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-011752 | Outreach address corrected Outreach | Berbara Rojas: 5644 Forest Ave Apt 19, Nashville → 5644 Forest Ave, Nashville |
| Proposed | — | ||
| ACT-011753 | Outreach address corrected Outreach | Eugene Dean: 1762 Oak St, Scottsdale → 1762 Oak St # 953, Scottsdale |
| Proposed | — | ||
| ACT-011754 | Outreach address corrected Outreach | Jesse Bryant: 9551 Sunset Blvd Apt 34, Los Angeles → 9551 Sunset Blvd, Los Angeles |
| Proposed | — | ||
| ACT-011755 | Outreach address corrected Outreach | Jean Marquez: 5307 Desert Sky Blvd, Columbus → 5307 Desert Sky Blvd # 337, Columbus |
| Proposed | — | ||
| ACT-011756 | Outreach address corrected Outreach | Melissa Wright: 8672 Sage Ct Apt 22, Tempe → 8672 Sage Ct, Tempe |
| Proposed | — | ||
| ACT-011757 | Outreach address corrected Outreach | Russell Aguilar: 226 Union St, Houston → 7938 Elm St, Jacksonville |
| Proposed | — | ||
| ACT-011758 | Outreach address corrected Outreach | Stephanie Jenkins: 3598 Hillcrest Rd, Tempe → 1363 Sunset Blvd, Columbus |
| Proposed | — | ||
| ACT-011759 | Outreach address corrected Outreach | Samuel Fields: 2094 Desert Sky Blvd, Fresno → 2094 Desert Sky Blvd # 366, Fresno |
| Proposed | — | ||
| ACT-011760 | Outreach address corrected Outreach | Karen Fisher: 6730 Baseline Rd # 837, Houston → 6730 Baseline Rd # 505, Houston |
| Proposed | — | ||
| ACT-011761 | Outreach address corrected Outreach | Wayne Cunningham: 6837 Cedar Ln, San Antonio → 1551 Lincoln Way, Dallas |
| Proposed | — | ||
| ACT-011762 | Outreach address corrected Outreach | Michael Campbell: 1057 Maple Ave, Austin → 1057 Maple Ave Apt 29, Austin |
| Proposed | — | ||
| ACT-011763 | Outreach address corrected Outreach | Adam Taylor: 5074 Ocean Ave # 916, Scottsdale → 5074 Ocean Ave, Scottsdale |
| Proposed | — | ||
| ACT-011764 | Outreach address corrected Outreach | Tyler Kelley: 2984 Hillcrest Rd, Tucson → 636 Spring St, Austin |
| Proposed | — | ||
| ACT-011765 | Outreach address corrected Outreach | Willie Wang: 4970 Cedar Ln, San Antonio → 4236 Washington St, Eden Prairie |
| Proposed | — | ||
| ACT-011766 | Outreach address corrected Outreach | Nancy George: 436 Bayshore Dr, San Antonio → 436 Bayshore Dr # 320, San Antonio |
| Proposed | — | ||
| ACT-011767 | Outreach address corrected Outreach | Donald Santiago: 4272 Harbor Blvd Apt 30, Miami → 4272 Harbor Blvd, Miami |
| Proposed | — | ||
| ACT-011768 | Outreach address corrected Outreach | Dennis Hamilton: 7037 Highland Ave, Nashville → 3844 Forest Ave, Los Angeles |
| Proposed | — | ||
| ACT-011769 | Outreach address corrected Outreach | Scott Henderson: 3317 Forest Ave, Gilbert → 3317 Forest Ave Apt 39, Gilbert |
| Proposed | — | ||
| ACT-011770 | Outreach address corrected Outreach | Kenneth McDonald: 1501 River Rd # 192, Tampa → 1501 River Rd, Tampa |
| Proposed | — | ||
| ACT-011771 | Outreach address corrected Outreach | Natalie Green: 8006 Highland Ave, Austin → 4312 Apache Blvd, Glendale |
| Proposed | — | ||
| ACT-011772 | Outreach address corrected Outreach | Stephen Cook: 4900 Bayshore Dr, Tempe → 4900 Bayshore Dr Apt 33, Tempe |
| Proposed | — | ||
| ACT-011773 | Outreach address corrected Outreach | Christopher Peterson: 8720 Grand Ave, Phoenix → 8720 Grand Ave Apt 24, Phoenix |
| Proposed | — | ||
| ACT-011774 | Outreach address corrected Outreach | Linda Bishop: 1478 Maple Ave, Jacksonville → 1478 Maple Ave # 884, Jacksonville |
| Proposed | — | ||
| ACT-011775 | Outreach address corrected Outreach | Dylan Stone: 4962 Market St, Charlotte → 4962 Market St # 463, Charlotte |
| Proposed | — | ||
| ACT-011776 | Outreach address corrected Outreach | Jeffrey Payne: 8073 Lake View Rd, Tempe → 8073 Lake View Rd Apt 2, Tempe |
| Proposed | — | ||
| ACT-011777 | Outreach address corrected Outreach | Theresa Wagner: 3153 Lake View Rd, Tucson → 795 Central Ave, Fresno |
| Proposed | — | ||
| ACT-011778 | Outreach address corrected Outreach | Beth Kennedy: 2428 Valley View Dr Apt 36, Jacksonville → 2428 Valley View Dr, Jacksonville |
| Proposed | — | ||
| ACT-011779 | Outreach address corrected Outreach | Gerald Gomez: 8799 Harbor Blvd, Miami → 4632 Ocean Ave, Houston |
| Proposed | — | ||
| ACT-011780 | Outreach address corrected Outreach | Janet Ford: 4746 Spring St, Glendale → 4746 Spring St Apt 28, Glendale |
| Proposed | — | ||
| ACT-011781 | Outreach address corrected Outreach | Watson Amy: 9190 Apache Blvd, San Diego → 9190 Apache Blvd Apt 31, San Diego |
| Proposed | — | ||
| ACT-011782 | Outreach address corrected Outreach | Scott Hughes: 5069 Lincoln Way # 614, Orlando → 5069 Lincoln Way, Orlando |
| Proposed | — | ||
| ACT-011783 | Outreach address corrected Outreach | Logan Rivera: 8658 Elm St, Phoenix → 8658 Elm St Apt 11, Phoenix |
| Proposed | — | ||
| ACT-011784 | Outreach address corrected Outreach | Christina Hoffman: 3768 Highland Ave, Tucson → 5243 Apache Blvd, Mesa |
| Proposed | — | ||
| ACT-011785 | Outreach address corrected Outreach | Amanda McDonald: 2036 Indian School Rd Apt 28, Seattle → 2036 Indian School Rd, Seattle |
| Proposed | — | ||
| ACT-011786 | Outreach address corrected Outreach | Amaanda Evans: 3904 Ocean Ave Apt 28, San Diego → 3904 Ocean Ave, San Diego |
| Proposed | — | ||
| ACT-011787 | Outreach address corrected Outreach | Susan Salazar: 1616 Sunset Blvd Apt 30, Glendale → 1616 Sunset Blvd, Glendale |
| Proposed | — | ||
| ACT-011788 | Outreach address corrected Outreach | Ralph Campbell: 4022 Main St # 221, Atlanta → 3390 Oak St, Tempe |
| Proposed | — | ||
| ACT-011789 | Outreach address corrected Outreach | Ana Mendoza: 2702 Lake View Rd, Atlanta → 2702 Lake View Rd Apt 35, Atlanta |
| Proposed | — | ||
| ACT-011790 | Outreach address corrected Outreach | Sara Hanson: 2711 Sage Ct # 296, Charlotte → 2711 Sage Ct, Charlotte |
| Proposed | — | ||
| ACT-011791 | Outreach address corrected Outreach | Virginia Dominguez: 9376 Elm St, Orlando → 9376 Elm St Apt 25, Orlando |
| Proposed | — | ||
| ACT-011792 | Outreach address corrected Outreach | Nathan Harrison: 4637 Indian School Rd, Jacksonville → 452 Highland Ave, Chandler |
| Proposed | — | ||
| ACT-011793 | Outreach address corrected Outreach | Donna Warren: 5205 Valley View Dr, Jacksonville → 5205 Valley View Dr Apt 8, Jacksonville |
| Proposed | — | ||
| ACT-011794 | Outreach address corrected Outreach | Santiago Howell: 8827 Grand Ave # 461, Austin → 8827 Grand Ave # 355, Austin |
| Proposed | — | ||
| ACT-011795 | Outreach address corrected Outreach | Stephen Hansen: 3118 Sunset Blvd # 178, Nashville → 3118 Sunset Blvd, Nashville |
| Proposed | — | ||
| ACT-011796 | Outreach address corrected Outreach | Roy Coleman: 4485 Pine Dr # 624, Tampa → 4485 Pine Dr, Tampa |
| Proposed | — | ||
| ACT-011797 | Outreach address corrected Outreach | Eugene Yang: 1127 Palm Dr # 815, Denver → 1127 Palm Dr, Denver |
| Proposed | — | ||
| ACT-011798 | Outreach address corrected Outreach | Nathan Schultz: 4204 Highland Ave # 683, Miami → 4204 Highland Ave, Miami |
| Proposed | — | ||
| ACT-011799 | Outreach address corrected Outreach | Emily Taylor: 6234 Elm St Apt 35, Charlotte → 6234 Elm St, Charlotte |
| Proposed | — | ||
| ACT-011800 | Outreach address corrected Outreach | Cheryl Peterson: 3491 Grand Ave, Chandler → 8299 Ridge Rd Apt 38, Orlando |
| Proposed | — | ||
| ACT-011801 | Outreach address corrected Outreach | Shirley Marshall: 8918 Park Pl Apt 34, Denver → 8918 Park Pl, Denver |
| 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.