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-024905
Duplicate member record retired
Member services
Brian Ryan: 2 enrollment records collapsed into UHC-30695-21
Enrollment records
2
Member id
UHC-30695-21
MBR-022812
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024906
Duplicate member record retired
Member services
Deborah Day: 3 enrollment records collapsed into UHC-27341-20
Enrollment records
3
Member id
UHC-27341-20
MBR-022819
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024907
Duplicate member record retired
Member services
Jacqueline Johnston: 2 enrollment records collapsed into UHC-56323-70
Enrollment records
2
Member id
UHC-56323-70
MBR-022821
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024908
Duplicate member record retired
Member services
Charlotte Parker: 2 enrollment records collapsed into UHC-15367-54
Enrollment records
2
Member id
UHC-15367-54
MBR-022823
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024909
Duplicate member record retired
Member services
Isabella Le: 2 enrollment records collapsed into UHC-22656-20
Enrollment records
2
Member id
UHC-22656-20
MBR-022840
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024910
Duplicate member record retired
Member services
Dorothy Russell: 2 enrollment records collapsed into UHC-99625-04
Enrollment records
2
Member id
UHC-99625-04
MBR-022844
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024911
Duplicate member record retired
Member services
Jonathan Taylor: 2 enrollment records collapsed into UHC-57547-66
Enrollment records
2
Member id
UHC-57547-66
MBR-022846
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024912
Duplicate member record retired
Member services
Alexis Peyne: 2 enrollment records collapsed into UHC-10731-08
Enrollment records
2
Member id
UHC-10731-08
MBR-022851
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024913
Duplicate member record retired
Member services
Randy Harrison: 2 enrollment records collapsed into UHC-87479-89
Enrollment records
2
Member id
UHC-87479-89
MBR-022855
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024914
Duplicate member record retired
Member services
Wayne Armstrong: 2 enrollment records collapsed into UHC-55770-22
Enrollment records
2
Member id
UHC-55770-22
MBR-022856
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024915
Duplicate member record retired
Member services
Wei Reyonlds: 2 enrollment records collapsed into UHC-28141-19
Enrollment records
2
Member id
UHC-28141-19
MBR-022859
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024916
Duplicate member record retired
Member services
Jacqueline Gonzales: 2 enrollment records collapsed into UHC-81384-42
Enrollment records
2
Member id
UHC-81384-42
MBR-022882
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024917
Duplicate member record retired
Member services
Timothy Jacobs: 2 enrollment records collapsed into UHC-20013-02
Enrollment records
2
Member id
UHC-20013-02
MBR-022887
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024918
Duplicate member record retired
Member services
Sara Coleman: 2 enrollment records collapsed into UHC-14505-51
Enrollment records
2
Member id
UHC-14505-51
MBR-022888
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024919
Duplicate member record retired
Member services
Jonathan Johnson: 2 enrollment records collapsed into UHC-35364-89
Enrollment records
2
Member id
UHC-35364-89
MBR-022900
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024920
Duplicate member record retired
Member services
Bradley Baker: 2 enrollment records collapsed into UHC-79476-20
Enrollment records
2
Member id
UHC-79476-20
MBR-022912
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024921
Duplicate member record retired
Member services
Paul Singh: 2 enrollment records collapsed into UHC-57553-42
Enrollment records
2
Member id
UHC-57553-42
MBR-022938
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024922
Duplicate member record retired
Member services
Justin Rojas: 2 enrollment records collapsed into UHC-93944-47
Enrollment records
2
Member id
UHC-93944-47
MBR-022939
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024923
Duplicate member record retired
Member services
Ryan Li: 2 enrollment records collapsed into UHC-59343-89
Enrollment records
2
Member id
UHC-59343-89
MBR-022944
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024924
Duplicate member record retired
Member services
Heather Black: 2 enrollment records collapsed into UHC-29594-73
Enrollment records
2
Member id
UHC-29594-73
MBR-022954
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024925
Duplicate member record retired
Member services
Lori Valdez: 2 enrollment records collapsed into UHC-27056-91
Enrollment records
2
Member id
UHC-27056-91
MBR-022955
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024926
Duplicate member record retired
Member services
Kyle Olson: 2 enrollment records collapsed into UHC-95004-65
Enrollment records
2
Member id
UHC-95004-65
MBR-022974
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024927
Duplicate member record retired
Member services
Priya Collins: 2 enrollment records collapsed into UHC-14575-37
Enrollment records
2
Member id
UHC-14575-37
MBR-022982
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024928
Duplicate member record retired
Member services
Harold Mnoz: 2 enrollment records collapsed into UHC-01866-69
Enrollment records
2
Member id
UHC-01866-69
MBR-022997
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024929
Duplicate member record retired
Member services
Anthony Jackson: 2 enrollment records collapsed into UHC-47435-53
Enrollment records
2
Member id
UHC-47435-53
MBR-023006
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024930
Duplicate member record retired
Member services
Shirley Cruz: 2 enrollment records collapsed into UHC-86255-78
Enrollment records
2
Member id
UHC-86255-78
MBR-023007
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024931
Duplicate member record retired
Member services
Jason Moreno: 2 enrollment records collapsed into UHC-09388-80
Enrollment records
2
Member id
UHC-09388-80
MBR-023010
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024932
Duplicate member record retired
Member services
Kevin Cunningham: 3 enrollment records collapsed into UHC-96334-53
Enrollment records
3
Member id
UHC-96334-53
MBR-023020
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024933
Duplicate member record retired
Member services
Victoria Cox: 2 enrollment records collapsed into UHC-92289-61
Enrollment records
2
Member id
UHC-92289-61
MBR-023030
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024934
Duplicate member record retired
Member services
Sandra Morgan: 2 enrollment records collapsed into UHC-28897-69
Enrollment records
2
Member id
UHC-28897-69
MBR-023034
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024935
Duplicate member record retired
Member services
Denise Woods: 2 enrollment records collapsed into UHC-11661-57
Enrollment records
2
Member id
UHC-11661-57
MBR-023072
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024936
Duplicate member record retired
Member services
Matthew Flores: 2 enrollment records collapsed into UHC-14137-64
Enrollment records
2
Member id
UHC-14137-64
MBR-023078
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024937
Duplicate member record retired
Member services
Jerry Romero: 2 enrollment records collapsed into UHC-98312-99
Enrollment records
2
Member id
UHC-98312-99
MBR-023099
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024938
Duplicate member record retired
Member services
Mateo Hunter: 2 enrollment records collapsed into UHC-25062-14
Enrollment records
2
Member id
UHC-25062-14
MBR-023110
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024939
Duplicate member record retired
Member services
Patricia Wilson: 3 enrollment records collapsed into UHC-11066-40
Enrollment records
3
Member id
UHC-11066-40
MBR-023111
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024940
Duplicate member record retired
Member services
Adam Griffin: 2 enrollment records collapsed into UHC-17159-27
Enrollment records
2
Member id
UHC-17159-27
MBR-023117
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024941
Duplicate member record retired
Member services
Kayla Hansen: 2 enrollment records collapsed into UHC-30978-47
Enrollment records
2
Member id
UHC-30978-47
MBR-023126
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024942
Duplicate member record retired
Member services
Henry Salazar: 2 enrollment records collapsed into UHC-44361-63
Enrollment records
2
Member id
UHC-44361-63
MBR-023129
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024943
Duplicate member record retired
Member services
Kayla Greene: 3 enrollment records collapsed into UHC-73169-03
Enrollment records
3
Member id
UHC-73169-03
MBR-023135
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024944
Duplicate member record retired
Member services
Saa Greene: 2 enrollment records collapsed into UHC-27441-33
Enrollment records
2
Member id
UHC-27441-33
MBR-023149
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024945
Duplicate member record retired
Member services
Alexis Tran: 2 enrollment records collapsed into UHC-80596-07
Enrollment records
2
Member id
UHC-80596-07
MBR-023156
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024946
Duplicate member record retired
Member services
Nancy Dixon: 2 enrollment records collapsed into UHC-18593-21
Enrollment records
2
Member id
UHC-18593-21
MBR-023163
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024947
Duplicate member record retired
Member services
Michael McCoy: 2 enrollment records collapsed into UHC-72849-01
Enrollment records
2
Member id
UHC-72849-01
MBR-023170
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024948
Duplicate member record retired
Member services
Keith Ortega: 2 enrollment records collapsed into UHC-22224-56
Enrollment records
2
Member id
UHC-22224-56
MBR-023173
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024949
Duplicate member record retired
Member services
Webb Webb: 2 enrollment records collapsed into UHC-32485-80
Enrollment records
2
Member id
UHC-32485-80
MBR-023183
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024950
Duplicate member record retired
Member services
Patricia Perry: 2 enrollment records collapsed into UHC-59294-16
Enrollment records
2
Member id
UHC-59294-16
MBR-023189
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024951
Duplicate member record retired
Member services
Joseph Obrien: 2 enrollment records collapsed into UHC-03406-45
Enrollment records
2
Member id
UHC-03406-45
MBR-023190
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024952
Duplicate member record retired
Member services
Justin Lawrence: 2 enrollment records collapsed into UHC-56970-09
Enrollment records
2
Member id
UHC-56970-09
MBR-023202
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024953
Duplicate member record retired
Member services
Gary Prker: 2 enrollment records collapsed into UHC-57560-60
Enrollment records
2
Member id
UHC-57560-60
MBR-023215
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024954
Duplicate member record retired
Member services
Valentina Kelly: 2 enrollment records collapsed into UHC-36802-31
Enrollment records
2
Member id
UHC-36802-31
MBR-023216
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 248 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.