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-024805
Duplicate member record retired
Member services
Kimberly Ramirez: 2 enrollment records collapsed into UHC-25631-35
Enrollment records
2
Member id
UHC-25631-35
MBR-021789
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024806
Duplicate member record retired
Member services
Jeffrey Maldonado: 2 enrollment records collapsed into UHC-80273-31
Enrollment records
2
Member id
UHC-80273-31
MBR-021822
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024807
Duplicate member record retired
Member services
Linda Valdez: 2 enrollment records collapsed into UHC-19258-88
Enrollment records
2
Member id
UHC-19258-88
MBR-021824
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024808
Duplicate member record retired
Member services
Gerald Harris: 2 enrollment records collapsed into UHC-66605-66
Enrollment records
2
Member id
UHC-66605-66
MBR-021831
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024809
Duplicate member record retired
Member services
Joan Hamilton: 2 enrollment records collapsed into UHC-96999-97
Enrollment records
2
Member id
UHC-96999-97
MBR-021849
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024810
Duplicate member record retired
Member services
Gloria Gomez: 2 enrollment records collapsed into UHC-96827-74
Enrollment records
2
Member id
UHC-96827-74
MBR-021858
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024811
Duplicate member record retired
Member services
Carolyn Wright: 2 enrollment records collapsed into UHC-94808-34
Enrollment records
2
Member id
UHC-94808-34
MBR-021862
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024812
Duplicate member record retired
Member services
Alan Mills: 3 enrollment records collapsed into UHC-85719-06
Enrollment records
3
Member id
UHC-85719-06
MBR-021875
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024813
Duplicate member record retired
Member services
Roy Smith: 2 enrollment records collapsed into UHC-64287-90
Enrollment records
2
Member id
UHC-64287-90
MBR-021882
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024814
Duplicate member record retired
Member services
Terry Nunez: 2 enrollment records collapsed into UHC-45934-01
Enrollment records
2
Member id
UHC-45934-01
MBR-021899
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024815
Duplicate member record retired
Member services
Hiroshi Kelley: 2 enrollment records collapsed into UHC-89921-68
Enrollment records
2
Member id
UHC-89921-68
MBR-021900
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024816
Duplicate member record retired
Member services
Christine Brooks: 2 enrollment records collapsed into UHC-05235-32
Enrollment records
2
Member id
UHC-05235-32
MBR-021912
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024817
Duplicate member record retired
Member services
Nancy Gibson: 2 enrollment records collapsed into UHC-64279-71
Enrollment records
2
Member id
UHC-64279-71
MBR-021916
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024818
Duplicate member record retired
Member services
Lori Williams: 2 enrollment records collapsed into UHC-29788-73
Enrollment records
2
Member id
UHC-29788-73
MBR-021921
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024819
Duplicate member record retired
Member services
Stephanie Bell: 2 enrollment records collapsed into UHC-76947-21
Enrollment records
2
Member id
UHC-76947-21
MBR-021924
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024820
Duplicate member record retired
Member services
Sean Jordan: 2 enrollment records collapsed into UHC-98220-61
Enrollment records
2
Member id
UHC-98220-61
MBR-021926
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024821
Duplicate member record retired
Member services
Angela Wood: 2 enrollment records collapsed into UHC-49670-68
Enrollment records
2
Member id
UHC-49670-68
MBR-021940
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024822
Duplicate member record retired
Member services
Vincent Thompson: 3 enrollment records collapsed into UHC-04730-28
Enrollment records
3
Member id
UHC-04730-28
MBR-021945
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024823
Duplicate member record retired
Member services
Ahmed Adams: 2 enrollment records collapsed into UHC-61442-82
Enrollment records
2
Member id
UHC-61442-82
MBR-021947
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024824
Duplicate member record retired
Member services
Jeremy Wagner: 2 enrollment records collapsed into UHC-69263-65
Enrollment records
2
Member id
UHC-69263-65
MBR-021952
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024825
Duplicate member record retired
Member services
Susan Hunter: 3 enrollment records collapsed into UHC-60558-30
Enrollment records
3
Member id
UHC-60558-30
MBR-021953
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024826
Duplicate member record retired
Member services
Andrew Hunt: 2 enrollment records collapsed into UHC-82931-32
Enrollment records
2
Member id
UHC-82931-32
MBR-021957
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024827
Duplicate member record retired
Member services
Barbara McDonald: 2 enrollment records collapsed into UHC-32514-51
Enrollment records
2
Member id
UHC-32514-51
MBR-021963
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024828
Duplicate member record retired
Member services
Deborah Stephens: 2 enrollment records collapsed into UHC-02721-84
Enrollment records
2
Member id
UHC-02721-84
MBR-021969
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024829
Duplicate member record retired
Member services
Kyle Ortega: 2 enrollment records collapsed into UHC-66914-34
Enrollment records
2
Member id
UHC-66914-34
MBR-021980
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024830
Duplicate member record retired
Member services
Julie Li: 2 enrollment records collapsed into UHC-87775-74
Enrollment records
2
Member id
UHC-87775-74
MBR-021982
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024831
Duplicate member record retired
Member services
Russell Green: 2 enrollment records collapsed into UHC-65551-19
Enrollment records
2
Member id
UHC-65551-19
MBR-022005
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024832
Duplicate member record retired
Member services
Diego Hicks: 2 enrollment records collapsed into UHC-33928-89
Enrollment records
2
Member id
UHC-33928-89
MBR-022012
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024833
Duplicate member record retired
Member services
Madison Russell: 2 enrollment records collapsed into UHC-55697-51
Enrollment records
2
Member id
UHC-55697-51
MBR-022032
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024834
Duplicate member record retired
Member services
Micchelle Hart: 2 enrollment records collapsed into UHC-85848-93
Enrollment records
2
Member id
UHC-85848-93
MBR-022036
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024835
Duplicate member record retired
Member services
Marilyn Franklin: 2 enrollment records collapsed into UHC-06882-90
Enrollment records
2
Member id
UHC-06882-90
MBR-022038
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024836
Duplicate member record retired
Member services
Cheryl Murphy: 2 enrollment records collapsed into UHC-27069-71
Enrollment records
2
Member id
UHC-27069-71
MBR-022044
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024837
Duplicate member record retired
Member services
Karen Gibson: 2 enrollment records collapsed into UHC-49708-56
Enrollment records
2
Member id
UHC-49708-56
MBR-022056
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024838
Duplicate member record retired
Member services
Natalie Long: 2 enrollment records collapsed into UHC-80712-12
Enrollment records
2
Member id
UHC-80712-12
MBR-022059
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024839
Duplicate member record retired
Member services
Arthur George: 2 enrollment records collapsed into UHC-37062-38
Enrollment records
2
Member id
UHC-37062-38
MBR-022061
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024840
Duplicate member record retired
Member services
Juddith Sullivan: 2 enrollment records collapsed into UHC-14136-74
Enrollment records
2
Member id
UHC-14136-74
MBR-022076
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024841
Duplicate member record retired
Member services
Aisha Gray: 3 enrollment records collapsed into UHC-66078-28
Enrollment records
3
Member id
UHC-66078-28
MBR-022080
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024842
Duplicate member record retired
Member services
Mary Russell: 2 enrollment records collapsed into UHC-42213-42
Enrollment records
2
Member id
UHC-42213-42
MBR-022082
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024843
Duplicate member record retired
Member services
Gary Rodriguez: 3 enrollment records collapsed into UHC-38044-13
Enrollment records
3
Member id
UHC-38044-13
MBR-022088
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024844
Duplicate member record retired
Member services
Brittany Gilbert: 3 enrollment records collapsed into UHC-09613-64
Enrollment records
3
Member id
UHC-09613-64
MBR-022107
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024845
Duplicate member record retired
Member services
Juan Carroll: 2 enrollment records collapsed into UHC-09236-74
Enrollment records
2
Member id
UHC-09236-74
MBR-022119
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024846
Duplicate member record retired
Member services
Bryen Lawson: 2 enrollment records collapsed into UHC-80563-50
Enrollment records
2
Member id
UHC-80563-50
MBR-022126
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024847
Duplicate member record retired
Member services
Heather Schultz: 2 enrollment records collapsed into UHC-31606-78
Enrollment records
2
Member id
UHC-31606-78
MBR-022132
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024848
Duplicate member record retired
Member services
Billy Welch: 2 enrollment records collapsed into UHC-84428-82
Enrollment records
2
Member id
UHC-84428-82
MBR-022139
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024849
Duplicate member record retired
Member services
Douglas Morgan: 2 enrollment records collapsed into UHC-20227-50
Enrollment records
2
Member id
UHC-20227-50
MBR-022142
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024850
Duplicate member record retired
Member services
Peter Fox: 2 enrollment records collapsed into UHC-43855-32
Enrollment records
2
Member id
UHC-43855-32
MBR-022154
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024851
Duplicate member record retired
Member services
Terry Watson: 2 enrollment records collapsed into UHC-98156-98
Enrollment records
2
Member id
UHC-98156-98
MBR-022161
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024852
Duplicate member record retired
Member services
Amanda Little: 2 enrollment records collapsed into UHC-87673-57
Enrollment records
2
Member id
UHC-87673-57
MBR-022181
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024853
Duplicate member record retired
Member services
Brcue Wong: 2 enrollment records collapsed into UHC-96559-47
Enrollment records
2
Member id
UHC-96559-47
MBR-022185
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024854
Duplicate member record retired
Member services
Denise Peterson: 2 enrollment records collapsed into UHC-84776-24
Enrollment records
2
Member id
UHC-84776-24
MBR-022187
Executed
resolution_agent
2026-10-22 12:47:23
14,086 rows, page 246 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.