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-024405
Duplicate member record retired
Member services
Nicole Robertson: 2 enrollment records collapsed into UHC-67797-47
Enrollment records
2
Member id
UHC-67797-47
MBR-018296
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024406
Duplicate member record retired
Member services
Linda Gray: 3 enrollment records collapsed into UHC-75175-37
Enrollment records
3
Member id
UHC-75175-37
MBR-018303
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024407
Duplicate member record retired
Member services
Joseph Hart: 2 enrollment records collapsed into UHC-17351-28
Enrollment records
2
Member id
UHC-17351-28
MBR-018318
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024408
Duplicate member record retired
Member services
Amber McDonald: 2 enrollment records collapsed into UHC-75817-92
Enrollment records
2
Member id
UHC-75817-92
MBR-018319
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024409
Duplicate member record retired
Member services
Mei Simmons: 2 enrollment records collapsed into UHC-04938-96
Enrollment records
2
Member id
UHC-04938-96
MBR-018320
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024410
Duplicate member record retired
Member services
Andrea Franklin: 2 enrollment records collapsed into UHC-15465-98
Enrollment records
2
Member id
UHC-15465-98
MBR-018352
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024411
Duplicate member record retired
Member services
Jordan Ferguson: 2 enrollment records collapsed into UHC-68665-03
Enrollment records
2
Member id
UHC-68665-03
MBR-018358
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024412
Duplicate member record retired
Member services
Dennis Foster: 2 enrollment records collapsed into UHC-42225-66
Enrollment records
2
Member id
UHC-42225-66
MBR-018361
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024413
Duplicate member record retired
Member services
Janice Marshall: 2 enrollment records collapsed into UHC-38497-73
Enrollment records
2
Member id
UHC-38497-73
MBR-018372
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024414
Duplicate member record retired
Member services
Victoria Hawkins: 2 enrollment records collapsed into UHC-52836-55
Enrollment records
2
Member id
UHC-52836-55
MBR-018388
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024415
Duplicate member record retired
Member services
Elijah Wells: 2 enrollment records collapsed into UHC-60287-08
Enrollment records
2
Member id
UHC-60287-08
MBR-018398
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024416
Duplicate member record retired
Member services
Mason Marquez: 3 enrollment records collapsed into UHC-73096-61
Enrollment records
3
Member id
UHC-73096-61
MBR-018400
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024417
Duplicate member record retired
Member services
Jerry Lawson: 2 enrollment records collapsed into UHC-06060-75
Enrollment records
2
Member id
UHC-06060-75
MBR-018414
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024418
Duplicate member record retired
Member services
Abigail Simmons: 2 enrollment records collapsed into UHC-94316-67
Enrollment records
2
Member id
UHC-94316-67
MBR-018428
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024419
Duplicate member record retired
Member services
Donna Montgomery: 2 enrollment records collapsed into UHC-69988-27
Enrollment records
2
Member id
UHC-69988-27
MBR-018432
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024420
Duplicate member record retired
Member services
Laura Willis: 2 enrollment records collapsed into UHC-57630-65
Enrollment records
2
Member id
UHC-57630-65
MBR-018441
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024421
Duplicate member record retired
Member services
Lawrence Hicks: 2 enrollment records collapsed into UHC-52129-95
Enrollment records
2
Member id
UHC-52129-95
MBR-018442
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024422
Duplicate member record retired
Member services
Alice Gordon: 2 enrollment records collapsed into UHC-20139-14
Enrollment records
2
Member id
UHC-20139-14
MBR-018449
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024423
Duplicate member record retired
Member services
Benjamin Brown: 2 enrollment records collapsed into UHC-16254-06
Enrollment records
2
Member id
UHC-16254-06
MBR-018461
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024424
Duplicate member record retired
Member services
Austin Morgan: 2 enrollment records collapsed into UHC-06303-50
Enrollment records
2
Member id
UHC-06303-50
MBR-018462
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024425
Duplicate member record retired
Member services
Billy Hamilton: 2 enrollment records collapsed into UHC-77514-16
Enrollment records
2
Member id
UHC-77514-16
MBR-018464
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024426
Duplicate member record retired
Member services
Larry Hunt: 2 enrollment records collapsed into UHC-16807-44
Enrollment records
2
Member id
UHC-16807-44
MBR-018467
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024427
Duplicate member record retired
Member services
Evelyn Campbell: 2 enrollment records collapsed into UHC-88927-95
Enrollment records
2
Member id
UHC-88927-95
MBR-018481
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024428
Duplicate member record retired
Member services
Amy Graham: 3 enrollment records collapsed into UHC-93467-22
Enrollment records
3
Member id
UHC-93467-22
MBR-018513
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024429
Duplicate member record retired
Member services
Dylan Larson: 2 enrollment records collapsed into UHC-23758-98
Enrollment records
2
Member id
UHC-23758-98
MBR-018514
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024430
Duplicate member record retired
Member services
Santiago White: 2 enrollment records collapsed into UHC-90732-54
Enrollment records
2
Member id
UHC-90732-54
MBR-018515
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024431
Duplicate member record retired
Member services
Kevin Franklin: 2 enrollment records collapsed into UHC-68794-85
Enrollment records
2
Member id
UHC-68794-85
MBR-018524
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024432
Duplicate member record retired
Member services
Charles Nelson: 2 enrollment records collapsed into UHC-63194-22
Enrollment records
2
Member id
UHC-63194-22
MBR-018528
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024433
Duplicate member record retired
Member services
Joseph Porter: 2 enrollment records collapsed into UHC-81468-86
Enrollment records
2
Member id
UHC-81468-86
MBR-018531
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024434
Duplicate member record retired
Member services
Albert Perry: 2 enrollment records collapsed into UHC-04979-01
Enrollment records
2
Member id
UHC-04979-01
MBR-018556
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024435
Duplicate member record retired
Member services
Carol Fowler: 2 enrollment records collapsed into UHC-12538-47
Enrollment records
2
Member id
UHC-12538-47
MBR-018557
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024436
Duplicate member record retired
Member services
Wayne Torres: 3 enrollment records collapsed into UHC-03891-22
Enrollment records
3
Member id
UHC-03891-22
MBR-018572
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024437
Duplicate member record retired
Member services
Matthew Snyder: 2 enrollment records collapsed into UHC-33098-14
Enrollment records
2
Member id
UHC-33098-14
MBR-018580
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024438
Duplicate member record retired
Member services
Ruth Wells: 2 enrollment records collapsed into UHC-16007-69
Enrollment records
2
Member id
UHC-16007-69
MBR-018582
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024439
Duplicate member record retired
Member services
Elizabeth Olson: 2 enrollment records collapsed into UHC-75955-49
Enrollment records
2
Member id
UHC-75955-49
MBR-018585
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024440
Duplicate member record retired
Member services
Eugene Dean: 2 enrollment records collapsed into UHC-92457-43
Enrollment records
2
Member id
UHC-92457-43
MBR-018587
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024441
Duplicate member record retired
Member services
Kevin Espinoza: 2 enrollment records collapsed into UHC-95455-88
Enrollment records
2
Member id
UHC-95455-88
MBR-018597
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024442
Duplicate member record retired
Member services
Timothy Ortega: 2 enrollment records collapsed into UHC-61342-15
Enrollment records
2
Member id
UHC-61342-15
MBR-018607
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024443
Duplicate member record retired
Member services
Stephen Nichols: 2 enrollment records collapsed into UHC-56677-05
Enrollment records
2
Member id
UHC-56677-05
MBR-018623
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024444
Duplicate member record retired
Member services
Daaniel Banks: 2 enrollment records collapsed into UHC-92105-05
Enrollment records
2
Member id
UHC-92105-05
MBR-018631
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024445
Duplicate member record retired
Member services
Austin Palmer: 2 enrollment records collapsed into UHC-12179-42
Enrollment records
2
Member id
UHC-12179-42
MBR-018640
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024446
Duplicate member record retired
Member services
Shirley Thomas: 2 enrollment records collapsed into UHC-72311-42
Enrollment records
2
Member id
UHC-72311-42
MBR-018646
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024447
Duplicate member record retired
Member services
Austin Hart: 2 enrollment records collapsed into UHC-70253-84
Enrollment records
2
Member id
UHC-70253-84
MBR-018659
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024448
Duplicate member record retired
Member services
Brandon Price: 2 enrollment records collapsed into UHC-79134-71
Enrollment records
2
Member id
UHC-79134-71
MBR-018662
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024449
Duplicate member record retired
Member services
Mei Munoz: 2 enrollment records collapsed into UHC-70129-32
Enrollment records
2
Member id
UHC-70129-32
MBR-018667
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024450
Duplicate member record retired
Member services
Martha Warren: 2 enrollment records collapsed into UHC-61710-65
Enrollment records
2
Member id
UHC-61710-65
MBR-018669
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024451
Duplicate member record retired
Member services
Joseph Day: 2 enrollment records collapsed into UHC-72292-79
Enrollment records
2
Member id
UHC-72292-79
MBR-018685
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024452
Duplicate member record retired
Member services
Michelle Carroll: 3 enrollment records collapsed into UHC-10245-69
Enrollment records
3
Member id
UHC-10245-69
MBR-018690
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024453
Duplicate member record retired
Member services
Maria Singh: 2 enrollment records collapsed into UHC-69979-70
Enrollment records
2
Member id
UHC-69979-70
MBR-018695
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024454
Duplicate member record retired
Member services
Maria Reid: 2 enrollment records collapsed into UHC-95329-63
Enrollment records
2
Member id
UHC-95329-63
MBR-018696
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 238 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.