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-011902 | Outreach address corrected Outreach | Joyce Hunt: 901 Meadow Ln Apt 10, Glendale → 901 Meadow Ln, Glendale |
| Proposed | — | ||
| ACT-011903 | Outreach address corrected Outreach | Laura Arnold: 6320 Main St # 150, Scottsdale → 6320 Main St, Scottsdale |
| Proposed | — | ||
| ACT-011904 | Outreach address corrected Outreach | Roger Carroll: 1194 Elm St, Fresno → 8894 Pine Dr, Plano |
| Proposed | — | ||
| ACT-011905 | Outreach address corrected Outreach | Daniel Williams: 8390 Park Pl Apt 31, Minneapolis → 8390 Park Pl, Minneapolis |
| Proposed | — | ||
| ACT-011906 | Outreach address corrected Outreach | Jerry Howward: 7324 Meadow Ln # 345, Los Angeles → 7324 Meadow Ln, Los Angeles |
| Proposed | — | ||
| ACT-011907 | Outreach address corrected Outreach | Gregory Cruz: 5351 Market St, Jacksonville → 5351 Market St Apt 25, Jacksonville |
| Proposed | — | ||
| ACT-011908 | Outreach address corrected Outreach | Dylan Hansen: 4894 Union St Apt 37, Tempe → 2016 River Rd Apt 4, Tempe |
| Proposed | — | ||
| ACT-011909 | Outreach address corrected Outreach | Melissa Hudson: 5183 Bayshore Dr, Orlando → 1746 Grand Ave, Gilbert |
| Proposed | — | ||
| ACT-011910 | Outreach address corrected Outreach | John Vasquez: 5225 Lincoln Way # 350, Nashville → 5225 Lincoln Way, Nashville |
| Proposed | — | ||
| ACT-011911 | Outreach address corrected Outreach | Russell Nunez: 9308 River Rd # 227, Jacksonville → 9308 River Rd, Jacksonville |
| Proposed | — | ||
| ACT-011912 | Outreach address corrected Outreach | Elizabeth Stephens: 1884 Highland Ave, San Antonio → 9528 Meadow Ln, Austin |
| Proposed | — | ||
| ACT-011913 | Outreach address corrected Outreach | Arjun Evans: 2479 Washington St, Nashville → 5961 Broadway, Scottsdale |
| Proposed | — | ||
| ACT-011914 | Outreach address corrected Outreach | Jason Ford: 8074 Maple Ave, Gilbert → 6576 Elm St, Minneapolis |
| Proposed | — | ||
| ACT-011915 | Outreach address corrected Outreach | Carolyn Snyder: 6684 Meadow Ln Apt 6, Scottsdale → 6684 Meadow Ln, Scottsdale |
| Proposed | — | ||
| ACT-011916 | Outreach address corrected Outreach | Ahmed Kelly: 4968 Willow Ct, Tucson → 4968 Willow Ct Apt 16, Tucson |
| Proposed | — | ||
| ACT-011917 | Outreach address corrected Outreach | Jerry Franklin: 2170 Main St, Los Angeles → 2202 Apache Blvd, Houston |
| Proposed | — | ||
| ACT-011918 | Outreach address corrected Outreach | Eugene Roemro: 4701 Oak St, Jacksonville → 4701 Oak St # 253, Jacksonville |
| Proposed | — | ||
| ACT-011919 | Outreach address corrected Outreach | Betty Willis: 2735 Cedar Ln Apt 31, Houston → 2735 Cedar Ln, Houston |
| Proposed | — | ||
| ACT-011920 | Outreach address corrected Outreach | Brittany Jenkins: 4783 Ocean Ave # 627, Charlotte → 4783 Ocean Ave, Charlotte |
| Proposed | — | ||
| ACT-011921 | Outreach address corrected Outreach | Margaret McCoy: 4305 Meadow Ln # 826, Denver → 4305 Meadow Ln, Denver |
| Proposed | — | ||
| ACT-011922 | Outreach address corrected Outreach | Laura Ellis: 145 River Rd Apt 33, Gilbert → 145 River Rd, Gilbert |
| Proposed | — | ||
| ACT-011923 | Outreach address corrected Outreach | Adam Mendoza: 925 Oak St, Chandler → 430 Market St, Tucson |
| Proposed | — | ||
| ACT-011924 | Outreach address corrected Outreach | Thomas Jimenez: 7889 Forest Ave, Gilbert → 7889 Forest Ave # 726, Gilbert |
| Proposed | — | ||
| ACT-011925 | Outreach address corrected Outreach | Donald Baker: 9253 Apache Blvd # 996, Seattle → 9253 Apache Blvd, Seattle |
| Proposed | — | ||
| ACT-011926 | Outreach address corrected Outreach | Michael Reyes: 6699 Spring St # 441, Las Vegas → 6699 Spring St, Las Vegas |
| Proposed | — | ||
| ACT-011927 | Outreach address corrected Outreach | Alan Mendez: 7393 Central Ave # 835, Eden Prairie → 7393 Central Ave, Eden Prairie |
| Proposed | — | ||
| ACT-011928 | Outreach address corrected Outreach | Roger Ortiz: 7876 Forest Ave, Orlando → 2298 Ocean Ave Apt 1, Tempe |
| Proposed | — | ||
| ACT-011929 | Outreach address corrected Outreach | Christopher Perkins: 8198 Baseline Rd, Scottsdale → 8198 Baseline Rd Apt 6, Scottsdale |
| Proposed | — | ||
| ACT-011930 | Outreach address corrected Outreach | Natalie Collins: 8209 River Rd, Las Vegas → 8209 River Rd Apt 13, Las Vegas |
| Proposed | — | ||
| ACT-011931 | Outreach address corrected Outreach | Grace Ramos: 8508 Maple Ave # 474, Minneapolis → 8508 Maple Ave, Minneapolis |
| Proposed | — | ||
| ACT-011932 | Outreach address corrected Outreach | Kathryn Bowman: 1310 Apache Blvd, Denver → 1310 Apache Blvd Apt 1, Denver |
| Proposed | — | ||
| ACT-011933 | Outreach address corrected Outreach | Ethan Peters: 4909 Meadow Ln # 261, Seattle → 4909 Meadow Ln, Seattle |
| Proposed | — | ||
| ACT-011934 | Outreach address corrected Outreach | Isabella Watkins: 1407 Ocean Ave, Mesa → 1407 Ocean Ave # 261, Mesa |
| Proposed | — | ||
| ACT-011935 | Outreach address corrected Outreach | Charlotte Wheeler: 8691 Spring St, Miami → 8961 Park Pl, Sacramento |
| Proposed | — | ||
| ACT-011936 | Outreach address corrected Outreach | Carollyn Shaw: 1489 Cedar Ln # 366, Tampa → 1489 Cedar Ln, Tampa |
| Proposed | — | ||
| ACT-011937 | Outreach address corrected Outreach | Helen Marshall: 6645 Washington St Apt 40, Austin → 6645 Washington St, Austin |
| Proposed | — | ||
| ACT-011938 | Outreach address corrected Outreach | Ralph Bailey: 9827 Elm St # 426, Houston → 9827 Elm St, Houston |
| Proposed | — | ||
| ACT-011939 | Outreach address corrected Outreach | Deborah Jackson: 8786 Jefferson Ave, Las Vegas → 8786 Jefferson Ave Apt 11, Las Vegas |
| Proposed | — | ||
| ACT-011940 | Outreach address corrected Outreach | Doris Carter: 3192 Cedar Ln Apt 35, Mesa → 3192 Cedar Ln, Mesa |
| Proposed | — | ||
| ACT-011941 | Outreach address corrected Outreach | Michael Vazquez: 9570 Broadway, Charlotte → 9570 Broadway Apt 23, Charlotte |
| Proposed | — | ||
| ACT-011942 | Outreach address corrected Outreach | Mark Holmes: 9633 River Rd Apt 23, Houston → 9633 River Rd, Houston |
| Proposed | — | ||
| ACT-011943 | Outreach address corrected Outreach | Melissa Burns: 5052 Willow Ct Apt 2, Gilbert → 5052 Willow Ct Apt 30, Gilbert |
| Proposed | — | ||
| ACT-011944 | Outreach address corrected Outreach | Brittany Torres: 6448 Sunset Blvd, Mesa → 716 Broadway, Plano |
| Proposed | — | ||
| ACT-011945 | Outreach address corrected Outreach | Timothy Carter: 405 Sage Ct # 285, Sacramento → 405 Sage Ct, Sacramento |
| Proposed | — | ||
| ACT-011946 | Outreach address corrected Outreach | Michael Alexander: 3873 Market St # 862, Dallas → 3873 Market St, Dallas |
| Proposed | — | ||
| ACT-011947 | Outreach address corrected Outreach | Jakc Hunt: 8639 Main St Apt 8, Miami → 8639 Main St, Miami |
| Proposed | — | ||
| ACT-011948 | Outreach address corrected Outreach | Carl Banks: 6504 Mountain View Dr, Minneapolis → 6504 Mountain View Dr Apt 25, Minneapolis |
| Proposed | — | ||
| ACT-011949 | Outreach address corrected Outreach | Laura Watkins: 8758 River Rd Apt 32, Las Vegas → 9483 Elm St, Tucson |
| Proposed | — | ||
| ACT-011950 | Outreach address corrected Outreach | Jdy Patel: 2365 Grand Ave, Tucson → 2365 Grand Ave # 289, Tucson |
| Proposed | — | ||
| ACT-011951 | Outreach address corrected Outreach | Jacob Webb: 6904 Broadway, Houston → 6904 Broadway # 970, Houston |
| 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.