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-012302 | Outreach address corrected Outreach | Patrick Alexander: 1326 River Rd # 463, Austin → 1326 River Rd # 958, Austin |
| Proposed | — | ||
| ACT-012303 | Outreach address corrected Outreach | Sandra Spencer: 2833 Willow Ct, Chandler → 2833 Willow Ct Apt 16, Chandler |
| Proposed | — | ||
| ACT-012304 | Outreach address corrected Outreach | Valentina James: 384 Market St, Mesa → 384 Market St # 914, Mesa |
| Proposed | — | ||
| ACT-012305 | Outreach address corrected Outreach | Kayla Soto: 5011 Harbor Blvd, Fresno → 5011 Harbor Blvd Apt 25, Fresno |
| Proposed | — | ||
| ACT-012306 | Outreach address corrected Outreach | Linda Walsh: 7152 Forest Ave, Houston → 3155 Valley View Dr, Tucson |
| Proposed | — | ||
| ACT-012307 | Outreach address corrected Outreach | Santiago Ford: 7019 Camelback Rd, Tempe → 7019 Camelback Rd # 887, Tempe |
| Proposed | — | ||
| ACT-012308 | Outreach address corrected Outreach | Mason Ellis: 5237 Indian School Rd Apt 33, Glendale → 5237 Indian School Rd, Glendale |
| Proposed | — | ||
| ACT-012309 | Outreach address corrected Outreach | Judith Bradley: 6045 Lake View Rd, Las Vegas → 6045 Lake View Rd # 177, Las Vegas |
| Proposed | — | ||
| ACT-012310 | Outreach address corrected Outreach | Priya Lynch: 3494 Baseline Rd # 635, Minneapolis → 3494 Baseline Rd, Minneapolis |
| Proposed | — | ||
| ACT-012311 | Outreach address corrected Outreach | Bradley Vazquez: 1527 Cedar Ln Apt 15, Plano → 1527 Cedar Ln Apt 37, Plano |
| Proposed | — | ||
| ACT-012312 | Outreach address corrected Outreach | Gloria Chapman: 9217 Elm St Apt 25, Phoenix → 9217 Elm St, Phoenix |
| Proposed | — | ||
| ACT-012313 | Outreach address corrected Outreach | Olivia Hunt: 1027 Oak St Apt 29, Mesa → 1027 Oak St, Mesa |
| Proposed | — | ||
| ACT-012314 | Outreach address corrected Outreach | Jack Parker: 7658 Pine Dr, Las Vegas → 7658 Pine Dr Apt 4, Las Vegas |
| Proposed | — | ||
| ACT-012315 | Outreach address corrected Outreach | Jessica Sandoval: 5220 Highland Ave, Columbus → 8440 Hillcrest Rd, Minneapolis |
| Proposed | — | ||
| ACT-012316 | Outreach address corrected Outreach | Samuel Yang: 9388 Oak St, Los Angeles → 9388 Oak St Apt 2, Los Angeles |
| Proposed | — | ||
| ACT-012317 | Outreach address corrected Outreach | Julie Wilson: 6638 Park Pl, Tempe → 9127 Pine Dr, Columbus |
| Proposed | — | ||
| ACT-012318 | Outreach address corrected Outreach | Eric Harper: 8687 Ocean Ave, San Diego → 8687 Ocean Ave Apt 20, San Diego |
| Proposed | — | ||
| ACT-012319 | Outreach address corrected Outreach | Rachel Arnold: 8993 Pine Dr, Phoenix → 5388 Highland Ave, Austin |
| Proposed | — | ||
| ACT-012320 | Outreach address corrected Outreach | Jordan Jenkins: 1038 Park Pl # 424, Atlanta → 1038 Park Pl, Atlanta |
| Proposed | — | ||
| ACT-012321 | Outreach address corrected Outreach | Jacob Espinoza: 9827 Lake View Rd Apt 40, San Diego → 9827 Lake View Rd, San Diego |
| Proposed | — | ||
| ACT-012322 | Outreach address corrected Outreach | Willie Valdez: 4034 River Rd, Minneapolis → 4034 River Rd # 223, Minneapolis |
| Proposed | — | ||
| ACT-012323 | Outreach address corrected Outreach | Mason Chen: 9569 Canyon Rd, San Antonio → 9569 Canyon Rd Apt 30, San Antonio |
| Proposed | — | ||
| ACT-012324 | Outreach address corrected Outreach | Carolyn Barnes: 8801 Broadway, Plano → 8801 Broadway # 849, Plano |
| Proposed | — | ||
| ACT-012325 | Outreach address corrected Outreach | Kathleen Munoz: 699 River Rd # 316, Minneapolis → 699 River Rd, Minneapolis |
| Proposed | — | ||
| ACT-012326 | Outreach address corrected Outreach | Rebecca Rodriguez: 9840 Ridge Rd # 887, Plano → 5378 Harbor Blvd Apt 1, Seattle |
| Proposed | — | ||
| ACT-012327 | Outreach address corrected Outreach | Ana Gilbert: 5440 Valley View Dr # 433, Austin → 3101 Ridge Rd, Houston |
| Proposed | — | ||
| ACT-012328 | Outreach address corrected Outreach | Eugene Crawford: 2129 Indian School Rd, Scottsdale → 2129 Indian School Rd # 429, Scottsdale |
| Proposed | — | ||
| ACT-012329 | Outreach address corrected Outreach | Alice Duncan: 4992 Church St, Seattle → 4992 Church St # 454, Seattle |
| Proposed | — | ||
| ACT-012330 | Outreach address corrected Outreach | Susan Owens: 3394 Sunset Blvd, Plano → 82 Pine Dr, Fresno |
| Proposed | — | ||
| ACT-012331 | Outreach address corrected Outreach | Randy Lawrence: 8287 Highland Ave, Glendale → 8287 Highland Ave Apt 37, Glendale |
| Proposed | — | ||
| ACT-012332 | Outreach address corrected Outreach | Sophia Martinez: 9261 Lake View Rd # 553, Mesa → 9261 Lake View Rd, Mesa |
| Proposed | — | ||
| ACT-012333 | Outreach address corrected Outreach | Christian Chavez: 7834 Oak St, Seattle → 7834 Oak St # 623, Seattle |
| Proposed | — | ||
| ACT-012334 | Outreach address corrected Outreach | Abigail Allen: 2171 Oak St, Tampa → 2171 Oak St # 361, Tampa |
| Proposed | — | ||
| ACT-012335 | Outreach address corrected Outreach | Nancy James: 6858 Sage Ct, Denver → 8005 River Rd, Orlando |
| Proposed | — | ||
| ACT-012336 | Outreach address corrected Outreach | Nicole George: 5730 Sunset Blvd, Austin → 5730 Sunset Blvd # 529, Austin |
| Proposed | — | ||
| ACT-012337 | Outreach address corrected Outreach | Jack Bowman: 8293 Washington St, Gilbert → 8293 Washington St Apt 11, Gilbert |
| Proposed | — | ||
| ACT-012338 | Outreach address corrected Outreach | Christian Wheeler: 6628 Lincoln Way Apt 22, Tampa → 6628 Lincoln Way, Tampa |
| Proposed | — | ||
| ACT-012339 | Outreach address corrected Outreach | Gerald Pena: 9382 Bayshore Dr # 723, Phoenix → 9382 Bayshore Dr, Phoenix |
| Proposed | — | ||
| ACT-012340 | Outreach address corrected Outreach | Pamela Cooper: 5749 Hillcrest Rd, Minneapolis → 5263 Valley View Dr, Gilbert |
| Proposed | — | ||
| ACT-012341 | Outreach address corrected Outreach | Julie Carroll: 456 Pine Dr, Glendale → 456 Pine Dr # 471, Glendale |
| Proposed | — | ||
| ACT-012342 | Outreach address corrected Outreach | Lauren Barnes: 2367 Grand Ave, San Diego → 2367 Grand Ave # 928, San Diego |
| Proposed | — | ||
| ACT-012343 | Outreach address corrected Outreach | Ronald Reid: 3966 Mountain View Dr, Austin → 3053 Union St, Tampa |
| Proposed | — | ||
| ACT-012344 | Outreach address corrected Outreach | Santiago Garza: 4439 Highland Ave, Atlanta → 4439 Highland Ave Apt 19, Atlanta |
| Proposed | — | ||
| ACT-012345 | Outreach address corrected Outreach | Timothy Aguilar: 1629 River Rd, Las Vegas → 1629 River Rd Apt 10, Las Vegas |
| Proposed | — | ||
| ACT-012346 | Outreach address corrected Outreach | Lisa Clark: 9555 Ridge Rd # 789, Las Vegas → 5429 Sunset Blvd, Atlanta |
| Proposed | — | ||
| ACT-012347 | Outreach address corrected Outreach | Megan Young: 7069 Palm Dr # 716, Mesa → 7069 Palm Dr, Mesa |
| Proposed | — | ||
| ACT-012348 | Outreach address corrected Outreach | Elijah Cox: 5551 Main St # 267, Jacksonville → 5551 Main St, Jacksonville |
| Proposed | — | ||
| ACT-012349 | Outreach address corrected Outreach | Ryan Silva: 2304 Oak St, Tucson → 7846 Grand Ave, Nashville |
| Proposed | — | ||
| ACT-012350 | Outreach address corrected Outreach | Daniel Obrien: 3776 Main St, Denver → 3776 Main St # 342, Denver |
| Proposed | — | ||
| ACT-012351 | Outreach address corrected Outreach | Lucia Adams: 8103 Canyon Rd, Tampa → 9384 Broadway, Fresno |
| 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.