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
Duplicate member record retired, Member services, 0 proposed
ActionTypeTitleDetailLinked toStatusExecuted
ACT-023517
Duplicate member record retired
Member services
Stephen Webb: 2 enrollment records collapsed into UHC-05513-58
Enrollment records
2
Member id
UHC-05513-58
MBR-011951
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023518
Duplicate member record retired
Member services
Gabriel Chen: 2 enrollment records collapsed into UHC-95467-99
Enrollment records
2
Member id
UHC-95467-99
MBR-011969
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023519
Duplicate member record retired
Member services
Olivia Hunter: 2 enrollment records collapsed into UHC-36158-75
Enrollment records
2
Member id
UHC-36158-75
MBR-011972
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023520
Duplicate member record retired
Member services
Marilyn Gutierrez: 2 enrollment records collapsed into UHC-79657-83
Enrollment records
2
Member id
UHC-79657-83
MBR-011975
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023521
Duplicate member record retired
Member services
Heather Brooks: 2 enrollment records collapsed into UHC-62227-54
Enrollment records
2
Member id
UHC-62227-54
MBR-011977
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023522
Duplicate member record retired
Member services
Mariana Obrien: 2 enrollment records collapsed into UHC-70943-35
Enrollment records
2
Member id
UHC-70943-35
MBR-011982
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023523
Duplicate member record retired
Member services
Kimberly Hunter: 2 enrollment records collapsed into UHC-75741-71
Enrollment records
2
Member id
UHC-75741-71
MBR-011992
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023524
Duplicate member record retired
Member services
Lori Hunt: 2 enrollment records collapsed into UHC-23583-92
Enrollment records
2
Member id
UHC-23583-92
MBR-012003
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023525
Duplicate member record retired
Member services
Judith West: 2 enrollment records collapsed into UHC-78083-57
Enrollment records
2
Member id
UHC-78083-57
MBR-012031
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023526
Duplicate member record retired
Member services
Katherine Turner: 3 enrollment records collapsed into UHC-72280-81
Enrollment records
3
Member id
UHC-72280-81
MBR-012037
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023527
Duplicate member record retired
Member services
Betty Holmes: 2 enrollment records collapsed into UHC-36733-86
Enrollment records
2
Member id
UHC-36733-86
MBR-012038
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023528
Duplicate member record retired
Member services
Wayne Davis: 2 enrollment records collapsed into UHC-67278-96
Enrollment records
2
Member id
UHC-67278-96
MBR-012042
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023529
Duplicate member record retired
Member services
Douglas Obrien: 2 enrollment records collapsed into UHC-37735-01
Enrollment records
2
Member id
UHC-37735-01
MBR-012043
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023530
Duplicate member record retired
Member services
Helen Fernandez: 3 enrollment records collapsed into UHC-17523-60
Enrollment records
3
Member id
UHC-17523-60
MBR-012049
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023531
Duplicate member record retired
Member services
Santiago Rojas: 2 enrollment records collapsed into UHC-47732-45
Enrollment records
2
Member id
UHC-47732-45
MBR-012057
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023532
Duplicate member record retired
Member services
Tyler Sullivan: 2 enrollment records collapsed into UHC-70041-90
Enrollment records
2
Member id
UHC-70041-90
MBR-012059
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023533
Duplicate member record retired
Member services
Randy Sims: 2 enrollment records collapsed into UHC-91736-60
Enrollment records
2
Member id
UHC-91736-60
MBR-012073
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023534
Duplicate member record retired
Member services
Lori Fuller: 3 enrollment records collapsed into UHC-05352-75
Enrollment records
3
Member id
UHC-05352-75
MBR-012075
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023535
Duplicate member record retired
Member services
Vincent Day: 2 enrollment records collapsed into UHC-43106-96
Enrollment records
2
Member id
UHC-43106-96
MBR-012077
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023536
Duplicate member record retired
Member services
Margaret Ward: 2 enrollment records collapsed into UHC-09444-69
Enrollment records
2
Member id
UHC-09444-69
MBR-012079
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023537
Duplicate member record retired
Member services
Santiago Ford: 2 enrollment records collapsed into UHC-19531-20
Enrollment records
2
Member id
UHC-19531-20
MBR-012087
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023538
Duplicate member record retired
Member services
Susan Ward: 2 enrollment records collapsed into UHC-02824-24
Enrollment records
2
Member id
UHC-02824-24
MBR-012089
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023539
Duplicate member record retired
Member services
Jesse Flores: 2 enrollment records collapsed into UHC-66809-51
Enrollment records
2
Member id
UHC-66809-51
MBR-012090
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023540
Duplicate member record retired
Member services
Gregory Johnson: 2 enrollment records collapsed into UHC-38059-86
Enrollment records
2
Member id
UHC-38059-86
MBR-012092
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023541
Duplicate member record retired
Member services
Amy Washington: 2 enrollment records collapsed into UHC-41659-76
Enrollment records
2
Member id
UHC-41659-76
MBR-012103
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023542
Duplicate member record retired
Member services
Danielle Perry: 2 enrollment records collapsed into UHC-15283-06
Enrollment records
2
Member id
UHC-15283-06
MBR-012108
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023543
Duplicate member record retired
Member services
Shirley Sanchez: 2 enrollment records collapsed into UHC-11667-88
Enrollment records
2
Member id
UHC-11667-88
MBR-012117
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023544
Duplicate member record retired
Member services
Margaret Watson: 2 enrollment records collapsed into UHC-53720-04
Enrollment records
2
Member id
UHC-53720-04
MBR-012119
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023545
Duplicate member record retired
Member services
Larry Rogers: 2 enrollment records collapsed into UHC-32272-09
Enrollment records
2
Member id
UHC-32272-09
MBR-012121
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023546
Duplicate member record retired
Member services
Joshua Crawford: 2 enrollment records collapsed into UHC-85570-06
Enrollment records
2
Member id
UHC-85570-06
MBR-012132
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023547
Duplicate member record retired
Member services
Diego Holmes: 3 enrollment records collapsed into UHC-69313-48
Enrollment records
3
Member id
UHC-69313-48
MBR-012144
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023548
Duplicate member record retired
Member services
Mary Fields: 2 enrollment records collapsed into UHC-83147-55
Enrollment records
2
Member id
UHC-83147-55
MBR-012145
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023549
Duplicate member record retired
Member services
Jordan Lawrence: 3 enrollment records collapsed into UHC-30417-68
Enrollment records
3
Member id
UHC-30417-68
MBR-012148
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023550
Duplicate member record retired
Member services
Denise Obrien: 2 enrollment records collapsed into UHC-16406-79
Enrollment records
2
Member id
UHC-16406-79
MBR-012155
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023551
Duplicate member record retired
Member services
Alexander Reed: 2 enrollment records collapsed into UHC-32257-08
Enrollment records
2
Member id
UHC-32257-08
MBR-012168
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023552
Duplicate member record retired
Member services
Jean Burns: 2 enrollment records collapsed into UHC-41583-14
Enrollment records
2
Member id
UHC-41583-14
MBR-012169
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023553
Duplicate member record retired
Member services
Pamela Phillips: 2 enrollment records collapsed into UHC-63688-70
Enrollment records
2
Member id
UHC-63688-70
MBR-012176
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023554
Duplicate member record retired
Member services
Dennis Holmes: 3 enrollment records collapsed into UHC-23663-34
Enrollment records
3
Member id
UHC-23663-34
MBR-012183
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023555
Duplicate member record retired
Member services
Denise Dominguez: 2 enrollment records collapsed into UHC-13081-73
Enrollment records
2
Member id
UHC-13081-73
MBR-012190
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023556
Duplicate member record retired
Member services
Mari Mejia: 2 enrollment records collapsed into UHC-87776-07
Enrollment records
2
Member id
UHC-87776-07
MBR-012193
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023557
Duplicate member record retired
Member services
Frances Hill: 2 enrollment records collapsed into UHC-11640-50
Enrollment records
2
Member id
UHC-11640-50
MBR-012198
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023558
Duplicate member record retired
Member services
Jerry Moore: 2 enrollment records collapsed into UHC-01331-32
Enrollment records
2
Member id
UHC-01331-32
MBR-012206
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023559
Duplicate member record retired
Member services
Carl Sims: 2 enrollment records collapsed into UHC-22625-51
Enrollment records
2
Member id
UHC-22625-51
MBR-012220
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023560
Duplicate member record retired
Member services
Alexis Henry: 2 enrollment records collapsed into UHC-60956-74
Enrollment records
2
Member id
UHC-60956-74
MBR-012238
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023561
Duplicate member record retired
Member services
Samuel Ford: 2 enrollment records collapsed into UHC-57373-99
Enrollment records
2
Member id
UHC-57373-99
MBR-012239
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023562
Duplicate member record retired
Member services
Shirley Gutierrez: 2 enrollment records collapsed into UHC-95109-52
Enrollment records
2
Member id
UHC-95109-52
MBR-012249
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023563
Duplicate member record retired
Member services
Sara Fields: 2 enrollment records collapsed into UHC-44926-42
Enrollment records
2
Member id
UHC-44926-42
MBR-012252
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023564
Duplicate member record retired
Member services
Patrick Andrews: 2 enrollment records collapsed into UHC-59973-87
Enrollment records
2
Member id
UHC-59973-87
MBR-012257
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023565
Duplicate member record retired
Member services
Susan Perry: 2 enrollment records collapsed into UHC-00025-27
Enrollment records
2
Member id
UHC-00025-27
MBR-012260
Executed
resolution_agent
2026-10-22 12:47:23
ACT-023566
Duplicate member record retired
Member services
Nciole Vega: 2 enrollment records collapsed into UHC-90651-35
Enrollment records
2
Member id
UHC-90651-35
MBR-012271
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 38 of 100PreviousNext

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.