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-011802 | Outreach address corrected Outreach | Emily Thompson: 7291 Mesa Dr, Charlotte → 7291 Mesa Dr Apt 35, Charlotte |
| Proposed | — | ||
| ACT-011803 | Outreach address corrected Outreach | Karen Romero: 6696 Spring St Apt 30, Denver → 6696 Spring St, Denver |
| Proposed | — | ||
| ACT-011804 | Outreach address corrected Outreach | Omar Stevens: 1230 Church St, Atlanta → 1230 Church St Apt 14, Atlanta |
| Proposed | — | ||
| ACT-011805 | Outreach address corrected Outreach | Katherine Lucas: 6883 Bayshore Dr Apt 6, Plano → 6883 Bayshore Dr, Plano |
| Proposed | — | ||
| ACT-011806 | Outreach address corrected Outreach | Sean Carter: 2976 Mountain View Dr, Glendale → 8727 Union St, Phoenix |
| Proposed | — | ||
| ACT-011807 | Outreach address corrected Outreach | Judith Jenkins: 253 Highland Ave Apt 9, Phoenix → 253 Highland Ave, Phoenix |
| Proposed | — | ||
| ACT-011808 | Outreach address corrected Outreach | Kimberly Lynch: 3986 Spring St, Chandler → 8359 Mountain View Dr, Jacksonville |
| Proposed | — | ||
| ACT-011809 | Outreach address corrected Outreach | Russell Delgado: 8347 Harbor Blvd, Atlanta → 8347 Harbor Blvd # 889, Atlanta |
| Proposed | — | ||
| ACT-011810 | Outreach address corrected Outreach | Nancy Carpenter: 7629 Ocean Ave, Dallas → 7629 Ocean Ave # 426, Dallas |
| Proposed | — | ||
| ACT-011811 | Outreach address corrected Outreach | Victoria Hawkins: 1995 Spring St, Las Vegas → 1995 Spring St # 774, Las Vegas |
| Proposed | — | ||
| ACT-011812 | Outreach address corrected Outreach | Catherine Sanchez: 9542 Mountain View Dr, Charlotte → 9542 Mountain View Dr Apt 29, Charlotte |
| Proposed | — | ||
| ACT-011813 | Outreach address corrected Outreach | Ryan Hunt: 6165 Ridge Rd Apt 8, Tempe → 6165 Ridge Rd, Tempe |
| Proposed | — | ||
| ACT-011814 | Outreach address corrected Outreach | John Estrada: 7030 Baseline Rd, San Antonio → 3522 Market St, Miami |
| Proposed | — | ||
| ACT-011815 | Outreach address corrected Outreach | Patricia Rivera: 9792 Ridge Rd, Gilbert → 5972 Grand Ave, Plano |
| Proposed | — | ||
| ACT-011816 | Outreach address corrected Outreach | Randy Ross: 728 Spring St, Orlando → 728 Spring St Apt 28, Orlando |
| Proposed | — | ||
| ACT-011817 | Outreach address corrected Outreach | Kathryn Henderson: 3638 Pine Dr # 972, Sacramento → 3638 Pine Dr, Sacramento |
| Proposed | — | ||
| ACT-011818 | Outreach address corrected Outreach | Laura Watkins: 2762 Willow Ct Apt 17, Mesa → 2762 Willow Ct, Mesa |
| Proposed | — | ||
| ACT-011819 | Outreach address corrected Outreach | Rachel Flores: 3695 Maple Ave Apt 33, Houston → 3695 Maple Ave, Houston |
| Proposed | — | ||
| ACT-011820 | Outreach address corrected Outreach | Juan Gonzales: 6894 Ocean Ave, San Diego → 6894 Ocean Ave Apt 10, San Diego |
| Proposed | — | ||
| ACT-011821 | Outreach address corrected Outreach | Steve Sims: 757 Spring St # 451, Columbus → 757 Spring St, Columbus |
| Proposed | — | ||
| ACT-011822 | Outreach address corrected Outreach | Steve Alvarez: 6594 Spring St # 199, San Antonio → 6594 Spring St, San Antonio |
| Proposed | — | ||
| ACT-011823 | Outreach address corrected Outreach | Bobby Henderson: 9539 Mesa Dr, Los Angeles → 9539 Mesa Dr Apt 2, Los Angeles |
| Proposed | — | ||
| ACT-011824 | Outreach address corrected Outreach | Keith George: 167 Elm St, Atlanta → 9710 Baseline Rd, Los Angeles |
| Proposed | — | ||
| ACT-011825 | Outreach address corrected Outreach | Hiroshi Dominguez: 9789 Central Ave # 962, Orlando → 9789 Central Ave, Orlando |
| Proposed | — | ||
| ACT-011826 | Outreach address corrected Outreach | Jose Padilla: 2576 Elm St, Seattle → 8571 Highland Ave, Chandler |
| Proposed | — | ||
| ACT-011827 | Outreach address corrected Outreach | Kathryn Moreno: 9188 Grand Ave Apt 13, Columbus → 9188 Grand Ave, Columbus |
| Proposed | — | ||
| ACT-011828 | Outreach address corrected Outreach | Nicole Valdez: 2416 Highland Ave # 635, San Diego → 2416 Highland Ave, San Diego |
| Proposed | — | ||
| ACT-011829 | Outreach address corrected Outreach | Yuki Boyd: 8451 Oak St, Scottsdale → 8451 Oak St # 297, Scottsdale |
| Proposed | — | ||
| ACT-011830 | Outreach address corrected Outreach | Juia Walsh: 3114 Palm Dr, Phoenix → 4421 Park Pl, Fresno |
| Proposed | — | ||
| ACT-011831 | Outreach address corrected Outreach | Janet Sullivan: 1756 Lake View Rd, Phoenix → 9446 Sunset Blvd, Phoenix |
| Proposed | — | ||
| ACT-011832 | Outreach address corrected Outreach | Lucia Alvarado: 5529 Camelback Rd, Charlotte → 1364 Palm Dr, Jacksonville |
| Proposed | — | ||
| ACT-011833 | Outreach address corrected Outreach | Bruce Jensen: 1824 Park Pl, Scottsdale → 9140 Oak St, San Diego |
| Proposed | — | ||
| ACT-011834 | Outreach address corrected Outreach | Emily Ford: 1597 Meadow Ln Apt 18, Chandler → 1597 Meadow Ln, Chandler |
| Proposed | — | ||
| ACT-011835 | Outreach address corrected Outreach | Russell Fowler: 8038 Elm St, Sacramento → 8038 Elm St # 484, Sacramento |
| Proposed | — | ||
| ACT-011836 | Outreach address corrected Outreach | George Ramos: 2114 Willow Ct Apt 7, Seattle → 2114 Willow Ct, Seattle |
| Proposed | — | ||
| ACT-011837 | Outreach address corrected Outreach | Roger Howard: 8865 Bayshore Dr Apt 36, Tampa → 8865 Bayshore Dr, Tampa |
| Proposed | — | ||
| ACT-011838 | Outreach address corrected Outreach | Steven Park: 9470 Pine Dr, Austin → 9470 Pine Dr Apt 18, Austin |
| Proposed | — | ||
| ACT-011839 | Outreach address corrected Outreach | Ralph Williamson: 1667 Palm Dr # 816, Scottsdale → 1667 Palm Dr, Scottsdale |
| Proposed | — | ||
| ACT-011840 | Outreach address corrected Outreach | Roger Russell: 1461 River Rd # 310, San Diego → 1461 River Rd, San Diego |
| Proposed | — | ||
| ACT-011841 | Outreach address corrected Outreach | Ahmed Lane: 8041 Forest Ave # 437, Denver → 8041 Forest Ave, Denver |
| Proposed | — | ||
| ACT-011842 | Outreach address corrected Outreach | Danielle Tucker: 5004 Church St, San Antonio → 3682 Central Ave, Gilbert |
| Proposed | — | ||
| ACT-011843 | Outreach address corrected Outreach | Sandra Sanders: 189 Lincoln Way Apt 2, San Antonio → 2015 Pine Dr, Houston |
| Proposed | — | ||
| ACT-011844 | Outreach address corrected Outreach | Heather Le: 5299 Desert Sky Blvd # 844, Austin → 5299 Desert Sky Blvd, Austin |
| Proposed | — | ||
| ACT-011845 | Outreach address corrected Outreach | Mariana McDonald: 6528 Sunset Blvd Apt 24, Minneapolis → 6528 Sunset Blvd, Minneapolis |
| Proposed | — | ||
| ACT-011846 | Outreach address corrected Outreach | Daniel Thomas: 6672 Meadow Ln, Scottsdale → 6862 Apache Blvd, Nashville |
| Proposed | — | ||
| ACT-011847 | Outreach address corrected Outreach | Christina Hughes: 9781 Park Pl, Minneapolis → 9781 Park Pl # 904, Minneapolis |
| Proposed | — | ||
| ACT-011848 | Outreach address corrected Outreach | Sandra Singh: 1491 Jefferson Ave Apt 32, Gilbert → 1491 Jefferson Ave, Gilbert |
| Proposed | — | ||
| ACT-011849 | Outreach address corrected Outreach | Kevin Rumero: 6858 Lake View Rd, Fresno → 6858 Lake View Rd # 310, Fresno |
| Proposed | — | ||
| ACT-011850 | Outreach address corrected Outreach | Ann Ford: 3659 Ridge Rd Apt 14, Houston → 3659 Ridge Rd, Houston |
| Proposed | — | ||
| ACT-011851 | Outreach address corrected Outreach | Philip Martin: 2138 Sage Ct, Eden Prairie → 1083 Sage Ct, Miami |
| 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.