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-023605
Duplicate member record retired
Member services
Aisha Wright: 3 enrollment records collapsed into UHC-95172-81
Enrollment records
3
Member id
UHC-95172-81
MBR-012472
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023606
Duplicate member record retired
Member services
Omar Fisher: 2 enrollment records collapsed into UHC-39161-40
Enrollment records
2
Member id
UHC-39161-40
MBR-012475
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023607
Duplicate member record retired
Member services
Arthur Berry: 2 enrollment records collapsed into UHC-33176-25
Enrollment records
2
Member id
UHC-33176-25
MBR-012486
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023608
Duplicate member record retired
Member services
Santiago Reid: 2 enrollment records collapsed into UHC-51553-43
Enrollment records
2
Member id
UHC-51553-43
MBR-012488
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023609
Duplicate member record retired
Member services
Daniel Palmer: 2 enrollment records collapsed into UHC-52734-93
Enrollment records
2
Member id
UHC-52734-93
MBR-012489
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023610
Duplicate member record retired
Member services
Tyler Brooks: 2 enrollment records collapsed into UHC-33688-95
Enrollment records
2
Member id
UHC-33688-95
MBR-012490
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023611
Duplicate member record retired
Member services
Adam McDonald: 2 enrollment records collapsed into UHC-42579-42
Enrollment records
2
Member id
UHC-42579-42
MBR-012494
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023612
Duplicate member record retired
Member services
Evelyn Herrera: 2 enrollment records collapsed into UHC-76171-21
Enrollment records
2
Member id
UHC-76171-21
MBR-012522
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023613
Duplicate member record retired
Member services
Katherine Marshall: 3 enrollment records collapsed into UHC-61716-65
Enrollment records
3
Member id
UHC-61716-65
MBR-012525
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023614
Duplicate member record retired
Member services
Patricia Silva: 2 enrollment records collapsed into UHC-60266-54
Enrollment records
2
Member id
UHC-60266-54
MBR-012529
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023615
Duplicate member record retired
Member services
Lawrence Ellis: 2 enrollment records collapsed into UHC-63165-77
Enrollment records
2
Member id
UHC-63165-77
MBR-012537
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023616
Duplicate member record retired
Member services
Ashley Thomas: 2 enrollment records collapsed into UHC-49242-29
Enrollment records
2
Member id
UHC-49242-29
MBR-012554
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023617
Duplicate member record retired
Member services
Philip Garrett: 2 enrollment records collapsed into UHC-73051-83
Enrollment records
2
Member id
UHC-73051-83
MBR-012555
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023618
Duplicate member record retired
Member services
Nicholes Rose: 2 enrollment records collapsed into UHC-29927-87
Enrollment records
2
Member id
UHC-29927-87
MBR-012571
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023619
Duplicate member record retired
Member services
Ashley Scott: 3 enrollment records collapsed into UHC-15919-77
Enrollment records
3
Member id
UHC-15919-77
MBR-012573
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023620
Duplicate member record retired
Member services
Ryan Rojas: 2 enrollment records collapsed into UHC-73873-93
Enrollment records
2
Member id
UHC-73873-93
MBR-012597
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023621
Duplicate member record retired
Member services
Roy Mejia: 2 enrollment records collapsed into UHC-51314-74
Enrollment records
2
Member id
UHC-51314-74
MBR-012600
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023622
Duplicate member record retired
Member services
Charlotte Elliott: 2 enrollment records collapsed into UHC-59612-34
Enrollment records
2
Member id
UHC-59612-34
MBR-012604
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023623
Duplicate member record retired
Member services
Lawrence Rojas: 3 enrollment records collapsed into UHC-94431-48
Enrollment records
3
Member id
UHC-94431-48
MBR-012608
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023624
Duplicate member record retired
Member services
Kathleen Watson: 2 enrollment records collapsed into UHC-89150-20
Enrollment records
2
Member id
UHC-89150-20
MBR-012610
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023625
Duplicate member record retired
Member services
William Webb: 2 enrollment records collapsed into UHC-85317-53
Enrollment records
2
Member id
UHC-85317-53
MBR-012616
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023626
Duplicate member record retired
Member services
Philip Perez: 2 enrollment records collapsed into UHC-11905-66
Enrollment records
2
Member id
UHC-11905-66
MBR-012644
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023627
Duplicate member record retired
Member services
Douglas Hughes: 3 enrollment records collapsed into UHC-77466-69
Enrollment records
3
Member id
UHC-77466-69
MBR-012647
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023628
Duplicate member record retired
Member services
Tyler Perkins: 2 enrollment records collapsed into UHC-25496-41
Enrollment records
2
Member id
UHC-25496-41
MBR-012672
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023629
Duplicate member record retired
Member services
Ethan Gordon: 2 enrollment records collapsed into UHC-40444-84
Enrollment records
2
Member id
UHC-40444-84
MBR-012673
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023630
Duplicate member record retired
Member services
Jacob Evans: 2 enrollment records collapsed into UHC-47768-24
Enrollment records
2
Member id
UHC-47768-24
MBR-012675
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023631
Duplicate member record retired
Member services
Mason Baker: 2 enrollment records collapsed into UHC-52066-68
Enrollment records
2
Member id
UHC-52066-68
MBR-012697
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023632
Duplicate member record retired
Member services
Dorothy Bker: 3 enrollment records collapsed into UHC-63667-39
Enrollment records
3
Member id
UHC-63667-39
MBR-012731
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023633
Duplicate member record retired
Member services
Randy Gardner: 2 enrollment records collapsed into UHC-99224-74
Enrollment records
2
Member id
UHC-99224-74
MBR-012732
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023634
Duplicate member record retired
Member services
Johnny Little: 2 enrollment records collapsed into UHC-51193-40
Enrollment records
2
Member id
UHC-51193-40
MBR-012745
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023635
Duplicate member record retired
Member services
Sean Tucker: 2 enrollment records collapsed into UHC-15420-32
Enrollment records
2
Member id
UHC-15420-32
MBR-012747
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023636
Duplicate member record retired
Member services
Mariana Snyder: 2 enrollment records collapsed into UHC-66101-08
Enrollment records
2
Member id
UHC-66101-08
MBR-012758
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023637
Duplicate member record retired
Member services
Brandon Mason: 3 enrollment records collapsed into UHC-72913-09
Enrollment records
3
Member id
UHC-72913-09
MBR-012763
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023638
Duplicate member record retired
Member services
Abigail Sanders: 2 enrollment records collapsed into UHC-08668-77
Enrollment records
2
Member id
UHC-08668-77
MBR-012769
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023639
Duplicate member record retired
Member services
Joseph Daniels: 2 enrollment records collapsed into UHC-62760-29
Enrollment records
2
Member id
UHC-62760-29
MBR-012771
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023640
Duplicate member record retired
Member services
Judy Rose: 2 enrollment records collapsed into UHC-66936-96
Enrollment records
2
Member id
UHC-66936-96
MBR-012794
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023641
Duplicate member record retired
Member services
Janet Ryan: 3 enrollment records collapsed into UHC-88654-36
Enrollment records
3
Member id
UHC-88654-36
MBR-012802
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023642
Duplicate member record retired
Member services
Betty Wright: 2 enrollment records collapsed into UHC-97501-96
Enrollment records
2
Member id
UHC-97501-96
MBR-012803
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023643
Duplicate member record retired
Member services
Herrera Catherine: 2 enrollment records collapsed into UHC-68057-57
Enrollment records
2
Member id
UHC-68057-57
MBR-012806
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023644
Duplicate member record retired
Member services
Brenda Price: 2 enrollment records collapsed into UHC-58479-84
Enrollment records
2
Member id
UHC-58479-84
MBR-012811
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023645
Duplicate member record retired
Member services
Ashley Lopez: 2 enrollment records collapsed into UHC-75234-83
Enrollment records
2
Member id
UHC-75234-83
MBR-012814
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023646
Duplicate member record retired
Member services
Christopher Williamson: 2 enrollment records collapsed into UHC-02046-10
Enrollment records
2
Member id
UHC-02046-10
MBR-012843
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023647
Duplicate member record retired
Member services
Stephanie Espinoza: 2 enrollment records collapsed into UHC-27835-46
Enrollment records
2
Member id
UHC-27835-46
MBR-012847
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023648
Duplicate member record retired
Member services
Keith Barnes: 2 enrollment records collapsed into UHC-87346-32
Enrollment records
2
Member id
UHC-87346-32
MBR-012851
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023649
Duplicate member record retired
Member services
Russell Gutierrez: 2 enrollment records collapsed into UHC-73134-47
Enrollment records
2
Member id
UHC-73134-47
MBR-012852
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023650
Duplicate member record retired
Member services
Gerald Little: 2 enrollment records collapsed into UHC-94042-51
Enrollment records
2
Member id
UHC-94042-51
MBR-012865
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023651
Duplicate member record retired
Member services
Andrew Little: 2 enrollment records collapsed into UHC-87409-19
Enrollment records
2
Member id
UHC-87409-19
MBR-012874
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023652
Duplicate member record retired
Member services
Judith Schultz: 2 enrollment records collapsed into UHC-26690-16
Enrollment records
2
Member id
UHC-26690-16
MBR-012876
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023653
Duplicate member record retired
Member services
William Black: 2 enrollment records collapsed into UHC-48987-35
Enrollment records
2
Member id
UHC-48987-35
MBR-012887
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023654
Duplicate member record retired
Member services
Fattima Romero: 2 enrollment records collapsed into UHC-50296-36
Enrollment records
2
Member id
UHC-50296-36
MBR-012894
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 222 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.