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-011502 | Outreach address corrected Outreach | Julie Banks: 2818 River Rd, Minneapolis → 2818 River Rd Apt 11, Minneapolis |
| Proposed | — | ||
| ACT-011503 | Outreach address corrected Outreach | Angela Wheeler: 1829 Grand Ave, Jacksonville → 1829 Grand Ave # 630, Jacksonville |
| Proposed | — | ||
| ACT-011504 | Outreach address corrected Outreach | Ethan Mejia: 6031 Forest Ave, San Antonio → 5630 Church St, Tempe |
| Proposed | — | ||
| ACT-011505 | Outreach address corrected Outreach | Carolyn Kelley: 4456 Jefferson Ave, Tampa → 3821 Market St, Tucson |
| Proposed | — | ||
| ACT-011506 | Outreach address corrected Outreach | Samuel Hart: 3954 Desert Sky Blvd, Tucson → 3954 Desert Sky Blvd Apt 8, Tucson |
| Proposed | — | ||
| ACT-011507 | Outreach address corrected Outreach | Linda Murray: 9085 Washington St Apt 28, Mesa → 9085 Washington St Apt 7, Mesa |
| Proposed | — | ||
| ACT-011508 | Outreach address corrected Outreach | Shirley Harris: 3593 Grand Ave # 614, Plano → 3593 Grand Ave, Plano |
| Proposed | — | ||
| ACT-011509 | Outreach address corrected Outreach | Emma Myers: 8549 Highland Ave, Los Angeles → 1779 Oak St, Sacramento |
| Proposed | — | ||
| ACT-011510 | Outreach address corrected Outreach | Cynthia Nelson: 4108 Forest Ave, Orlando → 4108 Forest Ave Apt 7, Orlando |
| Proposed | — | ||
| ACT-011511 | Outreach address corrected Outreach | Samuel Kelley: 6204 Union St, Orlando → 5846 Mountain View Dr, Phoenix |
| Proposed | — | ||
| ACT-011512 | Outreach address corrected Outreach | Peter Washington: 5478 Church St, Austin → 9079 Meadow Ln, Glendale |
| Proposed | — | ||
| ACT-011513 | Outreach address corrected Outreach | Diana Freeman: 9230 Market St, Charlotte → 9230 Market St # 682, Charlotte |
| Proposed | — | ||
| ACT-011514 | Outreach address corrected Outreach | Charlotte Peterson: 833 Central Ave Apt 40, Tempe → 833 Central Ave, Tempe |
| Proposed | — | ||
| ACT-011515 | Outreach address corrected Outreach | Lucia Medina: 314 Oak St Apt 15, Las Vegas → 8494 Indian School Rd, Plano |
| Proposed | — | ||
| ACT-011516 | Outreach address corrected Outreach | Carol Hall: 6376 Desert Sky Blvd, Phoenix → 6376 Desert Sky Blvd # 229, Phoenix |
| Proposed | — | ||
| ACT-011517 | Outreach address corrected Outreach | Kayla Reid: 2115 Market St Apt 14, Sacramento → 2115 Market St, Sacramento |
| Proposed | — | ||
| ACT-011518 | Outreach address corrected Outreach | Priya Montgomery: 2829 Ocean Ave, Seattle → 2829 Ocean Ave Apt 18, Seattle |
| Proposed | — | ||
| ACT-011519 | Outreach address corrected Outreach | Jessica Ellis: 2135 Mesa Dr Apt 21, Jacksonville → 2135 Mesa Dr, Jacksonville |
| Proposed | — | ||
| ACT-011520 | Outreach address corrected Outreach | Natalie Reid: 9381 Hillcrest Rd, Chandler → 9381 Hillcrest Rd Apt 38, Chandler |
| Proposed | — | ||
| ACT-011521 | Outreach address corrected Outreach | Ralph Jacobs: 1278 River Rd # 398, Phoenix → 1278 River Rd, Phoenix |
| Proposed | — | ||
| ACT-011522 | Outreach address corrected Outreach | Wei Powell: 4446 Indian School Rd, Plano → 4263 Cedar Ln, Glendale |
| Proposed | — | ||
| ACT-011523 | Outreach address corrected Outreach | Evelyn Woods: 7917 Central Ave Apt 35, Tampa → 7917 Central Ave, Tampa |
| Proposed | — | ||
| ACT-011524 | Outreach address corrected Outreach | Nicole Banks: 7657 Canyon Rd, Denver → 2501 Apache Blvd, Tampa |
| Proposed | — | ||
| ACT-011525 | Outreach address corrected Outreach | Kenneth Garrett: 4405 Willow Ct, Chandler → 1710 Harbor Blvd, Minneapolis |
| Proposed | — | ||
| ACT-011526 | Outreach address corrected Outreach | Barbara Yang: 2610 Palm Dr, Sacramento → 2610 Palm Dr # 461, Sacramento |
| Proposed | — | ||
| ACT-011527 | Outreach address corrected Outreach | Ralph Weaver: 2322 Hillcrest Rd, Miami → 2447 Washington St, Orlando |
| Proposed | — | ||
| ACT-011528 | Outreach address corrected Outreach | Madison Mendoza: 7638 Lake View Rd, Dallas → 7638 Lake View Rd Apt 3, Dallas |
| Proposed | — | ||
| ACT-011529 | Outreach address corrected Outreach | Rebecca Cooper: 4303 Forest Ave # 898, Glendale → 4303 Forest Ave, Glendale |
| Proposed | — | ||
| ACT-011530 | Outreach address corrected Outreach | Raymond Chapman: 739 River Rd Apt 39, Nashville → 3099 Maple Ave, Houston |
| Proposed | — | ||
| ACT-011531 | Outreach address corrected Outreach | Aaron Hill: 6660 Willow Ct # 850, Nashville → 6660 Willow Ct, Nashville |
| Proposed | — | ||
| ACT-011532 | Outreach address corrected Outreach | Sean Allen: 9243 Union St # 273, Seattle → 9243 Union St, Seattle |
| Proposed | — | ||
| ACT-011533 | Outreach address corrected Outreach | David Nguyen: 7691 Washington St Apt 8, Jacksonville → 7691 Washington St # 884, Jacksonville |
| Proposed | — | ||
| ACT-011534 | Outreach address corrected Outreach | Larry Porter: 2951 Indian School Rd, San Antonio → 2951 Indian School Rd Apt 5, San Antonio |
| Proposed | — | ||
| ACT-011535 | Outreach address corrected Outreach | Andrea Cunningham: 976 Bayshore Dr, Atlanta → 976 Bayshore Dr Apt 11, Atlanta |
| Proposed | — | ||
| ACT-011536 | Outreach address corrected Outreach | Susan Welch: 6930 Cedar Ln, Minneapolis → 6930 Cedar Ln Apt 40, Minneapolis |
| Proposed | — | ||
| ACT-011537 | Outreach address corrected Outreach | Catherine Richardson: 4471 Elm St, Seattle → 4471 Elm St Apt 20, Seattle |
| Proposed | — | ||
| ACT-011538 | Outreach address corrected Outreach | Natalie Carpenter: 1689 Highland Ave Apt 30, Sacramento → 1689 Highland Ave, Sacramento |
| Proposed | — | ||
| ACT-011539 | Outreach address corrected Outreach | Shirley Walsh: 4744 Lincoln Way Apt 16, Sacramento → 4744 Lincoln Way, Sacramento |
| Proposed | — | ||
| ACT-011540 | Outreach address corrected Outreach | Jacob Obrien: 6666 Mountain View Dr, Dallas → 8849 Cedar Ln, San Diego |
| Proposed | — | ||
| ACT-011541 | Outreach address corrected Outreach | Wei James: 7550 Sage Ct Apt 7, Orlando → 7550 Sage Ct, Orlando |
| Proposed | — | ||
| ACT-011542 | Outreach address corrected Outreach | Richard Hansen: 1452 Cedar Ln # 851, Nashville → 1174 Broadway, Tucson |
| Proposed | — | ||
| ACT-011543 | Outreach address corrected Outreach | Bryan Hanson: 6628 Church St # 890, Eden Prairie → 6628 Church St, Eden Prairie |
| Proposed | — | ||
| ACT-011544 | Outreach address corrected Outreach | Samuel Hall: 2021 Spring St # 138, Fresno → 2021 Spring St, Fresno |
| Proposed | — | ||
| ACT-011545 | Outreach address corrected Outreach | David Simmons: 1491 Lake View Rd, Fresno → 1491 Lake View Rd # 546, Fresno |
| Proposed | — | ||
| ACT-011546 | Outreach address corrected Outreach | Steven Ross: 2627 Bayshore Dr, Atlanta → 5762 Washington St, Jacksonville |
| Proposed | — | ||
| ACT-011547 | Outreach address corrected Outreach | Rebecca Jones: 7642 Lincoln Way Apt 9, Seattle → 7642 Lincoln Way, Seattle |
| Proposed | — | ||
| ACT-011548 | Outreach address corrected Outreach | Natalie Ramos: 8649 Broadway, Seattle → 926 Spring St, Tempe |
| Proposed | — | ||
| ACT-011549 | Outreach address corrected Outreach | Christopher Wilson: 5634 Washington St Apt 15, Tucson → 5634 Washington St, Tucson |
| Proposed | — | ||
| ACT-011550 | Outreach address corrected Outreach | Omar Castro: 6204 Forest Ave Apt 22, Gilbert → 6204 Forest Ave, Gilbert |
| Proposed | — | ||
| ACT-011551 | Outreach address corrected Outreach | Mark Reyes: 5171 Sage Ct Apt 18, Gilbert → 5171 Sage Ct, Gilbert |
| 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.