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-023655
Duplicate member record retired
Member services
Arthur Marshall: 2 enrollment records collapsed into UHC-21572-47
Enrollment records
2
Member id
UHC-21572-47
MBR-012895
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023656
Duplicate member record retired
Member services
Ashley Marshall: 2 enrollment records collapsed into UHC-37491-91
Enrollment records
2
Member id
UHC-37491-91
MBR-012896
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023657
Duplicate member record retired
Member services
Maria Dominguez: 2 enrollment records collapsed into UHC-24070-78
Enrollment records
2
Member id
UHC-24070-78
MBR-012901
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023658
Duplicate member record retired
Member services
Kelly Watson: 2 enrollment records collapsed into UHC-99406-56
Enrollment records
2
Member id
UHC-99406-56
MBR-012903
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023659
Duplicate member record retired
Member services
Samuel Tucker: 2 enrollment records collapsed into UHC-53744-28
Enrollment records
2
Member id
UHC-53744-28
MBR-012904
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023660
Duplicate member record retired
Member services
Sofia McCoy: 2 enrollment records collapsed into UHC-12731-65
Enrollment records
2
Member id
UHC-12731-65
MBR-012905
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023661
Duplicate member record retired
Member services
Eric Foster: 3 enrollment records collapsed into UHC-04955-08
Enrollment records
3
Member id
UHC-04955-08
MBR-012910
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023662
Duplicate member record retired
Member services
Walter Griffin: 2 enrollment records collapsed into UHC-72826-07
Enrollment records
2
Member id
UHC-72826-07
MBR-012919
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023663
Duplicate member record retired
Member services
Sophia Richardson: 2 enrollment records collapsed into UHC-03647-35
Enrollment records
2
Member id
UHC-03647-35
MBR-012920
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023664
Duplicate member record retired
Member services
Dorothy Ortega: 2 enrollment records collapsed into UHC-76525-44
Enrollment records
2
Member id
UHC-76525-44
MBR-012939
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023665
Duplicate member record retired
Member services
Stephanie Graham: 2 enrollment records collapsed into UHC-22782-06
Enrollment records
2
Member id
UHC-22782-06
MBR-012972
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023666
Duplicate member record retired
Member services
George Flores: 2 enrollment records collapsed into UHC-44693-88
Enrollment records
2
Member id
UHC-44693-88
MBR-012980
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023667
Duplicate member record retired
Member services
Jdy Chen: 4 enrollment records collapsed into UHC-11040-24
Enrollment records
4
Member id
UHC-11040-24
MBR-013011
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023668
Duplicate member record retired
Member services
Kyle Lane: 2 enrollment records collapsed into UHC-74857-31
Enrollment records
2
Member id
UHC-74857-31
MBR-013016
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023669
Duplicate member record retired
Member services
Zachary Hansen: 2 enrollment records collapsed into UHC-54246-72
Enrollment records
2
Member id
UHC-54246-72
MBR-013031
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023670
Duplicate member record retired
Member services
Jennifer Berry: 2 enrollment records collapsed into UHC-30911-04
Enrollment records
2
Member id
UHC-30911-04
MBR-013032
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023671
Duplicate member record retired
Member services
Amber Wells: 2 enrollment records collapsed into UHC-53150-30
Enrollment records
2
Member id
UHC-53150-30
MBR-013041
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023672
Duplicate member record retired
Member services
Terry Wells: 2 enrollment records collapsed into UHC-40621-57
Enrollment records
2
Member id
UHC-40621-57
MBR-013061
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023673
Duplicate member record retired
Member services
Camila Austin: 2 enrollment records collapsed into UHC-06304-18
Enrollment records
2
Member id
UHC-06304-18
MBR-013066
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023674
Duplicate member record retired
Member services
Jnaet Davis: 2 enrollment records collapsed into UHC-23902-55
Enrollment records
2
Member id
UHC-23902-55
MBR-013077
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023675
Duplicate member record retired
Member services
Julie Ellis: 2 enrollment records collapsed into UHC-65562-64
Enrollment records
2
Member id
UHC-65562-64
MBR-013079
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023676
Duplicate member record retired
Member services
Nicole Mitchell: 2 enrollment records collapsed into UHC-23875-61
Enrollment records
2
Member id
UHC-23875-61
MBR-013080
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023677
Duplicate member record retired
Member services
Alexander Wells: 2 enrollment records collapsed into UHC-49517-10
Enrollment records
2
Member id
UHC-49517-10
MBR-013094
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023678
Duplicate member record retired
Member services
Randy Tucker: 2 enrollment records collapsed into UHC-72020-56
Enrollment records
2
Member id
UHC-72020-56
MBR-013101
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023679
Duplicate member record retired
Member services
Amanda Singh: 2 enrollment records collapsed into UHC-34285-94
Enrollment records
2
Member id
UHC-34285-94
MBR-013105
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023680
Duplicate member record retired
Member services
Henry Le: 2 enrollment records collapsed into UHC-67222-58
Enrollment records
2
Member id
UHC-67222-58
MBR-013108
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023681
Duplicate member record retired
Member services
Patrick Garcia: 2 enrollment records collapsed into UHC-86364-52
Enrollment records
2
Member id
UHC-86364-52
MBR-013117
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023682
Duplicate member record retired
Member services
Margaret Patterson: 2 enrollment records collapsed into UHC-31161-99
Enrollment records
2
Member id
UHC-31161-99
MBR-013118
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023683
Duplicate member record retired
Member services
Kelly Morrison: 2 enrollment records collapsed into UHC-19138-15
Enrollment records
2
Member id
UHC-19138-15
MBR-013121
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023684
Duplicate member record retired
Member services
Bruce Harper: 2 enrollment records collapsed into UHC-42263-40
Enrollment records
2
Member id
UHC-42263-40
MBR-013124
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023685
Duplicate member record retired
Member services
Edward Peterson: 2 enrollment records collapsed into UHC-86064-90
Enrollment records
2
Member id
UHC-86064-90
MBR-013141
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023686
Duplicate member record retired
Member services
Paul Russell: 2 enrollment records collapsed into UHC-55726-01
Enrollment records
2
Member id
UHC-55726-01
MBR-013147
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023687
Duplicate member record retired
Member services
Andrew Rivera: 3 enrollment records collapsed into UHC-42281-66
Enrollment records
3
Member id
UHC-42281-66
MBR-013157
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023688
Duplicate member record retired
Member services
Natalie Woods: 2 enrollment records collapsed into UHC-23619-40
Enrollment records
2
Member id
UHC-23619-40
MBR-013158
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023689
Duplicate member record retired
Member services
Karen Jones: 2 enrollment records collapsed into UHC-76594-76
Enrollment records
2
Member id
UHC-76594-76
MBR-013180
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023690
Duplicate member record retired
Member services
Bobby Howell: 2 enrollment records collapsed into UHC-79796-62
Enrollment records
2
Member id
UHC-79796-62
MBR-013184
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023691
Duplicate member record retired
Member services
Benjamin Brown: 2 enrollment records collapsed into UHC-21896-71
Enrollment records
2
Member id
UHC-21896-71
MBR-013190
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023692
Duplicate member record retired
Member services
Matthew Valdez: 3 enrollment records collapsed into UHC-71925-83
Enrollment records
3
Member id
UHC-71925-83
MBR-013191
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023693
Duplicate member record retired
Member services
Mary Ellis: 2 enrollment records collapsed into UHC-46446-76
Enrollment records
2
Member id
UHC-46446-76
MBR-013197
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023694
Duplicate member record retired
Member services
Tyler Jackson: 2 enrollment records collapsed into UHC-45708-12
Enrollment records
2
Member id
UHC-45708-12
MBR-013198
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023695
Duplicate member record retired
Member services
Charles Soto: 2 enrollment records collapsed into UHC-26975-03
Enrollment records
2
Member id
UHC-26975-03
MBR-013204
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023696
Duplicate member record retired
Member services
Jennifer Henry: 3 enrollment records collapsed into UHC-46109-60
Enrollment records
3
Member id
UHC-46109-60
MBR-013211
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023697
Duplicate member record retired
Member services
Gabriel Sanders: 2 enrollment records collapsed into UHC-13138-62
Enrollment records
2
Member id
UHC-13138-62
MBR-013214
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023698
Duplicate member record retired
Member services
James Park: 2 enrollment records collapsed into UHC-67554-44
Enrollment records
2
Member id
UHC-67554-44
MBR-013226
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023699
Duplicate member record retired
Member services
Kayla Meyer: 2 enrollment records collapsed into UHC-10261-34
Enrollment records
2
Member id
UHC-10261-34
MBR-013228
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023700
Duplicate member record retired
Member services
Maria Hart: 2 enrollment records collapsed into UHC-81705-80
Enrollment records
2
Member id
UHC-81705-80
MBR-013230
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023701
Duplicate member record retired
Member services
Kevin Burns: 2 enrollment records collapsed into UHC-64254-55
Enrollment records
2
Member id
UHC-64254-55
MBR-013231
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023702
Duplicate member record retired
Member services
Billy Parker: 2 enrollment records collapsed into UHC-57375-94
Enrollment records
2
Member id
UHC-57375-94
MBR-013250
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023703
Duplicate member record retired
Member services
Catherine Lawrence: 2 enrollment records collapsed into UHC-09218-86
Enrollment records
2
Member id
UHC-09218-86
MBR-013253
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023704
Duplicate member record retired
Member services
Debra Young: 2 enrollment records collapsed into UHC-20229-05
Enrollment records
2
Member id
UHC-20229-05
MBR-013269
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 223 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.