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-023955
Duplicate member record retired
Member services
Sandra Mendoza: 2 enrollment records collapsed into UHC-30072-32
Enrollment records
2
Member id
UHC-30072-32
MBR-015087
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023956
Duplicate member record retired
Member services
Ana Alexander: 2 enrollment records collapsed into UHC-52420-37
Enrollment records
2
Member id
UHC-52420-37
MBR-015090
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023957
Duplicate member record retired
Member services
Wayne Collins: 2 enrollment records collapsed into UHC-90077-22
Enrollment records
2
Member id
UHC-90077-22
MBR-015092
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023958
Duplicate member record retired
Member services
Olivia Carroll: 2 enrollment records collapsed into UHC-59310-82
Enrollment records
2
Member id
UHC-59310-82
MBR-015097
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023959
Duplicate member record retired
Member services
Andrea Yang: 2 enrollment records collapsed into UHC-63361-31
Enrollment records
2
Member id
UHC-63361-31
MBR-015106
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023960
Duplicate member record retired
Member services
Nicholas Park: 3 enrollment records collapsed into UHC-31302-45
Enrollment records
3
Member id
UHC-31302-45
MBR-015108
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023961
Duplicate member record retired
Member services
Nathan Rose: 2 enrollment records collapsed into UHC-57831-42
Enrollment records
2
Member id
UHC-57831-42
MBR-015123
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023962
Duplicate member record retired
Member services
Sarah Tucker: 2 enrollment records collapsed into UHC-46506-60
Enrollment records
2
Member id
UHC-46506-60
MBR-015126
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023963
Duplicate member record retired
Member services
Christopher Diaz: 2 enrollment records collapsed into UHC-69730-93
Enrollment records
2
Member id
UHC-69730-93
MBR-015137
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023964
Duplicate member record retired
Member services
Aaron Garza: 2 enrollment records collapsed into UHC-85827-34
Enrollment records
2
Member id
UHC-85827-34
MBR-015139
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023965
Duplicate member record retired
Member services
Isabella Barnes: 2 enrollment records collapsed into UHC-66242-93
Enrollment records
2
Member id
UHC-66242-93
MBR-015151
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023966
Duplicate member record retired
Member services
Olivia Ruiz: 2 enrollment records collapsed into UHC-84232-34
Enrollment records
2
Member id
UHC-84232-34
MBR-015156
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023967
Duplicate member record retired
Member services
Sara Wood: 2 enrollment records collapsed into UHC-63850-64
Enrollment records
2
Member id
UHC-63850-64
MBR-015160
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023968
Duplicate member record retired
Member services
Rachel Flores: 2 enrollment records collapsed into UHC-97143-27
Enrollment records
2
Member id
UHC-97143-27
MBR-015165
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023969
Duplicate member record retired
Member services
Robert Rihardson: 2 enrollment records collapsed into UHC-08428-93
Enrollment records
2
Member id
UHC-08428-93
MBR-015178
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023970
Duplicate member record retired
Member services
Robert Yang: 2 enrollment records collapsed into UHC-85622-65
Enrollment records
2
Member id
UHC-85622-65
MBR-015181
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023971
Duplicate member record retired
Member services
Janet Ross: 2 enrollment records collapsed into UHC-36044-21
Enrollment records
2
Member id
UHC-36044-21
MBR-015187
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023972
Duplicate member record retired
Member services
Richard Herrera: 2 enrollment records collapsed into UHC-90195-39
Enrollment records
2
Member id
UHC-90195-39
MBR-015193
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023973
Duplicate member record retired
Member services
Johua Castro: 2 enrollment records collapsed into
Enrollment records
2
Member id
MBR-015194
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023974
Duplicate member record retired
Member services
Jordan Stone: 4 enrollment records collapsed into UHC-29838-90
Enrollment records
4
Member id
UHC-29838-90
MBR-015197
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023975
Duplicate member record retired
Member services
Samantha Martinez: 2 enrollment records collapsed into UHC-54468-81
Enrollment records
2
Member id
UHC-54468-81
MBR-015200
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023976
Duplicate member record retired
Member services
Lauren Sullivan: 2 enrollment records collapsed into UHC-92701-44
Enrollment records
2
Member id
UHC-92701-44
MBR-015208
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023977
Duplicate member record retired
Member services
Charlotte Dunn: 2 enrollment records collapsed into UHC-00603-18
Enrollment records
2
Member id
UHC-00603-18
MBR-015213
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023978
Duplicate member record retired
Member services
Alice Hayes: 2 enrollment records collapsed into UHC-80765-96
Enrollment records
2
Member id
UHC-80765-96
MBR-015229
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023979
Duplicate member record retired
Member services
Yukki Walker: 2 enrollment records collapsed into UHC-92170-03
Enrollment records
2
Member id
UHC-92170-03
MBR-015235
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023980
Duplicate member record retired
Member services
Bradley Silva: 2 enrollment records collapsed into UHC-52424-70
Enrollment records
2
Member id
UHC-52424-70
MBR-015242
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023981
Duplicate member record retired
Member services
Billy Ramirez: 2 enrollment records collapsed into UHC-43295-81
Enrollment records
2
Member id
UHC-43295-81
MBR-015271
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023982
Duplicate member record retired
Member services
Brittany Campbell: 2 enrollment records collapsed into UHC-99813-04
Enrollment records
2
Member id
UHC-99813-04
MBR-015276
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023983
Duplicate member record retired
Member services
Mason Sanchez: 2 enrollment records collapsed into UHC-88232-95
Enrollment records
2
Member id
UHC-88232-95
MBR-015286
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023984
Duplicate member record retired
Member services
Peter Baker: 2 enrollment records collapsed into UHC-99981-31
Enrollment records
2
Member id
UHC-99981-31
MBR-015292
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023985
Duplicate member record retired
Member services
Angela Anderson: 2 enrollment records collapsed into UHC-43281-15
Enrollment records
2
Member id
UHC-43281-15
MBR-015295
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023986
Duplicate member record retired
Member services
Henry Walker: 2 enrollment records collapsed into UHC-07090-42
Enrollment records
2
Member id
UHC-07090-42
MBR-015308
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023987
Duplicate member record retired
Member services
Nancy Vega: 2 enrollment records collapsed into UHC-73844-71
Enrollment records
2
Member id
UHC-73844-71
MBR-015316
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023988
Duplicate member record retired
Member services
Nancy Martin: 3 enrollment records collapsed into UHC-66350-74
Enrollment records
3
Member id
UHC-66350-74
MBR-015331
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023989
Duplicate member record retired
Member services
Virginia Graham: 2 enrollment records collapsed into UHC-43956-72
Enrollment records
2
Member id
UHC-43956-72
MBR-015336
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023990
Duplicate member record retired
Member services
Rebecca Tucker: 2 enrollment records collapsed into UHC-44298-25
Enrollment records
2
Member id
UHC-44298-25
MBR-015337
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023991
Duplicate member record retired
Member services
Evelyn McDonald: 2 enrollment records collapsed into UHC-62319-26
Enrollment records
2
Member id
UHC-62319-26
MBR-015345
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023992
Duplicate member record retired
Member services
Dennis Diaz: 2 enrollment records collapsed into UHC-76921-70
Enrollment records
2
Member id
UHC-76921-70
MBR-015348
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023993
Duplicate member record retired
Member services
Wayne Obrieen: 2 enrollment records collapsed into UHC-06710-35
Enrollment records
2
Member id
UHC-06710-35
MBR-015349
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023994
Duplicate member record retired
Member services
Keith Mills: 2 enrollment records collapsed into UHC-71507-37
Enrollment records
2
Member id
UHC-71507-37
MBR-015357
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023995
Duplicate member record retired
Member services
Judith Romero: 3 enrollment records collapsed into UHC-06958-08
Enrollment records
3
Member id
UHC-06958-08
MBR-015363
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023996
Duplicate member record retired
Member services
Emily Armstrong: 2 enrollment records collapsed into UHC-35110-01
Enrollment records
2
Member id
UHC-35110-01
MBR-015371
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023997
Duplicate member record retired
Member services
Judy Cox: 3 enrollment records collapsed into UHC-67971-10
Enrollment records
3
Member id
UHC-67971-10
MBR-015377
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023998
Duplicate member record retired
Member services
Abby Simmons: 2 enrollment records collapsed into UHC-39038-39
Enrollment records
2
Member id
UHC-39038-39
MBR-015387
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023999
Duplicate member record retired
Member services
Lauren Howard: 2 enrollment records collapsed into UHC-36100-80
Enrollment records
2
Member id
UHC-36100-80
MBR-015405
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024000
Duplicate member record retired
Member services
Charlotte Kennedy: 2 enrollment records collapsed into UHC-67859-40
Enrollment records
2
Member id
UHC-67859-40
MBR-015411
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024001
Duplicate member record retired
Member services
Debra Bryant: 3 enrollment records collapsed into UHC-21572-64
Enrollment records
3
Member id
UHC-21572-64
MBR-015416
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024002
Duplicate member record retired
Member services
Ruth Schultz: 2 enrollment records collapsed into UHC-03534-70
Enrollment records
2
Member id
UHC-03534-70
MBR-015420
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024003
Duplicate member record retired
Member services
Laura Tucker: 2 enrollment records collapsed into UHC-80382-94
Enrollment records
2
Member id
UHC-80382-94
MBR-015424
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024004
Duplicate member record retired
Member services
Billy Watkins: 2 enrollment records collapsed into UHC-22233-15
Enrollment records
2
Member id
UHC-22233-15
MBR-015426
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 229 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.