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-011602 | Outreach address corrected Outreach | Juan Armstrong: 4410 Forest Ave, Columbus → 4410 Forest Ave Apt 12, Columbus |
| Proposed | — | ||
| ACT-011603 | Outreach address corrected Outreach | Lawrence Ramirez: 1423 Cedar Ln Apt 23, Tucson → 1423 Cedar Ln, Tucson |
| Proposed | — | ||
| ACT-011604 | Outreach address corrected Outreach | Margaret Watson: 5608 Elm St # 807, Orlando → 5608 Elm St, Orlando |
| Proposed | — | ||
| ACT-011605 | Outreach address corrected Outreach | Michael Baker: 3497 Oak St, Eden Prairie → 3497 Oak St Apt 25, Eden Prairie |
| Proposed | — | ||
| ACT-011606 | Outreach address corrected Outreach | Lawrence Mitchell: 5724 Hillcrest Rd Apt 11, Columbus → 5724 Hillcrest Rd, Columbus |
| Proposed | — | ||
| ACT-011607 | Outreach address corrected Outreach | Nathan Burns: 9807 Mesa Dr, Austin → 9807 Mesa Dr # 200, Austin |
| Proposed | — | ||
| ACT-011608 | Outreach address corrected Outreach | Keith Griffin: 9173 Lake View Rd Apt 2, Tucson → 9173 Lake View Rd, Tucson |
| Proposed | — | ||
| ACT-011609 | Outreach address corrected Outreach | Theresa Carroll: 1156 Harbor Blvd, Seattle → 7403 Baseline Rd, Scottsdale |
| Proposed | — | ||
| ACT-011610 | Outreach address corrected Outreach | Thomas Soto: 3604 Spring St, Tempe → 3604 Spring St Apt 14, Tempe |
| Proposed | — | ||
| ACT-011611 | Outreach address corrected Outreach | Sean Nunez: 4431 Forest Ave, Fresno → 4431 Forest Ave # 376, Fresno |
| Proposed | — | ||
| ACT-011612 | Outreach address corrected Outreach | Jean Thomas: 7194 Ocean Ave, Scottsdale → 2362 Mesa Dr, Tempe |
| Proposed | — | ||
| ACT-011613 | Outreach address corrected Outreach | Lawrence Young: 3964 Oak St Apt 3, Tucson → 3964 Oak St, Tucson |
| Proposed | — | ||
| ACT-011614 | Outreach address corrected Outreach | Ralph Fowler: 3163 Oak St # 815, Miami → 3163 Oak St, Miami |
| Proposed | — | ||
| ACT-011615 | Outreach address corrected Outreach | Jose Williams: 4096 Oak St, Las Vegas → 4096 Oak St Apt 23, Las Vegas |
| Proposed | — | ||
| ACT-011616 | Outreach address corrected Outreach | Robert Watkins: 8144 Grand Ave Apt 4, Dallas → 8144 Grand Ave Apt 23, Dallas |
| Proposed | — | ||
| ACT-011617 | Outreach address corrected Outreach | Alexis Peterson: 3155 Camelback Rd, Austin → 7289 River Rd, Orlando |
| Proposed | — | ||
| ACT-011618 | Outreach address corrected Outreach | Philip Grant: 5762 Main St Apt 10, Mesa → 5762 Main St, Mesa |
| Proposed | — | ||
| ACT-011619 | Outreach address corrected Outreach | Sophia Bowman: 6351 Willow Ct, Phoenix → 1910 Forest Ave, San Diego |
| Proposed | — | ||
| ACT-011620 | Outreach address corrected Outreach | Kimberly Parker: 7164 Elm St, Chandler → 7164 Elm St Apt 11, Chandler |
| Proposed | — | ||
| ACT-011621 | Outreach address corrected Outreach | Carl Cole: 2452 Oak St, Columbus → 7349 Ocean Ave, Denver |
| Proposed | — | ||
| ACT-011622 | Outreach address corrected Outreach | Andrea McDonald: 323 Mountain View Dr, Columbus → 323 Mountain View Dr # 112, Columbus |
| Proposed | — | ||
| ACT-011623 | Outreach address corrected Outreach | Christina Sanchez: 28 Sunset Blvd Apt 1, Houston → 28 Sunset Blvd, Houston |
| Proposed | — | ||
| ACT-011624 | Outreach address corrected Outreach | Roy Baker: 3050 Elm St, Phoenix → 3050 Elm St Apt 21, Phoenix |
| Proposed | — | ||
| ACT-011625 | Outreach address corrected Outreach | Christina Carroll: 1480 Main St, Eden Prairie → 1480 Main St Apt 4, Eden Prairie |
| Proposed | — | ||
| ACT-011626 | Outreach address corrected Outreach | Katherine Hill: 983 Spring St # 199, Fresno → 983 Spring St, Fresno |
| Proposed | — | ||
| ACT-011627 | Outreach address corrected Outreach | Margaret Vasquez: 3239 Pine Dr, Denver → 3239 Pine Dr Apt 35, Denver |
| Proposed | — | ||
| ACT-011628 | Outreach address corrected Outreach | Edward Daniels: 8035 Central Ave, Tampa → 8035 Central Ave Apt 10, Tampa |
| Proposed | — | ||
| ACT-011629 | Outreach address corrected Outreach | Amber Bailey: 630 Union St Apt 7, Jacksonville → 630 Union St, Jacksonville |
| Proposed | — | ||
| ACT-011630 | Outreach address corrected Outreach | Jeremy Yang: 7540 Valley View Dr # 190, Phoenix → 7540 Valley View Dr, Phoenix |
| Proposed | — | ||
| ACT-011631 | Outreach address corrected Outreach | Lori Garcia: 975 Baseline Rd # 661, Nashville → 988 Sage Ct, Tampa |
| Proposed | — | ||
| ACT-011632 | Outreach address corrected Outreach | Don Marquez: 8380 Desert Sky Blvd, Orlando → 8380 Desert Sky Blvd Apt 30, Orlando |
| Proposed | — | ||
| ACT-011633 | Outreach address corrected Outreach | Lawrence Roberts: 8764 Ocean Ave, Tucson → 8764 Ocean Ave # 600, Tucson |
| Proposed | — | ||
| ACT-011634 | Outreach address corrected Outreach | Rebecca Roberts: 7070 Jefferson Ave, San Antonio → 7830 Camelback Rd, Glendale |
| Proposed | — | ||
| ACT-011635 | Outreach address corrected Outreach | Walter Soto: 9326 Bayshore Dr, Chandler → 2060 Elm St, Phoenix |
| Proposed | — | ||
| ACT-011636 | Outreach address corrected Outreach | Adam Sanders: 1697 Broadway Apt 11, Tempe → 1697 Broadway, Tempe |
| Proposed | — | ||
| ACT-011637 | Outreach address corrected Outreach | Billy Medina: 2742 Church St, Jacksonville → 2742 Church St # 462, Jacksonville |
| Proposed | — | ||
| ACT-011638 | Outreach address corrected Outreach | Janet Williams: 8624 Bayshore Dr Apt 14, Sacramento → 8624 Bayshore Dr, Sacramento |
| Proposed | — | ||
| ACT-011639 | Outreach address corrected Outreach | Lawrence Rojas: 691 Palm Dr, Eden Prairie → 856 Church St, Orlando |
| Proposed | — | ||
| ACT-011640 | Outreach address corrected Outreach | Susan Huntter: 5487 Lake View Rd, Mesa → 7346 Elm St, Charlotte |
| Proposed | — | ||
| ACT-011641 | Outreach address corrected Outreach | Kathleen Watson: 2694 Maple Ave, Dallas → 2694 Maple Ave Apt 11, Dallas |
| Proposed | — | ||
| ACT-011642 | Outreach address corrected Outreach | Peterson Jordan: 8500 Bayshore Dr, Seattle → 4811 Meadow Ln, Houston |
| Proposed | — | ||
| ACT-011643 | Outreach address corrected Outreach | Jesse Freeman: 3400 Grand Ave, Tucson → 3400 Grand Ave Apt 8, Tucson |
| Proposed | — | ||
| ACT-011644 | Outreach address corrected Outreach | Viktoria Medina: 2066 Cedar Ln Apt 5, Dallas → 2066 Cedar Ln, Dallas |
| Proposed | — | ||
| ACT-011645 | Outreach address corrected Outreach | Shirley McDonald: 3937 Church St Apt 26, San Diego → 3937 Church St, San Diego |
| Proposed | — | ||
| ACT-011646 | Outreach address corrected Outreach | Angela Franklin: 4623 Maple Ave, Chandler → 8529 Lake View Rd, Scottsdale |
| Proposed | — | ||
| ACT-011647 | Outreach address corrected Outreach | Camila James: 6031 Oak St, Eden Prairie → 6031 Oak St # 857, Eden Prairie |
| Proposed | — | ||
| ACT-011648 | Outreach address corrected Outreach | Ethan Gordon: 706 Lincoln Way Apt 21, Dallas → 706 Lincoln Way, Dallas |
| Proposed | — | ||
| ACT-011649 | Outreach address corrected Outreach | Abigail Martinez: 3266 Bayshore Dr Apt 28, Plano → 3266 Bayshore Dr, Plano |
| Proposed | — | ||
| ACT-011650 | Outreach address corrected Outreach | Mark Lewis: 1859 Indian School Rd, Austin → 1859 Indian School Rd Apt 6, Austin |
| Proposed | — | ||
| ACT-011651 | Outreach address corrected Outreach | Carol Stone: 6601 Forest Ave, Miami → 1957 Lake View Rd, Los Angeles |
| 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.