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-025755
Duplicate member record retired
Member services
Jacob Ward: 2 enrollment records collapsed into UHC-58162-21
Enrollment records
2
Member id
UHC-58162-21
MBR-031002
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025756
Duplicate member record retired
Member services
Olivia Hughes: 2 enrollment records collapsed into UHC-11245-96
Enrollment records
2
Member id
UHC-11245-96
MBR-031026
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025757
Duplicate member record retired
Member services
Betty Kelly: 2 enrollment records collapsed into UHC-64201-19
Enrollment records
2
Member id
UHC-64201-19
MBR-031028
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025758
Duplicate member record retired
Member services
Jessica Montgomery: 2 enrollment records collapsed into UHC-28580-22
Enrollment records
2
Member id
UHC-28580-22
MBR-031035
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025759
Duplicate member record retired
Member services
Ann Simmons: 2 enrollment records collapsed into UHC-19311-66
Enrollment records
2
Member id
UHC-19311-66
MBR-031050
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025760
Duplicate member record retired
Member services
Walter Porter: 2 enrollment records collapsed into UHC-68877-75
Enrollment records
2
Member id
UHC-68877-75
MBR-031060
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025761
Duplicate member record retired
Member services
Lori Griffin: 2 enrollment records collapsed into UHC-27335-85
Enrollment records
2
Member id
UHC-27335-85
MBR-031097
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025762
Duplicate member record retired
Member services
Omar Cruz: 2 enrollment records collapsed into UHC-81755-94
Enrollment records
2
Member id
UHC-81755-94
MBR-031151
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025763
Duplicate member record retired
Member services
Diana Hudson: 3 enrollment records collapsed into UHC-99151-84
Enrollment records
3
Member id
UHC-99151-84
MBR-031154
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025764
Duplicate member record retired
Member services
Luis Smith: 2 enrollment records collapsed into UHC-09878-93
Enrollment records
2
Member id
UHC-09878-93
MBR-031168
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025765
Duplicate member record retired
Member services
Jordan Bowman: 4 enrollment records collapsed into UHC-13738-33
Enrollment records
4
Member id
UHC-13738-33
MBR-031196
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025766
Duplicate member record retired
Member services
Joshua Santiago: 2 enrollment records collapsed into UHC-23843-59
Enrollment records
2
Member id
UHC-23843-59
MBR-031200
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025767
Duplicate member record retired
Member services
Samantha Jacobs: 2 enrollment records collapsed into UHC-57057-69
Enrollment records
2
Member id
UHC-57057-69
MBR-031205
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025768
Duplicate member record retired
Member services
Jennifer Oliver: 2 enrollment records collapsed into UHC-58266-53
Enrollment records
2
Member id
UHC-58266-53
MBR-031213
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025769
Duplicate member record retired
Member services
Brian Wang: 2 enrollment records collapsed into UHC-03998-29
Enrollment records
2
Member id
UHC-03998-29
MBR-031227
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025770
Duplicate member record retired
Member services
Arrjun Butler: 2 enrollment records collapsed into UHC-43370-30
Enrollment records
2
Member id
UHC-43370-30
MBR-031231
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025771
Duplicate member record retired
Member services
Lori Hayes: 2 enrollment records collapsed into UHC-45787-52
Enrollment records
2
Member id
UHC-45787-52
MBR-031235
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025772
Duplicate member record retired
Member services
Vincent Armstrong: 2 enrollment records collapsed into UHC-92198-01
Enrollment records
2
Member id
UHC-92198-01
MBR-031259
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025773
Duplicate member record retired
Member services
Christian Morrison: 2 enrollment records collapsed into UHC-39410-53
Enrollment records
2
Member id
UHC-39410-53
MBR-031264
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025774
Duplicate member record retired
Member services
Catherine Sullivan: 2 enrollment records collapsed into UHC-40306-36
Enrollment records
2
Member id
UHC-40306-36
MBR-031271
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025775
Duplicate member record retired
Member services
Juan Lewis: 3 enrollment records collapsed into UHC-51931-21
Enrollment records
3
Member id
UHC-51931-21
MBR-031292
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025776
Duplicate member record retired
Member services
Vincent Padilla: 2 enrollment records collapsed into UHC-90199-64
Enrollment records
2
Member id
UHC-90199-64
MBR-031296
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025777
Duplicate member record retired
Member services
Robert Phillips: 2 enrollment records collapsed into UHC-81499-96
Enrollment records
2
Member id
UHC-81499-96
MBR-031302
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025778
Duplicate member record retired
Member services
Stephen Peterson: 2 enrollment records collapsed into UHC-22151-31
Enrollment records
2
Member id
UHC-22151-31
MBR-031308
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025779
Duplicate member record retired
Member services
Gloria Hamilton: 2 enrollment records collapsed into UHC-19298-24
Enrollment records
2
Member id
UHC-19298-24
MBR-031323
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025780
Duplicate member record retired
Member services
Jacqueline Taylor: 2 enrollment records collapsed into UHC-96049-80
Enrollment records
2
Member id
UHC-96049-80
MBR-031331
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025781
Duplicate member record retired
Member services
Hannah Watson: 2 enrollment records collapsed into UHC-44586-69
Enrollment records
2
Member id
UHC-44586-69
MBR-031363
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025782
Duplicate member record retired
Member services
Peter Burton: 2 enrollment records collapsed into UHC-38405-46
Enrollment records
2
Member id
UHC-38405-46
MBR-031375
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025783
Duplicate member record retired
Member services
Ann Marquez: 2 enrollment records collapsed into UHC-61611-49
Enrollment records
2
Member id
UHC-61611-49
MBR-031390
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025784
Duplicate member record retired
Member services
Benjamin Henry: 2 enrollment records collapsed into UHC-63829-07
Enrollment records
2
Member id
UHC-63829-07
MBR-031404
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025785
Duplicate member record retired
Member services
Julia Fowler: 2 enrollment records collapsed into UHC-77770-43
Enrollment records
2
Member id
UHC-77770-43
MBR-031425
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025786
Duplicate member record retired
Member services
Marcus Payne: 2 enrollment records collapsed into UHC-10387-43
Enrollment records
2
Member id
UHC-10387-43
MBR-031461
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025787
Duplicate member record retired
Member services
Danielle Elliott: 2 enrollment records collapsed into UHC-10138-47
Enrollment records
2
Member id
UHC-10138-47
MBR-031469
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025788
Duplicate member record retired
Member services
James Aguilar: 2 enrollment records collapsed into UHC-01258-69
Enrollment records
2
Member id
UHC-01258-69
MBR-031491
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025789
Duplicate member record retired
Member services
Amanda Gomez: 2 enrollment records collapsed into UHC-45484-57
Enrollment records
2
Member id
UHC-45484-57
MBR-031493
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025790
Duplicate member record retired
Member services
Brandon Murphy: 2 enrollment records collapsed into UHC-35997-95
Enrollment records
2
Member id
UHC-35997-95
MBR-031498
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025791
Duplicate member record retired
Member services
Helen Jimenez: 3 enrollment records collapsed into UHC-73267-49
Enrollment records
3
Member id
UHC-73267-49
MBR-031525
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025792
Duplicate member record retired
Member services
Roger Marquez: 3 enrollment records collapsed into UHC-62705-91
Enrollment records
3
Member id
UHC-62705-91
MBR-031527
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025793
Duplicate member record retired
Member services
James Yang: 2 enrollment records collapsed into UHC-48398-94
Enrollment records
2
Member id
UHC-48398-94
MBR-031537
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025794
Duplicate member record retired
Member services
Ahmed Lewis: 2 enrollment records collapsed into UHC-62800-86
Enrollment records
2
Member id
UHC-62800-86
MBR-031539
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025795
Duplicate member record retired
Member services
Anrew Ramos: 2 enrollment records collapsed into UHC-09140-27
Enrollment records
2
Member id
UHC-09140-27
MBR-031561
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025796
Duplicate member record retired
Member services
Scott Nguyen: 2 enrollment records collapsed into UHC-55213-44
Enrollment records
2
Member id
UHC-55213-44
MBR-031572
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025797
Duplicate member record retired
Member services
Julie Soto: 2 enrollment records collapsed into UHC-12423-03
Enrollment records
2
Member id
UHC-12423-03
MBR-031579
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025798
Duplicate member record retired
Member services
Russell Lee: 2 enrollment records collapsed into UHC-45227-69
Enrollment records
2
Member id
UHC-45227-69
MBR-031582
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025799
Duplicate member record retired
Member services
Gary Park: 2 enrollment records collapsed into UHC-10824-31
Enrollment records
2
Member id
UHC-10824-31
MBR-031599
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025800
Duplicate member record retired
Member services
Laura Dunn: 2 enrollment records collapsed into UHC-44881-02
Enrollment records
2
Member id
UHC-44881-02
MBR-031603
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025801
Duplicate member record retired
Member services
Jerry Stevens: 2 enrollment records collapsed into UHC-14916-97
Enrollment records
2
Member id
UHC-14916-97
MBR-031621
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025802
Duplicate member record retired
Member services
Brenda Wilson: 3 enrollment records collapsed into UHC-84051-84
Enrollment records
3
Member id
UHC-84051-84
MBR-031625
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025803
Duplicate member record retired
Member services
Hannah Weber: 2 enrollment records collapsed into UHC-28367-65
Enrollment records
2
Member id
UHC-28367-65
MBR-031640
Executed
resolution_agent
2026-10-22 12:47:23
ACT-025804
Duplicate member record retired
Member services
Cheryl Garza: 3 enrollment records collapsed into UHC-60602-34
Enrollment records
3
Member id
UHC-60602-34
MBR-031650
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 265 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.