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-024355
Duplicate member record retired
Member services
Debra Marshall: 2 enrollment records collapsed into UHC-06922-26
Enrollment records
2
Member id
UHC-06922-26
MBR-017930
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024356
Duplicate member record retired
Member services
Keith Russel: 2 enrollment records collapsed into UHC-55391-37
Enrollment records
2
Member id
UHC-55391-37
MBR-017931
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024357
Duplicate member record retired
Member services
Charles George: 2 enrollment records collapsed into UHC-68001-45
Enrollment records
2
Member id
UHC-68001-45
MBR-017938
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024358
Duplicate member record retired
Member services
Diane Snyder: 3 enrollment records collapsed into UHC-24704-03
Enrollment records
3
Member id
UHC-24704-03
MBR-017945
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024359
Duplicate member record retired
Member services
Ethan Welch: 2 enrollment records collapsed into UHC-61196-41
Enrollment records
2
Member id
UHC-61196-41
MBR-017947
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024360
Duplicate member record retired
Member services
Carlos Payne: 2 enrollment records collapsed into UHC-37293-70
Enrollment records
2
Member id
UHC-37293-70
MBR-017952
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024361
Duplicate member record retired
Member services
Nicholas Johnson: 2 enrollment records collapsed into UHC-82744-56
Enrollment records
2
Member id
UHC-82744-56
MBR-017954
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024362
Duplicate member record retired
Member services
Robert Maldonado: 2 enrollment records collapsed into UHC-70978-88
Enrollment records
2
Member id
UHC-70978-88
MBR-017956
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024363
Duplicate member record retired
Member services
Hannah Dominguez: 2 enrollment records collapsed into UHC-10928-36
Enrollment records
2
Member id
UHC-10928-36
MBR-017968
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024364
Duplicate member record retired
Member services
Gloria Brooks: 2 enrollment records collapsed into UHC-73625-05
Enrollment records
2
Member id
UHC-73625-05
MBR-017971
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024365
Duplicate member record retired
Member services
Priya Price: 2 enrollment records collapsed into UHC-37982-54
Enrollment records
2
Member id
UHC-37982-54
MBR-017974
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024366
Duplicate member record retired
Member services
Albert Kelley: 3 enrollment records collapsed into UHC-77237-65
Enrollment records
3
Member id
UHC-77237-65
MBR-017975
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024367
Duplicate member record retired
Member services
Charlotte Little: 3 enrollment records collapsed into UHC-17946-91
Enrollment records
3
Member id
UHC-17946-91
MBR-017976
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024368
Duplicate member record retired
Member services
Joe Moreno: 2 enrollment records collapsed into UHC-55158-75
Enrollment records
2
Member id
UHC-55158-75
MBR-017986
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024369
Duplicate member record retired
Member services
Emily Parker: 2 enrollment records collapsed into UHC-78781-60
Enrollment records
2
Member id
UHC-78781-60
MBR-018001
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024370
Duplicate member record retired
Member services
Angela Obrien: 2 enrollment records collapsed into UHC-05018-06
Enrollment records
2
Member id
UHC-05018-06
MBR-018022
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024371
Duplicate member record retired
Member services
Arjun Crawford: 2 enrollment records collapsed into UHC-35273-61
Enrollment records
2
Member id
UHC-35273-61
MBR-018027
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024372
Duplicate member record retired
Member services
Debra Mills: 2 enrollment records collapsed into UHC-81228-32
Enrollment records
2
Member id
UHC-81228-32
MBR-018029
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024373
Duplicate member record retired
Member services
Nicole Jensen: 2 enrollment records collapsed into UHC-78290-10
Enrollment records
2
Member id
UHC-78290-10
MBR-018032
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024374
Duplicate member record retired
Member services
Henry Palmer: 2 enrollment records collapsed into UHC-86219-27
Enrollment records
2
Member id
UHC-86219-27
MBR-018036
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024375
Duplicate member record retired
Member services
Jeffrey Porter: 2 enrollment records collapsed into UHC-09227-06
Enrollment records
2
Member id
UHC-09227-06
MBR-018043
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024376
Duplicate member record retired
Member services
Sean Guerrero: 3 enrollment records collapsed into UHC-78198-88
Enrollment records
3
Member id
UHC-78198-88
MBR-018056
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024377
Duplicate member record retired
Member services
Joyce Johnson: 2 enrollment records collapsed into UHC-61674-63
Enrollment records
2
Member id
UHC-61674-63
MBR-018057
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024378
Duplicate member record retired
Member services
Mason Lawson: 2 enrollment records collapsed into UHC-62672-36
Enrollment records
2
Member id
UHC-62672-36
MBR-018066
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024379
Duplicate member record retired
Member services
Lori Gibson: 2 enrollment records collapsed into UHC-03400-57
Enrollment records
2
Member id
UHC-03400-57
MBR-018071
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024380
Duplicate member record retired
Member services
Andrew Cooper: 4 enrollment records collapsed into UHC-60313-72
Enrollment records
4
Member id
UHC-60313-72
MBR-018075
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024381
Duplicate member record retired
Member services
Cheryl Chavez: 2 enrollment records collapsed into UHC-41463-71
Enrollment records
2
Member id
UHC-41463-71
MBR-018078
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024382
Duplicate member record retired
Member services
Robert Wang: 2 enrollment records collapsed into UHC-24041-45
Enrollment records
2
Member id
UHC-24041-45
MBR-018082
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024383
Duplicate member record retired
Member services
Santiago Welch: 2 enrollment records collapsed into UHC-58279-63
Enrollment records
2
Member id
UHC-58279-63
MBR-018086
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024384
Duplicate member record retired
Member services
Donna Myers: 2 enrollment records collapsed into UHC-28456-29
Enrollment records
2
Member id
UHC-28456-29
MBR-018094
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024385
Duplicate member record retired
Member services
Hannah Carlson: 2 enrollment records collapsed into UHC-14893-54
Enrollment records
2
Member id
UHC-14893-54
MBR-018107
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024386
Duplicate member record retired
Member services
Mei Clark: 2 enrollment records collapsed into UHC-15546-20
Enrollment records
2
Member id
UHC-15546-20
MBR-018109
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024387
Duplicate member record retired
Member services
Sophia Pierce: 2 enrollment records collapsed into UHC-04501-42
Enrollment records
2
Member id
UHC-04501-42
MBR-018120
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024388
Duplicate member record retired
Member services
Austin Mitchell: 2 enrollment records collapsed into UHC-30117-53
Enrollment records
2
Member id
UHC-30117-53
MBR-018151
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024389
Duplicate member record retired
Member services
Stephen Castro: 2 enrollment records collapsed into UHC-57755-77
Enrollment records
2
Member id
UHC-57755-77
MBR-018178
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024390
Duplicate member record retired
Member services
James Contrers: 2 enrollment records collapsed into UHC-81579-21
Enrollment records
2
Member id
UHC-81579-21
MBR-018179
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024391
Duplicate member record retired
Member services
Jcak Banks: 2 enrollment records collapsed into UHC-12920-96
Enrollment records
2
Member id
UHC-12920-96
MBR-018186
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024392
Duplicate member record retired
Member services
Donna Evans: 2 enrollment records collapsed into UHC-46623-02
Enrollment records
2
Member id
UHC-46623-02
MBR-018188
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024393
Duplicate member record retired
Member services
Marilyn Russell: 2 enrollment records collapsed into UHC-30013-20
Enrollment records
2
Member id
UHC-30013-20
MBR-018190
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024394
Duplicate member record retired
Member services
Maria Salazar: 2 enrollment records collapsed into UHC-61139-77
Enrollment records
2
Member id
UHC-61139-77
MBR-018195
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024395
Duplicate member record retired
Member services
Donna Young: 2 enrollment records collapsed into UHC-09777-54
Enrollment records
2
Member id
UHC-09777-54
MBR-018198
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024396
Duplicate member record retired
Member services
Philip Torres: 2 enrollment records collapsed into UHC-24210-32
Enrollment records
2
Member id
UHC-24210-32
MBR-018224
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024397
Duplicate member record retired
Member services
Roy Rios: 2 enrollment records collapsed into UHC-25856-56
Enrollment records
2
Member id
UHC-25856-56
MBR-018228
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024398
Duplicate member record retired
Member services
Mariana Peterson: 2 enrollment records collapsed into UHC-91604-29
Enrollment records
2
Member id
UHC-91604-29
MBR-018242
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024399
Duplicate member record retired
Member services
Sharon Banks: 2 enrollment records collapsed into UHC-10080-74
Enrollment records
2
Member id
UHC-10080-74
MBR-018252
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024400
Duplicate member record retired
Member services
Gabriel Reynolds: 3 enrollment records collapsed into UHC-02655-16
Enrollment records
3
Member id
UHC-02655-16
MBR-018259
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024401
Duplicate member record retired
Member services
Nancy Lynch: 2 enrollment records collapsed into UHC-28387-21
Enrollment records
2
Member id
UHC-28387-21
MBR-018261
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024402
Duplicate member record retired
Member services
Ana Murphy: 3 enrollment records collapsed into UHC-16418-56
Enrollment records
3
Member id
UHC-16418-56
MBR-018279
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024403
Duplicate member record retired
Member services
Sara Gordon: 2 enrollment records collapsed into UHC-17238-13
Enrollment records
2
Member id
UHC-17238-13
MBR-018284
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024404
Duplicate member record retired
Member services
Kelly Murphy: 2 enrollment records collapsed into UHC-06629-57
Enrollment records
2
Member id
UHC-06629-57
MBR-018287
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 237 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.