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
Outreach address corrected, Outreach, 2,993 proposed
| 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.