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-024505
Duplicate member record retired
Member services
Kathryn Holmes: 2 enrollment records collapsed into UHC-21580-23
Enrollment records
2
Member id
UHC-21580-23
MBR-019097
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024506
Duplicate member record retired
Member services
Helen Wagner: 3 enrollment records collapsed into UHC-75791-40
Enrollment records
3
Member id
UHC-75791-40
MBR-019099
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024507
Duplicate member record retired
Member services
Nancy Rios: 2 enrollment records collapsed into UHC-35917-23
Enrollment records
2
Member id
UHC-35917-23
MBR-019101
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024508
Duplicate member record retired
Member services
Paul Kelley: 2 enrollment records collapsed into UHC-52485-37
Enrollment records
2
Member id
UHC-52485-37
MBR-019121
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024509
Duplicate member record retired
Member services
Aisha Barnes: 2 enrollment records collapsed into UHC-39587-23
Enrollment records
2
Member id
UHC-39587-23
MBR-019128
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024510
Duplicate member record retired
Member services
Charlotte Warren: 2 enrollment records collapsed into UHC-20880-69
Enrollment records
2
Member id
UHC-20880-69
MBR-019133
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024511
Duplicate member record retired
Member services
Maia Chapman: 2 enrollment records collapsed into UHC-44612-64
Enrollment records
2
Member id
UHC-44612-64
MBR-019134
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024512
Duplicate member record retired
Member services
Robert Brooks: 2 enrollment records collapsed into UHC-20176-42
Enrollment records
2
Member id
UHC-20176-42
MBR-019135
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024513
Duplicate member record retired
Member services
Hiroshi Coleman: 2 enrollment records collapsed into UHC-24824-94
Enrollment records
2
Member id
UHC-24824-94
MBR-019139
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024514
Duplicate member record retired
Member services
Arthur Franklin: 2 enrollment records collapsed into UHC-82571-88
Enrollment records
2
Member id
UHC-82571-88
MBR-019140
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024515
Duplicate member record retired
Member services
Kylle Wang: 2 enrollment records collapsed into UHC-43409-27
Enrollment records
2
Member id
UHC-43409-27
MBR-019145
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024516
Duplicate member record retired
Member services
Priya Webb: 2 enrollment records collapsed into UHC-01077-32
Enrollment records
2
Member id
UHC-01077-32
MBR-019149
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024517
Duplicate member record retired
Member services
Douglas Weaver: 2 enrollment records collapsed into UHC-61518-06
Enrollment records
2
Member id
UHC-61518-06
MBR-019151
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024518
Duplicate member record retired
Member services
Tyler Mason: 2 enrollment records collapsed into UHC-65746-05
Enrollment records
2
Member id
UHC-65746-05
MBR-019155
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024519
Duplicate member record retired
Member services
Helen Patel: 2 enrollment records collapsed into UHC-28883-81
Enrollment records
2
Member id
UHC-28883-81
MBR-019157
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024520
Duplicate member record retired
Member services
Megan Le: 2 enrollment records collapsed into UHC-32794-78
Enrollment records
2
Member id
UHC-32794-78
MBR-019158
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024521
Duplicate member record retired
Member services
Diane Wells: 2 enrollment records collapsed into UHC-04452-60
Enrollment records
2
Member id
UHC-04452-60
MBR-019173
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024522
Duplicate member record retired
Member services
Nancy Myers: 3 enrollment records collapsed into UHC-26902-60
Enrollment records
3
Member id
UHC-26902-60
MBR-019198
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024523
Duplicate member record retired
Member services
Mei Vega: 3 enrollment records collapsed into UHC-96916-94
Enrollment records
3
Member id
UHC-96916-94
MBR-019204
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024524
Duplicate member record retired
Member services
Benjamin Jensen: 2 enrollment records collapsed into UHC-32488-62
Enrollment records
2
Member id
UHC-32488-62
MBR-019210
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024525
Duplicate member record retired
Member services
Lauren Nguyen: 2 enrollment records collapsed into UHC-81167-55
Enrollment records
2
Member id
UHC-81167-55
MBR-019219
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024526
Duplicate member record retired
Member services
Kyle Jensen: 2 enrollment records collapsed into UHC-25407-01
Enrollment records
2
Member id
UHC-25407-01
MBR-019229
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024527
Duplicate member record retired
Member services
Jesse Kim: 2 enrollment records collapsed into UHC-45304-40
Enrollment records
2
Member id
UHC-45304-40
MBR-019234
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024528
Duplicate member record retired
Member services
Laura Stevens: 2 enrollment records collapsed into UHC-21915-73
Enrollment records
2
Member id
UHC-21915-73
MBR-019237
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024529
Duplicate member record retired
Member services
Eugene Roberts: 2 enrollment records collapsed into UHC-61925-07
Enrollment records
2
Member id
UHC-61925-07
MBR-019238
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024530
Duplicate member record retired
Member services
Theresa Reiid: 2 enrollment records collapsed into UHC-63053-40
Enrollment records
2
Member id
UHC-63053-40
MBR-019248
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024531
Duplicate member record retired
Member services
Karen Perez: 2 enrollment records collapsed into UHC-71408-38
Enrollment records
2
Member id
UHC-71408-38
MBR-019255
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024532
Duplicate member record retired
Member services
Walter Alvarez: 2 enrollment records collapsed into UHC-53497-10
Enrollment records
2
Member id
UHC-53497-10
MBR-019263
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024533
Duplicate member record retired
Member services
Zachary Baker: 2 enrollment records collapsed into UHC-62292-08
Enrollment records
2
Member id
UHC-62292-08
MBR-019270
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024534
Duplicate member record retired
Member services
Mary Franklin: 3 enrollment records collapsed into UHC-63571-51
Enrollment records
3
Member id
UHC-63571-51
MBR-019273
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024535
Duplicate member record retired
Member services
Eric Hudson: 2 enrollment records collapsed into UHC-87974-59
Enrollment records
2
Member id
UHC-87974-59
MBR-019275
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024536
Duplicate member record retired
Member services
Jacob Roberts: 2 enrollment records collapsed into UHC-64537-46
Enrollment records
2
Member id
UHC-64537-46
MBR-019289
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024537
Duplicate member record retired
Member services
Michelle Welch: 2 enrollment records collapsed into UHC-94322-99
Enrollment records
2
Member id
UHC-94322-99
MBR-019295
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024538
Duplicate member record retired
Member services
Isabella Burns: 2 enrollment records collapsed into UHC-10907-04
Enrollment records
2
Member id
UHC-10907-04
MBR-019301
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024539
Duplicate member record retired
Member services
Christina Austin: 2 enrollment records collapsed into UHC-18686-11
Enrollment records
2
Member id
UHC-18686-11
MBR-019313
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024540
Duplicate member record retired
Member services
Ethan Ramos: 3 enrollment records collapsed into UHC-43094-43
Enrollment records
3
Member id
UHC-43094-43
MBR-019342
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024541
Duplicate member record retired
Member services
Kathy Herrera: 2 enrollment records collapsed into UHC-75560-68
Enrollment records
2
Member id
UHC-75560-68
MBR-019350
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024542
Duplicate member record retired
Member services
Heather Carpenter: 2 enrollment records collapsed into UHC-25991-83
Enrollment records
2
Member id
UHC-25991-83
MBR-019356
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024543
Duplicate member record retired
Member services
Mei Johnson: 2 enrollment records collapsed into UHC-36165-09
Enrollment records
2
Member id
UHC-36165-09
MBR-019362
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024544
Duplicate member record retired
Member services
Jesse Snyder: 2 enrollment records collapsed into UHC-23086-52
Enrollment records
2
Member id
UHC-23086-52
MBR-019364
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024545
Duplicate member record retired
Member services
Willie Austin: 2 enrollment records collapsed into UHC-42539-11
Enrollment records
2
Member id
UHC-42539-11
MBR-019365
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024546
Duplicate member record retired
Member services
Gabriel Price: 2 enrollment records collapsed into UHC-79021-88
Enrollment records
2
Member id
UHC-79021-88
MBR-019380
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024547
Duplicate member record retired
Member services
Gray Lawrence: 2 enrollment records collapsed into UHC-31573-55
Enrollment records
2
Member id
UHC-31573-55
MBR-019381
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024548
Duplicate member record retired
Member services
Judy Carroll: 2 enrollment records collapsed into UHC-24401-98
Enrollment records
2
Member id
UHC-24401-98
MBR-019383
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024549
Duplicate member record retired
Member services
Alan Mendez: 2 enrollment records collapsed into UHC-09937-27
Enrollment records
2
Member id
UHC-09937-27
MBR-019391
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024550
Duplicate member record retired
Member services
William Robertosn: 2 enrollment records collapsed into UHC-55402-15
Enrollment records
2
Member id
UHC-55402-15
MBR-019392
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024551
Duplicate member record retired
Member services
Sophia Ferguson: 2 enrollment records collapsed into UHC-38535-74
Enrollment records
2
Member id
UHC-38535-74
MBR-019405
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024552
Duplicate member record retired
Member services
David Yang: 2 enrollment records collapsed into UHC-99596-65
Enrollment records
2
Member id
UHC-99596-65
MBR-019417
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024553
Duplicate member record retired
Member services
Stephen Cox: 2 enrollment records collapsed into UHC-59464-99
Enrollment records
2
Member id
UHC-59464-99
MBR-019428
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024554
Duplicate member record retired
Member services
Megan Garcia: 2 enrollment records collapsed into UHC-85835-94
Enrollment records
2
Member id
UHC-85835-94
MBR-019430
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 240 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.