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-024255
Duplicate member record retired
Member services
Isabella George: 2 enrollment records collapsed into UHC-40296-74
Enrollment records
2
Member id
UHC-40296-74
MBR-017279
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024256
Duplicate member record retired
Member services
Gregory Gordon: 2 enrollment records collapsed into UHC-03362-93
Enrollment records
2
Member id
UHC-03362-93
MBR-017291
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024257
Duplicate member record retired
Member services
Gerald Roberts: 2 enrollment records collapsed into UHC-67087-61
Enrollment records
2
Member id
UHC-67087-61
MBR-017292
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024258
Duplicate member record retired
Member services
Marilyn Foster: 2 enrollment records collapsed into UHC-25899-89
Enrollment records
2
Member id
UHC-25899-89
MBR-017293
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024259
Duplicate member record retired
Member services
Diana Webb: 4 enrollment records collapsed into UHC-08113-64
Enrollment records
4
Member id
UHC-08113-64
MBR-017309
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024260
Duplicate member record retired
Member services
Wayne Cruz: 4 enrollment records collapsed into UHC-31174-70
Enrollment records
4
Member id
UHC-31174-70
MBR-017313
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024261
Duplicate member record retired
Member services
Walter Stewart: 4 enrollment records collapsed into UHC-24161-31
Enrollment records
4
Member id
UHC-24161-31
MBR-017321
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024262
Duplicate member record retired
Member services
Julie Fernandez: 2 enrollment records collapsed into UHC-13018-79
Enrollment records
2
Member id
UHC-13018-79
MBR-017323
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024263
Duplicate member record retired
Member services
Cynthia Rodriguez: 2 enrollment records collapsed into UHC-17553-20
Enrollment records
2
Member id
UHC-17553-20
MBR-017332
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024264
Duplicate member record retired
Member services
Melissa Cruz: 2 enrollment records collapsed into UHC-43441-53
Enrollment records
2
Member id
UHC-43441-53
MBR-017340
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024265
Duplicate member record retired
Member services
Susan Vasquez: 2 enrollment records collapsed into UHC-92843-07
Enrollment records
2
Member id
UHC-92843-07
MBR-017344
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024266
Duplicate member record retired
Member services
Jeremy Hill: 2 enrollment records collapsed into UHC-25891-17
Enrollment records
2
Member id
UHC-25891-17
MBR-017345
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024267
Duplicate member record retired
Member services
Christine Murray: 2 enrollment records collapsed into UHC-13605-88
Enrollment records
2
Member id
UHC-13605-88
MBR-017348
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024268
Duplicate member record retired
Member services
Jeremy Young: 2 enrollment records collapsed into UHC-98919-85
Enrollment records
2
Member id
UHC-98919-85
MBR-017355
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024269
Duplicate member record retired
Member services
Daniel Jimenez: 2 enrollment records collapsed into UHC-92103-63
Enrollment records
2
Member id
UHC-92103-63
MBR-017357
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024270
Duplicate member record retired
Member services
Juan Richards: 2 enrollment records collapsed into UHC-31607-39
Enrollment records
2
Member id
UHC-31607-39
MBR-017365
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024271
Duplicate member record retired
Member services
Arthur Rice: 2 enrollment records collapsed into UHC-25386-54
Enrollment records
2
Member id
UHC-25386-54
MBR-017367
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024272
Duplicate member record retired
Member services
Harold Tran: 2 enrollment records collapsed into UHC-22901-61
Enrollment records
2
Member id
UHC-22901-61
MBR-017369
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024273
Duplicate member record retired
Member services
Joe Mills: 2 enrollment records collapsed into UHC-55414-21
Enrollment records
2
Member id
UHC-55414-21
MBR-017378
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024274
Duplicate member record retired
Member services
Debra Lee: 2 enrollment records collapsed into UHC-96470-57
Enrollment records
2
Member id
UHC-96470-57
MBR-017380
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024275
Duplicate member record retired
Member services
Laura Alvarado: 2 enrollment records collapsed into UHC-46111-16
Enrollment records
2
Member id
UHC-46111-16
MBR-017383
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024276
Duplicate member record retired
Member services
Beverly Castro: 2 enrollment records collapsed into UHC-58154-60
Enrollment records
2
Member id
UHC-58154-60
MBR-017388
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024277
Duplicate member record retired
Member services
Timothy Lucas: 2 enrollment records collapsed into UHC-65767-08
Enrollment records
2
Member id
UHC-65767-08
MBR-017393
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024278
Duplicate member record retired
Member services
Justin Montgomery: 2 enrollment records collapsed into UHC-40036-63
Enrollment records
2
Member id
UHC-40036-63
MBR-017394
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024279
Duplicate member record retired
Member services
Frances Herrera: 2 enrollment records collapsed into UHC-80215-67
Enrollment records
2
Member id
UHC-80215-67
MBR-017402
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024280
Duplicate member record retired
Member services
Heather Oliver: 2 enrollment records collapsed into UHC-22718-53
Enrollment records
2
Member id
UHC-22718-53
MBR-017406
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024281
Duplicate member record retired
Member services
Jennifer Watkins: 2 enrollment records collapsed into UHC-27706-65
Enrollment records
2
Member id
UHC-27706-65
MBR-017421
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024282
Duplicate member record retired
Member services
Austin Burton: 2 enrollment records collapsed into UHC-94455-39
Enrollment records
2
Member id
UHC-94455-39
MBR-017426
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024283
Duplicate member record retired
Member services
Richard Oliver: 2 enrollment records collapsed into UHC-53963-27
Enrollment records
2
Member id
UHC-53963-27
MBR-017436
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024284
Duplicate member record retired
Member services
George Hawkins: 2 enrollment records collapsed into UHC-45207-79
Enrollment records
2
Member id
UHC-45207-79
MBR-017439
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024285
Duplicate member record retired
Member services
Emily Knight: 2 enrollment records collapsed into UHC-61707-51
Enrollment records
2
Member id
UHC-61707-51
MBR-017442
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024286
Duplicate member record retired
Member services
Patricia Mills: 2 enrollment records collapsed into UHC-70712-83
Enrollment records
2
Member id
UHC-70712-83
MBR-017443
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024287
Duplicate member record retired
Member services
Anna Rios: 2 enrollment records collapsed into UHC-02264-18
Enrollment records
2
Member id
UHC-02264-18
MBR-017449
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024288
Duplicate member record retired
Member services
Noah Yang: 2 enrollment records collapsed into UHC-35553-42
Enrollment records
2
Member id
UHC-35553-42
MBR-017450
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024289
Duplicate member record retired
Member services
Russell Duncan: 2 enrollment records collapsed into UHC-91639-14
Enrollment records
2
Member id
UHC-91639-14
MBR-017457
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024290
Duplicate member record retired
Member services
Jonathan Kennedy: 2 enrollment records collapsed into UHC-96291-49
Enrollment records
2
Member id
UHC-96291-49
MBR-017459
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024291
Duplicate member record retired
Member services
Brittany Fowler: 3 enrollment records collapsed into UHC-05869-27
Enrollment records
3
Member id
UHC-05869-27
MBR-017462
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024292
Duplicate member record retired
Member services
Carol Perry: 2 enrollment records collapsed into UHC-00745-17
Enrollment records
2
Member id
UHC-00745-17
MBR-017465
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024293
Duplicate member record retired
Member services
Hannah Ryan: 2 enrollment records collapsed into UHC-82129-98
Enrollment records
2
Member id
UHC-82129-98
MBR-017467
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024294
Duplicate member record retired
Member services
Frances Long: 2 enrollment records collapsed into UHC-55115-27
Enrollment records
2
Member id
UHC-55115-27
MBR-017470
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024295
Duplicate member record retired
Member services
Danielle Adrews: 3 enrollment records collapsed into UHC-00916-15
Enrollment records
3
Member id
UHC-00916-15
MBR-017478
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024296
Duplicate member record retired
Member services
Terry Banks: 2 enrollment records collapsed into UHC-30407-95
Enrollment records
2
Member id
UHC-30407-95
MBR-017503
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024297
Duplicate member record retired
Member services
Kathleen Wright: 2 enrollment records collapsed into UHC-81490-13
Enrollment records
2
Member id
UHC-81490-13
MBR-017504
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024298
Duplicate member record retired
Member services
Sean Allen: 2 enrollment records collapsed into UHC-01959-63
Enrollment records
2
Member id
UHC-01959-63
MBR-017511
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024299
Duplicate member record retired
Member services
Kimberly Hill: 2 enrollment records collapsed into UHC-75001-90
Enrollment records
2
Member id
UHC-75001-90
MBR-017523
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024300
Duplicate member record retired
Member services
Joyce Wang: 2 enrollment records collapsed into UHC-08056-64
Enrollment records
2
Member id
UHC-08056-64
MBR-017528
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024301
Duplicate member record retired
Member services
Nancy Palmer: 2 enrollment records collapsed into UHC-18015-69
Enrollment records
2
Member id
UHC-18015-69
MBR-017531
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024302
Duplicate member record retired
Member services
Daniel Luna: 2 enrollment records collapsed into UHC-54159-78
Enrollment records
2
Member id
UHC-54159-78
MBR-017533
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024303
Duplicate member record retired
Member services
Angela Garrett: 4 enrollment records collapsed into UHC-27727-94
Enrollment records
4
Member id
UHC-27727-94
MBR-017557
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024304
Duplicate member record retired
Member services
Jose Soto: 3 enrollment records collapsed into UHC-54396-76
Enrollment records
3
Member id
UHC-54396-76
MBR-017561
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 235 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.