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-024105
Duplicate member record retired
Member services
Priya Collins: 2 enrollment records collapsed into UHC-11691-57
Enrollment records
2
Member id
UHC-11691-57
MBR-016156
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024106
Duplicate member record retired
Member services
Aisha Knight: 2 enrollment records collapsed into UHC-67772-21
Enrollment records
2
Member id
UHC-67772-21
MBR-016157
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024107
Duplicate member record retired
Member services
Steven McDonald: 2 enrollment records collapsed into UHC-80624-66
Enrollment records
2
Member id
UHC-80624-66
MBR-016163
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024108
Duplicate member record retired
Member services
Karen Wagner: 2 enrollment records collapsed into UHC-77548-67
Enrollment records
2
Member id
UHC-77548-67
MBR-016170
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024109
Duplicate member record retired
Member services
Judith Adams: 2 enrollment records collapsed into UHC-44634-33
Enrollment records
2
Member id
UHC-44634-33
MBR-016171
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024110
Duplicate member record retired
Member services
Cynthia Carlson: 2 enrollment records collapsed into UHC-39422-61
Enrollment records
2
Member id
UHC-39422-61
MBR-016184
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024111
Duplicate member record retired
Member services
Betty Murray: 3 enrollment records collapsed into UHC-79482-59
Enrollment records
3
Member id
UHC-79482-59
MBR-016198
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024112
Duplicate member record retired
Member services
Emma Santtos: 2 enrollment records collapsed into UHC-89792-57
Enrollment records
2
Member id
UHC-89792-57
MBR-016209
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024113
Duplicate member record retired
Member services
Sarah Guzman: 2 enrollment records collapsed into UHC-96855-51
Enrollment records
2
Member id
UHC-96855-51
MBR-016216
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024114
Duplicate member record retired
Member services
Priya Rodriguez: 2 enrollment records collapsed into UHC-48070-64
Enrollment records
2
Member id
UHC-48070-64
MBR-016224
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024115
Duplicate member record retired
Member services
Shirley Welch: 2 enrollment records collapsed into UHC-57883-65
Enrollment records
2
Member id
UHC-57883-65
MBR-016231
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024116
Duplicate member record retired
Member services
Helen Turner: 2 enrollment records collapsed into UHC-05860-65
Enrollment records
2
Member id
UHC-05860-65
MBR-016238
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024117
Duplicate member record retired
Member services
Brenda Murphy: 2 enrollment records collapsed into UHC-42123-95
Enrollment records
2
Member id
UHC-42123-95
MBR-016241
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024118
Duplicate member record retired
Member services
Nicholas Flores: 2 enrollment records collapsed into UHC-35747-85
Enrollment records
2
Member id
UHC-35747-85
MBR-016246
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024119
Duplicate member record retired
Member services
Judith Cunningham: 2 enrollment records collapsed into UHC-73518-90
Enrollment records
2
Member id
UHC-73518-90
MBR-016248
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024120
Duplicate member record retired
Member services
Maria Little: 3 enrollment records collapsed into UHC-24075-34
Enrollment records
3
Member id
UHC-24075-34
MBR-016256
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024121
Duplicate member record retired
Member services
Janice Gonzales: 2 enrollment records collapsed into UHC-38433-28
Enrollment records
2
Member id
UHC-38433-28
MBR-016261
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024122
Duplicate member record retired
Member services
Chris Chen: 2 enrollment records collapsed into UHC-61903-40
Enrollment records
2
Member id
UHC-61903-40
MBR-016262
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024123
Duplicate member record retired
Member services
Ann White: 2 enrollment records collapsed into UHC-95551-94
Enrollment records
2
Member id
UHC-95551-94
MBR-016265
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024124
Duplicate member record retired
Member services
Lawrence Chapman: 2 enrollment records collapsed into UHC-16649-11
Enrollment records
2
Member id
UHC-16649-11
MBR-016274
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024125
Duplicate member record retired
Member services
Donald Ross: 2 enrollment records collapsed into UHC-84152-83
Enrollment records
2
Member id
UHC-84152-83
MBR-016277
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024126
Duplicate member record retired
Member services
Dan Jensen: 2 enrollment records collapsed into UHC-73429-49
Enrollment records
2
Member id
UHC-73429-49
MBR-016294
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024127
Duplicate member record retired
Member services
Edward Russell: 2 enrollment records collapsed into UHC-31057-94
Enrollment records
2
Member id
UHC-31057-94
MBR-016297
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024128
Duplicate member record retired
Member services
Nancy Santiago: 2 enrollment records collapsed into UHC-06114-93
Enrollment records
2
Member id
UHC-06114-93
MBR-016310
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024129
Duplicate member record retired
Member services
Victoria Vasquez: 2 enrollment records collapsed into UHC-89929-68
Enrollment records
2
Member id
UHC-89929-68
MBR-016313
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024130
Duplicate member record retired
Member services
Pamela Phillips: 2 enrollment records collapsed into UHC-56127-45
Enrollment records
2
Member id
UHC-56127-45
MBR-016316
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024131
Duplicate member record retired
Member services
Carlos Brooks: 2 enrollment records collapsed into UHC-18678-37
Enrollment records
2
Member id
UHC-18678-37
MBR-016318
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024132
Duplicate member record retired
Member services
William Reyes: 2 enrollment records collapsed into UHC-65010-18
Enrollment records
2
Member id
UHC-65010-18
MBR-016320
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024133
Duplicate member record retired
Member services
Nicholas Perkins: 2 enrollment records collapsed into UHC-71520-80
Enrollment records
2
Member id
UHC-71520-80
MBR-016323
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024134
Duplicate member record retired
Member services
Megan Ortega: 2 enrollment records collapsed into UHC-29695-46
Enrollment records
2
Member id
UHC-29695-46
MBR-016325
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024135
Duplicate member record retired
Member services
Julie Rojas: 2 enrollment records collapsed into UHC-33111-45
Enrollment records
2
Member id
UHC-33111-45
MBR-016333
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024136
Duplicate member record retired
Member services
Alice Gonzalez: 2 enrollment records collapsed into UHC-10661-45
Enrollment records
2
Member id
UHC-10661-45
MBR-016336
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024137
Duplicate member record retired
Member services
Frances King: 2 enrollment records collapsed into UHC-31602-81
Enrollment records
2
Member id
UHC-31602-81
MBR-016345
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024138
Duplicate member record retired
Member services
Paul Little: 2 enrollment records collapsed into UHC-44878-82
Enrollment records
2
Member id
UHC-44878-82
MBR-016350
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024139
Duplicate member record retired
Member services
Matthew Ferguson: 2 enrollment records collapsed into UHC-66125-48
Enrollment records
2
Member id
UHC-66125-48
MBR-016351
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024140
Duplicate member record retired
Member services
Mariana Gomez: 2 enrollment records collapsed into UHC-22781-46
Enrollment records
2
Member id
UHC-22781-46
MBR-016357
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024141
Duplicate member record retired
Member services
Kyle Phillips: 2 enrollment records collapsed into UHC-74042-16
Enrollment records
2
Member id
UHC-74042-16
MBR-016358
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024142
Duplicate member record retired
Member services
Ronald Vadez: 2 enrollment records collapsed into UHC-47247-36
Enrollment records
2
Member id
UHC-47247-36
MBR-016369
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024143
Duplicate member record retired
Member services
Camila Hill: 2 enrollment records collapsed into UHC-12011-96
Enrollment records
2
Member id
UHC-12011-96
MBR-016373
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024144
Duplicate member record retired
Member services
Donna Turner: 2 enrollment records collapsed into UHC-72021-36
Enrollment records
2
Member id
UHC-72021-36
MBR-016380
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024145
Duplicate member record retired
Member services
Jessica Cook: 2 enrollment records collapsed into UHC-84109-26
Enrollment records
2
Member id
UHC-84109-26
MBR-016396
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024146
Duplicate member record retired
Member services
Luis Freeman: 2 enrollment records collapsed into UHC-37508-05
Enrollment records
2
Member id
UHC-37508-05
MBR-016398
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024147
Duplicate member record retired
Member services
Austin Mdina: 2 enrollment records collapsed into UHC-98951-27
Enrollment records
2
Member id
UHC-98951-27
MBR-016400
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024148
Duplicate member record retired
Member services
Amber Green: 2 enrollment records collapsed into UHC-91347-12
Enrollment records
2
Member id
UHC-91347-12
MBR-016402
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024149
Duplicate member record retired
Member services
Hannah Ferguson: 2 enrollment records collapsed into UHC-39726-66
Enrollment records
2
Member id
UHC-39726-66
MBR-016409
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024150
Duplicate member record retired
Member services
Catherine Day: 2 enrollment records collapsed into UHC-08875-72
Enrollment records
2
Member id
UHC-08875-72
MBR-016411
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024151
Duplicate member record retired
Member services
Hannah Tucker: 2 enrollment records collapsed into UHC-11072-98
Enrollment records
2
Member id
UHC-11072-98
MBR-016412
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024152
Duplicate member record retired
Member services
Shirley Sandoval: 2 enrollment records collapsed into UHC-48766-78
Enrollment records
2
Member id
UHC-48766-78
MBR-016417
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024153
Duplicate member record retired
Member services
Ana Andrews: 2 enrollment records collapsed into UHC-89158-54
Enrollment records
2
Member id
UHC-89158-54
MBR-016422
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024154
Duplicate member record retired
Member services
Henry Lopez: 2 enrollment records collapsed into UHC-84906-58
Enrollment records
2
Member id
UHC-84906-58
MBR-016429
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 232 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.