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-012202 | Outreach address corrected Outreach | Jesse Kim: 3377 Market St Apt 29, Fresno → 3377 Market St, Fresno |
| Proposed | — | ||
| ACT-012203 | Outreach address corrected Outreach | Lisa Torres: 5711 Union St Apt 19, Glendale → 5711 Union St, Glendale |
| Proposed | — | ||
| ACT-012204 | Outreach address corrected Outreach | Zachary Baker: 6675 Camelback Rd, San Antonio → 9465 Grand Ave, Eden Prairie |
| Proposed | — | ||
| ACT-012205 | Outreach address corrected Outreach | Eric Hudson: 8745 Church St # 311, Minneapolis → 8745 Church St, Minneapolis |
| Proposed | — | ||
| ACT-012206 | Outreach address corrected Outreach | Samantha Elliott: 5177 Highland Ave Apt 24, Scottsdale → 5177 Highland Ave, Scottsdale |
| Proposed | — | ||
| ACT-012207 | Outreach address corrected Outreach | Joyce Cole: 9483 Park Pl, Columbus → 2045 Oak St, Fresno |
| Proposed | — | ||
| ACT-012208 | Outreach address corrected Outreach | Jesse George: 2028 River Rd # 902, Tempe → 2028 River Rd, Tempe |
| Proposed | — | ||
| ACT-012209 | Outreach address corrected Outreach | Kayla Willis: 7871 Ridge Rd, Tampa → 7871 Ridge Rd # 923, Tampa |
| Proposed | — | ||
| ACT-012210 | Outreach address corrected Outreach | Teresa Henry: 1546 Hillcrest Rd, San Antonio → 1546 Hillcrest Rd # 168, San Antonio |
| Proposed | — | ||
| ACT-012211 | Outreach address corrected Outreach | Bobby Larson: 2042 Main St, Orlando → 1609 Pine Dr, Fresno |
| Proposed | — | ||
| ACT-012212 | Outreach address corrected Outreach | Mei Johnson: 4634 River Rd # 113, Plano → 4634 River Rd, Plano |
| Proposed | — | ||
| ACT-012213 | Outreach address corrected Outreach | Aisha Stewart: 4407 Baseline Rd, Eden Prairie → 4407 Baseline Rd # 262, Eden Prairie |
| Proposed | — | ||
| ACT-012214 | Outreach address corrected Outreach | Sophia Ferguson: 5698 Baseline Rd # 435, San Antonio → 5698 Baseline Rd, San Antonio |
| Proposed | — | ||
| ACT-012215 | Outreach address corrected Outreach | Wei Gomez: 3593 Ocean Ave Apt 16, Austin → 3593 Ocean Ave, Austin |
| Proposed | — | ||
| ACT-012216 | Outreach address corrected Outreach | Russell Meyer: 9097 Elm St Apt 3, Austin → 9097 Elm St, Austin |
| Proposed | — | ||
| ACT-012217 | Outreach address corrected Outreach | Megan Garcia: 9530 Forest Ave, Austin → 9530 Forest Ave # 859, Austin |
| Proposed | — | ||
| ACT-012218 | Outreach address corrected Outreach | Mary Foster: 4855 Mesa Dr, San Diego → 4855 Mesa Dr # 101, San Diego |
| Proposed | — | ||
| ACT-012219 | Outreach address corrected Outreach | Walter Mejia: 2777 Indian School Rd Apt 31, Houston → 2777 Indian School Rd, Houston |
| Proposed | — | ||
| ACT-012220 | Outreach address corrected Outreach | Sophia Howell: 2468 Oak St # 913, Gilbert → 2468 Oak St, Gilbert |
| Proposed | — | ||
| ACT-012221 | Outreach address corrected Outreach | Mateeo Moreno: 2119 Jefferson Ave Apt 27, Orlando → 2119 Jefferson Ave # 617, Orlando |
| Proposed | — | ||
| ACT-012222 | Outreach address corrected Outreach | Theresa Roberts: 432 Ocean Ave Apt 29, Gilbert → 432 Ocean Ave, Gilbert |
| Proposed | — | ||
| ACT-012223 | Outreach address corrected Outreach | Theresa Tucker: 6849 Grand Ave, Glendale → 884 Maple Ave # 571, San Diego |
| Proposed | — | ||
| ACT-012224 | Outreach address corrected Outreach | Frances Hanson: 6548 Willow Ct # 109, Phoenix → 6548 Willow Ct, Phoenix |
| Proposed | — | ||
| ACT-012225 | Outreach address corrected Outreach | Judith Cunningham: 2252 Mesa Dr, Minneapolis → 2252 Mesa Dr # 158, Minneapolis |
| Proposed | — | ||
| ACT-012226 | Outreach address corrected Outreach | Beverly Green: 1874 Canyon Rd, Las Vegas → 7344 Maple Ave, Phoenix |
| Proposed | — | ||
| ACT-012227 | Outreach address corrected Outreach | Joan Mason: 9406 Central Ave # 927, Columbus → 9406 Central Ave, Columbus |
| Proposed | — | ||
| ACT-012228 | Outreach address corrected Outreach | Scott Duncan: 71 Bayshore Dr Apt 3, Los Angeles → 71 Bayshore Dr, Los Angeles |
| Proposed | — | ||
| ACT-012229 | Outreach address corrected Outreach | Grace Ortega: 6367 Elm St # 900, Los Angeles → 6367 Elm St, Los Angeles |
| Proposed | — | ||
| ACT-012230 | Outreach address corrected Outreach | Nathan Sanchez: 4029 Pine Dr, Houston → 4029 Pine Dr Apt 11, Houston |
| Proposed | — | ||
| ACT-012231 | Outreach address corrected Outreach | Jeremy Reed: 8795 Valley View Dr, Nashville → 8795 Valley View Dr # 754, Nashville |
| Proposed | — | ||
| ACT-012232 | Outreach address corrected Outreach | Danielle Porter: 6211 Grand Ave, Nashville → 1761 Indian School Rd, Gilbert |
| Proposed | — | ||
| ACT-012233 | Outreach address corrected Outreach | Gloria Romero: 6990 Sunset Blvd Apt 29, Dallas → 6990 Sunset Blvd, Dallas |
| Proposed | — | ||
| ACT-012234 | Outreach address corrected Outreach | Terry Kelly: 2627 Highland Ave # 743, Phoenix → 2627 Highland Ave, Phoenix |
| Proposed | — | ||
| ACT-012235 | Outreach address corrected Outreach | Willie Hoffman: 5145 Mesa Dr, Denver → 5145 Mesa Dr # 515, Denver |
| Proposed | — | ||
| ACT-012236 | Outreach address corrected Outreach | Andrew Young: 2283 Indian School Rd, Gilbert → 6236 Sage Ct, Tampa |
| Proposed | — | ||
| ACT-012237 | Outreach address corrected Outreach | Ethan Kennedy: 2663 Hillcrest Rd # 756, Mesa → 2663 Hillcrest Rd, Mesa |
| Proposed | — | ||
| ACT-012238 | Outreach address corrected Outreach | Joshua Ferguson: 352 Park Pl Apt 18, Fresno → 3919 Ocean Ave, Los Angeles |
| Proposed | — | ||
| ACT-012239 | Outreach address corrected Outreach | Joyce Williams: 7046 Oak St, Dallas → 7046 Oak St Apt 36, Dallas |
| Proposed | — | ||
| ACT-012240 | Outreach address corrected Outreach | Steven Park: 8298 Main St # 622, Sacramento → 8298 Main St, Sacramento |
| Proposed | — | ||
| ACT-012241 | Outreach address corrected Outreach | Juan Kelly: 2386 Central Ave, Phoenix → 2386 Central Ave Apt 30, Phoenix |
| Proposed | — | ||
| ACT-012242 | Outreach address corrected Outreach | Ed Weber: 8099 Elm St # 474, San Antonio → 8099 Elm St, San Antonio |
| Proposed | — | ||
| ACT-012243 | Outreach address corrected Outreach | Matthew Lawson: 4892 Pine Dr, Mesa → 4892 Pine Dr # 147, Mesa |
| Proposed | — | ||
| ACT-012244 | Outreach address corrected Outreach | Jan Hill: 8614 Ocean Ave Apt 30, Las Vegas → 8614 Ocean Ave, Las Vegas |
| Proposed | — | ||
| ACT-012245 | Outreach address corrected Outreach | Richard Phillips: 1443 Washington St, Gilbert → 4322 Palm Dr, Chandler |
| Proposed | — | ||
| ACT-012246 | Outreach address corrected Outreach | Wayne Bishop: 4665 Palm Dr, Denver → 8020 Spring St, Scottsdale |
| Proposed | — | ||
| ACT-012247 | Outreach address corrected Outreach | Tyler Myres: 7937 River Rd, Atlanta → 7937 River Rd # 960, Atlanta |
| Proposed | — | ||
| ACT-012248 | Outreach address corrected Outreach | Garry Lawrence: 549 Union St, Columbus → 7916 Maple Ave, Dallas |
| Proposed | — | ||
| ACT-012249 | Outreach address corrected Outreach | Melissa Gardner: 778 Apache Blvd, Austin → 778 Apache Blvd Apt 17, Austin |
| Proposed | — | ||
| ACT-012250 | Outreach address corrected Outreach | Lauren Scott: 4131 Central Ave Apt 12, San Antonio → 4131 Central Ave, San Antonio |
| Proposed | — | ||
| ACT-012251 | Outreach address corrected Outreach | Kyle Brown: 901 Lincoln Way, Seattle → 901 Lincoln Way Apt 11, Seattle |
| 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.