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-025155
Duplicate member record retired
Member services
Juuan Padilla: 2 enrollment records collapsed into UHC-00148-63
Enrollment records
2
Member id
UHC-00148-63
MBR-024896
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025156
Duplicate member record retired
Member services
Joseph Flores: 2 enrollment records collapsed into UHC-55754-19
Enrollment records
2
Member id
UHC-55754-19
MBR-024906
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025157
Duplicate member record retired
Member services
Charles Shaw: 2 enrollment records collapsed into UHC-76406-27
Enrollment records
2
Member id
UHC-76406-27
MBR-024921
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025158
Duplicate member record retired
Member services
Justin Jenkins: 2 enrollment records collapsed into UHC-35967-43
Enrollment records
2
Member id
UHC-35967-43
MBR-024924
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025159
Duplicate member record retired
Member services
Martha Dean: 2 enrollment records collapsed into UHC-45430-60
Enrollment records
2
Member id
UHC-45430-60
MBR-024963
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025160
Duplicate member record retired
Member services
Bradley Crawford: 2 enrollment records collapsed into UHC-16738-82
Enrollment records
2
Member id
UHC-16738-82
MBR-024965
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025161
Duplicate member record retired
Member services
Dorothy Miller: 2 enrollment records collapsed into UHC-57023-37
Enrollment records
2
Member id
UHC-57023-37
MBR-024970
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025162
Duplicate member record retired
Member services
Russell Flores: 2 enrollment records collapsed into UHC-79290-49
Enrollment records
2
Member id
UHC-79290-49
MBR-024972
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025163
Duplicate member record retired
Member services
Stephanie Perry: 2 enrollment records collapsed into UHC-67445-50
Enrollment records
2
Member id
UHC-67445-50
MBR-024980
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025164
Duplicate member record retired
Member services
Willie Li: 2 enrollment records collapsed into UHC-81208-23
Enrollment records
2
Member id
UHC-81208-23
MBR-024992
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025165
Duplicate member record retired
Member services
Christine Carter: 2 enrollment records collapsed into UHC-65972-85
Enrollment records
2
Member id
UHC-65972-85
MBR-025032
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025166
Duplicate member record retired
Member services
Benjamin Evans: 2 enrollment records collapsed into UHC-28667-26
Enrollment records
2
Member id
UHC-28667-26
MBR-025035
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025167
Duplicate member record retired
Member services
Sarah Nunez: 2 enrollment records collapsed into UHC-98659-08
Enrollment records
2
Member id
UHC-98659-08
MBR-025047
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025168
Duplicate member record retired
Member services
Bruce Webb: 2 enrollment records collapsed into UHC-72042-29
Enrollment records
2
Member id
UHC-72042-29
MBR-025066
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025169
Duplicate member record retired
Member services
Larry Morrison: 2 enrollment records collapsed into UHC-07583-42
Enrollment records
2
Member id
UHC-07583-42
MBR-025077
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025170
Duplicate member record retired
Member services
Carlos Ruiz: 2 enrollment records collapsed into UHC-41194-02
Enrollment records
2
Member id
UHC-41194-02
MBR-025082
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025171
Duplicate member record retired
Member services
Ana Price: 2 enrollment records collapsed into UHC-64901-14
Enrollment records
2
Member id
UHC-64901-14
MBR-025085
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025172
Duplicate member record retired
Member services
Jennifer Gray: 2 enrollment records collapsed into UHC-61559-04
Enrollment records
2
Member id
UHC-61559-04
MBR-025091
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025173
Duplicate member record retired
Member services
Ronald Collins: 3 enrollment records collapsed into UHC-11953-53
Enrollment records
3
Member id
UHC-11953-53
MBR-025116
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025174
Duplicate member record retired
Member services
Justin Munoz: 2 enrollment records collapsed into UHC-65561-74
Enrollment records
2
Member id
UHC-65561-74
MBR-025124
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025175
Duplicate member record retired
Member services
Peter Payne: 2 enrollment records collapsed into UHC-13756-31
Enrollment records
2
Member id
UHC-13756-31
MBR-025140
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025176
Duplicate member record retired
Member services
Diana Jenkins: 2 enrollment records collapsed into UHC-75693-90
Enrollment records
2
Member id
UHC-75693-90
MBR-025149
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025177
Duplicate member record retired
Member services
Barbara Bell: 2 enrollment records collapsed into UHC-39735-08
Enrollment records
2
Member id
UHC-39735-08
MBR-025156
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025178
Duplicate member record retired
Member services
Kenneth Hernandez: 2 enrollment records collapsed into UHC-86070-65
Enrollment records
2
Member id
UHC-86070-65
MBR-025167
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025179
Duplicate member record retired
Member services
Willie Hawkins: 2 enrollment records collapsed into UHC-80056-20
Enrollment records
2
Member id
UHC-80056-20
MBR-025174
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025180
Duplicate member record retired
Member services
Deborah Fox: 2 enrollment records collapsed into UHC-40257-90
Enrollment records
2
Member id
UHC-40257-90
MBR-025178
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025181
Duplicate member record retired
Member services
Hannah Brown: 2 enrollment records collapsed into UHC-26443-88
Enrollment records
2
Member id
UHC-26443-88
MBR-025184
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025182
Duplicate member record retired
Member services
Patrick Smith: 2 enrollment records collapsed into UHC-90446-15
Enrollment records
2
Member id
UHC-90446-15
MBR-025195
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025183
Duplicate member record retired
Member services
Paul Washington: 3 enrollment records collapsed into UHC-15231-47
Enrollment records
3
Member id
UHC-15231-47
MBR-025208
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025184
Duplicate member record retired
Member services
Christopher Ortega: 2 enrollment records collapsed into UHC-06039-73
Enrollment records
2
Member id
UHC-06039-73
MBR-025227
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025185
Duplicate member record retired
Member services
Ryan Kelly: 2 enrollment records collapsed into UHC-98387-34
Enrollment records
2
Member id
UHC-98387-34
MBR-025248
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025186
Duplicate member record retired
Member services
Walter Cruz: 2 enrollment records collapsed into UHC-56734-59
Enrollment records
2
Member id
UHC-56734-59
MBR-025260
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025187
Duplicate member record retired
Member services
Joseph Turner: 2 enrollment records collapsed into UHC-12535-13
Enrollment records
2
Member id
UHC-12535-13
MBR-025263
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025188
Duplicate member record retired
Member services
Alexander Snyder: 2 enrollment records collapsed into UHC-73516-09
Enrollment records
2
Member id
UHC-73516-09
MBR-025265
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025189
Duplicate member record retired
Member services
Ronald Ross: 2 enrollment records collapsed into UHC-24758-99
Enrollment records
2
Member id
UHC-24758-99
MBR-025268
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025190
Duplicate member record retired
Member services
Ahmed Robertson: 2 enrollment records collapsed into UHC-07829-56
Enrollment records
2
Member id
UHC-07829-56
MBR-025280
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025191
Duplicate member record retired
Member services
Patrick Chavez: 2 enrollment records collapsed into UHC-06289-61
Enrollment records
2
Member id
UHC-06289-61
MBR-025322
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025192
Duplicate member record retired
Member services
Betty Pena: 2 enrollment records collapsed into UHC-11904-51
Enrollment records
2
Member id
UHC-11904-51
MBR-025325
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025193
Duplicate member record retired
Member services
Beverly Burns: 2 enrollment records collapsed into UHC-82374-33
Enrollment records
2
Member id
UHC-82374-33
MBR-025340
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025194
Duplicate member record retired
Member services
Emily Dunn: 2 enrollment records collapsed into UHC-10434-99
Enrollment records
2
Member id
UHC-10434-99
MBR-025345
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025195
Duplicate member record retired
Member services
Marcus Yang: 2 enrollment records collapsed into UHC-97947-47
Enrollment records
2
Member id
UHC-97947-47
MBR-025346
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025196
Duplicate member record retired
Member services
Amanda Arnold: 2 enrollment records collapsed into UHC-03979-01
Enrollment records
2
Member id
UHC-03979-01
MBR-025354
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025197
Duplicate member record retired
Member services
Benjamin Taylor: 2 enrollment records collapsed into UHC-67866-65
Enrollment records
2
Member id
UHC-67866-65
MBR-025364
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025198
Duplicate member record retired
Member services
Gary Rodriguez: 2 enrollment records collapsed into UHC-04924-40
Enrollment records
2
Member id
UHC-04924-40
MBR-025378
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025199
Duplicate member record retired
Member services
Tim Davis: 2 enrollment records collapsed into UHC-35325-43
Enrollment records
2
Member id
UHC-35325-43
MBR-025393
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025200
Duplicate member record retired
Member services
Nancy Mejia: 2 enrollment records collapsed into UHC-96159-26
Enrollment records
2
Member id
UHC-96159-26
MBR-025398
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025201
Duplicate member record retired
Member services
Walter Payne: 2 enrollment records collapsed into UHC-73011-94
Enrollment records
2
Member id
UHC-73011-94
MBR-025412
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025202
Duplicate member record retired
Member services
Ralph Jenkins: 2 enrollment records collapsed into UHC-30901-66
Enrollment records
2
Member id
UHC-30901-66
MBR-025421
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025203
Duplicate member record retired
Member services
David Howell: 2 enrollment records collapsed into UHC-89122-31
Enrollment records
2
Member id
UHC-89122-31
MBR-025429
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025204
Duplicate member record retired
Member services
Jack Gutierrez: 2 enrollment records collapsed into UHC-11771-60
Enrollment records
2
Member id
UHC-11771-60
MBR-025440
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 253 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.