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-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.