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-024855
Duplicate member record retired
Member services
Jean Wang: 2 enrollment records collapsed into UHC-24681-22
Enrollment records
2
Member id
UHC-24681-22
MBR-022206
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024856
Duplicate member record retired
Member services
Brenda Hart: 2 enrollment records collapsed into UHC-41427-54
Enrollment records
2
Member id
UHC-41427-54
MBR-022213
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024857
Duplicate member record retired
Member services
Madison Palmer: 3 enrollment records collapsed into UHC-94813-75
Enrollment records
3
Member id
UHC-94813-75
MBR-022215
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024858
Duplicate member record retired
Member services
Brandon Peterson: 2 enrollment records collapsed into UHC-68516-24
Enrollment records
2
Member id
UHC-68516-24
MBR-022230
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024859
Duplicate member record retired
Member services
Brandon Boyd: 2 enrollment records collapsed into UHC-74380-08
Enrollment records
2
Member id
UHC-74380-08
MBR-022233
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024860
Duplicate member record retired
Member services
Steven Green: 2 enrollment records collapsed into UHC-83463-90
Enrollment records
2
Member id
UHC-83463-90
MBR-022237
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024861
Duplicate member record retired
Member services
Eric Freeman: 2 enrollment records collapsed into UHC-06917-70
Enrollment records
2
Member id
UHC-06917-70
MBR-022267
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024862
Duplicate member record retired
Member services
Janice Carter: 2 enrollment records collapsed into UHC-63333-08
Enrollment records
2
Member id
UHC-63333-08
MBR-022298
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024863
Duplicate member record retired
Member services
Sarah Long: 3 enrollment records collapsed into UHC-37791-64
Enrollment records
3
Member id
UHC-37791-64
MBR-022306
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024864
Duplicate member record retired
Member services
Hiroshi Russell: 2 enrollment records collapsed into UHC-16259-54
Enrollment records
2
Member id
UHC-16259-54
MBR-022318
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024865
Duplicate member record retired
Member services
Ashley Thompson: 2 enrollment records collapsed into UHC-62776-77
Enrollment records
2
Member id
UHC-62776-77
MBR-022320
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024866
Duplicate member record retired
Member services
Omar Li: 2 enrollment records collapsed into UHC-33271-88
Enrollment records
2
Member id
UHC-33271-88
MBR-022335
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024867
Duplicate member record retired
Member services
Joyce Price: 2 enrollment records collapsed into UHC-38772-61
Enrollment records
2
Member id
UHC-38772-61
MBR-022383
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024868
Duplicate member record retired
Member services
Deborah Bishop: 2 enrollment records collapsed into UHC-53289-31
Enrollment records
2
Member id
UHC-53289-31
MBR-022384
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024869
Duplicate member record retired
Member services
Victoria Howell: 2 enrollment records collapsed into UHC-24098-48
Enrollment records
2
Member id
UHC-24098-48
MBR-022385
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024870
Duplicate member record retired
Member services
Vincent West: 2 enrollment records collapsed into UHC-43500-59
Enrollment records
2
Member id
UHC-43500-59
MBR-022421
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024871
Duplicate member record retired
Member services
Hannah Mitchell: 2 enrollment records collapsed into UHC-69310-97
Enrollment records
2
Member id
UHC-69310-97
MBR-022431
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024872
Duplicate member record retired
Member services
Albert Fields: 3 enrollment records collapsed into UHC-51978-32
Enrollment records
3
Member id
UHC-51978-32
MBR-022439
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024873
Duplicate member record retired
Member services
Willie Rivera: 2 enrollment records collapsed into UHC-34561-90
Enrollment records
2
Member id
UHC-34561-90
MBR-022445
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024874
Duplicate member record retired
Member services
Heather Foster: 2 enrollment records collapsed into UHC-18247-46
Enrollment records
2
Member id
UHC-18247-46
MBR-022449
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024875
Duplicate member record retired
Member services
Jeean Hawkins: 2 enrollment records collapsed into UHC-95085-84
Enrollment records
2
Member id
UHC-95085-84
MBR-022467
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024876
Duplicate member record retired
Member services
Sarah Mitchell: 2 enrollment records collapsed into UHC-43687-13
Enrollment records
2
Member id
UHC-43687-13
MBR-022481
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024877
Duplicate member record retired
Member services
Hiroshi Kelley: 2 enrollment records collapsed into UHC-53774-63
Enrollment records
2
Member id
UHC-53774-63
MBR-022485
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024878
Duplicate member record retired
Member services
Daniel Robertson: 3 enrollment records collapsed into UHC-23818-80
Enrollment records
3
Member id
UHC-23818-80
MBR-022488
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024879
Duplicate member record retired
Member services
Ryan Nunez: 2 enrollment records collapsed into UHC-12863-64
Enrollment records
2
Member id
UHC-12863-64
MBR-022490
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024880
Duplicate member record retired
Member services
Edward Ward: 2 enrollment records collapsed into UHC-30556-03
Enrollment records
2
Member id
UHC-30556-03
MBR-022496
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024881
Duplicate member record retired
Member services
Joan Hayes: 2 enrollment records collapsed into UHC-58787-64
Enrollment records
2
Member id
UHC-58787-64
MBR-022506
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024882
Duplicate member record retired
Member services
Judy Hart: 2 enrollment records collapsed into UHC-11656-07
Enrollment records
2
Member id
UHC-11656-07
MBR-022509
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024883
Duplicate member record retired
Member services
Donna Kelley: 3 enrollment records collapsed into UHC-99118-77
Enrollment records
3
Member id
UHC-99118-77
MBR-022513
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024884
Duplicate member record retired
Member services
Eddie Garrett: 2 enrollment records collapsed into UHC-58524-19
Enrollment records
2
Member id
UHC-58524-19
MBR-022529
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024885
Duplicate member record retired
Member services
Yuki Berry: 2 enrollment records collapsed into UHC-79256-52
Enrollment records
2
Member id
UHC-79256-52
MBR-022534
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024886
Duplicate member record retired
Member services
Jessica Fernandez: 2 enrollment records collapsed into UHC-72664-23
Enrollment records
2
Member id
UHC-72664-23
MBR-022585
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024887
Duplicate member record retired
Member services
Alexis Ruiz: 3 enrollment records collapsed into UHC-51707-54
Enrollment records
3
Member id
UHC-51707-54
MBR-022587
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024888
Duplicate member record retired
Member services
Lawrece Wagner: 2 enrollment records collapsed into UHC-91965-87
Enrollment records
2
Member id
UHC-91965-87
MBR-022605
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024889
Duplicate member record retired
Member services
Susan Miller: 2 enrollment records collapsed into UHC-82953-35
Enrollment records
2
Member id
UHC-82953-35
MBR-022623
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024890
Duplicate member record retired
Member services
Robert Jordan: 2 enrollment records collapsed into UHC-56770-06
Enrollment records
2
Member id
UHC-56770-06
MBR-022632
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024891
Duplicate member record retired
Member services
Eugene Elliott: 2 enrollment records collapsed into UHC-39633-75
Enrollment records
2
Member id
UHC-39633-75
MBR-022640
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024892
Duplicate member record retired
Member services
Ahmed Murray: 2 enrollment records collapsed into UHC-25565-57
Enrollment records
2
Member id
UHC-25565-57
MBR-022662
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024893
Duplicate member record retired
Member services
Cheryl Munoz: 2 enrollment records collapsed into UHC-70464-34
Enrollment records
2
Member id
UHC-70464-34
MBR-022666
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024894
Duplicate member record retired
Member services
Jennifer Phillips: 2 enrollment records collapsed into UHC-74884-63
Enrollment records
2
Member id
UHC-74884-63
MBR-022690
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024895
Duplicate member record retired
Member services
Maria Stephens: 2 enrollment records collapsed into UHC-32216-39
Enrollment records
2
Member id
UHC-32216-39
MBR-022695
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024896
Duplicate member record retired
Member services
Brandon Long: 2 enrollment records collapsed into UHC-49927-34
Enrollment records
2
Member id
UHC-49927-34
MBR-022721
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024897
Duplicate member record retired
Member services
Henry Yang: 3 enrollment records collapsed into UHC-64402-89
Enrollment records
3
Member id
UHC-64402-89
MBR-022726
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024898
Duplicate member record retired
Member services
Diane Schultz: 2 enrollment records collapsed into UHC-82582-51
Enrollment records
2
Member id
UHC-82582-51
MBR-022729
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024899
Duplicate member record retired
Member services
Austin Lucas: 2 enrollment records collapsed into UHC-75664-62
Enrollment records
2
Member id
UHC-75664-62
MBR-022738
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024900
Duplicate member record retired
Member services
Charles Jimenez: 2 enrollment records collapsed into UHC-25702-22
Enrollment records
2
Member id
UHC-25702-22
MBR-022739
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024901
Duplicate member record retired
Member services
Joshua Aguilar: 2 enrollment records collapsed into UHC-27301-63
Enrollment records
2
Member id
UHC-27301-63
MBR-022745
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024902
Duplicate member record retired
Member services
Harold Morales: 2 enrollment records collapsed into UHC-68587-26
Enrollment records
2
Member id
UHC-68587-26
MBR-022771
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024903
Duplicate member record retired
Member services
Elizabeth Owens: 3 enrollment records collapsed into UHC-81340-30
Enrollment records
3
Member id
UHC-81340-30
MBR-022772
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024904
Duplicate member record retired
Member services
Donna Delgado: 2 enrollment records collapsed into UHC-28789-87
Enrollment records
2
Member id
UHC-28789-87
MBR-022802
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 247 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.