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-010552 | Outreach address corrected Outreach | Barbara Howard: 6324 Mountain View Dr, Jacksonville → 6324 Mountain View Dr Apt 6, Jacksonville |
| Proposed | — | ||
| ACT-010553 | Outreach address corrected Outreach | Sarah Olson: 5496 River Rd Apt 31, Seattle → 5496 River Rd, Seattle |
| Proposed | — | ||
| ACT-010554 | Outreach address corrected Outreach | Kyle Contreras: 7575 Canyon Rd # 830, Denver → 5877 Church St, Scottsdale |
| Proposed | — | ||
| ACT-010555 | Outreach address corrected Outreach | Samuel Brown: 8733 Main St # 212, Scottsdale → 8733 Main St, Scottsdale |
| Proposed | — | ||
| ACT-010556 | Outreach address corrected Outreach | Michelle Cooper: 3137 Sunset Blvd, Houston → 3137 Sunset Blvd # 723, Houston |
| Proposed | — | ||
| ACT-010557 | Outreach address corrected Outreach | Sandra Scott: 3181 Lake View Rd, Tempe → 3181 Lake View Rd # 968, Tempe |
| Proposed | — | ||
| ACT-010558 | Outreach address corrected Outreach | Priya Kelly: 6859 Grand Ave # 370, Tucson → 6859 Grand Ave, Tucson |
| Proposed | — | ||
| ACT-010559 | Outreach address corrected Outreach | Julia Rice: 2155 Valley View Dr Apt 28, Fresno → 2155 Valley View Dr, Fresno |
| Proposed | — | ||
| ACT-010560 | Outreach address corrected Outreach | Karen Guerrero: 7928 Bayshore Dr # 356, Orlando → 7928 Bayshore Dr, Orlando |
| Proposed | — | ||
| ACT-010561 | Outreach address corrected Outreach | Mateo Espinoza: 2755 Central Ave Apt 18, Austin → 2755 Central Ave, Austin |
| Proposed | — | ||
| ACT-010562 | Outreach address corrected Outreach | Frances Jacobs: 2317 Central Ave, Jacksonville → 9439 Baseline Rd, Atlanta |
| Proposed | — | ||
| ACT-010563 | Outreach address corrected Outreach | Emily Reynolds: 5254 Mountain View Dr # 199, Austin → 5254 Mountain View Dr, Austin |
| Proposed | — | ||
| ACT-010564 | Outreach address corrected Outreach | Dorothy Wagner: 1607 Forest Ave # 301, Tucson → 1607 Forest Ave, Tucson |
| Proposed | — | ||
| ACT-010565 | Outreach address corrected Outreach | Christina Campbell: 6439 Apache Blvd, Miami → 6439 Apache Blvd Apt 7, Miami |
| Proposed | — | ||
| ACT-010566 | Outreach address corrected Outreach | Isabella Berry: 8659 Sage Ct Apt 37, Tucson → 8659 Sage Ct, Tucson |
| Proposed | — | ||
| ACT-010567 | Outreach address corrected Outreach | Daniel Franlin: 4019 Mountain View Dr, Atlanta → 4019 Mountain View Dr Apt 13, Atlanta |
| Proposed | — | ||
| ACT-010568 | Outreach address corrected Outreach | Gerald Miller: 3450 Maple Ave Apt 39, Denver → 3450 Maple Ave, Denver |
| Proposed | — | ||
| ACT-010569 | Outreach address corrected Outreach | Aisha Medina: 7802 Ocean Ave, San Antonio → 7802 Ocean Ave # 473, San Antonio |
| Proposed | — | ||
| ACT-010570 | Outreach address corrected Outreach | Albert Gonzalez: 9216 Indian School Rd Apt 38, Mesa → 9216 Indian School Rd, Mesa |
| Proposed | — | ||
| ACT-010571 | Outreach address corrected Outreach | Jack Espinoza: 8268 Meadow Ln Apt 14, Las Vegas → 8268 Meadow Ln, Las Vegas |
| Proposed | — | ||
| ACT-010572 | Outreach address corrected Outreach | Austin Rodriguez: 9749 Mesa Dr # 336, Mesa → 9749 Mesa Dr, Mesa |
| Proposed | — | ||
| ACT-010573 | Outreach address corrected Outreach | Ethan Hill: 9861 Bayshore Dr, Mesa → 9861 Bayshore Dr Apt 14, Mesa |
| Proposed | — | ||
| ACT-010574 | Outreach address corrected Outreach | Andrew Hoffman: 8112 Meadow Ln # 918, Tampa → 8112 Meadow Ln, Tampa |
| Proposed | — | ||
| ACT-010575 | Outreach address corrected Outreach | Laura Mendez: 5085 Bayshore Dr # 518, Phoenix → 5085 Bayshore Dr, Phoenix |
| Proposed | — | ||
| ACT-010576 | Outreach address corrected Outreach | Jaanice Li: 8397 Broadway Apt 10, Denver → 8397 Broadway, Denver |
| Proposed | — | ||
| ACT-010577 | Outreach address corrected Outreach | Elijah Hanson: 119 Indian School Rd Apt 8, Jacksonville → 119 Indian School Rd, Jacksonville |
| Proposed | — | ||
| ACT-010578 | Outreach address corrected Outreach | Gabriel Taylor: 916 Apache Blvd # 566, Eden Prairie → 916 Apache Blvd, Eden Prairie |
| Proposed | — | ||
| ACT-010579 | Outreach address corrected Outreach | Yuki Smith: 8941 Highland Ave # 285, Phoenix → 8941 Highland Ave, Phoenix |
| Proposed | — | ||
| ACT-010580 | Outreach address corrected Outreach | Sara Espinoza: 5773 Central Ave, Los Angeles → 859 Grand Ave, Tempe |
| Proposed | — | ||
| ACT-010581 | Outreach address corrected Outreach | Mary Wheeler: 4043 Pine Dr, Seattle → 4043 Pine Dr Apt 6, Seattle |
| Proposed | — | ||
| ACT-010582 | Outreach address corrected Outreach | Angela Hawkins: 6764 Ocean Ave Apt 15, Los Angeles → 6764 Ocean Ave, Los Angeles |
| Proposed | — | ||
| ACT-010583 | Outreach address corrected Outreach | Andrea Holmes: 1113 River Rd Apt 37, Atlanta → 1113 River Rd, Atlanta |
| Proposed | — | ||
| ACT-010584 | Outreach address corrected Outreach | William Banks: 7841 Jefferson Ave, Dallas → 7392 River Rd, Orlando |
| Proposed | — | ||
| ACT-010585 | Outreach address corrected Outreach | Carol Day: 4642 Lake View Rd # 217, Sacramento → 4642 Lake View Rd, Sacramento |
| Proposed | — | ||
| ACT-010586 | Outreach address corrected Outreach | Mariana Williamson: 2955 Church St, Fresno → 4594 Main St, Denver |
| Proposed | — | ||
| ACT-010587 | Outreach address corrected Outreach | Raymond Hill: 9453 Mountain View Dr, Charlotte → 3309 Church St, Seattle |
| Proposed | — | ||
| ACT-010588 | Outreach address corrected Outreach | Donald Silva: 366 Forest Ave, Scottsdale → 2275 Park Pl, Houston |
| Proposed | — | ||
| ACT-010589 | Outreach address corrected Outreach | Lauren Moore: 8085 Spring St, Tempe → 8085 Spring St # 934, Tempe |
| Proposed | — | ||
| ACT-010590 | Outreach address corrected Outreach | George Shaw: 6572 Bayshore Dr, Tucson → 6572 Bayshore Dr Apt 8, Tucson |
| Proposed | — | ||
| ACT-010591 | Outreach address corrected Outreach | Cynthia West: 8007 Washington St # 247, Tampa → 8007 Washington St, Tampa |
| Proposed | — | ||
| ACT-010592 | Outreach address corrected Outreach | Stephanie Lopez: 1921 Washington St # 868, Gilbert → 1921 Washington St, Gilbert |
| Proposed | — | ||
| ACT-010593 | Outreach address corrected Outreach | Douglas Padilla: 5954 Palm Dr, Tucson → 5856 Willow Ct, Gilbert |
| Proposed | — | ||
| ACT-010594 | Outreach address corrected Outreach | Judith Brown: 5143 Union St, Tucson → 806 Elm St, Austin |
| Proposed | — | ||
| ACT-010595 | Outreach address corrected Outreach | Isabella Garza: 1755 Mesa Dr, San Antonio → 1755 Mesa Dr # 733, San Antonio |
| Proposed | — | ||
| ACT-010596 | Outreach address corrected Outreach | Megan Guerrero: 370 Forest Ave # 232, Austin → 370 Forest Ave, Austin |
| Proposed | — | ||
| ACT-010597 | Outreach address corrected Outreach | Lori Ferguson: 2459 Highland Ave Apt 17, Glendale → 2459 Highland Ave, Glendale |
| Proposed | — | ||
| ACT-010598 | Outreach address corrected Outreach | Martha Williamson: 364 Broadway, Plano → 364 Broadway # 411, Plano |
| Proposed | — | ||
| ACT-010599 | Outreach address corrected Outreach | Judith Owens: 4041 Maple Ave, Fresno → 4041 Maple Ave # 496, Fresno |
| Proposed | — | ||
| ACT-010600 | Outreach address corrected Outreach | Jeffrey Garza: 6249 Mesa Dr, Atlanta → 6249 Mesa Dr Apt 31, Atlanta |
| Proposed | — | ||
| ACT-010601 | Outreach address corrected Outreach | David Luna: 6507 Sunset Blvd, Orlando → 6507 Sunset Blvd Apt 37, Orlando |
| 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.