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-024655
Duplicate member record retired
Member services
Rebecca Crawford: 2 enrollment records collapsed into UHC-35312-46
Enrollment records
2
Member id
UHC-35312-46
MBR-020185
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024656
Duplicate member record retired
Member services
Grace Guzman: 3 enrollment records collapsed into UHC-39682-17
Enrollment records
3
Member id
UHC-39682-17
MBR-020211
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024657
Duplicate member record retired
Member services
Gabriel Wong: 2 enrollment records collapsed into UHC-32961-30
Enrollment records
2
Member id
UHC-32961-30
MBR-020215
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024658
Duplicate member record retired
Member services
Beverly Collins: 2 enrollment records collapsed into UHC-66499-96
Enrollment records
2
Member id
UHC-66499-96
MBR-020220
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024659
Duplicate member record retired
Member services
Samantha Howard: 2 enrollment records collapsed into UHC-54388-27
Enrollment records
2
Member id
UHC-54388-27
MBR-020225
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024660
Duplicate member record retired
Member services
Thomas Johnston: 2 enrollment records collapsed into UHC-03506-46
Enrollment records
2
Member id
UHC-03506-46
MBR-020237
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024661
Duplicate member record retired
Member services
Debra Lewis: 3 enrollment records collapsed into UHC-60002-78
Enrollment records
3
Member id
UHC-60002-78
MBR-020245
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024662
Duplicate member record retired
Member services
Terry Watson: 2 enrollment records collapsed into UHC-91677-64
Enrollment records
2
Member id
UHC-91677-64
MBR-020250
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024663
Duplicate member record retired
Member services
Hannah Burns: 2 enrollment records collapsed into UHC-22094-17
Enrollment records
2
Member id
UHC-22094-17
MBR-020251
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024664
Duplicate member record retired
Member services
Ahmed Sims: 2 enrollment records collapsed into UHC-36382-81
Enrollment records
2
Member id
UHC-36382-81
MBR-020277
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024665
Duplicate member record retired
Member services
Jose Stone: 2 enrollment records collapsed into UHC-51945-67
Enrollment records
2
Member id
UHC-51945-67
MBR-020309
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024666
Duplicate member record retired
Member services
Kenneth Marshall: 2 enrollment records collapsed into UHC-85421-07
Enrollment records
2
Member id
UHC-85421-07
MBR-020312
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024667
Duplicate member record retired
Member services
Patrick Le: 2 enrollment records collapsed into UHC-86550-30
Enrollment records
2
Member id
UHC-86550-30
MBR-020318
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024668
Duplicate member record retired
Member services
Isabella Munoz: 2 enrollment records collapsed into UHC-41188-99
Enrollment records
2
Member id
UHC-41188-99
MBR-020338
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024669
Duplicate member record retired
Member services
Stephanie Freeman: 3 enrollment records collapsed into UHC-23974-43
Enrollment records
3
Member id
UHC-23974-43
MBR-020350
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024670
Duplicate member record retired
Member services
Pamela Little: 2 enrollment records collapsed into UHC-32755-61
Enrollment records
2
Member id
UHC-32755-61
MBR-020351
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024671
Duplicate member record retired
Member services
Pamela Johnston: 2 enrollment records collapsed into UHC-19171-30
Enrollment records
2
Member id
UHC-19171-30
MBR-020388
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024672
Duplicate member record retired
Member services
Ronald Hunt: 2 enrollment records collapsed into UHC-25904-18
Enrollment records
2
Member id
UHC-25904-18
MBR-020411
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024673
Duplicate member record retired
Member services
Patrick Jones: 3 enrollment records collapsed into UHC-31564-40
Enrollment records
3
Member id
UHC-31564-40
MBR-020413
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024674
Duplicate member record retired
Member services
Kayla Espinoza: 2 enrollment records collapsed into UHC-30148-79
Enrollment records
2
Member id
UHC-30148-79
MBR-020419
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024675
Duplicate member record retired
Member services
Raymond Baker: 2 enrollment records collapsed into UHC-89971-89
Enrollment records
2
Member id
UHC-89971-89
MBR-020422
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024676
Duplicate member record retired
Member services
Kevin Hunt: 2 enrollment records collapsed into UHC-33272-12
Enrollment records
2
Member id
UHC-33272-12
MBR-020445
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024677
Duplicate member record retired
Member services
Diana Ramos: 2 enrollment records collapsed into UHC-92145-59
Enrollment records
2
Member id
UHC-92145-59
MBR-020451
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024678
Duplicate member record retired
Member services
Kelly Lawson: 2 enrollment records collapsed into UHC-63912-15
Enrollment records
2
Member id
UHC-63912-15
MBR-020457
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024679
Duplicate member record retired
Member services
Omar Thompson: 2 enrollment records collapsed into UHC-24165-49
Enrollment records
2
Member id
UHC-24165-49
MBR-020478
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024680
Duplicate member record retired
Member services
Brian Cunningham: 2 enrollment records collapsed into UHC-70418-31
Enrollment records
2
Member id
UHC-70418-31
MBR-020507
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024681
Duplicate member record retired
Member services
Thomas Marshall: 2 enrollment records collapsed into UHC-57129-71
Enrollment records
2
Member id
UHC-57129-71
MBR-020514
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024682
Duplicate member record retired
Member services
Sandra Spencer: 2 enrollment records collapsed into UHC-91154-11
Enrollment records
2
Member id
UHC-91154-11
MBR-020527
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024683
Duplicate member record retired
Member services
Valentina James: 2 enrollment records collapsed into UHC-20196-87
Enrollment records
2
Member id
UHC-20196-87
MBR-020542
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024684
Duplicate member record retired
Member services
Emily Jenkins: 2 enrollment records collapsed into UHC-63131-22
Enrollment records
2
Member id
UHC-63131-22
MBR-020548
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024685
Duplicate member record retired
Member services
Kimberly Simmons: 3 enrollment records collapsed into UHC-57214-03
Enrollment records
3
Member id
UHC-57214-03
MBR-020583
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024686
Duplicate member record retired
Member services
Douglas Sims: 2 enrollment records collapsed into UHC-34438-69
Enrollment records
2
Member id
UHC-34438-69
MBR-020586
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024687
Duplicate member record retired
Member services
Doris Alvarez: 2 enrollment records collapsed into UHC-60201-75
Enrollment records
2
Member id
UHC-60201-75
MBR-020590
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024688
Duplicate member record retired
Member services
Santiago Ford: 2 enrollment records collapsed into UHC-63013-92
Enrollment records
2
Member id
UHC-63013-92
MBR-020599
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024689
Duplicate member record retired
Member services
Danielle Young: 2 enrollment records collapsed into UHC-09608-97
Enrollment records
2
Member id
UHC-09608-97
MBR-020602
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024690
Duplicate member record retired
Member services
Keith Berry: 2 enrollment records collapsed into UHC-31227-73
Enrollment records
2
Member id
UHC-31227-73
MBR-020622
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024691
Duplicate member record retired
Member services
Barbara Chavez: 2 enrollment records collapsed into UHC-52218-29
Enrollment records
2
Member id
UHC-52218-29
MBR-020628
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024692
Duplicate member record retired
Member services
Albert Stephens: 2 enrollment records collapsed into UHC-81418-55
Enrollment records
2
Member id
UHC-81418-55
MBR-020630
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024693
Duplicate member record retired
Member services
Daniel Turner: 2 enrollment records collapsed into UHC-52643-65
Enrollment records
2
Member id
UHC-52643-65
MBR-020646
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024694
Duplicate member record retired
Member services
Jeremy Oliver: 2 enrollment records collapsed into UHC-40783-65
Enrollment records
2
Member id
UHC-40783-65
MBR-020650
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024695
Duplicate member record retired
Member services
Alice Butler: 2 enrollment records collapsed into UHC-00725-73
Enrollment records
2
Member id
UHC-00725-73
MBR-020668
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024696
Duplicate member record retired
Member services
Dylan Morrisoon: 2 enrollment records collapsed into UHC-65054-17
Enrollment records
2
Member id
UHC-65054-17
MBR-020681
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024697
Duplicate member record retired
Member services
Ronald Mejia: 2 enrollment records collapsed into UHC-87089-23
Enrollment records
2
Member id
UHC-87089-23
MBR-020684
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024698
Duplicate member record retired
Member services
Russell Scott: 2 enrollment records collapsed into UHC-62068-74
Enrollment records
2
Member id
UHC-62068-74
MBR-020742
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024699
Duplicate member record retired
Member services
Nathan Greene: 2 enrollment records collapsed into UHC-57579-63
Enrollment records
2
Member id
UHC-57579-63
MBR-020772
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024700
Duplicate member record retired
Member services
Sophia Dean: 2 enrollment records collapsed into UHC-13490-98
Enrollment records
2
Member id
UHC-13490-98
MBR-020773
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024701
Duplicate member record retired
Member services
Grace Patterson: 2 enrollment records collapsed into UHC-32210-74
Enrollment records
2
Member id
UHC-32210-74
MBR-020799
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024702
Duplicate member record retired
Member services
Dorothy Dena: 2 enrollment records collapsed into UHC-71188-19
Enrollment records
2
Member id
UHC-71188-19
MBR-020808
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024703
Duplicate member record retired
Member services
Jason Fisher: 2 enrollment records collapsed into UHC-51837-41
Enrollment records
2
Member id
UHC-51837-41
MBR-020814
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024704
Duplicate member record retired
Member services
Linda Green: 2 enrollment records collapsed into UHC-04889-62
Enrollment records
2
Member id
UHC-04889-62
MBR-020837
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 243 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.