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-011202 | Outreach address corrected Outreach | Mason Santos: 8308 Canyon Rd # 678, Glendale → 8308 Canyon Rd # 517, Glendale |
| Proposed | — | ||
| ACT-011203 | Outreach address corrected Outreach | Kyle Watkins: 2406 Palm Dr # 708, Tampa → 2406 Palm Dr, Tampa |
| Proposed | — | ||
| ACT-011204 | Outreach address corrected Outreach | Gerald Hudson: 721 Forest Ave, Tucson → 522 Church St, Houston |
| Proposed | — | ||
| ACT-011205 | Outreach address corrected Outreach | Mariana Webb: 4877 Mountain View Dr Apt 21, Seattle → 4877 Mountain View Dr, Seattle |
| Proposed | — | ||
| ACT-011206 | Outreach address corrected Outreach | Sandra Hart: 9811 Maple Ave # 555, Orlando → 9811 Maple Ave, Orlando |
| Proposed | — | ||
| ACT-011207 | Outreach address corrected Outreach | Janice Edwards: 207 Park Pl Apt 30, Dallas → 207 Park Pl, Dallas |
| Proposed | — | ||
| ACT-011208 | Outreach address corrected Outreach | Santiago Rios: 1715 Willow Ct, Sacramento → 8884 Pine Dr, Tucson |
| Proposed | — | ||
| ACT-011209 | Outreach address corrected Outreach | Karen Turner: 6370 Ocean Ave Apt 22, Plano → 6370 Ocean Ave, Plano |
| Proposed | — | ||
| ACT-011210 | Outreach address corrected Outreach | Heather Duncan: 9654 Harbor Blvd, Seattle → 7625 Desert Sky Blvd, Dallas |
| Proposed | — | ||
| ACT-011211 | Outreach address corrected Outreach | Cheryl Collins: 7644 Washington St, Phoenix → 5401 Church St # 246, Los Angeles |
| Proposed | — | ||
| ACT-011212 | Outreach address corrected Outreach | Andrea Scott: 2266 Lincoln Way Apt 22, Chandler → 4760 Mesa Dr, Glendale |
| Proposed | — | ||
| ACT-011213 | Outreach address corrected Outreach | Ralph Ortega: 2079 Meadow Ln Apt 16, Mesa → 2079 Meadow Ln, Mesa |
| Proposed | — | ||
| ACT-011214 | Outreach address corrected Outreach | Jack Jimenez: 1751 Apache Blvd, Tucson → 1751 Apache Blvd # 717, Tucson |
| Proposed | — | ||
| ACT-011215 | Outreach address corrected Outreach | Nicole Daniels: 6952 Central Ave, Tampa → 6952 Central Ave Apt 38, Tampa |
| Proposed | — | ||
| ACT-011216 | Outreach address corrected Outreach | Kelly Hicsk: 2724 Apache Blvd # 569, Nashville → 2724 Apache Blvd, Nashville |
| Proposed | — | ||
| ACT-011217 | Outreach address corrected Outreach | Wayne Lopez: 8070 Highland Ave # 736, Dallas → 8070 Highland Ave, Dallas |
| Proposed | — | ||
| ACT-011218 | Outreach address corrected Outreach | Andrew Dean: 1670 Mesa Dr, Tucson → 8626 Ridge Rd, Scottsdale |
| Proposed | — | ||
| ACT-011219 | Outreach address corrected Outreach | Sofia Davis: 1769 Lincoln Way Apt 32, Plano → 1769 Lincoln Way, Plano |
| Proposed | — | ||
| ACT-011220 | Outreach address corrected Outreach | Juhn Ramos: 8029 Park Pl, San Antonio → 8029 Park Pl # 157, San Antonio |
| Proposed | — | ||
| ACT-011221 | Outreach address corrected Outreach | Roy Young: 3149 Mountain View Dr Apt 22, Jacksonville → 3149 Mountain View Dr, Jacksonville |
| Proposed | — | ||
| ACT-011222 | Outreach address corrected Outreach | Kayla James: 3880 Park Pl # 172, Minneapolis → 3880 Park Pl, Minneapolis |
| Proposed | — | ||
| ACT-011223 | Outreach address corrected Outreach | Noah Cook: 3312 Oak St, Eden Prairie → 496 Market St, Tempe |
| Proposed | — | ||
| ACT-011224 | Outreach address corrected Outreach | Mary Valdez: 4738 Maple Ave Apt 10, Chandler → 4738 Maple Ave, Chandler |
| Proposed | — | ||
| ACT-011225 | Outreach address corrected Outreach | Gloria Nguyen: 242 Desert Sky Blvd, Denver → 242 Desert Sky Blvd # 869, Denver |
| Proposed | — | ||
| ACT-011226 | Outreach address corrected Outreach | Scott Moreno: 2645 Park Pl Apt 21, Sacramento → 2645 Park Pl, Sacramento |
| Proposed | — | ||
| ACT-011227 | Outreach address corrected Outreach | Michael Owens: 3292 Valley View Dr, Austin → 3292 Valley View Dr Apt 14, Austin |
| Proposed | — | ||
| ACT-011228 | Outreach address corrected Outreach | Laura Ryan: 9430 Sunset Blvd Apt 13, Charlotte → 9430 Sunset Blvd, Charlotte |
| Proposed | — | ||
| ACT-011229 | Outreach address corrected Outreach | Santiago Moreno: 4391 Broadway Apt 40, Sacramento → 4391 Broadway, Sacramento |
| Proposed | — | ||
| ACT-011230 | Outreach address corrected Outreach | Andrew Cox: 830 Sunset Blvd Apt 18, Miami → 830 Sunset Blvd, Miami |
| Proposed | — | ||
| ACT-011231 | Outreach address corrected Outreach | Nathan Munoz: 8839 Spring St, Scottsdale → 8839 Spring St Apt 30, Scottsdale |
| Proposed | — | ||
| ACT-011232 | Outreach address corrected Outreach | Melissa Soto: 4356 Jefferson Ave # 435, Fresno → 4356 Jefferson Ave, Fresno |
| Proposed | — | ||
| ACT-011233 | Outreach address corrected Outreach | Natalie Elliott: 6038 Desert Sky Blvd # 245, Miami → 6038 Desert Sky Blvd, Miami |
| Proposed | — | ||
| ACT-011234 | Outreach address corrected Outreach | Yuki Contreras: 4549 Broadway Apt 34, Phoenix → 4549 Broadway, Phoenix |
| Proposed | — | ||
| ACT-011235 | Outreach address corrected Outreach | Carolyn Santiago: 2007 Church St, Plano → 495 Indian School Rd, Dallas |
| Proposed | — | ||
| ACT-011236 | Outreach address corrected Outreach | Ahmed Black: 4516 Indian School Rd Apt 21, Fresno → 4516 Indian School Rd, Fresno |
| Proposed | — | ||
| ACT-011237 | Outreach address corrected Outreach | Amber Reed: 7366 Pine Dr Apt 32, Phoenix → 7366 Pine Dr, Phoenix |
| Proposed | — | ||
| ACT-011238 | Outreach address corrected Outreach | Carrol Reed: 8397 River Rd, Charlotte → 9449 Spring St, Denver |
| Proposed | — | ||
| ACT-011239 | Outreach address corrected Outreach | Jacob Little: 6323 Canyon Rd, Atlanta → 2649 Indian School Rd, Houston |
| Proposed | — | ||
| ACT-011240 | Outreach address corrected Outreach | Ana Allen: 8410 Desert Sky Blvd # 434, Denver → 94 Spring St, Miami |
| Proposed | — | ||
| ACT-011241 | Outreach address corrected Outreach | Kathryn Contreras: 9436 Bayshore Dr, Phoenix → 6059 Ridge Rd, Columbus |
| Proposed | — | ||
| ACT-011242 | Outreach address corrected Outreach | Nancy Vazquez: 4030 Maple Ave, Scottsdale → 4030 Maple Ave Apt 9, Scottsdale |
| Proposed | — | ||
| ACT-011243 | Outreach address corrected Outreach | Cheryl Munoz: 9140 Lake View Rd, Tempe → 5559 Sage Ct, Mesa |
| Proposed | — | ||
| ACT-011244 | Outreach address corrected Outreach | Christine Davis: 5608 Lincoln Way, Dallas → 5608 Lincoln Way # 143, Dallas |
| Proposed | — | ||
| ACT-011245 | Outreach address corrected Outreach | Austin Berry: 9431 Central Ave # 760, Eden Prairie → 9431 Central Ave, Eden Prairie |
| Proposed | — | ||
| ACT-011246 | Outreach address corrected Outreach | Rebecca Young: 2166 Camelback Rd, Austin → 2166 Camelback Rd Apt 22, Austin |
| Proposed | — | ||
| ACT-011247 | Outreach address corrected Outreach | Martha Ellis: 9311 Maple Ave, Phoenix → 6810 Grand Ave, Denver |
| Proposed | — | ||
| ACT-011248 | Outreach address corrected Outreach | Stephanie Cox: 8172 Mesa Dr Apt 26, Las Vegas → 8172 Mesa Dr, Las Vegas |
| Proposed | — | ||
| ACT-011249 | Outreach address corrected Outreach | Amy Young: 1598 Pine Dr, Tucson → 1598 Pine Dr Apt 23, Tucson |
| Proposed | — | ||
| ACT-011250 | Outreach address corrected Outreach | Adam Bailey: 6587 Jefferson Ave Apt 5, Scottsdale → 6587 Jefferson Ave, Scottsdale |
| Proposed | — | ||
| ACT-011251 | Outreach address corrected Outreach | Carol Stephens: 959 Market St, San Diego → 959 Market St Apt 28, San Diego |
| 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.