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-012152 | Outreach address corrected Outreach | Daniel Marshall: 8009 Lincoln Way, Phoenix → 7389 Hillcrest Rd, Scottsdale |
| Proposed | — | ||
| ACT-012153 | Outreach address corrected Outreach | Shirley Thomas: 4157 Jefferson Ave # 452, San Diego → 4157 Jefferson Ave, San Diego |
| Proposed | — | ||
| ACT-012154 | Outreach address corrected Outreach | Bruce Mejia: 8027 Lake View Rd, Jacksonville → 3879 Highland Ave, Phoenix |
| Proposed | — | ||
| ACT-012155 | Outreach address corrected Outreach | Ana Barnes: 4649 Pine Dr Apt 10, Columbus → 4649 Pine Dr, Columbus |
| Proposed | — | ||
| ACT-012156 | Outreach address corrected Outreach | Bobby Carroll: 5749 Mountain View Dr, Charlotte → 5749 Mountain View Dr Apt 37, Charlotte |
| Proposed | — | ||
| ACT-012157 | Outreach address corrected Outreach | Mei Munoz: 8580 Lake View Rd Apt 2, Tucson → 8580 Lake View Rd, Tucson |
| Proposed | — | ||
| ACT-012158 | Outreach address corrected Outreach | Joseph Day: 6135 Apache Blvd # 459, Miami → 6135 Apache Blvd, Miami |
| Proposed | — | ||
| ACT-012159 | Outreach address corrected Outreach | Michelle Carroll: 4702 Park Pl, Las Vegas → 927 Indian School Rd, San Antonio |
| Proposed | — | ||
| ACT-012160 | Outreach address corrected Outreach | Maria Reid: 9497 Lincoln Way, Mesa → 8664 Mountain View Dr, Las Vegas |
| Proposed | — | ||
| ACT-012161 | Outreach address corrected Outreach | Jacob Maldonado: 4546 Ridge Rd, San Diego → 4546 Ridge Rd Apt 30, San Diego |
| Proposed | — | ||
| ACT-012162 | Outreach address corrected Outreach | Ann Fields: 5259 Valley View Dr Apt 22, Tempe → 5259 Valley View Dr, Tempe |
| Proposed | — | ||
| ACT-012163 | Outreach address corrected Outreach | Kimberly Bell: 3424 Central Ave # 416, Tempe → 3424 Central Ave, Tempe |
| Proposed | — | ||
| ACT-012164 | Outreach address corrected Outreach | Janet Anderson: 3028 Willow Ct, San Antonio → 3028 Willow Ct # 487, San Antonio |
| Proposed | — | ||
| ACT-012165 | Outreach address corrected Outreach | Kathleen Wagner: 9711 Spring St # 709, Tampa → 9711 Spring St, Tampa |
| Proposed | — | ||
| ACT-012166 | Outreach address corrected Outreach | Alexander Johnston: 3793 Lake View Rd, Gilbert → 3793 Lake View Rd Apt 3, Gilbert |
| Proposed | — | ||
| ACT-012167 | Outreach address corrected Outreach | Judy Robinson: 181 Broadway, Orlando → 1766 Maple Ave, Jacksonville |
| Proposed | — | ||
| ACT-012168 | Outreach address corrected Outreach | Nancy Hunt: 5568 Broadway, Los Angeles → 7844 Camelback Rd, Minneapolis |
| Proposed | — | ||
| ACT-012169 | Outreach address corrected Outreach | Logan Davis: 5042 Main St, Dallas → 2947 Palm Dr, Tampa |
| Proposed | — | ||
| ACT-012170 | Outreach address corrected Outreach | Charles Bryant: 5690 Lincoln Way Apt 26, Sacramento → 5690 Lincoln Way, Sacramento |
| Proposed | — | ||
| ACT-012171 | Outreach address corrected Outreach | Tyler Peters: 1544 Market St Apt 35, Fresno → 1544 Market St, Fresno |
| Proposed | — | ||
| ACT-012172 | Outreach address corrected Outreach | Scott Shaw: 6262 Highland Ave # 769, Atlanta → 6262 Highland Ave, Atlanta |
| Proposed | — | ||
| ACT-012173 | Outreach address corrected Outreach | Natalie Gray: 7891 Jefferson Ave Apt 27, Seattle → 7891 Jefferson Ave, Seattle |
| Proposed | — | ||
| ACT-012174 | Outreach address corrected Outreach | Mason Flores: 4535 Willow Ct, Austin → 4535 Willow Ct Apt 3, Austin |
| Proposed | — | ||
| ACT-012175 | Outreach address corrected Outreach | Sean Nguyen: 6219 Cedar Ln, Atlanta → 3327 Mesa Dr, Miami |
| Proposed | — | ||
| ACT-012176 | Outreach address corrected Outreach | Nancy Delgado: 452 Harbor Blvd # 564, Nashville → 452 Harbor Blvd, Nashville |
| Proposed | — | ||
| ACT-012177 | Outreach address corrected Outreach | Lisa Wong: 6788 Oak St Apt 39, Tucson → 6788 Oak St, Tucson |
| Proposed | — | ||
| ACT-012178 | Outreach address corrected Outreach | Denise Clark: 1767 Pine Dr, Columbus → 2864 Broadway, Scottsdale |
| Proposed | — | ||
| ACT-012179 | Outreach address corrected Outreach | Tyler Rice: 4038 Mountain View Dr, Sacramento → 9763 Spring St, Orlando |
| Proposed | — | ||
| ACT-012180 | Outreach address corrected Outreach | Scott Jordan: 2014 Pine Dr, Miami → 7935 Desert Sky Blvd Apt 5, Fresno |
| Proposed | — | ||
| ACT-012181 | Outreach address corrected Outreach | Aisha Martin: 449 Indian School Rd, Fresno → 6550 Union St, Seattle |
| Proposed | — | ||
| ACT-012182 | Outreach address corrected Outreach | Kelly Espinoza: 9183 Central Ave Apt 3, Jacksonville → 9183 Central Ave, Jacksonville |
| Proposed | — | ||
| ACT-012183 | Outreach address corrected Outreach | Jacqueline Jacckson: 593 Sunset Blvd Apt 34, Jacksonville → 593 Sunset Blvd, Jacksonville |
| Proposed | — | ||
| ACT-012184 | Outreach address corrected Outreach | Heather Crawford: 5137 Ridge Rd, Chandler → 5137 Ridge Rd Apt 5, Chandler |
| Proposed | — | ||
| ACT-012185 | Outreach address corrected Outreach | Evelyn Nguyen: 8788 Main St, Atlanta → 2887 Lincoln Way, Atlanta |
| Proposed | — | ||
| ACT-012186 | Outreach address corrected Outreach | Amy Elliott: 9846 Harbor Blvd Apt 28, Eden Prairie → 7041 Elm St, Phoenix |
| Proposed | — | ||
| ACT-012187 | Outreach address corrected Outreach | Heather Perez: 8482 Church St # 462, Eden Prairie → 3546 Ridge Rd # 623, Chandler |
| Proposed | — | ||
| ACT-012188 | Outreach address corrected Outreach | Kenneth Reynolds: 1528 Jefferson Ave # 136, Gilbert → 1528 Jefferson Ave, Gilbert |
| Proposed | — | ||
| ACT-012189 | Outreach address corrected Outreach | Austin Stone: 4169 Jefferson Ave, Chandler → 4169 Jefferson Ave # 603, Chandler |
| Proposed | — | ||
| ACT-012190 | Outreach address corrected Outreach | Kathryn Holmes: 1223 Canyon Rd Apt 37, Austin → 1223 Canyon Rd, Austin |
| Proposed | — | ||
| ACT-012191 | Outreach address corrected Outreach | Carol Espinoza: 6265 Palm Dr, Tempe → 6314 Hillcrest Rd, Mesa |
| Proposed | — | ||
| ACT-012192 | Outreach address corrected Outreach | Paul Kelley: 3925 Hillcrest Rd # 518, Jacksonville → 3925 Hillcrest Rd, Jacksonville |
| Proposed | — | ||
| ACT-012193 | Outreach address corrected Outreach | Aisha Barnes: 6083 Main St, San Diego → 6083 Main St # 373, San Diego |
| Proposed | — | ||
| ACT-012194 | Outreach address corrected Outreach | Kylle Wang: 824 Sage Ct, Columbus → 5461 Indian School Rd, Fresno |
| Proposed | — | ||
| ACT-012195 | Outreach address corrected Outreach | Priya Webb: 2650 Oak St, Chandler → 2650 Oak St # 165, Chandler |
| Proposed | — | ||
| ACT-012196 | Outreach address corrected Outreach | Sharon Welch: 1841 Sunset Blvd, San Antonio → 6900 Broadway, Austin |
| Proposed | — | ||
| ACT-012197 | Outreach address corrected Outreach | Vincent Diaz: 5438 Ocean Ave, San Diego → 8142 Oak St # 687, Fresno |
| Proposed | — | ||
| ACT-012198 | Outreach address corrected Outreach | Diane Wells: 754 Apache Blvd Apt 31, San Diego → 754 Apache Blvd, San Diego |
| Proposed | — | ||
| ACT-012199 | Outreach address corrected Outreach | Blily Larson: 2175 Mesa Dr, Austin → 2175 Mesa Dr # 178, Austin |
| Proposed | — | ||
| ACT-012200 | Outreach address corrected Outreach | Angela Williamson: 6565 Baseline Rd Apt 16, Phoenix → 6565 Baseline Rd, Phoenix |
| Proposed | — | ||
| ACT-012201 | Outreach address corrected Outreach | Eric Perry: 9175 Elm St, Dallas → 9175 Elm St # 991, Dallas |
| 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.