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-025005
Duplicate member record retired
Member services
Amy Hayes: 2 enrollment records collapsed into UHC-13328-28
Enrollment records
2
Member id
UHC-13328-28
MBR-023572
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025006
Duplicate member record retired
Member services
Randy Daniels: 2 enrollment records collapsed into UHC-90910-84
Enrollment records
2
Member id
UHC-90910-84
MBR-023574
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025007
Duplicate member record retired
Member services
Gerald Burns: 2 enrollment records collapsed into UHC-01240-20
Enrollment records
2
Member id
UHC-01240-20
MBR-023582
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025008
Duplicate member record retired
Member services
Austin Lopez: 2 enrollment records collapsed into UHC-10967-15
Enrollment records
2
Member id
UHC-10967-15
MBR-023605
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025009
Duplicate member record retired
Member services
Brandon Sanders: 2 enrollment records collapsed into UHC-71390-78
Enrollment records
2
Member id
UHC-71390-78
MBR-023609
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025010
Duplicate member record retired
Member services
Paul Perez: 2 enrollment records collapsed into UHC-31595-01
Enrollment records
2
Member id
UHC-31595-01
MBR-023615
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025011
Duplicate member record retired
Member services
Gerald Ellis: 2 enrollment records collapsed into UHC-40481-26
Enrollment records
2
Member id
UHC-40481-26
MBR-023618
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025012
Duplicate member record retired
Member services
Joan Estrada: 2 enrollment records collapsed into UHC-34172-38
Enrollment records
2
Member id
UHC-34172-38
MBR-023624
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025013
Duplicate member record retired
Member services
Frank Murray: 2 enrollment records collapsed into UHC-51068-95
Enrollment records
2
Member id
UHC-51068-95
MBR-023625
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025014
Duplicate member record retired
Member services
Danielle Jackson: 2 enrollment records collapsed into UHC-84944-11
Enrollment records
2
Member id
UHC-84944-11
MBR-023629
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025015
Duplicate member record retired
Member services
Alice Palmer: 2 enrollment records collapsed into UHC-90767-83
Enrollment records
2
Member id
UHC-90767-83
MBR-023647
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025016
Duplicate member record retired
Member services
Hiroshi Wang: 2 enrollment records collapsed into UHC-08450-66
Enrollment records
2
Member id
UHC-08450-66
MBR-023650
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025017
Duplicate member record retired
Member services
Theresa Hicks: 2 enrollment records collapsed into UHC-01574-14
Enrollment records
2
Member id
UHC-01574-14
MBR-023656
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025018
Duplicate member record retired
Member services
Justin Perkins: 2 enrollment records collapsed into UHC-33199-49
Enrollment records
2
Member id
UHC-33199-49
MBR-023663
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025019
Duplicate member record retired
Member services
Olivia Bradley: 3 enrollment records collapsed into UHC-21842-25
Enrollment records
3
Member id
UHC-21842-25
MBR-023670
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025020
Duplicate member record retired
Member services
Jacqueline Hansen: 2 enrollment records collapsed into UHC-13034-91
Enrollment records
2
Member id
UHC-13034-91
MBR-023684
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025021
Duplicate member record retired
Member services
James Herrera: 2 enrollment records collapsed into UHC-87798-18
Enrollment records
2
Member id
UHC-87798-18
MBR-023692
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025022
Duplicate member record retired
Member services
Sharon Rose: 2 enrollment records collapsed into UHC-55095-57
Enrollment records
2
Member id
UHC-55095-57
MBR-023711
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025023
Duplicate member record retired
Member services
Lori Jones: 2 enrollment records collapsed into UHC-48852-57
Enrollment records
2
Member id
UHC-48852-57
MBR-023717
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025024
Duplicate member record retired
Member services
Alexander Yang: 2 enrollment records collapsed into UHC-49686-06
Enrollment records
2
Member id
UHC-49686-06
MBR-023728
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025025
Duplicate member record retired
Member services
Ben Knight: 2 enrollment records collapsed into UHC-82305-91
Enrollment records
2
Member id
UHC-82305-91
MBR-023742
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025026
Duplicate member record retired
Member services
Brandon Bennett: 2 enrollment records collapsed into UHC-20776-28
Enrollment records
2
Member id
UHC-20776-28
MBR-023745
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025027
Duplicate member record retired
Member services
Santiago Jiimenez: 2 enrollment records collapsed into UHC-32526-93
Enrollment records
2
Member id
UHC-32526-93
MBR-023747
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025028
Duplicate member record retired
Member services
Charles Sandoval: 2 enrollment records collapsed into UHC-96190-89
Enrollment records
2
Member id
UHC-96190-89
MBR-023753
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025029
Duplicate member record retired
Member services
Jesse Wood: 2 enrollment records collapsed into UHC-53279-40
Enrollment records
2
Member id
UHC-53279-40
MBR-023756
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025030
Duplicate member record retired
Member services
Julia Dunn: 2 enrollment records collapsed into UHC-20537-59
Enrollment records
2
Member id
UHC-20537-59
MBR-023765
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025031
Duplicate member record retired
Member services
Heather Moreno: 2 enrollment records collapsed into UHC-49093-34
Enrollment records
2
Member id
UHC-49093-34
MBR-023766
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025032
Duplicate member record retired
Member services
Peter Brooks: 2 enrollment records collapsed into UHC-56867-96
Enrollment records
2
Member id
UHC-56867-96
MBR-023790
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025033
Duplicate member record retired
Member services
Anna Ruiz: 2 enrollment records collapsed into UHC-41827-45
Enrollment records
2
Member id
UHC-41827-45
MBR-023794
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025034
Duplicate member record retired
Member services
Marcus Nguyen: 2 enrollment records collapsed into UHC-61216-08
Enrollment records
2
Member id
UHC-61216-08
MBR-023801
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025035
Duplicate member record retired
Member services
Mariana Edwards: 2 enrollment records collapsed into UHC-92193-98
Enrollment records
2
Member id
UHC-92193-98
MBR-023816
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025036
Duplicate member record retired
Member services
Julia Jackson: 2 enrollment records collapsed into UHC-47213-74
Enrollment records
2
Member id
UHC-47213-74
MBR-023825
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025037
Duplicate member record retired
Member services
Mateo Duncan: 2 enrollment records collapsed into UHC-05875-18
Enrollment records
2
Member id
UHC-05875-18
MBR-023838
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025038
Duplicate member record retired
Member services
Jason Garrett: 2 enrollment records collapsed into UHC-10837-58
Enrollment records
2
Member id
UHC-10837-58
MBR-023841
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025039
Duplicate member record retired
Member services
Ahmed Kim: 2 enrollment records collapsed into UHC-36297-46
Enrollment records
2
Member id
UHC-36297-46
MBR-023855
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025040
Duplicate member record retired
Member services
Randy Hlil: 2 enrollment records collapsed into UHC-78409-32
Enrollment records
2
Member id
UHC-78409-32
MBR-023860
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025041
Duplicate member record retired
Member services
Brenda Gonzalez: 2 enrollment records collapsed into UHC-48692-65
Enrollment records
2
Member id
UHC-48692-65
MBR-023876
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025042
Duplicate member record retired
Member services
Gary Matthews: 2 enrollment records collapsed into UHC-27209-51
Enrollment records
2
Member id
UHC-27209-51
MBR-023884
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025043
Duplicate member record retired
Member services
Barbara Long: 2 enrollment records collapsed into UHC-77610-75
Enrollment records
2
Member id
UHC-77610-75
MBR-023889
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025044
Duplicate member record retired
Member services
Laura Ray: 2 enrollment records collapsed into UHC-44783-15
Enrollment records
2
Member id
UHC-44783-15
MBR-023911
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025045
Duplicate member record retired
Member services
Marcus Montgomery: 3 enrollment records collapsed into UHC-94734-12
Enrollment records
3
Member id
UHC-94734-12
MBR-023920
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025046
Duplicate member record retired
Member services
Evelyn Moore: 2 enrollment records collapsed into UHC-06739-36
Enrollment records
2
Member id
UHC-06739-36
MBR-023926
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025047
Duplicate member record retired
Member services
Mason Bradley: 2 enrollment records collapsed into UHC-43681-03
Enrollment records
2
Member id
UHC-43681-03
MBR-023934
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025048
Duplicate member record retired
Member services
Julia Carroll: 2 enrollment records collapsed into UHC-78156-75
Enrollment records
2
Member id
UHC-78156-75
MBR-023944
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025049
Duplicate member record retired
Member services
Vincent Howard: 2 enrollment records collapsed into UHC-15428-40
Enrollment records
2
Member id
UHC-15428-40
MBR-023946
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025050
Duplicate member record retired
Member services
Rick Baker: 2 enrollment records collapsed into UHC-42650-55
Enrollment records
2
Member id
UHC-42650-55
MBR-023968
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025051
Duplicate member record retired
Member services
Kathryn Porter: 2 enrollment records collapsed into UHC-28907-23
Enrollment records
2
Member id
UHC-28907-23
MBR-023992
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025052
Duplicate member record retired
Member services
Grace Carr: 2 enrollment records collapsed into UHC-29199-98
Enrollment records
2
Member id
UHC-29199-98
MBR-024006
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025053
Duplicate member record retired
Member services
Dylan Reed: 3 enrollment records collapsed into UHC-39800-75
Enrollment records
3
Member id
UHC-39800-75
MBR-024008
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025054
Duplicate member record retired
Member services
Lucia Smith: 2 enrollment records collapsed into UHC-39153-37
Enrollment records
2
Member id
UHC-39153-37
MBR-024033
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 250 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.