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-011852 | Outreach address corrected Outreach | Ana Cunningham: 1845 Desert Sky Blvd Apt 30, Scottsdale → 1845 Desert Sky Blvd, Scottsdale |
| Proposed | — | ||
| ACT-011853 | Outreach address corrected Outreach | Adam Freeman: 2392 Oak St, San Antonio → 3183 Bayshore Dr, Charlotte |
| Proposed | — | ||
| ACT-011854 | Outreach address corrected Outreach | Robert Patel: 7450 Lake View Rd, Seattle → 7450 Lake View Rd Apt 31, Seattle |
| Proposed | — | ||
| ACT-011855 | Outreach address corrected Outreach | Donald Daniels: 40 Ridge Rd # 377, Sacramento → 40 Ridge Rd, Sacramento |
| Proposed | — | ||
| ACT-011856 | Outreach address corrected Outreach | Teresa Myers: 3439 Pine Dr, Tucson → 3439 Pine Dr # 322, Tucson |
| Proposed | — | ||
| ACT-011857 | Outreach address corrected Outreach | Donald Armstrong: 3391 Lincoln Way Apt 31, Glendale → 3391 Lincoln Way, Glendale |
| Proposed | — | ||
| ACT-011858 | Outreach address corrected Outreach | Donald Fernandez: 1413 Meadow Ln, Tucson → 1413 Meadow Ln Apt 36, Tucson |
| Proposed | — | ||
| ACT-011859 | Outreach address corrected Outreach | Julia Jiimenez: 1012 Canyon Rd, Gilbert → 1012 Canyon Rd # 752, Gilbert |
| Proposed | — | ||
| ACT-011860 | Outreach address corrected Outreach | Charles Cook: 7590 Harbor Blvd, San Diego → 7590 Harbor Blvd # 368, San Diego |
| Proposed | — | ||
| ACT-011861 | Outreach address corrected Outreach | Wayne Collins: 4627 Camelback Rd, Phoenix → 73 Union St, Seattle |
| Proposed | — | ||
| ACT-011862 | Outreach address corrected Outreach | Olivia Carroll: 3195 Harbor Blvd, Nashville → 8986 River Rd, San Diego |
| Proposed | — | ||
| ACT-011863 | Outreach address corrected Outreach | Fatima Nguyen: 2819 Palm Dr Apt 39, Houston → 2819 Palm Dr, Houston |
| Proposed | — | ||
| ACT-011864 | Outreach address corrected Outreach | Andrea Yang: 4579 Harbor Blvd, Fresno → 135 Palm Dr, Miami |
| Proposed | — | ||
| ACT-011865 | Outreach address corrected Outreach | Paul Riley: 5013 River Rd, Plano → 6781 Ocean Ave, Houston |
| Proposed | — | ||
| ACT-011866 | Outreach address corrected Outreach | Daniel Hunt: 1014 Elm St # 245, Los Angeles → 1014 Elm St, Los Angeles |
| Proposed | — | ||
| ACT-011867 | Outreach address corrected Outreach | Thomas Armstrong: 1436 Elm St Apt 23, Austin → 1436 Elm St, Austin |
| Proposed | — | ||
| ACT-011868 | Outreach address corrected Outreach | Rebecca Collins: 7226 Maple Ave, Houston → 7226 Maple Ave # 130, Houston |
| Proposed | — | ||
| ACT-011869 | Outreach address corrected Outreach | Dorothy Lawrence: 1167 Canyon Rd, Los Angeles → 1167 Canyon Rd Apt 3, Los Angeles |
| Proposed | — | ||
| ACT-011870 | Outreach address corrected Outreach | William Wells: 4905 Lake View Rd Apt 24, Phoenix → 4905 Lake View Rd, Phoenix |
| Proposed | — | ||
| ACT-011871 | Outreach address corrected Outreach | Sara Kelly: 8097 Cedar Ln, Houston → 6151 Pine Dr, Tempe |
| Proposed | — | ||
| ACT-011872 | Outreach address corrected Outreach | Rachel Flores: 5831 Sunset Blvd Apt 39, Plano → 5831 Sunset Blvd, Plano |
| Proposed | — | ||
| ACT-011873 | Outreach address corrected Outreach | Christina Armstrong: 7060 Park Pl # 181, Las Vegas → 7060 Park Pl, Las Vegas |
| Proposed | — | ||
| ACT-011874 | Outreach address corrected Outreach | Logan Wilson: 6748 Mountain View Dr, Sacramento → 2659 Ocean Ave, Orlando |
| Proposed | — | ||
| ACT-011875 | Outreach address corrected Outreach | Mateo Vazquez: 5141 Church St, Orlando → 5141 Church St # 719, Orlando |
| Proposed | — | ||
| ACT-011876 | Outreach address corrected Outreach | Logan Knight: 8720 Central Ave, Orlando → 2818 Jefferson Ave, Glendale |
| Proposed | — | ||
| ACT-011877 | Outreach address corrected Outreach | Johua Castro: 7336 Sunset Blvd, Charlotte → 7336 Sunset Blvd Apt 31, Charlotte |
| Proposed | — | ||
| ACT-011878 | Outreach address corrected Outreach | Jordan Stone: 2253 Sage Ct # 961, Fresno → 2253 Sage Ct, Fresno |
| Proposed | — | ||
| ACT-011879 | Outreach address corrected Outreach | Samantha Martinez: 3914 Forest Ave Apt 1, Phoenix → 6588 Lincoln Way, Houston |
| Proposed | — | ||
| ACT-011880 | Outreach address corrected Outreach | Christopher Henderson: 3883 Harbor Blvd, Nashville → 1971 Meadow Ln, Los Angeles |
| Proposed | — | ||
| ACT-011881 | Outreach address corrected Outreach | Amanda Guerrero: 3110 Jefferson Ave # 184, Denver → 3110 Jefferson Ave, Denver |
| Proposed | — | ||
| ACT-011882 | Outreach address corrected Outreach | Elijah Garza: 6339 Cedar Ln, Mesa → 5045 Broadway, Eden Prairie |
| Proposed | — | ||
| ACT-011883 | Outreach address corrected Outreach | Alice Hayes: 8618 Washington St, San Diego → 4125 Mesa Dr, Tucson |
| Proposed | — | ||
| ACT-011884 | Outreach address corrected Outreach | Wei Cooper: 9506 Sunset Blvd, Orlando → 9506 Sunset Blvd # 218, Orlando |
| Proposed | — | ||
| ACT-011885 | Outreach address corrected Outreach | Jacqueline Rice: 4571 Lake View Rd, Las Vegas → 4571 Lake View Rd # 826, Las Vegas |
| Proposed | — | ||
| ACT-011886 | Outreach address corrected Outreach | Nancy Vega: 9590 Highland Ave, Tampa → 3291 Mesa Dr, Glendale |
| Proposed | — | ||
| ACT-011887 | Outreach address corrected Outreach | Nancy Martin: 6638 Camelback Rd, San Antonio → 7326 Highland Ave, Tempe |
| Proposed | — | ||
| ACT-011888 | Outreach address corrected Outreach | Kathryn Jordan: 6630 Desert Sky Blvd, Columbus → 5080 Sunset Blvd, Charlotte |
| Proposed | — | ||
| ACT-011889 | Outreach address corrected Outreach | Evelyn McDonald: 1973 Sage Ct, Chandler → 1973 Sage Ct # 459, Chandler |
| Proposed | — | ||
| ACT-011890 | Outreach address corrected Outreach | Wayne Obrieen: 1154 Mountain View Dr # 807, Denver → 1154 Mountain View Dr, Denver |
| Proposed | — | ||
| ACT-011891 | Outreach address corrected Outreach | Keith Mills: 2266 Jefferson Ave # 283, Los Angeles → 3588 Canyon Rd, Plano |
| Proposed | — | ||
| ACT-011892 | Outreach address corrected Outreach | Martha Salazar: 8402 Pine Dr, Plano → 1310 Forest Ave, Orlando |
| Proposed | — | ||
| ACT-011893 | Outreach address corrected Outreach | Emily Armstrong: 4902 Palm Dr # 432, Chandler → 4902 Palm Dr, Chandler |
| Proposed | — | ||
| ACT-011894 | Outreach address corrected Outreach | Abby Simmons: 749 Canyon Rd, Jacksonville → 749 Canyon Rd # 918, Jacksonville |
| Proposed | — | ||
| ACT-011895 | Outreach address corrected Outreach | Danielle Henry: 863 Ocean Ave Apt 21, Tempe → 863 Ocean Ave, Tempe |
| Proposed | — | ||
| ACT-011896 | Outreach address corrected Outreach | Kyle Wallace: 4635 Indian School Rd, Tempe → 4635 Indian School Rd Apt 11, Tempe |
| Proposed | — | ||
| ACT-011897 | Outreach address corrected Outreach | Ruth Schultz: 1937 Bayshore Dr Apt 21, San Antonio → 1937 Bayshore Dr, San Antonio |
| Proposed | — | ||
| ACT-011898 | Outreach address corrected Outreach | Austin Schmidt: 6057 Palm Dr # 480, Gilbert → 6057 Palm Dr, Gilbert |
| Proposed | — | ||
| ACT-011899 | Outreach address corrected Outreach | Beverly Carlson: 834 Grand Ave, Fresno → 834 Grand Ave Apt 27, Fresno |
| Proposed | — | ||
| ACT-011900 | Outreach address corrected Outreach | Alan Wilson: 9375 Camelback Rd # 912, Columbus → 9375 Camelback Rd # 395, Columbus |
| Proposed | — | ||
| ACT-011901 | Outreach address corrected Outreach | Gabriel Carter: 9858 Park Pl, Minneapolis → 7602 Spring St, Scottsdale |
| 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.