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-012402 | Outreach address corrected Outreach | Karen Gibson: 6786 Grand Ave Apt 2, Denver → 6786 Grand Ave, Denver |
| Proposed | — | ||
| ACT-012403 | Outreach address corrected Outreach | Debra Wilson: 3651 Maple Ave, Denver → 5727 River Rd, Glendale |
| Proposed | — | ||
| ACT-012404 | Outreach address corrected Outreach | Andrew Garza: 2582 Meadow Ln, Seattle → 6156 Lincoln Way, Orlando |
| Proposed | — | ||
| ACT-012405 | Outreach address corrected Outreach | Mary Russell: 6848 Jefferson Ave, Las Vegas → 6848 Jefferson Ave # 582, Las Vegas |
| Proposed | — | ||
| ACT-012406 | Outreach address corrected Outreach | Ken Harvey: 7548 Ridge Rd Apt 2, Phoenix → 7548 Ridge Rd, Phoenix |
| Proposed | — | ||
| ACT-012407 | Outreach address corrected Outreach | Edward Jenkins: 7960 River Rd Apt 20, Minneapolis → 7960 River Rd, Minneapolis |
| Proposed | — | ||
| ACT-012408 | Outreach address corrected Outreach | Eugene Graham: 1088 Maple Ave Apt 7, Fresno → 1088 Maple Ave, Fresno |
| Proposed | — | ||
| ACT-012409 | Outreach address corrected Outreach | Willie Le: 3352 Forest Ave, Las Vegas → 3352 Forest Ave Apt 16, Las Vegas |
| Proposed | — | ||
| ACT-012410 | Outreach address corrected Outreach | Juan Carroll: 2194 Central Ave Apt 2, Tucson → 2194 Central Ave, Tucson |
| Proposed | — | ||
| ACT-012411 | Outreach address corrected Outreach | Evelyn Brooks: 9160 Forest Ave Apt 11, Scottsdale → 9160 Forest Ave, Scottsdale |
| Proposed | — | ||
| ACT-012412 | Outreach address corrected Outreach | Brenda Hart: 9078 Forest Ave Apt 24, Orlando → 3073 Bayshore Dr, Glendale |
| Proposed | — | ||
| ACT-012413 | Outreach address corrected Outreach | Marcus Burke: 4628 River Rd, San Antonio → 4628 River Rd Apt 26, San Antonio |
| Proposed | — | ||
| ACT-012414 | Outreach address corrected Outreach | Christina Jackson: 7008 Sunset Blvd Apt 28, Denver → 7008 Sunset Blvd, Denver |
| Proposed | — | ||
| ACT-012415 | Outreach address corrected Outreach | Kevin Gordon: 1100 Union St, Chandler → 1023 Ridge Rd, Gilbert |
| Proposed | — | ||
| ACT-012416 | Outreach address corrected Outreach | Michael Alvarado: 3038 Baseline Rd # 899, Houston → 3038 Baseline Rd, Houston |
| Proposed | — | ||
| ACT-012417 | Outreach address corrected Outreach | Sarah Long: 2128 Ocean Ave # 183, Nashville → 2128 Ocean Ave, Nashville |
| Proposed | — | ||
| ACT-012418 | Outreach address corrected Outreach | Barbara Mejia: 132 Canyon Rd, Glendale → 9067 Oak St, Columbus |
| Proposed | — | ||
| ACT-012419 | Outreach address corrected Outreach | Grrace Perkins: 9709 Willow Ct, Tempe → 9709 Willow Ct Apt 21, Tempe |
| Proposed | — | ||
| ACT-012420 | Outreach address corrected Outreach | Laura Ramos: 9515 Jefferson Ave, Tucson → 9515 Jefferson Ave # 156, Tucson |
| Proposed | — | ||
| ACT-012421 | Outreach address corrected Outreach | Omar Morales: 6303 Park Pl, Tempe → 5572 Maple Ave, Miami |
| Proposed | — | ||
| ACT-012422 | Outreach address corrected Outreach | Andrea Gonzles: 6530 Lake View Rd, San Diego → 6530 Lake View Rd Apt 32, San Diego |
| Proposed | — | ||
| ACT-012423 | Outreach address corrected Outreach | Natalie Stewart: 4853 Jefferson Ave, Mesa → 4853 Jefferson Ave Apt 4, Mesa |
| Proposed | — | ||
| ACT-012424 | Outreach address corrected Outreach | Vincent West: 8724 Central Ave Apt 7, Plano → 8724 Central Ave, Plano |
| Proposed | — | ||
| ACT-012425 | Outreach address corrected Outreach | Debra Hill: 8220 Forest Ave, Mesa → 8220 Forest Ave Apt 15, Mesa |
| Proposed | — | ||
| ACT-012426 | Outreach address corrected Outreach | Diego Castillo: 3312 Maple Ave Apt 35, Houston → 3312 Maple Ave, Houston |
| Proposed | — | ||
| ACT-012427 | Outreach address corrected Outreach | Brian Wells: 7743 Market St, Tampa → 7743 Market St # 695, Tampa |
| Proposed | — | ||
| ACT-012428 | Outreach address corrected Outreach | Sarah Mitchell: 8532 Oak St, Eden Prairie → 8532 Oak St # 782, Eden Prairie |
| Proposed | — | ||
| ACT-012429 | Outreach address corrected Outreach | Hiroshi Kelley: 2695 Indian School Rd, Phoenix → 2695 Indian School Rd Apt 9, Phoenix |
| Proposed | — | ||
| ACT-012430 | Outreach address corrected Outreach | Edward Ward: 3932 Canyon Rd, Sacramento → 3932 Canyon Rd Apt 14, Sacramento |
| Proposed | — | ||
| ACT-012431 | Outreach address corrected Outreach | Kayla Le: 2921 Market St # 179, Miami → 2921 Market St, Miami |
| Proposed | — | ||
| ACT-012432 | Outreach address corrected Outreach | Donna Kelley: 719 Highland Ave Apt 28, Fresno → 719 Highland Ave, Fresno |
| Proposed | — | ||
| ACT-012433 | Outreach address corrected Outreach | Bobby Harris: 6344 Cedar Ln Apt 1, Houston → 6344 Cedar Ln, Houston |
| Proposed | — | ||
| ACT-012434 | Outreach address corrected Outreach | Logan Ford: 1144 Meadow Ln Apt 9, Miami → 1144 Meadow Ln, Miami |
| Proposed | — | ||
| ACT-012435 | Outreach address corrected Outreach | Ana Burns: 5119 Willow Ct # 425, Dallas → 5119 Willow Ct, Dallas |
| Proposed | — | ||
| ACT-012436 | Outreach address corrected Outreach | Lisa Mendez: 105 Cedar Ln Apt 11, Tucson → 105 Cedar Ln # 365, Tucson |
| Proposed | — | ||
| ACT-012437 | Outreach address corrected Outreach | Alan Ryan: 5901 Grand Ave # 845, San Diego → 5901 Grand Ave, San Diego |
| Proposed | — | ||
| ACT-012438 | Outreach address corrected Outreach | Roger Ryan: 5731 Ridge Rd, Minneapolis → 5731 Ridge Rd # 723, Minneapolis |
| Proposed | — | ||
| ACT-012439 | Outreach address corrected Outreach | Alexis Ruiz: 3858 Harbor Blvd # 905, Sacramento → 3858 Harbor Blvd, Sacramento |
| Proposed | — | ||
| ACT-012440 | Outreach address corrected Outreach | Gloria Nichols: 328 Willow Ct # 370, Dallas → 328 Willow Ct, Dallas |
| Proposed | — | ||
| ACT-012441 | Outreach address corrected Outreach | Susan Miller: 4202 Elm St # 618, Orlando → 4202 Elm St # 267, Orlando |
| Proposed | — | ||
| ACT-012442 | Outreach address corrected Outreach | Brenda Wells: 3625 Willow Ct, Scottsdale → 3625 Willow Ct # 221, Scottsdale |
| Proposed | — | ||
| ACT-012443 | Outreach address corrected Outreach | Priya Ford: 6295 Indian School Rd, Denver → 6295 Indian School Rd Apt 11, Denver |
| Proposed | — | ||
| ACT-012444 | Outreach address corrected Outreach | Douglas Lewis: 560 Spring St # 509, Dallas → 560 Spring St Apt 6, Dallas |
| Proposed | — | ||
| ACT-012445 | Outreach address corrected Outreach | Joan Vega: 2744 Market St Apt 13, Glendale → 2744 Market St, Glendale |
| Proposed | — | ||
| ACT-012446 | Outreach address corrected Outreach | Stephen Gonzales: 789 Highland Ave Apt 30, Tucson → 789 Highland Ave, Tucson |
| Proposed | — | ||
| ACT-012447 | Outreach address corrected Outreach | Noah Lawrence: 169 Baseline Rd Apt 4, Minneapolis → 169 Baseline Rd, Minneapolis |
| Proposed | — | ||
| ACT-012448 | Outreach address corrected Outreach | Charles Jimenez: 5023 River Rd, Austin → 5023 River Rd # 250, Austin |
| Proposed | — | ||
| ACT-012449 | Outreach address corrected Outreach | Doris Huffman: 3017 Indian School Rd, Gilbert → 8947 Willow Ct, Eden Prairie |
| Proposed | — | ||
| ACT-012450 | Outreach address corrected Outreach | Timothy Myers: 4105 Mesa Dr # 653, Eden Prairie → 4105 Mesa Dr, Eden Prairie |
| Proposed | — | ||
| ACT-012451 | Outreach address corrected Outreach | Aisha Gibson: 3743 Church St, Atlanta → 3743 Church St Apt 19, Atlanta |
| 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.