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-024055
Duplicate member record retired
Member services
Hiroshi Schultz: 2 enrollment records collapsed into UHC-49624-39
Enrollment records
2
Member id
UHC-49624-39
MBR-015745
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024056
Duplicate member record retired
Member services
Michael Wells: 3 enrollment records collapsed into UHC-80844-55
Enrollment records
3
Member id
UHC-80844-55
MBR-015749
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024057
Duplicate member record retired
Member services
Aisha Peterson: 2 enrollment records collapsed into UHC-50378-82
Enrollment records
2
Member id
UHC-50378-82
MBR-015750
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024058
Duplicate member record retired
Member services
Bruce Graham: 2 enrollment records collapsed into UHC-36934-07
Enrollment records
2
Member id
UHC-36934-07
MBR-015752
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024059
Duplicate member record retired
Member services
Jason Gordon: 2 enrollment records collapsed into UHC-52450-28
Enrollment records
2
Member id
UHC-52450-28
MBR-015755
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024060
Duplicate member record retired
Member services
Marcus Luna: 2 enrollment records collapsed into UHC-01356-25
Enrollment records
2
Member id
UHC-01356-25
MBR-015761
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024061
Duplicate member record retired
Member services
Andrea Carter: 2 enrollment records collapsed into UHC-34846-11
Enrollment records
2
Member id
UHC-34846-11
MBR-015780
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024062
Duplicate member record retired
Member services
Natalie Collins: 2 enrollment records collapsed into UHC-61521-40
Enrollment records
2
Member id
UHC-61521-40
MBR-015781
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024063
Duplicate member record retired
Member services
Albert Harrison: 2 enrollment records collapsed into UHC-16381-51
Enrollment records
2
Member id
UHC-16381-51
MBR-015785
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024064
Duplicate member record retired
Member services
Doris Tucker: 3 enrollment records collapsed into UHC-44970-38
Enrollment records
3
Member id
UHC-44970-38
MBR-015799
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024065
Duplicate member record retired
Member services
Michelle Riley: 2 enrollment records collapsed into UHC-95909-02
Enrollment records
2
Member id
UHC-95909-02
MBR-015800
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024066
Duplicate member record retired
Member services
Priya Pena: 2 enrollment records collapsed into UHC-70426-23
Enrollment records
2
Member id
UHC-70426-23
MBR-015812
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024067
Duplicate member record retired
Member services
Kathryn Bowman: 3 enrollment records collapsed into UHC-59535-03
Enrollment records
3
Member id
UHC-59535-03
MBR-015816
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024068
Duplicate member record retired
Member services
Ann Banks: 2 enrollment records collapsed into UHC-98310-32
Enrollment records
2
Member id
UHC-98310-32
MBR-015843
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024069
Duplicate member record retired
Member services
Omar Smith: 2 enrollment records collapsed into UHC-23045-19
Enrollment records
2
Member id
UHC-23045-19
MBR-015853
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024070
Duplicate member record retired
Member services
Helen Marshall: 2 enrollment records collapsed into UHC-81480-61
Enrollment records
2
Member id
UHC-81480-61
MBR-015867
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024071
Duplicate member record retired
Member services
Jeffrey Singh: 2 enrollment records collapsed into UHC-30073-49
Enrollment records
2
Member id
UHC-30073-49
MBR-015868
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024072
Duplicate member record retired
Member services
Matthew Robertson: 2 enrollment records collapsed into UHC-82324-38
Enrollment records
2
Member id
UHC-82324-38
MBR-015876
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024073
Duplicate member record retired
Member services
Virginia Carter: 2 enrollment records collapsed into UHC-07463-33
Enrollment records
2
Member id
UHC-07463-33
MBR-015906
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024074
Duplicate member record retired
Member services
Michael Vazquez: 2 enrollment records collapsed into UHC-05778-78
Enrollment records
2
Member id
UHC-05778-78
MBR-015910
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024075
Duplicate member record retired
Member services
Robert Harris: 2 enrollment records collapsed into UHC-42531-34
Enrollment records
2
Member id
UHC-42531-34
MBR-015914
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024076
Duplicate member record retired
Member services
Joyce Obrien: 2 enrollment records collapsed into UHC-99792-74
Enrollment records
2
Member id
UHC-99792-74
MBR-015915
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024077
Duplicate member record retired
Member services
Michael Alexander: 2 enrollment records collapsed into UHC-07738-35
Enrollment records
2
Member id
UHC-07738-35
MBR-015939
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024078
Duplicate member record retired
Member services
Alexander Peterson: 2 enrollment records collapsed into UHC-74479-28
Enrollment records
2
Member id
UHC-74479-28
MBR-015944
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024079
Duplicate member record retired
Member services
Bruce Garza: 2 enrollment records collapsed into UHC-63823-65
Enrollment records
2
Member id
UHC-63823-65
MBR-015951
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024080
Duplicate member record retired
Member services
Charles Wang: 2 enrollment records collapsed into UHC-77837-25
Enrollment records
2
Member id
UHC-77837-25
MBR-015959
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024081
Duplicate member record retired
Member services
Bryan Mills: 2 enrollment records collapsed into UHC-37502-79
Enrollment records
2
Member id
UHC-37502-79
MBR-015967
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024082
Duplicate member record retired
Member services
Arthur Hunt: 2 enrollment records collapsed into UHC-45720-74
Enrollment records
2
Member id
UHC-45720-74
MBR-015978
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024083
Duplicate member record retired
Member services
Jonathan Black: 2 enrollment records collapsed into UHC-08559-01
Enrollment records
2
Member id
UHC-08559-01
MBR-015981
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024084
Duplicate member record retired
Member services
Yuki Powell: 2 enrollment records collapsed into UHC-46195-87
Enrollment records
2
Member id
UHC-46195-87
MBR-015999
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024085
Duplicate member record retired
Member services
Sofia Lucas: 3 enrollment records collapsed into UHC-89122-72
Enrollment records
3
Member id
UHC-89122-72
MBR-016009
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024086
Duplicate member record retired
Member services
Alan Gilbert: 2 enrollment records collapsed into UHC-57392-18
Enrollment records
2
Member id
UHC-57392-18
MBR-016019
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024087
Duplicate member record retired
Member services
Marcus Aguilar: 2 enrollment records collapsed into UHC-13029-18
Enrollment records
2
Member id
UHC-13029-18
MBR-016020
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024088
Duplicate member record retired
Member services
Benjamin Lynch: 2 enrollment records collapsed into UHC-17466-76
Enrollment records
2
Member id
UHC-17466-76
MBR-016022
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024089
Duplicate member record retired
Member services
Laura Bennett: 2 enrollment records collapsed into UHC-69098-58
Enrollment records
2
Member id
UHC-69098-58
MBR-016031
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024090
Duplicate member record retired
Member services
Dorothy Bennett: 3 enrollment records collapsed into UHC-49307-33
Enrollment records
3
Member id
UHC-49307-33
MBR-016052
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024091
Duplicate member record retired
Member services
Patrick Hayes: 2 enrollment records collapsed into UHC-62613-40
Enrollment records
2
Member id
UHC-62613-40
MBR-016054
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024092
Duplicate member record retired
Member services
Gary Freeman: 2 enrollment records collapsed into UHC-26226-69
Enrollment records
2
Member id
UHC-26226-69
MBR-016055
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024093
Duplicate member record retired
Member services
Lucia Russell: 2 enrollment records collapsed into UHC-13987-43
Enrollment records
2
Member id
UHC-13987-43
MBR-016085
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024094
Duplicate member record retired
Member services
Teresa Roberts: 2 enrollment records collapsed into UHC-75432-74
Enrollment records
2
Member id
UHC-75432-74
MBR-016099
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024095
Duplicate member record retired
Member services
Sarah Spencer: 2 enrollment records collapsed into UHC-56619-38
Enrollment records
2
Member id
UHC-56619-38
MBR-016109
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024096
Duplicate member record retired
Member services
John Taylor: 2 enrollment records collapsed into UHC-19378-10
Enrollment records
2
Member id
UHC-19378-10
MBR-016113
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024097
Duplicate member record retired
Member services
Maria Jordan: 3 enrollment records collapsed into UHC-38848-23
Enrollment records
3
Member id
UHC-38848-23
MBR-016121
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024098
Duplicate member record retired
Member services
Mariana Santiago: 2 enrollment records collapsed into UHC-36282-56
Enrollment records
2
Member id
UHC-36282-56
MBR-016123
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024099
Duplicate member record retired
Member services
Ethan Fernandez: 2 enrollment records collapsed into UHC-55755-30
Enrollment records
2
Member id
UHC-55755-30
MBR-016126
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024100
Duplicate member record retired
Member services
Katherine Snyder: 2 enrollment records collapsed into UHC-79450-77
Enrollment records
2
Member id
UHC-79450-77
MBR-016135
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024101
Duplicate member record retired
Member services
Hiroshi Guerrero: 2 enrollment records collapsed into UHC-62930-88
Enrollment records
2
Member id
UHC-62930-88
MBR-016138
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024102
Duplicate member record retired
Member services
Sophia Rivera: 2 enrollment records collapsed into UHC-90624-07
Enrollment records
2
Member id
UHC-90624-07
MBR-016139
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024103
Duplicate member record retired
Member services
Jesse Contreras: 2 enrollment records collapsed into UHC-26604-40
Enrollment records
2
Member id
UHC-26604-40
MBR-016149
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024104
Duplicate member record retired
Member services
Mason Brown: 2 enrollment records collapsed into UHC-44719-67
Enrollment records
2
Member id
UHC-44719-67
MBR-016155
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 231 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.