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-011702 | Outreach address corrected Outreach | Debra Young: 8723 Park Pl, Houston → 8723 Park Pl Apt 33, Houston |
| Proposed | — | ||
| ACT-011703 | Outreach address corrected Outreach | Emma Reed: 5209 Desert Sky Blvd, Phoenix → 161 Desert Sky Blvd, Charlotte |
| Proposed | — | ||
| ACT-011704 | Outreach address corrected Outreach | Pamela Lucas: 6958 Highland Ave, San Antonio → 6958 Highland Ave Apt 37, San Antonio |
| Proposed | — | ||
| ACT-011705 | Outreach address corrected Outreach | Janice Tran: 5132 Jefferson Ave, San Antonio → 4477 Broadway, San Antonio |
| Proposed | — | ||
| ACT-011706 | Outreach address corrected Outreach | Gerald Hamilton: 6006 Spring St, San Antonio → 6006 Spring St Apt 21, San Antonio |
| Proposed | — | ||
| ACT-011707 | Outreach address corrected Outreach | Roy Campbell: 4888 Union St, Phoenix → 4888 Union St Apt 1, Phoenix |
| Proposed | — | ||
| ACT-011708 | Outreach address corrected Outreach | Mark Jimenez: 3944 Valley View Dr, Denver → 3333 Valley View Dr, Denver |
| Proposed | — | ||
| ACT-011709 | Outreach address corrected Outreach | Willie Hicks: 6951 Palm Dr, Mesa → 5869 Lincoln Way, Los Angeles |
| Proposed | — | ||
| ACT-011710 | Outreach address corrected Outreach | Diana Ramos: 8705 Pine Dr # 406, Atlanta → 8705 Pine Dr, Atlanta |
| Proposed | — | ||
| ACT-011711 | Outreach address corrected Outreach | Logan Greene: 990 Indian School Rd, Tucson → 8341 Market St, Glendale |
| Proposed | — | ||
| ACT-011712 | Outreach address corrected Outreach | Maria Wagner: 4726 Valley View Dr, Orlando → 9202 Camelback Rd, Seattle |
| Proposed | — | ||
| ACT-011713 | Outreach address corrected Outreach | Charles Li: 4405 Cedar Ln, Tempe → 9323 Camelback Rd, Glendale |
| Proposed | — | ||
| ACT-011714 | Outreach address corrected Outreach | Sofia Warren: 2017 Park Pl Apt 37, Jacksonville → 2017 Park Pl, Jacksonville |
| Proposed | — | ||
| ACT-011715 | Outreach address corrected Outreach | Keith Olson: 500 Highland Ave, Sacramento → 500 Highland Ave Apt 22, Sacramento |
| Proposed | — | ||
| ACT-011716 | Outreach address corrected Outreach | Nicole Maldonado: 88 Meadow Ln Apt 31, Tucson → 88 Meadow Ln, Tucson |
| Proposed | — | ||
| ACT-011717 | Outreach address corrected Outreach | Eric Barnes: 927 Palm Dr # 906, Charlotte → 927 Palm Dr, Charlotte |
| Proposed | — | ||
| ACT-011718 | Outreach address corrected Outreach | Lucia Tucker: 174 Mountain View Dr, Austin → 174 Mountain View Dr Apt 17, Austin |
| Proposed | — | ||
| ACT-011719 | Outreach address corrected Outreach | Betty Tucker: 3595 Central Ave # 689, Tucson → 3595 Central Ave, Tucson |
| Proposed | — | ||
| ACT-011720 | Outreach address corrected Outreach | Diana Bailey: 6467 Jefferson Ave, Charlotte → 6467 Jefferson Ave # 606, Charlotte |
| Proposed | — | ||
| ACT-011721 | Outreach address corrected Outreach | Grace Lawrence: 9506 Sage Ct, Nashville → 5929 Central Ave, Glendale |
| Proposed | — | ||
| ACT-011722 | Outreach address corrected Outreach | Lauren Perez: 7080 Main St, Fresno → 7080 Main St Apt 29, Fresno |
| Proposed | — | ||
| ACT-011723 | Outreach address corrected Outreach | Larry Chapman: 3349 Union St, Eden Prairie → 3349 Union St Apt 29, Eden Prairie |
| Proposed | — | ||
| ACT-011724 | Outreach address corrected Outreach | Billy Morales: 342 Grand Ave, Miami → 342 Grand Ave # 276, Miami |
| Proposed | — | ||
| ACT-011725 | Outreach address corrected Outreach | Andrea Bishop: 6243 Ridge Rd, San Diego → 6243 Ridge Rd Apt 38, San Diego |
| Proposed | — | ||
| ACT-011726 | Outreach address corrected Outreach | Benjamin Carr: 1982 Church St, Atlanta → 6134 Spring St, Los Angeles |
| Proposed | — | ||
| ACT-011727 | Outreach address corrected Outreach | Amy Hall: 7298 Mesa Dr, Sacramento → 7298 Mesa Dr # 281, Sacramento |
| Proposed | — | ||
| ACT-011728 | Outreach address corrected Outreach | Emily Rojas: 3791 Baseline Rd, Mesa → 3655 Market St, Las Vegas |
| Proposed | — | ||
| ACT-011729 | Outreach address corrected Outreach | Terry Elliott: 5002 Palm Dr, Fresno → 610 Oak St, Dallas |
| Proposed | — | ||
| ACT-011730 | Outreach address corrected Outreach | Aisha Stephens: 8800 Grand Ave, Dallas → 2778 Valley View Dr, Minneapolis |
| Proposed | — | ||
| ACT-011731 | Outreach address corrected Outreach | Kathleen Cruz: 9570 Church St Apt 14, San Diego → 9570 Church St, San Diego |
| Proposed | — | ||
| ACT-011732 | Outreach address corrected Outreach | Megan Simpson: 9117 Market St Apt 30, Los Angeles → 9117 Market St, Los Angeles |
| Proposed | — | ||
| ACT-011733 | Outreach address corrected Outreach | Jacob Mills: 4896 Mountain View Dr, Houston → 824 Elm St, Seattle |
| Proposed | — | ||
| ACT-011734 | Outreach address corrected Outreach | Christine Webb: 8114 Ridge Rd # 636, Eden Prairie → 8114 Ridge Rd, Eden Prairie |
| Proposed | — | ||
| ACT-011735 | Outreach address corrected Outreach | Ronald Mitchell: 6809 Valley View Dr # 934, Minneapolis → 6809 Valley View Dr, Minneapolis |
| Proposed | — | ||
| ACT-011736 | Outreach address corrected Outreach | Joshua Gray: 1373 Lincoln Way # 696, Sacramento → 1373 Lincoln Way, Sacramento |
| Proposed | — | ||
| ACT-011737 | Outreach address corrected Outreach | Ronald Guzman: 3336 Church St # 892, Tampa → 3336 Church St, Tampa |
| Proposed | — | ||
| ACT-011738 | Outreach address corrected Outreach | Burce Gray: 3961 Baseline Rd # 971, Minneapolis → 3961 Baseline Rd, Minneapolis |
| Proposed | — | ||
| ACT-011739 | Outreach address corrected Outreach | Mary Schmidt: 6452 Harbor Blvd # 878, Miami → 6452 Harbor Blvd, Miami |
| Proposed | — | ||
| ACT-011740 | Outreach address corrected Outreach | Marcus Boyd: 8120 Central Ave, Las Vegas → 8120 Central Ave Apt 2, Las Vegas |
| Proposed | — | ||
| ACT-011741 | Outreach address corrected Outreach | Ruth Weaver: 7988 Mesa Dr # 261, San Antonio → 7988 Mesa Dr Apt 4, San Antonio |
| Proposed | — | ||
| ACT-011742 | Outreach address corrected Outreach | Diane Henry: 5928 Spring St, Sacramento → 5928 Spring St Apt 39, Sacramento |
| Proposed | — | ||
| ACT-011743 | Outreach address corrected Outreach | Lauren Murphy: 6265 Ocean Ave, Mesa → 2578 Lake View Rd # 376, Orlando |
| Proposed | — | ||
| ACT-011744 | Outreach address corrected Outreach | Alexander Hikks: 8706 Park Pl, Charlotte → 1076 Sunset Blvd, Phoenix |
| Proposed | — | ||
| ACT-011745 | Outreach address corrected Outreach | Sean Freeman: 9782 Grand Ave, Seattle → 6878 Ocean Ave, Houston |
| Proposed | — | ||
| ACT-011746 | Outreach address corrected Outreach | Arthur Washington: 7566 Willow Ct # 300, Gilbert → 7566 Willow Ct, Gilbert |
| Proposed | — | ||
| ACT-011747 | Outreach address corrected Outreach | Patrick Welch: 8468 Indian School Rd # 230, Tampa → 8468 Indian School Rd, Tampa |
| Proposed | — | ||
| ACT-011748 | Outreach address corrected Outreach | Daniel Cunningham: 4528 Jefferson Ave, Sacramento → 2249 Mesa Dr, Glendale |
| Proposed | — | ||
| ACT-011749 | Outreach address corrected Outreach | Maria Jenkins: 2486 Mountain View Dr # 977, Jacksonville → 2486 Mountain View Dr, Jacksonville |
| Proposed | — | ||
| ACT-011750 | Outreach address corrected Outreach | Kayla Fowler: 2690 Willow Ct Apt 13, Gilbert → 2690 Willow Ct, Gilbert |
| Proposed | — | ||
| ACT-011751 | Outreach address corrected Outreach | Carolyn Chen: 2822 Sunset Blvd, Glendale → 2822 Sunset Blvd # 837, Glendale |
| 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.