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-023255
Duplicate member record retired
Member services
Charles Wang: 2 enrollment records collapsed into UHC-35113-59
Enrollment records
2
Member id
UHC-35113-59
MBR-010118
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023256
Duplicate member record retired
Member services
Ashley Woods: 2 enrollment records collapsed into UHC-73202-29
Enrollment records
2
Member id
UHC-73202-29
MBR-010124
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023257
Duplicate member record retired
Member services
Roy Hunter: 2 enrollment records collapsed into UHC-63311-48
Enrollment records
2
Member id
UHC-63311-48
MBR-010143
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023258
Duplicate member record retired
Member services
Madison Edwards: 2 enrollment records collapsed into UHC-69976-74
Enrollment records
2
Member id
UHC-69976-74
MBR-010146
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023259
Duplicate member record retired
Member services
Joshua Hayes: 3 enrollment records collapsed into UHC-85275-22
Enrollment records
3
Member id
UHC-85275-22
MBR-010152
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023260
Duplicate member record retired
Member services
Jeremy West: 2 enrollment records collapsed into UHC-33653-23
Enrollment records
2
Member id
UHC-33653-23
MBR-010156
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023261
Duplicate member record retired
Member services
Joe Torres: 2 enrollment records collapsed into UHC-61111-61
Enrollment records
2
Member id
UHC-61111-61
MBR-010164
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023262
Duplicate member record retired
Member services
Sharon Dominguez: 2 enrollment records collapsed into UHC-81284-45
Enrollment records
2
Member id
UHC-81284-45
MBR-010178
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023263
Duplicate member record retired
Member services
Sophia Rojas: 2 enrollment records collapsed into UHC-02551-98
Enrollment records
2
Member id
UHC-02551-98
MBR-010179
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023264
Duplicate member record retired
Member services
Albert Woods: 2 enrollment records collapsed into UHC-81873-91
Enrollment records
2
Member id
UHC-81873-91
MBR-010182
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023265
Duplicate member record retired
Member services
Carl Boyd: 2 enrollment records collapsed into UHC-08601-36
Enrollment records
2
Member id
UHC-08601-36
MBR-010184
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023266
Duplicate member record retired
Member services
Grace Padilla: 3 enrollment records collapsed into UHC-44270-79
Enrollment records
3
Member id
UHC-44270-79
MBR-010185
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023267
Duplicate member record retired
Member services
Valentina Kennedy: 2 enrollment records collapsed into UHC-03137-73
Enrollment records
2
Member id
UHC-03137-73
MBR-010186
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023268
Duplicate member record retired
Member services
Jacqueline Campbell: 2 enrollment records collapsed into UHC-50807-87
Enrollment records
2
Member id
UHC-50807-87
MBR-010193
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023269
Duplicate member record retired
Member services
Terry Fullr: 2 enrollment records collapsed into UHC-32663-33
Enrollment records
2
Member id
UHC-32663-33
MBR-010198
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023270
Duplicate member record retired
Member services
Gerald Nichols: 2 enrollment records collapsed into UHC-10049-27
Enrollment records
2
Member id
UHC-10049-27
MBR-010210
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023271
Duplicate member record retired
Member services
Joe Kennedy: 2 enrollment records collapsed into UHC-16753-86
Enrollment records
2
Member id
UHC-16753-86
MBR-010212
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023272
Duplicate member record retired
Member services
Melissa Fox: 2 enrollment records collapsed into UHC-13839-35
Enrollment records
2
Member id
UHC-13839-35
MBR-010225
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023273
Duplicate member record retired
Member services
Eric Freeman: 2 enrollment records collapsed into UHC-11481-11
Enrollment records
2
Member id
UHC-11481-11
MBR-010234
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023274
Duplicate member record retired
Member services
Mei Lee: 3 enrollment records collapsed into UHC-02340-97
Enrollment records
3
Member id
UHC-02340-97
MBR-010235
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023275
Duplicate member record retired
Member services
Victoria Silva: 2 enrollment records collapsed into UHC-51469-71
Enrollment records
2
Member id
UHC-51469-71
MBR-010262
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023276
Duplicate member record retired
Member services
Alan McDonald: 2 enrollment records collapsed into UHC-93299-85
Enrollment records
2
Member id
UHC-93299-85
MBR-010269
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023277
Duplicate member record retired
Member services
Luis Kelly: 2 enrollment records collapsed into UHC-99509-08
Enrollment records
2
Member id
UHC-99509-08
MBR-010295
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023278
Duplicate member record retired
Member services
Sandra Franklin: 2 enrollment records collapsed into UHC-51432-41
Enrollment records
2
Member id
UHC-51432-41
MBR-010298
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023279
Duplicate member record retired
Member services
Harold Castillo: 2 enrollment records collapsed into UHC-59339-91
Enrollment records
2
Member id
UHC-59339-91
MBR-010301
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023280
Duplicate member record retired
Member services
Keith Marshall: 2 enrollment records collapsed into UHC-06379-96
Enrollment records
2
Member id
UHC-06379-96
MBR-010303
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023281
Duplicate member record retired
Member services
Christopher Mendoza: 2 enrollment records collapsed into UHC-01903-53
Enrollment records
2
Member id
UHC-01903-53
MBR-010305
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023282
Duplicate member record retired
Member services
Jose Wells: 2 enrollment records collapsed into UHC-83554-72
Enrollment records
2
Member id
UHC-83554-72
MBR-010306
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023283
Duplicate member record retired
Member services
Joseph Webb: 2 enrollment records collapsed into UHC-44238-24
Enrollment records
2
Member id
UHC-44238-24
MBR-010315
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023284
Duplicate member record retired
Member services
Joan Alexander: 2 enrollment records collapsed into UHC-34592-23
Enrollment records
2
Member id
UHC-34592-23
MBR-010328
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023285
Duplicate member record retired
Member services
Julie Johnson: 2 enrollment records collapsed into UHC-66669-36
Enrollment records
2
Member id
UHC-66669-36
MBR-010331
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023286
Duplicate member record retired
Member services
Matthew Montgomery: 2 enrollment records collapsed into UHC-40390-81
Enrollment records
2
Member id
UHC-40390-81
MBR-010345
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023287
Duplicate member record retired
Member services
Grace Williamson: 2 enrollment records collapsed into UHC-58263-31
Enrollment records
2
Member id
UHC-58263-31
MBR-010349
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023288
Duplicate member record retired
Member services
Danielle Ford: 2 enrollment records collapsed into UHC-47400-49
Enrollment records
2
Member id
UHC-47400-49
MBR-010351
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023289
Duplicate member record retired
Member services
Beverly Bailey: 3 enrollment records collapsed into UHC-10812-76
Enrollment records
3
Member id
UHC-10812-76
MBR-010356
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023290
Duplicate member record retired
Member services
Jordan Cruz: 2 enrollment records collapsed into UHC-28356-94
Enrollment records
2
Member id
UHC-28356-94
MBR-010358
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023291
Duplicate member record retired
Member services
Elizabeth Lane: 2 enrollment records collapsed into UHC-54943-98
Enrollment records
2
Member id
UHC-54943-98
MBR-010362
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023292
Duplicate member record retired
Member services
Yuki Nichols: 2 enrollment records collapsed into UHC-94092-96
Enrollment records
2
Member id
UHC-94092-96
MBR-010374
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023293
Duplicate member record retired
Member services
Martha Boyd: 2 enrollment records collapsed into UHC-31143-91
Enrollment records
2
Member id
UHC-31143-91
MBR-010376
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023294
Duplicate member record retired
Member services
Ann Morales: 2 enrollment records collapsed into UHC-02904-05
Enrollment records
2
Member id
UHC-02904-05
MBR-010381
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023295
Duplicate member record retired
Member services
Matthew Kelley: 3 enrollment records collapsed into UHC-67263-62
Enrollment records
3
Member id
UHC-67263-62
MBR-010382
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023296
Duplicate member record retired
Member services
Anna Bennett: 2 enrollment records collapsed into UHC-53468-90
Enrollment records
2
Member id
UHC-53468-90
MBR-010390
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023297
Duplicate member record retired
Member services
Arjun Jackson: 2 enrollment records collapsed into UHC-19640-97
Enrollment records
2
Member id
UHC-19640-97
MBR-010392
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023298
Duplicate member record retired
Member services
Christine Banks: 2 enrollment records collapsed into UHC-95380-74
Enrollment records
2
Member id
UHC-95380-74
MBR-010397
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023299
Duplicate member record retired
Member services
Paul Kelly: 2 enrollment records collapsed into UHC-35201-48
Enrollment records
2
Member id
UHC-35201-48
MBR-010407
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023300
Duplicate member record retired
Member services
Kimberly Matthews: 2 enrollment records collapsed into UHC-22076-21
Enrollment records
2
Member id
UHC-22076-21
MBR-010412
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023301
Duplicate member record retired
Member services
Dylan Dean: 2 enrollment records collapsed into UHC-33903-05
Enrollment records
2
Member id
UHC-33903-05
MBR-010417
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023302
Duplicate member record retired
Member services
Teresa Murphy: 2 enrollment records collapsed into UHC-72939-67
Enrollment records
2
Member id
UHC-72939-67
MBR-010431
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023303
Duplicate member record retired
Member services
Eric Moreno: 2 enrollment records collapsed into UHC-52544-11
Enrollment records
2
Member id
UHC-52544-11
MBR-010435
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023304
Duplicate member record retired
Member services
Steven Wheeler: 2 enrollment records collapsed into UHC-11227-17
Enrollment records
2
Member id
UHC-11227-17
MBR-010442
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 215 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.