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-024605
Duplicate member record retired
Member services
Billy Watkins: 2 enrollment records collapsed into UHC-49351-53
Enrollment records
2
Member id
UHC-49351-53
MBR-019765
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024606
Duplicate member record retired
Member services
Betty Martinez: 3 enrollment records collapsed into UHC-57515-46
Enrollment records
3
Member id
UHC-57515-46
MBR-019789
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024607
Duplicate member record retired
Member services
Sofia Dominguez: 2 enrollment records collapsed into UHC-08240-73
Enrollment records
2
Member id
UHC-08240-73
MBR-019794
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024608
Duplicate member record retired
Member services
Debra Cox: 2 enrollment records collapsed into UHC-62132-15
Enrollment records
2
Member id
UHC-62132-15
MBR-019798
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024609
Duplicate member record retired
Member services
Marc Wallace: 2 enrollment records collapsed into UHC-76142-96
Enrollment records
2
Member id
UHC-76142-96
MBR-019805
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024610
Duplicate member record retired
Member services
Ed Weber: 2 enrollment records collapsed into UHC-08283-53
Enrollment records
2
Member id
UHC-08283-53
MBR-019807
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024611
Duplicate member record retired
Member services
Tyler Simpson: 2 enrollment records collapsed into UHC-59723-53
Enrollment records
2
Member id
UHC-59723-53
MBR-019810
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024612
Duplicate member record retired
Member services
Andrew Hicks: 2 enrollment records collapsed into UHC-20492-19
Enrollment records
2
Member id
UHC-20492-19
MBR-019842
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024613
Duplicate member record retired
Member services
Carl Franklin: 2 enrollment records collapsed into UHC-42872-40
Enrollment records
2
Member id
UHC-42872-40
MBR-019846
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024614
Duplicate member record retired
Member services
Jerry Lane: 2 enrollment records collapsed into UHC-21466-99
Enrollment records
2
Member id
UHC-21466-99
MBR-019865
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024615
Duplicate member record retired
Member services
David Guzman: 2 enrollment records collapsed into UHC-47294-74
Enrollment records
2
Member id
UHC-47294-74
MBR-019879
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024616
Duplicate member record retired
Member services
Stephen Fernandez: 2 enrollment records collapsed into UHC-00238-90
Enrollment records
2
Member id
UHC-00238-90
MBR-019897
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024617
Duplicate member record retired
Member services
Virginia Harris: 2 enrollment records collapsed into UHC-58262-17
Enrollment records
2
Member id
UHC-58262-17
MBR-019903
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024618
Duplicate member record retired
Member services
Stephen Palmer: 2 enrollment records collapsed into UHC-65719-03
Enrollment records
2
Member id
UHC-65719-03
MBR-019904
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024619
Duplicate member record retired
Member services
Stephen Hicks: 2 enrollment records collapsed into UHC-10555-56
Enrollment records
2
Member id
UHC-10555-56
MBR-019905
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024620
Duplicate member record retired
Member services
Doris Ford: 2 enrollment records collapsed into UHC-09446-73
Enrollment records
2
Member id
UHC-09446-73
MBR-019908
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024621
Duplicate member record retired
Member services
Stephen Singh: 2 enrollment records collapsed into UHC-50438-03
Enrollment records
2
Member id
UHC-50438-03
MBR-019914
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024622
Duplicate member record retired
Member services
Garry Lawrence: 2 enrollment records collapsed into UHC-89643-06
Enrollment records
2
Member id
UHC-89643-06
MBR-019916
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024623
Duplicate member record retired
Member services
David Moreno: 2 enrollment records collapsed into UHC-59966-46
Enrollment records
2
Member id
UHC-59966-46
MBR-019922
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024624
Duplicate member record retired
Member services
Frank Howard: 2 enrollment records collapsed into UHC-33748-51
Enrollment records
2
Member id
UHC-33748-51
MBR-019927
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024625
Duplicate member record retired
Member services
Brian Syder: 2 enrollment records collapsed into UHC-67952-09
Enrollment records
2
Member id
UHC-67952-09
MBR-019933
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024626
Duplicate member record retired
Member services
Priya Ried: 2 enrollment records collapsed into UHC-91776-87
Enrollment records
2
Member id
UHC-91776-87
MBR-019937
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024627
Duplicate member record retired
Member services
Edward Wilson: 2 enrollment records collapsed into UHC-81351-96
Enrollment records
2
Member id
UHC-81351-96
MBR-019938
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024628
Duplicate member record retired
Member services
Ann Henry: 2 enrollment records collapsed into UHC-47061-95
Enrollment records
2
Member id
UHC-47061-95
MBR-019946
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024629
Duplicate member record retired
Member services
Luis Ramos: 2 enrollment records collapsed into UHC-28626-89
Enrollment records
2
Member id
UHC-28626-89
MBR-019949
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024630
Duplicate member record retired
Member services
Randy Foster: 2 enrollment records collapsed into UHC-46657-20
Enrollment records
2
Member id
UHC-46657-20
MBR-019956
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024631
Duplicate member record retired
Member services
Ashley Singh: 3 enrollment records collapsed into UHC-07698-10
Enrollment records
3
Member id
UHC-07698-10
MBR-019957
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024632
Duplicate member record retired
Member services
Stephanie Patterson: 2 enrollment records collapsed into UHC-56178-98
Enrollment records
2
Member id
UHC-56178-98
MBR-019970
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024633
Duplicate member record retired
Member services
Lawrence Morales: 2 enrollment records collapsed into UHC-63515-18
Enrollment records
2
Member id
UHC-63515-18
MBR-019980
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024634
Duplicate member record retired
Member services
Abigail Peters: 2 enrollment records collapsed into UHC-38914-38
Enrollment records
2
Member id
UHC-38914-38
MBR-019993
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024635
Duplicate member record retired
Member services
Gloria Woods: 2 enrollment records collapsed into UHC-53226-29
Enrollment records
2
Member id
UHC-53226-29
MBR-019997
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024636
Duplicate member record retired
Member services
John Hernandez: 2 enrollment records collapsed into UHC-72048-32
Enrollment records
2
Member id
UHC-72048-32
MBR-020004
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024637
Duplicate member record retired
Member services
Margaret Bailey: 2 enrollment records collapsed into UHC-09162-99
Enrollment records
2
Member id
UHC-09162-99
MBR-020029
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024638
Duplicate member record retired
Member services
Megan Richardson: 2 enrollment records collapsed into UHC-31006-11
Enrollment records
2
Member id
UHC-31006-11
MBR-020039
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024639
Duplicate member record retired
Member services
Hannah Andrews: 2 enrollment records collapsed into UHC-23068-61
Enrollment records
2
Member id
UHC-23068-61
MBR-020074
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024640
Duplicate member record retired
Member services
Natalie Fernandez: 2 enrollment records collapsed into UHC-04526-89
Enrollment records
2
Member id
UHC-04526-89
MBR-020083
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024641
Duplicate member record retired
Member services
Alex Munoz: 2 enrollment records collapsed into UHC-78751-46
Enrollment records
2
Member id
UHC-78751-46
MBR-020084
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024642
Duplicate member record retired
Member services
Jonathan Dunn: 2 enrollment records collapsed into UHC-19168-37
Enrollment records
2
Member id
UHC-19168-37
MBR-020102
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024643
Duplicate member record retired
Member services
Kimberly Jacobs: 2 enrollment records collapsed into UHC-81813-82
Enrollment records
2
Member id
UHC-81813-82
MBR-020119
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024644
Duplicate member record retired
Member services
Sophia Schultz: 2 enrollment records collapsed into UHC-23034-25
Enrollment records
2
Member id
UHC-23034-25
MBR-020128
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024645
Duplicate member record retired
Member services
Jeremy Pierce: 2 enrollment records collapsed into UHC-58693-80
Enrollment records
2
Member id
UHC-58693-80
MBR-020129
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024646
Duplicate member record retired
Member services
Amanda Hunt: 2 enrollment records collapsed into UHC-44646-26
Enrollment records
2
Member id
UHC-44646-26
MBR-020132
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024647
Duplicate member record retired
Member services
Stephanie Perez: 2 enrollment records collapsed into UHC-82601-85
Enrollment records
2
Member id
UHC-82601-85
MBR-020139
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024648
Duplicate member record retired
Member services
Alan Smith: 2 enrollment records collapsed into UHC-62253-64
Enrollment records
2
Member id
UHC-62253-64
MBR-020143
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024649
Duplicate member record retired
Member services
Yuki Morrison: 2 enrollment records collapsed into UHC-46933-33
Enrollment records
2
Member id
UHC-46933-33
MBR-020146
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024650
Duplicate member record retired
Member services
Terry Gomez: 3 enrollment records collapsed into UHC-97945-44
Enrollment records
3
Member id
UHC-97945-44
MBR-020147
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024651
Duplicate member record retired
Member services
Ben Taylor: 2 enrollment records collapsed into UHC-56897-70
Enrollment records
2
Member id
UHC-56897-70
MBR-020153
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024652
Duplicate member record retired
Member services
Joe Hughes: 2 enrollment records collapsed into UHC-57265-41
Enrollment records
2
Member id
UHC-57265-41
MBR-020155
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024653
Duplicate member record retired
Member services
Carlos Gardner: 2 enrollment records collapsed into UHC-14291-34
Enrollment records
2
Member id
UHC-14291-34
MBR-020159
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024654
Duplicate member record retired
Member services
Luis Gray: 2 enrollment records collapsed into UHC-12522-66
Enrollment records
2
Member id
UHC-12522-66
MBR-020164
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 242 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.