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-012352 | Outreach address corrected Outreach | Sophia Evans: 9437 Sunset Blvd, Chandler → 9437 Sunset Blvd Apt 40, Chandler |
| Proposed | — | ||
| ACT-012353 | Outreach address corrected Outreach | Frannk Bailey: 7511 Ridge Rd, Tucson → 4978 Pine Dr, Dallas |
| Proposed | — | ||
| ACT-012354 | Outreach address corrected Outreach | Albert Marquez: 9035 Pine Dr # 233, Fresno → 9035 Pine Dr, Fresno |
| Proposed | — | ||
| ACT-012355 | Outreach address corrected Outreach | Ana Santos: 7064 Indian School Rd, Tucson → 7064 Indian School Rd # 292, Tucson |
| Proposed | — | ||
| ACT-012356 | Outreach address corrected Outreach | Bryan Williams: 3380 Park Pl # 671, Tempe → 3380 Park Pl, Tempe |
| Proposed | — | ||
| ACT-012357 | Outreach address corrected Outreach | Kathleen Fisher: 5400 Sunset Blvd Apt 8, Nashville → 5400 Sunset Blvd, Nashville |
| Proposed | — | ||
| ACT-012358 | Outreach address corrected Outreach | Lida Bshop: 2829 Pine Dr # 841, Tampa → 2829 Pine Dr, Tampa |
| Proposed | — | ||
| ACT-012359 | Outreach address corrected Outreach | Russell Wallace: 7077 Washington St, Fresno → 7077 Washington St Apt 1, Fresno |
| Proposed | — | ||
| ACT-012360 | Outreach address corrected Outreach | Justin Warren: 6843 Mountain View Dr Apt 30, Glendale → 6843 Mountain View Dr, Glendale |
| Proposed | — | ||
| ACT-012361 | Outreach address corrected Outreach | Kathryn Day: 6913 River Rd Apt 25, Charlotte → 6913 River Rd, Charlotte |
| Proposed | — | ||
| ACT-012362 | Outreach address corrected Outreach | Randy Sullyvan: 3015 Indian School Rd, Tempe → 841 Grand Ave, Miami |
| Proposed | — | ||
| ACT-012363 | Outreach address corrected Outreach | Laura Wagner: 7724 Lincoln Way # 851, Charlotte → 7724 Lincoln Way, Charlotte |
| Proposed | — | ||
| ACT-012364 | Outreach address corrected Outreach | Sarah Sullivan: 4140 Highland Ave # 395, San Diego → 4140 Highland Ave, San Diego |
| Proposed | — | ||
| ACT-012365 | Outreach address corrected Outreach | Gloria Johnson: 3218 Hillcrest Rd, Orlando → 3218 Hillcrest Rd # 876, Orlando |
| Proposed | — | ||
| ACT-012366 | Outreach address corrected Outreach | Jennifer Griffin: 9526 Washington St, Denver → 4234 Market St, Chandler |
| Proposed | — | ||
| ACT-012367 | Outreach address corrected Outreach | Raymond Day: 227 Elm St, Tucson → 8570 Main St, Miami |
| Proposed | — | ||
| ACT-012368 | Outreach address corrected Outreach | Brandon Porter: 7764 Pine Dr # 656, Miami → 7764 Pine Dr, Miami |
| Proposed | — | ||
| ACT-012369 | Outreach address corrected Outreach | Fatima Bryant: 5830 Willow Ct, Fresno → 5830 Willow Ct Apt 23, Fresno |
| Proposed | — | ||
| ACT-012370 | Outreach address corrected Outreach | Yuki Nguyen: 7942 Maple Ave Apt 23, Austin → 1631 Jefferson Ave Apt 28, Orlando |
| Proposed | — | ||
| ACT-012371 | Outreach address corrected Outreach | Kelly Larson: 3092 Washington St, Chandler → 3092 Washington St # 572, Chandler |
| Proposed | — | ||
| ACT-012372 | Outreach address corrected Outreach | Ronald Espinoza: 4348 River Rd # 419, Nashville → 4348 River Rd, Nashville |
| Proposed | — | ||
| ACT-012373 | Outreach address corrected Outreach | Gloria Grant: 6583 Ridge Rd, Las Vegas → 6583 Ridge Rd # 273, Las Vegas |
| Proposed | — | ||
| ACT-012374 | Outreach address corrected Outreach | Judy Alexander: 6007 Grand Ave Apt 2, Dallas → 6007 Grand Ave, Dallas |
| Proposed | — | ||
| ACT-012375 | Outreach address corrected Outreach | Kimberly White: 6560 Camelback Rd Apt 10, San Antonio → 6560 Camelback Rd, San Antonio |
| Proposed | — | ||
| ACT-012376 | Outreach address corrected Outreach | Margaret Butler: 4150 Ridge Rd, Eden Prairie → 741 Canyon Rd, Minneapolis |
| Proposed | — | ||
| ACT-012377 | Outreach address corrected Outreach | Karen Luna: 4710 Sage Ct # 101, Los Angeles → 4710 Sage Ct, Los Angeles |
| Proposed | — | ||
| ACT-012378 | Outreach address corrected Outreach | Abigail Reed: 8479 Spring St, Tampa → 8479 Spring St Apt 11, Tampa |
| Proposed | — | ||
| ACT-012379 | Outreach address corrected Outreach | Henry Pierce: 6795 Park Pl, Plano → 6795 Park Pl # 146, Plano |
| Proposed | — | ||
| ACT-012380 | Outreach address corrected Outreach | Teresa Bishop: 314 Church St Apt 20, Tampa → 314 Church St # 391, Tampa |
| Proposed | — | ||
| ACT-012381 | Outreach address corrected Outreach | Emma Clark: 1050 Sunset Blvd Apt 5, Fresno → 1050 Sunset Blvd, Fresno |
| Proposed | — | ||
| ACT-012382 | Outreach address corrected Outreach | Dorothy Richardson: 9509 Indian School Rd, Charlotte → 9509 Indian School Rd Apt 35, Charlotte |
| Proposed | — | ||
| ACT-012383 | Outreach address corrected Outreach | Becky Bryant: 861 Canyon Rd Apt 29, Seattle → 861 Canyon Rd, Seattle |
| Proposed | — | ||
| ACT-012384 | Outreach address corrected Outreach | Williaam Hudson: 5967 Church St # 326, Tempe → 5967 Church St, Tempe |
| Proposed | — | ||
| ACT-012385 | Outreach address corrected Outreach | Nathan Phillips: 3692 River Rd # 385, Jacksonville → 3692 River Rd, Jacksonville |
| Proposed | — | ||
| ACT-012386 | Outreach address corrected Outreach | Julia Patel: 531 Mountain View Dr Apt 14, Minneapolis → 531 Mountain View Dr, Minneapolis |
| Proposed | — | ||
| ACT-012387 | Outreach address corrected Outreach | Kayla Dominguez: 9187 Hillcrest Rd, Mesa → 3204 Bayshore Dr, Plano |
| Proposed | — | ||
| ACT-012388 | Outreach address corrected Outreach | Carolyn Wright: 3585 Jefferson Ave, Dallas → 242 Park Pl # 972, Orlando |
| Proposed | — | ||
| ACT-012389 | Outreach address corrected Outreach | Sharon Salazar: 6442 Market St Apt 29, Denver → 1694 Mesa Dr, Atlanta |
| Proposed | — | ||
| ACT-012390 | Outreach address corrected Outreach | Stephanie Oliver: 2679 Elm St, Jacksonville → 7079 Maple Ave, Denver |
| Proposed | — | ||
| ACT-012391 | Outreach address corrected Outreach | Arjun Marshall: 4070 Willow Ct, Tampa → 4070 Willow Ct # 774, Tampa |
| Proposed | — | ||
| ACT-012392 | Outreach address corrected Outreach | Lori Williams: 7301 Mountain View Dr, Tempe → 7541 Washington St, Fresno |
| Proposed | — | ||
| ACT-012393 | Outreach address corrected Outreach | Ahmed Adams: 3121 Union St Apt 1, Las Vegas → 3121 Union St, Las Vegas |
| Proposed | — | ||
| ACT-012394 | Outreach address corrected Outreach | Gerald Simpson: 4029 Forest Ave, Las Vegas → 3721 Jefferson Ave, Nashville |
| Proposed | — | ||
| ACT-012395 | Outreach address corrected Outreach | Camila Sandoval: 5221 Broadway, Seattle → 5221 Broadway Apt 16, Seattle |
| Proposed | — | ||
| ACT-012396 | Outreach address corrected Outreach | Julie Li: 5776 Willow Ct, Los Angeles → 5776 Willow Ct # 955, Los Angeles |
| Proposed | — | ||
| ACT-012397 | Outreach address corrected Outreach | Bradley Sims: 5562 Apache Blvd # 865, Mesa → 5562 Apache Blvd, Mesa |
| Proposed | — | ||
| ACT-012398 | Outreach address corrected Outreach | Karen Lucas: 7119 Palm Dr, Dallas → 7119 Palm Dr # 319, Dallas |
| Proposed | — | ||
| ACT-012399 | Outreach address corrected Outreach | Austin Herrera: 3503 Oak St, San Diego → 9279 Park Pl, Charlotte |
| Proposed | — | ||
| ACT-012400 | Outreach address corrected Outreach | Cheryl Murphy: 3441 Oak St, Nashville → 3441 Oak St Apt 11, Nashville |
| Proposed | — | ||
| ACT-012401 | Outreach address corrected Outreach | Gregory Kelley: 4795 Maple Ave, Houston → 4795 Maple Ave Apt 35, 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.