UHC-95401-16
MBR-006669
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022718
Duplicate member record retired
Member services
Carl Owens: 2 enrollment records collapsed into UHC-24250-02
Enrollment records
2
Member id
UHC-24250-02
MBR-006677
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022719
Duplicate member record retired
Member services
Lucia Rios: 2 enrollment records collapsed into UHC-92720-51
Enrollment records
2
Member id
UHC-92720-51
MBR-006680
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022720
Duplicate member record retired
Member services
Rebecca Duncan: 2 enrollment records collapsed into UHC-15711-81
Enrollment records
2
Member id
UHC-15711-81
MBR-006681
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022721
Duplicate member record retired
Member services
Camila Andrews: 2 enrollment records collapsed into UHC-90086-43
Enrollment records
2
Member id
UHC-90086-43
MBR-006683
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022722
Duplicate member record retired
Member services
Douglas McDonald: 2 enrollment records collapsed into UHC-18708-72
Enrollment records
2
Member id
UHC-18708-72
MBR-006696
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022723
Duplicate member record retired
Member services
Carol Duncan: 2 enrollment records collapsed into UHC-01787-21
Enrollment records
2
Member id
UHC-01787-21
MBR-006714
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022724
Duplicate member record retired
Member services
Jess Stewart: 2 enrollment records collapsed into UHC-88686-03
Enrollment records
2
Member id
UHC-88686-03
MBR-006715
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022725
Duplicate member record retired
Member services
Pamela Hayes: 2 enrollment records collapsed into UHC-15386-32
Enrollment records
2
Member id
UHC-15386-32
MBR-006716
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022726
Duplicate member record retired
Member services
William Welch: 2 enrollment records collapsed into UHC-69551-40
Enrollment records
2
Member id
UHC-69551-40
MBR-006719
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022727
Duplicate member record retired
Member services
Kimberly Rose: 2 enrollment records collapsed into UHC-88845-21
Enrollment records
2
Member id
UHC-88845-21
MBR-006731
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022728
Duplicate member record retired
Member services
Thomas Sanchez: 2 enrollment records collapsed into UHC-02366-75
Enrollment records
2
Member id
UHC-02366-75
MBR-006735
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022729
Duplicate member record retired
Member services
Kathryn Medina: 2 enrollment records collapsed into UHC-67635-91
Enrollment records
2
Member id
UHC-67635-91
MBR-006740
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022730
Duplicate member record retired
Member services
Bran Le: 2 enrollment records collapsed into UHC-37994-02
Enrollment records
2
Member id
UHC-37994-02
MBR-006746
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022731
Duplicate member record retired
Member services
Dorothy Gray: 2 enrollment records collapsed into UHC-28039-87
Enrollment records
2
Member id
UHC-28039-87
MBR-006753
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022732
Duplicate member record retired
Member services
Shirley Prk: 2 enrollment records collapsed into UHC-00495-82
Enrollment records
2
Member id
UHC-00495-82
MBR-006758
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022733
Duplicate member record retired
Member services
Willie Richardson: 3 enrollment records collapsed into UHC-00108-35
Enrollment records
3
Member id
UHC-00108-35
MBR-006768
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022734
Duplicate member record retired
Member services
Catherine Cunningham: 2 enrollment records collapsed into UHC-75178-49
Enrollment records
2
Member id
UHC-75178-49
MBR-006771
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022735
Duplicate member record retired
Member services
Jim Herrera: 2 enrollment records collapsed into UHC-91233-31
Enrollment records
2
Member id
UHC-91233-31
MBR-006780
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022736
Duplicate member record retired
Member services
Bobby Arnold: 2 enrollment records collapsed into UHC-10974-02
Enrollment records
2
Member id
UHC-10974-02
MBR-006785
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022737
Duplicate member record retired
Member services
Logan Sanders: 2 enrollment records collapsed into UHC-91805-80
Enrollment records
2
Member id
UHC-91805-80
MBR-006796
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022738
Duplicate member record retired
Member services
Carol Allen: 2 enrollment records collapsed into UHC-29947-52
Enrollment records
2
Member id
UHC-29947-52
MBR-006798
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022739
Duplicate member record retired
Member services
Rebecca Sims: 2 enrollment records collapsed into UHC-17441-60
Enrollment records
2
Member id
UHC-17441-60
MBR-006800
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022740
Duplicate member record retired
Member services
Scott Collins: 2 enrollment records collapsed into UHC-15395-64
Enrollment records
2
Member id
UHC-15395-64
MBR-006804
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022741
Duplicate member record retired
Member services
Kevin Burton: 2 enrollment records collapsed into UHC-40231-03
Enrollment records
2
Member id
UHC-40231-03
MBR-006815
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022742
Duplicate member record retired
Member services
Joan Torres: 2 enrollment records collapsed into UHC-36583-04
Enrollment records
2
Member id
UHC-36583-04
MBR-006817
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022743
Duplicate member record retired
Member services
Heather Rice: 2 enrollment records collapsed into UHC-90036-38
Enrollment records
2
Member id
UHC-90036-38
MBR-006828
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022744
Duplicate member record retired
Member services
Wliliam Jordan: 3 enrollment records collapsed into UHC-70177-71
Enrollment records
3
Member id
UHC-70177-71
MBR-006842
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022745
Duplicate member record retired
Member services
David Lee: 2 enrollment records collapsed into UHC-73882-26
Enrollment records
2
Member id
UHC-73882-26
MBR-006843
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022746
Duplicate member record retired
Member services
Rebecca Carlson: 2 enrollment records collapsed into UHC-32126-56
Enrollment records
2
Member id
UHC-32126-56
MBR-006846
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022747
Duplicate member record retired
Member services
Jose Fuller: 2 enrollment records collapsed into UHC-95750-97
Enrollment records
2
Member id
UHC-95750-97
MBR-006850
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022748
Duplicate member record retired
Member services
Charlotte Ramos: 2 enrollment records collapsed into UHC-26786-04
Enrollment records
2
Member id
UHC-26786-04
MBR-006851
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022749
Duplicate member record retired
Member services
Wayne Silva: 2 enrollment records collapsed into UHC-07518-90
Enrollment records
2
Member id
UHC-07518-90
MBR-006853
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022750
Duplicate member record retired
Member services
Kyle Weber: 3 enrollment records collapsed into UHC-48005-03
Enrollment records
3
Member id
UHC-48005-03
MBR-006854
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022751
Duplicate member record retired
Member services
Alexander Castro: 2 enrollment records collapsed into UHC-91968-47
Enrollment records
2
Member id
UHC-91968-47
MBR-006857
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022752
Duplicate member record retired
Member services
Michael Grant: 2 enrollment records collapsed into UHC-37046-50
Enrollment records
2
Member id
UHC-37046-50
MBR-006867
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022753
Duplicate member record retired
Member services
Ryan Grant: 2 enrollment records collapsed into UHC-15044-36
Enrollment records
2
Member id
UHC-15044-36
MBR-006882
Executed
resolution_agent
2026-10-22 12:47:23
ACT-022754
Duplicate member record retired
Member services
Kayla Henry: 2 enrollment records collapsed into UHC-88085-99
Enrollment records
2
Member id
UHC-88085-99
MBR-006895
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 204 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.