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-012052 | Outreach address corrected Outreach | Gerald Roberts: 4789 Baseline Rd # 864, Seattle → 4789 Baseline Rd, Seattle |
| Proposed | — | ||
| ACT-012053 | Outreach address corrected Outreach | Marilyn Foster: 8187 Harbor Blvd Apt 35, Los Angeles → 8187 Harbor Blvd, Los Angeles |
| Proposed | — | ||
| ACT-012054 | Outreach address corrected Outreach | Diana Webb: 5776 Oak St Apt 25, Scottsdale → 5776 Oak St, Scottsdale |
| Proposed | — | ||
| ACT-012055 | Outreach address corrected Outreach | Jeremy Young: 1049 Palm Dr, Fresno → 6020 Jefferson Ave # 274, Columbus |
| Proposed | — | ||
| ACT-012056 | Outreach address corrected Outreach | Kimberly Jones: 1800 Broadway, Plano → 6153 Central Ave, Columbus |
| Proposed | — | ||
| ACT-012057 | Outreach address corrected Outreach | Arthur Rice: 4090 Market St, Los Angeles → 4090 Market St Apt 15, Los Angeles |
| Proposed | — | ||
| ACT-012058 | Outreach address corrected Outreach | Michelle Alvarez: 1030 Oak St, Austin → 9370 Hillcrest Rd, Tempe |
| Proposed | — | ||
| ACT-012059 | Outreach address corrected Outreach | Joe Mills: 2003 Mountain View Dr, Miami → 8341 Market St, Seattle |
| Proposed | — | ||
| ACT-012060 | Outreach address corrected Outreach | Laura Alvarado: 4347 Church St, Plano → 4347 Church St Apt 36, Plano |
| Proposed | — | ||
| ACT-012061 | Outreach address corrected Outreach | Frances Herrera: 2259 Union St, Austin → 4797 Market St, Las Vegas |
| Proposed | — | ||
| ACT-012062 | Outreach address corrected Outreach | Jennifer Watkins: 2746 Lincoln Way, Sacramento → 1753 Baseline Rd, Glendale |
| Proposed | — | ||
| ACT-012063 | Outreach address corrected Outreach | Billy Weaver: 1760 Pine Dr, Sacramento → 1760 Pine Dr Apt 6, Sacramento |
| Proposed | — | ||
| ACT-012064 | Outreach address corrected Outreach | Austin Burton: 4520 Church St, Denver → 2738 Hillcrest Rd, Las Vegas |
| Proposed | — | ||
| ACT-012065 | Outreach address corrected Outreach | Brittany Fowler: 4303 Lake View Rd, San Antonio → 4303 Lake View Rd Apt 28, San Antonio |
| Proposed | — | ||
| ACT-012066 | Outreach address corrected Outreach | Mason McDunald: 2651 Mountain View Dr Apt 14, Glendale → 2651 Mountain View Dr, Glendale |
| Proposed | — | ||
| ACT-012067 | Outreach address corrected Outreach | Keith Hernandez: 1394 Apache Blvd, Scottsdale → 1394 Apache Blvd # 931, Scottsdale |
| Proposed | — | ||
| ACT-012068 | Outreach address corrected Outreach | Arjun Ward: 535 Willow Ct Apt 26, Denver → 535 Willow Ct, Denver |
| Proposed | — | ||
| ACT-012069 | Outreach address corrected Outreach | Jose Warren: 876 Indian School Rd, Plano → 876 Indian School Rd # 866, Plano |
| Proposed | — | ||
| ACT-012070 | Outreach address corrected Outreach | Patrick Castro: 6189 Camelback Rd, San Antonio → 6815 Canyon Rd, Dallas |
| Proposed | — | ||
| ACT-012071 | Outreach address corrected Outreach | Anna Lawrence: 5430 River Rd, Austin → 9750 Sage Ct, Las Vegas |
| Proposed | — | ||
| ACT-012072 | Outreach address corrected Outreach | Ana Hunter: 6740 Hillcrest Rd, Las Vegas → 6740 Hillcrest Rd # 540, Las Vegas |
| Proposed | — | ||
| ACT-012073 | Outreach address corrected Outreach | Eugene Nguyen: 6870 Camelback Rd Apt 37, Dallas → 6870 Camelback Rd, Dallas |
| Proposed | — | ||
| ACT-012074 | Outreach address corrected Outreach | Brittany Elliott: 9358 Pine Dr # 711, Miami → 9358 Pine Dr, Miami |
| Proposed | — | ||
| ACT-012075 | Outreach address corrected Outreach | Elizabeth Miller: 5736 Broadway Apt 13, Las Vegas → 5736 Broadway, Las Vegas |
| Proposed | — | ||
| ACT-012076 | Outreach address corrected Outreach | Jesse Hernandez: 2786 Spring St, Fresno → 2786 Spring St # 613, Fresno |
| Proposed | — | ||
| ACT-012077 | Outreach address corrected Outreach | Ryan Wong: 6303 River Rd, Atlanta → 6303 River Rd # 514, Atlanta |
| Proposed | — | ||
| ACT-012078 | Outreach address corrected Outreach | Kelly Andrews: 6786 Washington St, Scottsdale → 6786 Washington St Apt 8, Scottsdale |
| Proposed | — | ||
| ACT-012079 | Outreach address corrected Outreach | Charlotte Hanson: 1822 Mountain View Dr, Charlotte → 2618 Ridge Rd, Denver |
| Proposed | — | ||
| ACT-012080 | Outreach address corrected Outreach | Thomas Jensen: 2508 Maple Ave Apt 6, Mesa → 2508 Maple Ave, Mesa |
| Proposed | — | ||
| ACT-012081 | Outreach address corrected Outreach | Dot Howard: 7140 Ridge Rd # 140, Atlanta → 8082 Willow Ct, Eden Prairie |
| Proposed | — | ||
| ACT-012082 | Outreach address corrected Outreach | Russell Smith: 8088 Ridge Rd, Eden Prairie → 1830 Jefferson Ave, Tempe |
| Proposed | — | ||
| ACT-012083 | Outreach address corrected Outreach | Peter Gray: 876 Spring St Apt 31, Los Angeles → 876 Spring St, Los Angeles |
| Proposed | — | ||
| ACT-012084 | Outreach address corrected Outreach | Sullivan Carolyn: 695 Indian School Rd, Tempe → 695 Indian School Rd Apt 18, Tempe |
| Proposed | — | ||
| ACT-012085 | Outreach address corrected Outreach | Frank Roberts: 7429 Washington St # 551, Phoenix → 7429 Washington St, Phoenix |
| Proposed | — | ||
| ACT-012086 | Outreach address corrected Outreach | Sharon Masson: 6653 Park Pl, Chandler → 6653 Park Pl # 118, Chandler |
| Proposed | — | ||
| ACT-012087 | Outreach address corrected Outreach | Jeremy Fernandez: 842 Church St # 661, Charlotte → 842 Church St, Charlotte |
| Proposed | — | ||
| ACT-012088 | Outreach address corrected Outreach | Charles Aguilar: 4747 Church St, Miami → 4747 Church St # 907, Miami |
| Proposed | — | ||
| ACT-012089 | Outreach address corrected Outreach | Brenda Bennett: 2887 Ridge Rd # 404, San Antonio → 2887 Ridge Rd, San Antonio |
| Proposed | — | ||
| ACT-012090 | Outreach address corrected Outreach | Aaron Payne: 8273 Maple Ave, Glendale → 8093 Pine Dr, Tucson |
| Proposed | — | ||
| ACT-012091 | Outreach address corrected Outreach | Richard Matthews: 276 Ridge Rd Apt 23, Orlando → 276 Ridge Rd, Orlando |
| Proposed | — | ||
| ACT-012092 | Outreach address corrected Outreach | Ralph Cunningham: 3821 Spring St # 522, Orlando → 6758 Highland Ave, Orlando |
| Proposed | — | ||
| ACT-012093 | Outreach address corrected Outreach | Carolyn Munoz: 9026 Maple Ave # 138, San Antonio → 9026 Maple Ave, San Antonio |
| Proposed | — | ||
| ACT-012094 | Outreach address corrected Outreach | Larry Reed: 4127 Camelback Rd Apt 2, Miami → 4127 Camelback Rd, Miami |
| Proposed | — | ||
| ACT-012095 | Outreach address corrected Outreach | Emily Schultz: 8124 Park Pl # 190, Denver → 8124 Park Pl, Denver |
| Proposed | — | ||
| ACT-012096 | Outreach address corrected Outreach | Alexander Crawford: 1954 Ocean Ave # 791, Los Angeles → 1954 Ocean Ave, Los Angeles |
| Proposed | — | ||
| ACT-012097 | Outreach address corrected Outreach | Jordan Brooks: 6544 Mesa Dr Apt 7, Chandler → 6544 Mesa Dr, Chandler |
| Proposed | — | ||
| ACT-012098 | Outreach address corrected Outreach | Frank Parker: 8240 Lincoln Way, Chandler → 4822 Indian School Rd, Sacramento |
| Proposed | — | ||
| ACT-012099 | Outreach address corrected Outreach | Debra Marshall: 5514 Canyon Rd, Seattle → 4090 Sunset Blvd, Las Vegas |
| Proposed | — | ||
| ACT-012100 | Outreach address corrected Outreach | Denise Young: 3958 Sunset Blvd, Tampa → 6686 River Rd, Minneapolis |
| Proposed | — | ||
| ACT-012101 | Outreach address corrected Outreach | Frances Simpson: 4657 Forest Ave, Plano → 4657 Forest Ave Apt 35, Plano |
| 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.