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
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-011152 | Outreach address corrected Outreach | Mateo Diaz: 2968 Apache Blvd # 166, Houston → 2968 Apache Blvd, Houston |
| Proposed | — | ||
| ACT-011153 | Outreach address corrected Outreach | Megan Davis: 4311 Church St, Atlanta → 5918 Union St, Nashville |
| Proposed | — | ||
| ACT-011154 | Outreach address corrected Outreach | Susan Yang: 3414 Church St, Jacksonville → 3414 Church St Apt 12, Jacksonville |
| Proposed | — | ||
| ACT-011155 | Outreach address corrected Outreach | Gloria Rogers: 5350 Desert Sky Blvd Apt 29, Atlanta → 5350 Desert Sky Blvd Apt 17, Atlanta |
| Proposed | — | ||
| ACT-011156 | Outreach address corrected Outreach | Anthony Martin: 2343 Oak St Apt 31, Phoenix → 2343 Oak St, Phoenix |
| Proposed | — | ||
| ACT-011157 | Outreach address corrected Outreach | Cheryl Harvey: 1249 Hillcrest Rd, Plano → 1249 Hillcrest Rd Apt 13, Plano |
| Proposed | — | ||
| ACT-011158 | Outreach address corrected Outreach | Mariana Clark: 3422 Mesa Dr Apt 2, Tempe → 2426 Cedar Ln, Los Angeles |
| Proposed | — | ||
| ACT-011159 | Outreach address corrected Outreach | Virginia Nelson: 5994 Ridge Rd, Tempe → 5994 Ridge Rd # 606, Tempe |
| Proposed | — | ||
| ACT-011160 | Outreach address corrected Outreach | Saara Gutierrez: 742 Mesa Dr, Austin → 7691 Spring St, Mesa |
| Proposed | — | ||
| ACT-011161 | Outreach address corrected Outreach | Carlos Thomas: 4110 Camelback Rd Apt 17, Mesa → 4110 Camelback Rd, Mesa |
| Proposed | — | ||
| ACT-011162 | Outreach address corrected Outreach | Frank Snchez: 5089 Sunset Blvd, Las Vegas → 2748 Sage Ct, Seattle |
| Proposed | — | ||
| ACT-011163 | Outreach address corrected Outreach | Aisha Baker: 5994 Indian School Rd Apt 8, Charlotte → 5994 Indian School Rd # 611, Charlotte |
| Proposed | — | ||
| ACT-011164 | Outreach address corrected Outreach | Lucia Hernandez: 5947 Bayshore Dr, Tempe → 1139 Mountain View Dr, Seattle |
| Proposed | — | ||
| ACT-011165 | Outreach address corrected Outreach | Susan Ramiirez: 4791 Oak St, Jacksonville → 9289 Sage Ct, Tucson |
| Proposed | — | ||
| ACT-011166 | Outreach address corrected Outreach | Edward Maldonado: 2333 Forest Ave Apt 18, Austin → 2333 Forest Ave, Austin |
| Proposed | — | ||
| ACT-011167 | Outreach address corrected Outreach | Gerald Valdez: 5482 Jefferson Ave, Minneapolis → 5759 Broadway, Plano |
| Proposed | — | ||
| ACT-011168 | Outreach address corrected Outreach | Barbara Lynch: 8824 Maple Ave # 395, Austin → 8824 Maple Ave, Austin |
| Proposed | — | ||
| ACT-011169 | Outreach address corrected Outreach | Teresa Coleman: 5737 Maple Ave # 982, Phoenix → 5737 Maple Ave, Phoenix |
| Proposed | — | ||
| ACT-011170 | Outreach address corrected Outreach | Christine Wagner: 5020 Sunset Blvd, Plano → 8466 Jefferson Ave, Tucson |
| Proposed | — | ||
| ACT-011171 | Outreach address corrected Outreach | Lauren Castro: 2191 Pine Dr, Sacramento → 2191 Pine Dr Apt 15, Sacramento |
| Proposed | — | ||
| ACT-011172 | Outreach address corrected Outreach | Nathan Smith: 7425 Ridge Rd Apt 30, Mesa → 7425 Ridge Rd, Mesa |
| Proposed | — | ||
| ACT-011173 | Outreach address corrected Outreach | Emily Le: 7478 Oak St, Minneapolis → 9284 Meadow Ln, Atlanta |
| Proposed | — | ||
| ACT-011174 | Outreach address corrected Outreach | Bruce Little: 5733 Baseline Rd, Los Angeles → 9067 Harbor Blvd, Fresno |
| Proposed | — | ||
| ACT-011175 | Outreach address corrected Outreach | Mark Ray: 7803 Valley View Dr Apt 32, Chandler → 7803 Valley View Dr, Chandler |
| Proposed | — | ||
| ACT-011176 | Outreach address corrected Outreach | Jose Ford: 7707 Bayshore Dr, Fresno → 7094 Jefferson Ave, Mesa |
| Proposed | — | ||
| ACT-011177 | Outreach address corrected Outreach | Doris Gilbert: 9736 Main St, Sacramento → 5809 Forest Ave, Columbus |
| Proposed | — | ||
| ACT-011178 | Outreach address corrected Outreach | Dorothy Wang: 4129 Bayshore Dr, Columbus → 4129 Bayshore Dr # 533, Columbus |
| Proposed | — | ||
| ACT-011179 | Outreach address corrected Outreach | Gloria Lopez: 1893 Central Ave Apt 9, Tempe → 1893 Central Ave, Tempe |
| Proposed | — | ||
| ACT-011180 | Outreach address corrected Outreach | Madison Thomas: 9336 Maple Ave Apt 27, Minneapolis → 9336 Maple Ave, Minneapolis |
| Proposed | — | ||
| ACT-011181 | Outreach address corrected Outreach | Aaron Morris: 6297 Lake View Rd, Scottsdale → 6297 Lake View Rd # 445, Scottsdale |
| Proposed | — | ||
| ACT-011182 | Outreach address corrected Outreach | Scott Guzman: 2262 Cedar Ln Apt 33, Tampa → 2262 Cedar Ln, Tampa |
| Proposed | — | ||
| ACT-011183 | Outreach address corrected Outreach | Jonathan Wheelar: 8429 Hillcrest Rd, Scottsdale → 8429 Hillcrest Rd # 900, Scottsdale |
| Proposed | — | ||
| ACT-011184 | Outreach address corrected Outreach | Deborah Murray: 1166 Park Pl, Las Vegas → 1166 Park Pl # 806, Las Vegas |
| Proposed | — | ||
| ACT-011185 | Outreach address corrected Outreach | Walter Alvarez: 1502 Apache Blvd Apt 25, Dallas → 1502 Apache Blvd, Dallas |
| Proposed | — | ||
| ACT-011186 | Outreach address corrected Outreach | John Maldonado: 1029 Sage Ct, Mesa → 3335 Park Pl, Austin |
| Proposed | — | ||
| ACT-011187 | Outreach address corrected Outreach | Heather Chavez: 1163 Ocean Ave # 209, Nashville → 1163 Ocean Ave, Nashville |
| Proposed | — | ||
| ACT-011188 | Outreach address corrected Outreach | Philip Banks: 9677 Jefferson Ave # 745, Austin → 9677 Jefferson Ave, Austin |
| Proposed | — | ||
| ACT-011189 | Outreach address corrected Outreach | Christine Vega: 3340 Willow Ct # 845, Atlanta → 3340 Willow Ct, Atlanta |
| Proposed | — | ||
| ACT-011190 | Outreach address corrected Outreach | Philip Valdez: 5651 Ridge Rd, Los Angeles → 2007 Mountain View Dr Apt 38, Eden Prairie |
| Proposed | — | ||
| ACT-011191 | Outreach address corrected Outreach | Abigail Vasquez: 429 Market St, Miami → 6809 Bayshore Dr, Houston |
| Proposed | — | ||
| ACT-011192 | Outreach address corrected Outreach | Debra Coleman: 6947 Ocean Ave Apt 28, Tempe → 6947 Ocean Ave, Tempe |
| Proposed | — | ||
| ACT-011193 | Outreach address corrected Outreach | Gregory Wang: 934 Ocean Ave # 558, Columbus → 934 Ocean Ave, Columbus |
| Proposed | — | ||
| ACT-011194 | Outreach address corrected Outreach | Kiberly Carlson: 8110 Highland Ave # 808, Mesa → 8110 Highland Ave # 212, Mesa |
| Proposed | — | ||
| ACT-011195 | Outreach address corrected Outreach | Debra Simmons: 521 Market St, Los Angeles → 3226 Elm St, Tampa |
| Proposed | — | ||
| ACT-011196 | Outreach address corrected Outreach | Aisha Butler: 181 Maple Ave, Denver → 181 Maple Ave # 771, Denver |
| Proposed | — | ||
| ACT-011197 | Outreach address corrected Outreach | Alice Gutierrez: 8084 Baseline Rd, Tampa → 8084 Baseline Rd # 744, Tampa |
| Proposed | — | ||
| ACT-011198 | Outreach address corrected Outreach | Theresa Murray: 6969 Jefferson Ave, Seattle → 7975 Hillcrest Rd Apt 9, San Diego |
| Proposed | — | ||
| ACT-011199 | Outreach address corrected Outreach | Sharon Burton: 5914 Baseline Rd, Atlanta → 5056 Pine Dr # 333, Plano |
| Proposed | — | ||
| ACT-011200 | Outreach address corrected Outreach | Keith Fox: 7640 Jefferson Ave, Plano → 3150 Willow Ct, Columbus |
| Proposed | — | ||
| ACT-011201 | Outreach address corrected Outreach | David Pteerson: 1308 Apache Blvd, Atlanta → 6452 Highland Ave, Eden Prairie |
| Proposed | — |
Derivation rules
Evaluated after every gold rebuild
- 1Eligibility conflict resolvedThe records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
- 2Orphan claim re-pointedA 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.
- 3Outreach address correctedThe most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
- 4Outreach suppressed pending stewardThe record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
- 5Care coordination outreachThree or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
- 6New member onboardingA single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
- 7Duplicate member record retiredTwo or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.