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-011652 | Outreach address corrected Outreach | Russell Holmes: 6297 Sage Ct # 452, Atlanta → 6297 Sage Ct, Atlanta |
| Proposed | — | ||
| ACT-011653 | Outreach address corrected Outreach | Mason Baker: 7065 Harbor Blvd Apt 34, Columbus → 3296 Broadway, Denver |
| Proposed | — | ||
| ACT-011654 | Outreach address corrected Outreach | Julia Peterson: 718 Palm Dr # 820, Dallas → 718 Palm Dr, Dallas |
| Proposed | — | ||
| ACT-011655 | Outreach address corrected Outreach | Joey Geene: 2364 Palm Dr, Tempe → 2364 Palm Dr Apt 10, Tempe |
| Proposed | — | ||
| ACT-011656 | Outreach address corrected Outreach | Jonathan Ortega: 3868 Willow Ct, Orlando → 8757 Desert Sky Blvd, Mesa |
| Proposed | — | ||
| ACT-011657 | Outreach address corrected Outreach | Austin Harvey: 350 Maple Ave, Phoenix → 8260 Main St, Denver |
| Proposed | — | ||
| ACT-011658 | Outreach address corrected Outreach | Debra Cook: 4011 Palm Dr, Orlando → 4011 Palm Dr # 888, Orlando |
| Proposed | — | ||
| ACT-011659 | Outreach address corrected Outreach | Nicole Ortega: 2244 Maple Ave Apt 38, Fresno → 2244 Maple Ave, Fresno |
| Proposed | — | ||
| ACT-011660 | Outreach address corrected Outreach | Elizabeth Soto: 2261 Bayshore Dr # 611, Atlanta → 2261 Bayshore Dr, Atlanta |
| Proposed | — | ||
| ACT-011661 | Outreach address corrected Outreach | Kenneth Gordon: 9879 Union St, Atlanta → 9879 Union St # 283, Atlanta |
| Proposed | — | ||
| ACT-011662 | Outreach address corrected Outreach | Bruce Morris: 5113 Baseline Rd, Tucson → 1843 Market St, San Antonio |
| Proposed | — | ||
| ACT-011663 | Outreach address corrected Outreach | Betty Wright: 6345 Desert Sky Blvd # 933, Miami → 6345 Desert Sky Blvd, Miami |
| Proposed | — | ||
| ACT-011664 | Outreach address corrected Outreach | Christine Espinoza: 6095 Meadow Ln # 554, Plano → 6095 Meadow Ln, Plano |
| Proposed | — | ||
| ACT-011665 | Outreach address corrected Outreach | Brenda Price: 7479 Canyon Rd # 974, Los Angeles → 7479 Canyon Rd, Los Angeles |
| Proposed | — | ||
| ACT-011666 | Outreach address corrected Outreach | Kayla Hart: 9343 Lincoln Way, Minneapolis → 7021 Highland Ave, Mesa |
| Proposed | — | ||
| ACT-011667 | Outreach address corrected Outreach | Ashley Lopez: 1743 Sage Ct Apt 5, Denver → 1743 Sage Ct, Denver |
| Proposed | — | ||
| ACT-011668 | Outreach address corrected Outreach | Anthony Hernandez: 8512 Mesa Dr, Scottsdale → 9167 Main St, Charlotte |
| Proposed | — | ||
| ACT-011669 | Outreach address corrected Outreach | Andrew Little: 7294 Spring St Apt 6, Chandler → 7294 Spring St, Chandler |
| Proposed | — | ||
| ACT-011670 | Outreach address corrected Outreach | Kelly Watson: 8772 Desert Sky Blvd, Phoenix → 8772 Desert Sky Blvd # 732, Phoenix |
| Proposed | — | ||
| ACT-011671 | Outreach address corrected Outreach | Stephanie Burke: 7411 Valley View Dr, Mesa → 3226 River Rd, Tampa |
| Proposed | — | ||
| ACT-011672 | Outreach address corrected Outreach | Walter Griffin: 6093 Hillcrest Rd # 225, Columbus → 6093 Hillcrest Rd, Columbus |
| Proposed | — | ||
| ACT-011673 | Outreach address corrected Outreach | Elizabeth Nunez: 8418 Cedar Ln, Chandler → 5625 Washington St, Sacramento |
| Proposed | — | ||
| ACT-011674 | Outreach address corrected Outreach | Mike Armstrong: 9055 Bayshore Dr, Austin → 9055 Bayshore Dr # 843, Austin |
| Proposed | — | ||
| ACT-011675 | Outreach address corrected Outreach | Teresa Hanson: 6035 Indian School Rd, Jacksonville → 6035 Indian School Rd # 188, Jacksonville |
| Proposed | — | ||
| ACT-011676 | Outreach address corrected Outreach | Jessica Cox: 5392 Market St, Scottsdale → 9143 Cedar Ln Apt 9, Glendale |
| Proposed | — | ||
| ACT-011677 | Outreach address corrected Outreach | Sarah Yang: 6524 Camelback Rd, Tampa → 6429 Jefferson Ave, Nashville |
| Proposed | — | ||
| ACT-011678 | Outreach address corrected Outreach | George Flores: 8251 Pine Dr Apt 10, Jacksonville → 8251 Pine Dr, Jacksonville |
| Proposed | — | ||
| ACT-011679 | Outreach address corrected Outreach | Jacqueline Grant: 9887 Spring St # 854, Charlotte → 9887 Spring St, Charlotte |
| Proposed | — | ||
| ACT-011680 | Outreach address corrected Outreach | Jdy Chen: 7401 Desert Sky Blvd Apt 37, Fresno → 7401 Desert Sky Blvd, Fresno |
| Proposed | — | ||
| ACT-011681 | Outreach address corrected Outreach | Lisa Ryan: 7544 Jefferson Ave, Tempe → 7544 Jefferson Ave Apt 10, Tempe |
| Proposed | — | ||
| ACT-011682 | Outreach address corrected Outreach | Isabella Yang: 6288 Highland Ave, Tempe → 6288 Highland Ave # 427, Tempe |
| Proposed | — | ||
| ACT-011683 | Outreach address corrected Outreach | Priya Price: 7015 Sage Ct, Las Vegas → 7229 Harbor Blvd, Dallas |
| Proposed | — | ||
| ACT-011684 | Outreach address corrected Outreach | Kelly Park: 2146 Willow Ct, Jacksonville → 4154 Apache Blvd, Las Vegas |
| Proposed | — | ||
| ACT-011685 | Outreach address corrected Outreach | Linda Moore: 5612 River Rd, Las Vegas → 2502 Valley View Dr, Gilbert |
| Proposed | — | ||
| ACT-011686 | Outreach address corrected Outreach | Alexander Wells: 5592 Broadway, Los Angeles → 5592 Broadway Apt 40, Los Angeles |
| Proposed | — | ||
| ACT-011687 | Outreach address corrected Outreach | Randy Tucker: 9264 Mesa Dr Apt 32, Orlando → 9264 Mesa Dr, Orlando |
| Proposed | — | ||
| ACT-011688 | Outreach address corrected Outreach | Thhomas Singh: 279 Apache Blvd # 779, Houston → 279 Apache Blvd, Houston |
| Proposed | — | ||
| ACT-011689 | Outreach address corrected Outreach | Jacqueline Wagner: 4420 Sage Ct Apt 2, Miami → 4420 Sage Ct, Miami |
| Proposed | — | ||
| ACT-011690 | Outreach address corrected Outreach | Edward Peterson: 2594 Ridge Rd, Dallas → 1428 Maple Ave, Orlando |
| Proposed | — | ||
| ACT-011691 | Outreach address corrected Outreach | Diane Gibson: 8641 Highland Ave Apt 6, Austin → 8641 Highland Ave, Austin |
| Proposed | — | ||
| ACT-011692 | Outreach address corrected Outreach | Amanda Ward: 177 Park Pl, Columbus → 177 Park Pl Apt 30, Columbus |
| Proposed | — | ||
| ACT-011693 | Outreach address corrected Outreach | Samuel Estrada: 1665 Palm Dr, Dallas → 1665 Palm Dr Apt 10, Dallas |
| Proposed | — | ||
| ACT-011694 | Outreach address corrected Outreach | Diane Hunter: 8372 Lake View Rd Apt 30, Plano → 8372 Lake View Rd, Plano |
| Proposed | — | ||
| ACT-011695 | Outreach address corrected Outreach | Gabriel Sanders: 1842 Broadway # 779, Jacksonville → 1842 Broadway, Jacksonville |
| Proposed | — | ||
| ACT-011696 | Outreach address corrected Outreach | Nancy Contreras: 8194 Jefferson Ave # 666, Denver → 8194 Jefferson Ave, Denver |
| Proposed | — | ||
| ACT-011697 | Outreach address corrected Outreach | James Park: 5255 Church St Apt 20, Seattle → 5255 Church St, Seattle |
| Proposed | — | ||
| ACT-011698 | Outreach address corrected Outreach | Kathleen Andrews: 4573 Baseline Rd # 273, Phoenix → 4573 Baseline Rd, Phoenix |
| Proposed | — | ||
| ACT-011699 | Outreach address corrected Outreach | Kayla Meyer: 4813 Market St # 303, Phoenix → 4813 Market St, Phoenix |
| Proposed | — | ||
| ACT-011700 | Outreach address corrected Outreach | Catherine Lawrence: 9836 Canyon Rd, Chandler → 9836 Canyon Rd Apt 22, Chandler |
| Proposed | — | ||
| ACT-011701 | Outreach address corrected Outreach | Julia Walker: 8617 Apache Blvd, Plano → 8617 Apache Blvd Apt 36, Plano |
| 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.