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-023005
Duplicate member record retired
Member services
Catherine Henry: 2 enrollment records collapsed into UHC-75352-66
Enrollment records
2
Member id
UHC-75352-66
MBR-008461
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023006
Duplicate member record retired
Member services
Jennifer Medina: 3 enrollment records collapsed into UHC-07728-57
Enrollment records
3
Member id
UHC-07728-57
MBR-008471
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023007
Duplicate member record retired
Member services
Sean Owens: 2 enrollment records collapsed into UHC-64788-47
Enrollment records
2
Member id
UHC-64788-47
MBR-008480
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023008
Duplicate member record retired
Member services
Nancy Vazquez: 2 enrollment records collapsed into UHC-61543-39
Enrollment records
2
Member id
UHC-61543-39
MBR-008493
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023009
Duplicate member record retired
Member services
Maggie Webb: 2 enrollment records collapsed into UHC-14111-05
Enrollment records
2
Member id
UHC-14111-05
MBR-008495
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023010
Duplicate member record retired
Member services
Cheryl Munoz: 2 enrollment records collapsed into UHC-39247-46
Enrollment records
2
Member id
UHC-39247-46
MBR-008500
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023011
Duplicate member record retired
Member services
Christine Davis: 3 enrollment records collapsed into UHC-61321-56
Enrollment records
3
Member id
UHC-61321-56
MBR-008504
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023012
Duplicate member record retired
Member services
Austin Berry: 2 enrollment records collapsed into UHC-63286-32
Enrollment records
2
Member id
UHC-63286-32
MBR-008506
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023013
Duplicate member record retired
Member services
Rebecca Young: 2 enrollment records collapsed into UHC-29880-99
Enrollment records
2
Member id
UHC-29880-99
MBR-008508
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023014
Duplicate member record retired
Member services
Frances Berry: 2 enrollment records collapsed into UHC-94512-88
Enrollment records
2
Member id
UHC-94512-88
MBR-008521
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023015
Duplicate member record retired
Member services
Martha Ellis: 2 enrollment records collapsed into UHC-36344-06
Enrollment records
2
Member id
UHC-36344-06
MBR-008522
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023016
Duplicate member record retired
Member services
Samuel Ortiz: 2 enrollment records collapsed into UHC-60340-19
Enrollment records
2
Member id
UHC-60340-19
MBR-008535
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023017
Duplicate member record retired
Member services
Lauren Perry: 3 enrollment records collapsed into UHC-79257-94
Enrollment records
3
Member id
UHC-79257-94
MBR-008537
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023018
Duplicate member record retired
Member services
Logan Morrison: 2 enrollment records collapsed into UHC-83355-82
Enrollment records
2
Member id
UHC-83355-82
MBR-008544
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023019
Duplicate member record retired
Member services
Bobby Watkins: 2 enrollment records collapsed into UHC-16110-20
Enrollment records
2
Member id
UHC-16110-20
MBR-008548
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023020
Duplicate member record retired
Member services
Kenneth Gibson: 3 enrollment records collapsed into UHC-37529-99
Enrollment records
3
Member id
UHC-37529-99
MBR-008550
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023021
Duplicate member record retired
Member services
Cheryl Dunn: 2 enrollment records collapsed into UHC-78434-31
Enrollment records
2
Member id
UHC-78434-31
MBR-008551
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023022
Duplicate member record retired
Member services
Billy Washington: 2 enrollment records collapsed into UHC-77163-13
Enrollment records
2
Member id
UHC-77163-13
MBR-008554
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023023
Duplicate member record retired
Member services
Sean Delgado: 2 enrollment records collapsed into UHC-78051-06
Enrollment records
2
Member id
UHC-78051-06
MBR-008556
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023024
Duplicate member record retired
Member services
Brandon Bennett: 3 enrollment records collapsed into UHC-33676-78
Enrollment records
3
Member id
UHC-33676-78
MBR-008565
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023025
Duplicate member record retired
Member services
Mei Gibson: 2 enrollment records collapsed into UHC-57095-09
Enrollment records
2
Member id
UHC-57095-09
MBR-008580
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023026
Duplicate member record retired
Member services
Keith Jimenez: 2 enrollment records collapsed into UHC-46751-64
Enrollment records
2
Member id
UHC-46751-64
MBR-008592
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023027
Duplicate member record retired
Member services
Bruce Clark: 2 enrollment records collapsed into UHC-63878-37
Enrollment records
2
Member id
UHC-63878-37
MBR-008599
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023028
Duplicate member record retired
Member services
Stephanie Ross: 2 enrollment records collapsed into UHC-04168-70
Enrollment records
2
Member id
UHC-04168-70
MBR-008612
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023029
Duplicate member record retired
Member services
Martha Hayes: 2 enrollment records collapsed into UHC-66309-25
Enrollment records
2
Member id
UHC-66309-25
MBR-008613
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023030
Duplicate member record retired
Member services
Angela Martinez: 2 enrollment records collapsed into UHC-65881-79
Enrollment records
2
Member id
UHC-65881-79
MBR-008614
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023031
Duplicate member record retired
Member services
Daniel Brooks: 2 enrollment records collapsed into UHC-14086-28
Enrollment records
2
Member id
UHC-14086-28
MBR-008624
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023032
Duplicate member record retired
Member services
Ronald Fuller: 2 enrollment records collapsed into UHC-85530-87
Enrollment records
2
Member id
UHC-85530-87
MBR-008627
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023033
Duplicate member record retired
Member services
Mason Price: 2 enrollment records collapsed into UHC-45042-06
Enrollment records
2
Member id
UHC-45042-06
MBR-008636
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023034
Duplicate member record retired
Member services
Joyce Duncan: 2 enrollment records collapsed into UHC-07860-94
Enrollment records
2
Member id
UHC-07860-94
MBR-008641
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023035
Duplicate member record retired
Member services
Jack Chavez: 2 enrollment records collapsed into UHC-35215-81
Enrollment records
2
Member id
UHC-35215-81
MBR-008644
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023036
Duplicate member record retired
Member services
Arthur Cunningham: 2 enrollment records collapsed into UHC-66146-64
Enrollment records
2
Member id
UHC-66146-64
MBR-008646
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023037
Duplicate member record retired
Member services
Shirley Gordon: 2 enrollment records collapsed into UHC-16318-59
Enrollment records
2
Member id
UHC-16318-59
MBR-008652
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023038
Duplicate member record retired
Member services
Camila Perez: 3 enrollment records collapsed into UHC-02092-18
Enrollment records
3
Member id
UHC-02092-18
MBR-008661
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023039
Duplicate member record retired
Member services
Vincent Jones: 2 enrollment records collapsed into UHC-15101-05
Enrollment records
2
Member id
UHC-15101-05
MBR-008664
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023040
Duplicate member record retired
Member services
Susan Webb: 4 enrollment records collapsed into UHC-58050-50
Enrollment records
4
Member id
UHC-58050-50
MBR-008665
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023041
Duplicate member record retired
Member services
Adam Henry: 2 enrollment records collapsed into UHC-90187-32
Enrollment records
2
Member id
UHC-90187-32
MBR-008669
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023042
Duplicate member record retired
Member services
Aisha Stewart: 2 enrollment records collapsed into UHC-59590-49
Enrollment records
2
Member id
UHC-59590-49
MBR-008670
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023043
Duplicate member record retired
Member services
Hiroshi Lewis: 2 enrollment records collapsed into UHC-02077-12
Enrollment records
2
Member id
UHC-02077-12
MBR-008672
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023044
Duplicate member record retired
Member services
Donna Hoffman: 2 enrollment records collapsed into UHC-23819-12
Enrollment records
2
Member id
UHC-23819-12
MBR-008677
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023045
Duplicate member record retired
Member services
Burns Ann: 2 enrollment records collapsed into UHC-51136-97
Enrollment records
2
Member id
UHC-51136-97
MBR-008679
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023046
Duplicate member record retired
Member services
Priya Bradley: 2 enrollment records collapsed into UHC-02485-02
Enrollment records
2
Member id
UHC-02485-02
MBR-008685
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023047
Duplicate member record retired
Member services
Sharon Diaz: 2 enrollment records collapsed into UHC-05198-84
Enrollment records
2
Member id
UHC-05198-84
MBR-008686
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023048
Duplicate member record retired
Member services
Terry Li: 2 enrollment records collapsed into UHC-83597-11
Enrollment records
2
Member id
UHC-83597-11
MBR-008699
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023049
Duplicate member record retired
Member services
Zachary West: 2 enrollment records collapsed into UHC-45406-01
Enrollment records
2
Member id
UHC-45406-01
MBR-008717
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023050
Duplicate member record retired
Member services
Mary Garrett: 2 enrollment records collapsed into UHC-41408-06
Enrollment records
2
Member id
UHC-41408-06
MBR-008719
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023051
Duplicate member record retired
Member services
Jacqueline Mason: 2 enrollment records collapsed into UHC-70522-46
Enrollment records
2
Member id
UHC-70522-46
MBR-008723
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023052
Duplicate member record retired
Member services
Anthony Hansen: 2 enrollment records collapsed into UHC-17160-06
Enrollment records
2
Member id
UHC-17160-06
MBR-008728
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023053
Duplicate member record retired
Member services
Robert Myers: 2 enrollment records collapsed into UHC-48943-31
Enrollment records
2
Member id
UHC-48943-31
MBR-008736
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023054
Duplicate member record retired
Member services
Anthony Morgan: 2 enrollment records collapsed into UHC-23469-62
Enrollment records
2
Member id
UHC-23469-62
MBR-008737
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 210 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.