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-024205
Duplicate member record retired
Member services
Jesse Moreno: 2 enrollment records collapsed into UHC-10876-97
Enrollment records
2
Member id
UHC-10876-97
MBR-016863
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024206
Duplicate member record retired
Member services
Elijah Wood: 2 enrollment records collapsed into UHC-36510-96
Enrollment records
2
Member id
UHC-36510-96
MBR-016866
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024207
Duplicate member record retired
Member services
Roger Stephens: 2 enrollment records collapsed into UHC-94066-98
Enrollment records
2
Member id
UHC-94066-98
MBR-016868
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024208
Duplicate member record retired
Member services
Ethan Oliver: 2 enrollment records collapsed into UHC-62085-27
Enrollment records
2
Member id
UHC-62085-27
MBR-016869
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024209
Duplicate member record retired
Member services
Virginia Rice: 2 enrollment records collapsed into UHC-60262-09
Enrollment records
2
Member id
UHC-60262-09
MBR-016873
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024210
Duplicate member record retired
Member services
Julia Hudson: 2 enrollment records collapsed into UHC-12835-65
Enrollment records
2
Member id
UHC-12835-65
MBR-016879
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024211
Duplicate member record retired
Member services
Cynthia Ray: 2 enrollment records collapsed into UHC-69471-08
Enrollment records
2
Member id
UHC-69471-08
MBR-016886
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024212
Duplicate member record retired
Member services
Donald Garrett: 2 enrollment records collapsed into UHC-03929-65
Enrollment records
2
Member id
UHC-03929-65
MBR-016889
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024213
Duplicate member record retired
Member services
Alexander Marshall: 2 enrollment records collapsed into UHC-93972-26
Enrollment records
2
Member id
UHC-93972-26
MBR-016900
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024214
Duplicate member record retired
Member services
Vincent Shaw: 2 enrollment records collapsed into UHC-60140-35
Enrollment records
2
Member id
UHC-60140-35
MBR-016903
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024215
Duplicate member record retired
Member services
Christina Stone: 2 enrollment records collapsed into UHC-45212-97
Enrollment records
2
Member id
UHC-45212-97
MBR-016931
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024216
Duplicate member record retired
Member services
Mariana Snyder: 2 enrollment records collapsed into UHC-99299-91
Enrollment records
2
Member id
UHC-99299-91
MBR-016941
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024217
Duplicate member record retired
Member services
Brandon Armstrong: 2 enrollment records collapsed into UHC-84467-90
Enrollment records
2
Member id
UHC-84467-90
MBR-016950
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024218
Duplicate member record retired
Member services
Kimberly Lawson: 2 enrollment records collapsed into UHC-30977-89
Enrollment records
2
Member id
UHC-30977-89
MBR-016957
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024219
Duplicate member record retired
Member services
Justin Anderson: 2 enrollment records collapsed into UHC-49088-69
Enrollment records
2
Member id
UHC-49088-69
MBR-016969
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024220
Duplicate member record retired
Member services
Walter Fisher: 2 enrollment records collapsed into UHC-31315-20
Enrollment records
2
Member id
UHC-31315-20
MBR-016970
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024221
Duplicate member record retired
Member services
Martha Austin: 2 enrollment records collapsed into UHC-68895-88
Enrollment records
2
Member id
UHC-68895-88
MBR-016971
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024222
Duplicate member record retired
Member services
Diego Rose: 2 enrollment records collapsed into UHC-50574-79
Enrollment records
2
Member id
UHC-50574-79
MBR-016978
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024223
Duplicate member record retired
Member services
Jeremy Nguyen: 2 enrollment records collapsed into UHC-03233-46
Enrollment records
2
Member id
UHC-03233-46
MBR-016979
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024224
Duplicate member record retired
Member services
Sean Reynolds: 2 enrollment records collapsed into UHC-33152-78
Enrollment records
2
Member id
UHC-33152-78
MBR-017009
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024225
Duplicate member record retired
Member services
Mei Jones: 2 enrollment records collapsed into UHC-60515-86
Enrollment records
2
Member id
UHC-60515-86
MBR-017012
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024226
Duplicate member record retired
Member services
Emma Medina: 2 enrollment records collapsed into UHC-68288-17
Enrollment records
2
Member id
UHC-68288-17
MBR-017016
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024227
Duplicate member record retired
Member services
Kathryn Little: 2 enrollment records collapsed into UHC-34920-10
Enrollment records
2
Member id
UHC-34920-10
MBR-017021
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024228
Duplicate member record retired
Member services
Alice Foster: 2 enrollment records collapsed into UHC-58749-30
Enrollment records
2
Member id
UHC-58749-30
MBR-017030
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024229
Duplicate member record retired
Member services
Aisha Davis: 2 enrollment records collapsed into UHC-31947-84
Enrollment records
2
Member id
UHC-31947-84
MBR-017031
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024230
Duplicate member record retired
Member services
Sharon Day: 2 enrollment records collapsed into UHC-43990-46
Enrollment records
2
Member id
UHC-43990-46
MBR-017041
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024231
Duplicate member record retired
Member services
Bryan Flores: 2 enrollment records collapsed into UHC-43147-53
Enrollment records
2
Member id
UHC-43147-53
MBR-017044
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024232
Duplicate member record retired
Member services
Kathryn Holmes: 2 enrollment records collapsed into UHC-00116-60
Enrollment records
2
Member id
UHC-00116-60
MBR-017047
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024233
Duplicate member record retired
Member services
Amy Bowman: 2 enrollment records collapsed into UHC-43285-35
Enrollment records
2
Member id
UHC-43285-35
MBR-017056
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024234
Duplicate member record retired
Member services
Emma Meyer: 2 enrollment records collapsed into UHC-13185-09
Enrollment records
2
Member id
UHC-13185-09
MBR-017062
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024235
Duplicate member record retired
Member services
Vincent Reyes: 2 enrollment records collapsed into UHC-96719-08
Enrollment records
2
Member id
UHC-96719-08
MBR-017063
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024236
Duplicate member record retired
Member services
Dorothy Ryan: 2 enrollment records collapsed into UHC-07579-14
Enrollment records
2
Member id
UHC-07579-14
MBR-017100
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024237
Duplicate member record retired
Member services
Charlotte Weaver: 2 enrollment records collapsed into UHC-70688-70
Enrollment records
2
Member id
UHC-70688-70
MBR-017117
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024238
Duplicate member record retired
Member services
Luis Jackson: 2 enrollment records collapsed into UHC-64643-91
Enrollment records
2
Member id
UHC-64643-91
MBR-017119
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024239
Duplicate member record retired
Member services
Patricia Banks: 2 enrollment records collapsed into UHC-67902-87
Enrollment records
2
Member id
UHC-67902-87
MBR-017129
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024240
Duplicate member record retired
Member services
Brittany Rios: 2 enrollment records collapsed into UHC-10619-92
Enrollment records
2
Member id
UHC-10619-92
MBR-017130
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024241
Duplicate member record retired
Member services
Hiroshi Carter: 2 enrollment records collapsed into UHC-65778-19
Enrollment records
2
Member id
UHC-65778-19
MBR-017140
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024242
Duplicate member record retired
Member services
Jacob Jordan: 2 enrollment records collapsed into UHC-33868-33
Enrollment records
2
Member id
UHC-33868-33
MBR-017144
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024243
Duplicate member record retired
Member services
Janet Garrett: 2 enrollment records collapsed into UHC-41886-21
Enrollment records
2
Member id
UHC-41886-21
MBR-017147
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024244
Duplicate member record retired
Member services
Carl Morales: 2 enrollment records collapsed into UHC-86655-79
Enrollment records
2
Member id
UHC-86655-79
MBR-017157
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024245
Duplicate member record retired
Member services
Linda Lopez: 2 enrollment records collapsed into UHC-66609-08
Enrollment records
2
Member id
UHC-66609-08
MBR-017172
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024246
Duplicate member record retired
Member services
Bruce Wilson: 2 enrollment records collapsed into UHC-69395-77
Enrollment records
2
Member id
UHC-69395-77
MBR-017208
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024247
Duplicate member record retired
Member services
Douglas Rice: 2 enrollment records collapsed into UHC-71875-98
Enrollment records
2
Member id
UHC-71875-98
MBR-017212
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024248
Duplicate member record retired
Member services
Gloria Burton: 3 enrollment records collapsed into UHC-74093-22
Enrollment records
3
Member id
UHC-74093-22
MBR-017232
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024249
Duplicate member record retired
Member services
Lauren Willis: 3 enrollment records collapsed into UHC-41715-68
Enrollment records
3
Member id
UHC-41715-68
MBR-017235
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024250
Duplicate member record retired
Member services
Albert Park: 2 enrollment records collapsed into UHC-40288-97
Enrollment records
2
Member id
UHC-40288-97
MBR-017244
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024251
Duplicate member record retired
Member services
Fatima Burton: 2 enrollment records collapsed into UHC-63853-84
Enrollment records
2
Member id
UHC-63853-84
MBR-017257
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024252
Duplicate member record retired
Member services
Helen Green: 2 enrollment records collapsed into UHC-47620-65
Enrollment records
2
Member id
UHC-47620-65
MBR-017261
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024253
Duplicate member record retired
Member services
Christopher Guerrero: 2 enrollment records collapsed into UHC-94197-05
Enrollment records
2
Member id
UHC-94197-05
MBR-017263
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024254
Duplicate member record retired
Member services
Brandon Gilbert: 2 enrollment records collapsed into UHC-89487-07
Enrollment records
2
Member id
UHC-89487-07
MBR-017273
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 234 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.