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-025505
Duplicate member record retired
Member services
Sofia Grant: 2 enrollment records collapsed into UHC-68246-83
Enrollment records
2
Member id
UHC-68246-83
MBR-028333
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025506
Duplicate member record retired
Member services
Marcus Scott: 2 enrollment records collapsed into UHC-58921-89
Enrollment records
2
Member id
UHC-58921-89
MBR-028339
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025507
Duplicate member record retired
Member services
Charlotte Le: 2 enrollment records collapsed into UHC-73579-53
Enrollment records
2
Member id
UHC-73579-53
MBR-028369
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025508
Duplicate member record retired
Member services
Jeremy Chapman: 2 enrollment records collapsed into UHC-44520-76
Enrollment records
2
Member id
UHC-44520-76
MBR-028373
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025509
Duplicate member record retired
Member services
Walter Wang: 2 enrollment records collapsed into UHC-97777-83
Enrollment records
2
Member id
UHC-97777-83
MBR-028383
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025510
Duplicate member record retired
Member services
Christine Cooper: 2 enrollment records collapsed into UHC-90180-01
Enrollment records
2
Member id
UHC-90180-01
MBR-028399
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025511
Duplicate member record retired
Member services
Jesse Pierce: 2 enrollment records collapsed into UHC-13009-43
Enrollment records
2
Member id
UHC-13009-43
MBR-028406
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025512
Duplicate member record retired
Member services
Sean Nunez: 2 enrollment records collapsed into UHC-56320-70
Enrollment records
2
Member id
UHC-56320-70
MBR-028426
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025513
Duplicate member record retired
Member services
Anthony Harper: 3 enrollment records collapsed into UHC-93669-60
Enrollment records
3
Member id
UHC-93669-60
MBR-028427
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025514
Duplicate member record retired
Member services
Joan Le: 2 enrollment records collapsed into UHC-35979-49
Enrollment records
2
Member id
UHC-35979-49
MBR-028433
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025515
Duplicate member record retired
Member services
Maira Kim: 2 enrollment records collapsed into UHC-95297-64
Enrollment records
2
Member id
UHC-95297-64
MBR-028437
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025516
Duplicate member record retired
Member services
Dylan Parker: 2 enrollment records collapsed into UHC-07807-62
Enrollment records
2
Member id
UHC-07807-62
MBR-028448
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025517
Duplicate member record retired
Member services
Douglas Carlson: 2 enrollment records collapsed into UHC-97519-33
Enrollment records
2
Member id
UHC-97519-33
MBR-028451
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025518
Duplicate member record retired
Member services
Carol Howell: 2 enrollment records collapsed into UHC-35472-34
Enrollment records
2
Member id
UHC-35472-34
MBR-028453
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025519
Duplicate member record retired
Member services
Angela Ellis: 2 enrollment records collapsed into UHC-22805-77
Enrollment records
2
Member id
UHC-22805-77
MBR-028467
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025520
Duplicate member record retired
Member services
Daniel Morrison: 2 enrollment records collapsed into UHC-57254-08
Enrollment records
2
Member id
UHC-57254-08
MBR-028478
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025521
Duplicate member record retired
Member services
Catherine Long: 2 enrollment records collapsed into UHC-07684-49
Enrollment records
2
Member id
UHC-07684-49
MBR-028491
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025522
Duplicate member record retired
Member services
Henry Chen: 2 enrollment records collapsed into UHC-33237-14
Enrollment records
2
Member id
UHC-33237-14
MBR-028515
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025523
Duplicate member record retired
Member services
Danielle Palmer: 2 enrollment records collapsed into UHC-01567-87
Enrollment records
2
Member id
UHC-01567-87
MBR-028518
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025524
Duplicate member record retired
Member services
Jessica Smith: 2 enrollment records collapsed into UHC-10378-37
Enrollment records
2
Member id
UHC-10378-37
MBR-028520
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025525
Duplicate member record retired
Member services
Samuel Franklin: 2 enrollment records collapsed into UHC-56314-59
Enrollment records
2
Member id
UHC-56314-59
MBR-028551
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025526
Duplicate member record retired
Member services
Gary Morgan: 2 enrollment records collapsed into UHC-94931-37
Enrollment records
2
Member id
UHC-94931-37
MBR-028570
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025527
Duplicate member record retired
Member services
Dorothy Rivera: 2 enrollment records collapsed into UHC-33446-42
Enrollment records
2
Member id
UHC-33446-42
MBR-028578
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025528
Duplicate member record retired
Member services
Denise Warren: 2 enrollment records collapsed into UHC-93992-96
Enrollment records
2
Member id
UHC-93992-96
MBR-028586
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025529
Duplicate member record retired
Member services
Natalie Mendez: 2 enrollment records collapsed into UHC-08282-03
Enrollment records
2
Member id
UHC-08282-03
MBR-028592
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025530
Duplicate member record retired
Member services
Joseph Lucas: 2 enrollment records collapsed into UHC-13804-58
Enrollment records
2
Member id
UHC-13804-58
MBR-028599
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025531
Duplicate member record retired
Member services
Danielle Lee: 2 enrollment records collapsed into UHC-50635-73
Enrollment records
2
Member id
UHC-50635-73
MBR-028626
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025532
Duplicate member record retired
Member services
Jonathan Shaw: 2 enrollment records collapsed into UHC-46625-64
Enrollment records
2
Member id
UHC-46625-64
MBR-028636
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025533
Duplicate member record retired
Member services
Aaron Evans: 2 enrollment records collapsed into UHC-51560-75
Enrollment records
2
Member id
UHC-51560-75
MBR-028645
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025534
Duplicate member record retired
Member services
Doris Castro: 2 enrollment records collapsed into UHC-97196-12
Enrollment records
2
Member id
UHC-97196-12
MBR-028650
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025535
Duplicate member record retired
Member services
Abigail Spencer: 2 enrollment records collapsed into UHC-82202-40
Enrollment records
2
Member id
UHC-82202-40
MBR-028674
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025536
Duplicate member record retired
Member services
Brittany Hall: 2 enrollment records collapsed into UHC-67985-87
Enrollment records
2
Member id
UHC-67985-87
MBR-028679
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025537
Duplicate member record retired
Member services
Thomas Chavez: 2 enrollment records collapsed into UHC-88059-40
Enrollment records
2
Member id
UHC-88059-40
MBR-028700
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025538
Duplicate member record retired
Member services
Roy Vega: 2 enrollment records collapsed into UHC-75367-91
Enrollment records
2
Member id
UHC-75367-91
MBR-028721
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025539
Duplicate member record retired
Member services
Keith Cruz: 2 enrollment records collapsed into UHC-71380-39
Enrollment records
2
Member id
UHC-71380-39
MBR-028727
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025540
Duplicate member record retired
Member services
Ronald Vargas: 2 enrollment records collapsed into UHC-34390-87
Enrollment records
2
Member id
UHC-34390-87
MBR-028733
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025541
Duplicate member record retired
Member services
Beverly Reid: 2 enrollment records collapsed into UHC-24324-35
Enrollment records
2
Member id
UHC-24324-35
MBR-028833
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025542
Duplicate member record retired
Member services
Grace Welch: 2 enrollment records collapsed into UHC-39042-44
Enrollment records
2
Member id
UHC-39042-44
MBR-028843
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025543
Duplicate member record retired
Member services
Kathryn Payne: 2 enrollment records collapsed into UHC-12324-03
Enrollment records
2
Member id
UHC-12324-03
MBR-028845
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025544
Duplicate member record retired
Member services
Margaret Parker: 3 enrollment records collapsed into UHC-49124-60
Enrollment records
3
Member id
UHC-49124-60
MBR-028860
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025545
Duplicate member record retired
Member services
Alan Ford: 2 enrollment records collapsed into UHC-52538-51
Enrollment records
2
Member id
UHC-52538-51
MBR-028861
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025546
Duplicate member record retired
Member services
Jonathan Sandoval: 2 enrollment records collapsed into UHC-01777-85
Enrollment records
2
Member id
UHC-01777-85
MBR-028869
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025547
Duplicate member record retired
Member services
Denise Young: 2 enrollment records collapsed into UHC-62842-53
Enrollment records
2
Member id
UHC-62842-53
MBR-028876
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025548
Duplicate member record retired
Member services
Ronald Crawford: 2 enrollment records collapsed into UHC-93325-15
Enrollment records
2
Member id
UHC-93325-15
MBR-028884
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025549
Duplicate member record retired
Member services
Zachary Gibson: 2 enrollment records collapsed into UHC-27948-29
Enrollment records
2
Member id
UHC-27948-29
MBR-028895
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025550
Duplicate member record retired
Member services
Ahmed West: 2 enrollment records collapsed into UHC-52082-68
Enrollment records
2
Member id
UHC-52082-68
MBR-028912
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025551
Duplicate member record retired
Member services
Denise Garza: 2 enrollment records collapsed into UHC-77826-78
Enrollment records
2
Member id
UHC-77826-78
MBR-028915
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025552
Duplicate member record retired
Member services
Richard Sanchez: 2 enrollment records collapsed into UHC-22704-81
Enrollment records
2
Member id
UHC-22704-81
MBR-028919
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025553
Duplicate member record retired
Member services
Heather Harvey: 2 enrollment records collapsed into UHC-60272-33
Enrollment records
2
Member id
UHC-60272-33
MBR-028923
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025554
Duplicate member record retired
Member services
Cynthia Watkins: 2 enrollment records collapsed into UHC-69888-49
Enrollment records
2
Member id
UHC-69888-49
MBR-028933
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 260 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.