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-012252 | Outreach address corrected Outreach | Stephanie Chapman: 7839 Main St, Gilbert → 7839 Main St # 781, Gilbert |
| Proposed | — | ||
| ACT-012253 | Outreach address corrected Outreach | Lawrence Morales: 5156 Forest Ave, Gilbert → 5156 Forest Ave Apt 19, Gilbert |
| Proposed | — | ||
| ACT-012254 | Outreach address corrected Outreach | Jessica Alexander: 3491 Pine Dr # 232, Atlanta → 3491 Pine Dr, Atlanta |
| Proposed | — | ||
| ACT-012255 | Outreach address corrected Outreach | Gary Hunt: 9561 Lincoln Way, Miami → 9561 Lincoln Way # 196, Miami |
| Proposed | — | ||
| ACT-012256 | Outreach address corrected Outreach | Roy Miller: 1753 Pine Dr, Houston → 5616 Ridge Rd, Chandler |
| Proposed | — | ||
| ACT-012257 | Outreach address corrected Outreach | Anthony Rios: 5354 Camelback Rd, Gilbert → 5354 Camelback Rd # 268, Gilbert |
| Proposed | — | ||
| ACT-012258 | Outreach address corrected Outreach | Stephen Webb: 3827 Camelback Rd # 983, Mesa → 3827 Camelback Rd, Mesa |
| Proposed | — | ||
| ACT-012259 | Outreach address corrected Outreach | Carlos Boyd: 2441 Spring St, Seattle → 7880 Apache Blvd, Denver |
| Proposed | — | ||
| ACT-012260 | Outreach address corrected Outreach | Alexis Ross: 2335 Baseline Rd Apt 19, Atlanta → 2335 Baseline Rd, Atlanta |
| Proposed | — | ||
| ACT-012261 | Outreach address corrected Outreach | James Cox: 5562 Indian School Rd, Denver → 5562 Indian School Rd # 204, Denver |
| Proposed | — | ||
| ACT-012262 | Outreach address corrected Outreach | Natalie Fernandez: 7790 Sage Ct # 322, Mesa → 7790 Sage Ct, Mesa |
| Proposed | — | ||
| ACT-012263 | Outreach address corrected Outreach | Alex Munoz: 626 Maple Ave, Austin → 626 Maple Ave # 308, Austin |
| Proposed | — | ||
| ACT-012264 | Outreach address corrected Outreach | Rachel Burns: 47 Union St, Columbus → 9765 Sunset Blvd, Mesa |
| Proposed | — | ||
| ACT-012265 | Outreach address corrected Outreach | Deborah Gordon: 5176 Mesa Dr Apt 20, San Diego → 5176 Mesa Dr, San Diego |
| Proposed | — | ||
| ACT-012266 | Outreach address corrected Outreach | Cynthia Baker: 2238 Grand Ave, Nashville → 2238 Grand Ave # 807, Nashville |
| Proposed | — | ||
| ACT-012267 | Outreach address corrected Outreach | Kimberly Jacobs: 184 Jefferson Ave Apt 26, Tempe → 184 Jefferson Ave, Tempe |
| Proposed | — | ||
| ACT-012268 | Outreach address corrected Outreach | Jeremy Pierce: 959 Lincoln Way, Jacksonville → 959 Lincoln Way Apt 13, Jacksonville |
| Proposed | — | ||
| ACT-012269 | Outreach address corrected Outreach | Stephanie Perez: 3980 Market St, Plano → 2743 Elm St, Eden Prairie |
| Proposed | — | ||
| ACT-012270 | Outreach address corrected Outreach | Logan Turner: 890 Desert Sky Blvd, Seattle → 3235 Central Ave, San Antonio |
| Proposed | — | ||
| ACT-012271 | Outreach address corrected Outreach | Zachary George: 4326 Sage Ct, Austin → 4326 Sage Ct Apt 16, Austin |
| Proposed | — | ||
| ACT-012272 | Outreach address corrected Outreach | Roger Burton: 9068 Hillcrest Rd # 141, Scottsdale → 9068 Hillcrest Rd, Scottsdale |
| Proposed | — | ||
| ACT-012273 | Outreach address corrected Outreach | Jesse Kelly: 419 Lake View Rd, San Antonio → 419 Lake View Rd # 575, San Antonio |
| Proposed | — | ||
| ACT-012274 | Outreach address corrected Outreach | Grace Guzman: 3690 Central Ave, San Diego → 3690 Central Ave Apt 11, San Diego |
| Proposed | — | ||
| ACT-012275 | Outreach address corrected Outreach | Nancy Graham: 9784 Sunset Blvd Apt 36, Jacksonville → 4350 Apache Blvd # 543, Seattle |
| Proposed | — | ||
| ACT-012276 | Outreach address corrected Outreach | Samantha Howard: 9210 Park Pl, Phoenix → 7572 Cedar Ln, Gilbert |
| Proposed | — | ||
| ACT-012277 | Outreach address corrected Outreach | Jason Grant: 7783 Indian School Rd # 964, Denver → 7783 Indian School Rd, Denver |
| Proposed | — | ||
| ACT-012278 | Outreach address corrected Outreach | Harold Nelson: 918 Elm St # 112, Austin → 918 Elm St, Austin |
| Proposed | — | ||
| ACT-012279 | Outreach address corrected Outreach | Terry Watson: 9625 Market St, San Antonio → 4954 Palm Dr, Phoenix |
| Proposed | — | ||
| ACT-012280 | Outreach address corrected Outreach | Ralph Fisher: 4339 Elm St, Charlotte → 4339 Elm St # 241, Charlotte |
| Proposed | — | ||
| ACT-012281 | Outreach address corrected Outreach | Rachel Richardson: 2199 Hillcrest Rd Apt 6, Denver → 2199 Hillcrest Rd, Denver |
| Proposed | — | ||
| ACT-012282 | Outreach address corrected Outreach | Stephanie Moore: 4646 Ridge Rd Apt 26, San Antonio → 4646 Ridge Rd, San Antonio |
| Proposed | — | ||
| ACT-012283 | Outreach address corrected Outreach | Kenneth Marshall: 7655 Camelback Rd # 370, Las Vegas → 7655 Camelback Rd, Las Vegas |
| Proposed | — | ||
| ACT-012284 | Outreach address corrected Outreach | Isabella Munoz: 4246 Main St # 400, Nashville → 4246 Main St # 707, Nashville |
| Proposed | — | ||
| ACT-012285 | Outreach address corrected Outreach | Joyce Sanders: 566 Union St, Las Vegas → 566 Union St # 641, Las Vegas |
| Proposed | — | ||
| ACT-012286 | Outreach address corrected Outreach | Stephen Lawson: 5405 Valley View Dr, Denver → 5405 Valley View Dr # 813, Denver |
| Proposed | — | ||
| ACT-012287 | Outreach address corrected Outreach | Kayla Simmons: 5269 Ridge Rd, Gilbert → 5269 Ridge Rd # 318, Gilbert |
| Proposed | — | ||
| ACT-012288 | Outreach address corrected Outreach | Elijah Hunter: 9432 Broadway Apt 16, Minneapolis → 9432 Broadway, Minneapolis |
| Proposed | — | ||
| ACT-012289 | Outreach address corrected Outreach | Raymond Baker: 3551 Ridge Rd, Scottsdale → 3551 Ridge Rd # 236, Scottsdale |
| Proposed | — | ||
| ACT-012290 | Outreach address corrected Outreach | Helen Holmes: 2124 Willow Ct, Houston → 2988 Elm St, Austin |
| Proposed | — | ||
| ACT-012291 | Outreach address corrected Outreach | Christopher Hawkins: 3342 Harbor Blvd, Sacramento → 3342 Harbor Blvd Apt 35, Sacramento |
| Proposed | — | ||
| ACT-012292 | Outreach address corrected Outreach | Douglas Perry: 1326 Apache Blvd Apt 37, Austin → 1326 Apache Blvd, Austin |
| Proposed | — | ||
| ACT-012293 | Outreach address corrected Outreach | Andrea Fuller: 8857 Camelback Rd, Tucson → 8857 Camelback Rd # 513, Tucson |
| Proposed | — | ||
| ACT-012294 | Outreach address corrected Outreach | Christine Martinez: 4871 Mountain View Dr, Tampa → 4871 Mountain View Dr # 113, Tampa |
| Proposed | — | ||
| ACT-012295 | Outreach address corrected Outreach | Diana Ramos: 4025 Elm St, Plano → 4025 Elm St Apt 27, Plano |
| Proposed | — | ||
| ACT-012296 | Outreach address corrected Outreach | Robert Tucker: 2143 Baseline Rd, Tempe → 7017 Baseline Rd, San Diego |
| Proposed | — | ||
| ACT-012297 | Outreach address corrected Outreach | Donna Jacobs: 1474 Hillcrest Rd Apt 37, Gilbert → 1474 Hillcrest Rd, Gilbert |
| Proposed | — | ||
| ACT-012298 | Outreach address corrected Outreach | Charlotte Le: 928 Hillcrest Rd, Plano → 1065 Park Pl, Las Vegas |
| Proposed | — | ||
| ACT-012299 | Outreach address corrected Outreach | Amy Romero: 5444 Union St, Phoenix → 5444 Union St Apt 7, Phoenix |
| Proposed | — | ||
| ACT-012300 | Outreach address corrected Outreach | Christian Vargas: 827 Sage Ct # 513, Columbus → 827 Sage Ct, Columbus |
| Proposed | — | ||
| ACT-012301 | Outreach address corrected Outreach | Thomas Marshall: 1318 Desert Sky Blvd, Houston → 5207 Central Ave, Houston |
| 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.