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-012102 | Outreach address corrected Outreach | Abigail Fowler: 6693 Sage Ct, Miami → 3019 Highland Ave, Plano |
| Proposed | — | ||
| ACT-012103 | Outreach address corrected Outreach | Robert Maldonado: 8660 Valley View Dr, Orlando → 8660 Valley View Dr # 804, Orlando |
| Proposed | — | ||
| ACT-012104 | Outreach address corrected Outreach | Josehp Salazar: 7886 Forest Ave, Seattle → 8192 Sage Ct, Tucson |
| Proposed | — | ||
| ACT-012105 | Outreach address corrected Outreach | Ralph Burns: 1506 Maple Ave, Jacksonville → 679 Palm Dr, Jacksonville |
| Proposed | — | ||
| ACT-012106 | Outreach address corrected Outreach | Henry Palmer: 6770 Sage Ct, Tucson → 6770 Sage Ct Apt 28, Tucson |
| Proposed | — | ||
| ACT-012107 | Outreach address corrected Outreach | Mason Lawson: 2497 Cedar Ln, Fresno → 2497 Cedar Ln # 616, Fresno |
| Proposed | — | ||
| ACT-012108 | Outreach address corrected Outreach | Andrew Cooper: 4864 Church St, San Antonio → 7383 Bayshore Dr, Columbus |
| Proposed | — | ||
| ACT-012109 | Outreach address corrected Outreach | Omar Stewart: 767 Park Pl, Miami → 7497 Washington St, Gilbert |
| Proposed | — | ||
| ACT-012110 | Outreach address corrected Outreach | Dylan Foster: 7867 Bayshore Dr, Gilbert → 2855 Washington St, Minneapolis |
| Proposed | — | ||
| ACT-012111 | Outreach address corrected Outreach | Benjamin Peters: 8029 Mesa Dr, Houston → 8029 Mesa Dr Apt 28, Houston |
| Proposed | — | ||
| ACT-012112 | Outreach address corrected Outreach | Mateo Mason: 9525 Apache Blvd, San Antonio → 8867 Forest Ave, Miami |
| Proposed | — | ||
| ACT-012113 | Outreach address corrected Outreach | Anna Obrien: 1628 Park Pl, Scottsdale → 8933 Washington St, Houston |
| Proposed | — | ||
| ACT-012114 | Outreach address corrected Outreach | Abigail Ruiz: 5194 Lake View Rd, Miami → 5194 Lake View Rd # 322, Miami |
| Proposed | — | ||
| ACT-012115 | Outreach address corrected Outreach | Angela Cunningham: 6228 Mountain View Dr, Gilbert → 4347 Lincoln Way, Columbus |
| Proposed | — | ||
| ACT-012116 | Outreach address corrected Outreach | Benjamin Taylor: 8247 Lake View Rd Apt 27, Gilbert → 8247 Lake View Rd, Gilbert |
| Proposed | — | ||
| ACT-012117 | Outreach address corrected Outreach | Douglas Phillips: 4302 Sage Ct, Glendale → 4676 Broadway, San Antonio |
| Proposed | — | ||
| ACT-012118 | Outreach address corrected Outreach | Donna Young: 9562 Grand Ave, Tampa → 9562 Grand Ave # 393, Tampa |
| Proposed | — | ||
| ACT-012119 | Outreach address corrected Outreach | Nancy Campbell: 3517 Baseline Rd # 391, Jacksonville → 3517 Baseline Rd, Jacksonville |
| Proposed | — | ||
| ACT-012120 | Outreach address corrected Outreach | Beth Jimenez: 8362 Hillcrest Rd, Columbus → 8362 Hillcrest Rd # 155, Columbus |
| Proposed | — | ||
| ACT-012121 | Outreach address corrected Outreach | Gerald Ellis: 589 Mountain View Dr, Tempe → 589 Mountain View Dr # 525, Tempe |
| Proposed | — | ||
| ACT-012122 | Outreach address corrected Outreach | Roy Rios: 7323 Indian School Rd # 701, Nashville → 7323 Indian School Rd, Nashville |
| Proposed | — | ||
| ACT-012123 | Outreach address corrected Outreach | Jerry Patel: 8468 Lake View Rd, Minneapolis → 3705 Washington St, Miami |
| Proposed | — | ||
| ACT-012124 | Outreach address corrected Outreach | Ruth Vazquez: 3458 Oak St Apt 38, San Antonio → 1207 Lincoln Way, Charlotte |
| Proposed | — | ||
| ACT-012125 | Outreach address corrected Outreach | Cheryl Yang: 3370 Bayshore Dr # 978, Jacksonville → 3370 Bayshore Dr Apt 21, Jacksonville |
| Proposed | — | ||
| ACT-012126 | Outreach address corrected Outreach | Emma Smith: 7591 Highland Ave # 424, Orlando → 7591 Highland Ave, Orlando |
| Proposed | — | ||
| ACT-012127 | Outreach address corrected Outreach | Michelle Clark: 4196 Union St # 234, Miami → 4196 Union St, Miami |
| Proposed | — | ||
| ACT-012128 | Outreach address corrected Outreach | Kelly Murphy: 7420 Maple Ave, Las Vegas → 7420 Maple Ave Apt 8, Las Vegas |
| Proposed | — | ||
| ACT-012129 | Outreach address corrected Outreach | Willie Matthews: 3649 Mountain View Dr Apt 10, Jacksonville → 3649 Mountain View Dr, Jacksonville |
| Proposed | — | ||
| ACT-012130 | Outreach address corrected Outreach | Nicole Robertson: 7606 Maple Ave, Eden Prairie → 3505 Sage Ct, Los Angeles |
| Proposed | — | ||
| ACT-012131 | Outreach address corrected Outreach | Mariana Fields: 4850 Apache Blvd, Mesa → 3511 Main St, Phoenix |
| Proposed | — | ||
| ACT-012132 | Outreach address corrected Outreach | Elizabeth Larson: 1128 Indian School Rd, Columbus → 1128 Indian School Rd # 351, Columbus |
| Proposed | — | ||
| ACT-012133 | Outreach address corrected Outreach | Mei Simmons: 3325 River Rd, Minneapolis → 6098 Elm St Apt 28, Los Angeles |
| Proposed | — | ||
| ACT-012134 | Outreach address corrected Outreach | Timothy George: 9318 Oak St Apt 9, San Diego → 4259 Valley View Dr, San Diego |
| Proposed | — | ||
| ACT-012135 | Outreach address corrected Outreach | Ruth Jordan: 6914 Sage Ct Apt 30, Sacramento → 6914 Sage Ct, Sacramento |
| Proposed | — | ||
| ACT-012136 | Outreach address corrected Outreach | Yuki Robinson: 5021 River Rd # 716, Fresno → 5021 River Rd, Fresno |
| Proposed | — | ||
| ACT-012137 | Outreach address corrected Outreach | Zachary Ellis: 9868 Forest Ave, Plano → 2174 Cedar Ln, Glendale |
| Proposed | — | ||
| ACT-012138 | Outreach address corrected Outreach | Wayne Howard: 3649 Ridge Rd, Fresno → 3649 Ridge Rd Apt 22, Fresno |
| Proposed | — | ||
| ACT-012139 | Outreach address corrected Outreach | Cynthia Kelley: 2490 Meadow Ln, Sacramento → 2490 Meadow Ln Apt 28, Sacramento |
| Proposed | — | ||
| ACT-012140 | Outreach address corrected Outreach | Rogger Stewart: 6205 Sage Ct Apt 22, Scottsdale → 6205 Sage Ct, Scottsdale |
| Proposed | — | ||
| ACT-012141 | Outreach address corrected Outreach | Logan Greene: 7931 Canyon Rd, Minneapolis → 7931 Canyon Rd Apt 36, Minneapolis |
| Proposed | — | ||
| ACT-012142 | Outreach address corrected Outreach | Priya Burton: 5714 Park Pl Apt 24, Columbus → 5714 Park Pl, Columbus |
| Proposed | — | ||
| ACT-012143 | Outreach address corrected Outreach | Keith Hicks: 3052 Canyon Rd, Minneapolis → 6882 Oak St # 524, Eden Prairie |
| Proposed | — | ||
| ACT-012144 | Outreach address corrected Outreach | Dylan Larson: 2961 Palm Dr # 826, Atlanta → 2961 Palm Dr, Atlanta |
| Proposed | — | ||
| ACT-012145 | Outreach address corrected Outreach | Santiago White: 9371 Canyon Rd Apt 16, Orlando → 9371 Canyon Rd, Orlando |
| Proposed | — | ||
| ACT-012146 | Outreach address corrected Outreach | Steven Ray: 4497 Forest Ave, Gilbert → 4497 Forest Ave Apt 28, Gilbert |
| Proposed | — | ||
| ACT-012147 | Outreach address corrected Outreach | Wayne Torres: 7254 Oak St, Austin → 4078 Highland Ave, Scottsdale |
| Proposed | — | ||
| ACT-012148 | Outreach address corrected Outreach | Heather Moarles: 6122 Baseline Rd Apt 26, Austin → 6122 Baseline Rd, Austin |
| Proposed | — | ||
| ACT-012149 | Outreach address corrected Outreach | Mary Castro: 7608 Ocean Ave # 894, Seattle → 7608 Ocean Ave, Seattle |
| Proposed | — | ||
| ACT-012150 | Outreach address corrected Outreach | Helen Webb: 8349 Broadway, Los Angeles → 8349 Broadway # 599, Los Angeles |
| Proposed | — | ||
| ACT-012151 | Outreach address corrected Outreach | Lori Duncan: 2740 Oak St Apt 15, Plano → 2740 Oak St, 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.