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-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.