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
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-012452 | Outreach address corrected Outreach | Carol Howard: 8380 Central Ave # 270, Sacramento → 6429 Park Pl, Jacksonville |
| Proposed | — | ||
| ACT-012453 | Outreach address corrected Outreach | Laura Guzman: 3197 Ridge Rd, Plano → 3197 Ridge Rd Apt 3, Plano |
| Proposed | — | ||
| ACT-012454 | Outreach address corrected Outreach | Deborah Day: 6113 Camelback Rd, Houston → 5489 Market St, Plano |
| Proposed | — | ||
| ACT-012455 | Outreach address corrected Outreach | Nicole Gilbert: 8635 Central Ave, Tempe → 6879 Market St, Orlando |
| Proposed | — | ||
| ACT-012456 | Outreach address corrected Outreach | Dorothy Russell: 9373 Spring St, Mesa → 9373 Spring St Apt 20, Mesa |
| Proposed | — | ||
| ACT-012457 | Outreach address corrected Outreach | Kim Margaret: 4922 Lake View Rd Apt 4, Mesa → 4922 Lake View Rd, Mesa |
| Proposed | — | ||
| ACT-012458 | Outreach address corrected Outreach | Roy Williams: 3301 Willow Ct # 286, Columbus → 3301 Willow Ct, Columbus |
| Proposed | — | ||
| ACT-012459 | Outreach address corrected Outreach | Katherine Lucas: 1463 Cedar Ln, Gilbert → 1463 Cedar Ln # 249, Gilbert |
| Proposed | — | ||
| ACT-012460 | Outreach address corrected Outreach | Maria Snyder: 5805 Mountain View Dr, Denver → 5805 Mountain View Dr # 934, Denver |
| Proposed | — | ||
| ACT-012461 | Outreach address corrected Outreach | Joyce Tran: 3124 Grand Ave # 749, Miami → 3124 Grand Ave, Miami |
| Proposed | — | ||
| ACT-012462 | Outreach address corrected Outreach | Paul Jordan: 3424 Apache Blvd, Los Angeles → 3424 Apache Blvd Apt 26, Los Angeles |
| Proposed | — | ||
| ACT-012463 | Outreach address corrected Outreach | Bradley Baker: 5704 Broadway # 750, Sacramento → 5704 Broadway, Sacramento |
| Proposed | — | ||
| ACT-012464 | Outreach address corrected Outreach | Keith Collins: 7882 Lincoln Way, Plano → 7882 Lincoln Way Apt 14, Plano |
| Proposed | — | ||
| ACT-012465 | Outreach address corrected Outreach | Kathryn Sims: 9716 River Rd Apt 17, Minneapolis → 9716 River Rd, Minneapolis |
| Proposed | — | ||
| ACT-012466 | Outreach address corrected Outreach | Justin Rojas: 5377 Cedar Ln, Mesa → 2150 Highland Ave, Atlanta |
| Proposed | — | ||
| ACT-012467 | Outreach address corrected Outreach | Diana McDonald: 9636 Mountain View Dr, Charlotte → 9636 Mountain View Dr Apt 29, Charlotte |
| Proposed | — | ||
| ACT-012468 | Outreach address corrected Outreach | Elijah Hansen: 6700 Jefferson Ave # 240, Phoenix → 6700 Jefferson Ave, Phoenix |
| Proposed | — | ||
| ACT-012469 | Outreach address corrected Outreach | Anthony Jackson: 7175 Mesa Dr Apt 24, Dallas → 7175 Mesa Dr Apt 13, Dallas |
| Proposed | — | ||
| ACT-012470 | Outreach address corrected Outreach | Shirley Cruz: 7175 Ridge Rd, Glendale → 814 Baseline Rd, Glendale |
| Proposed | — | ||
| ACT-012471 | Outreach address corrected Outreach | Stephanie Nichols: 6263 Ocean Ave, Gilbert → 6263 Ocean Ave # 311, Gilbert |
| Proposed | — | ||
| ACT-012472 | Outreach address corrected Outreach | Julie Patel: 5216 Central Ave, San Antonio → 2174 Highland Ave, Tucson |
| Proposed | — | ||
| ACT-012473 | Outreach address corrected Outreach | Kevin Cunningham: 4976 Cedar Ln, Orlando → 4976 Cedar Ln # 439, Orlando |
| Proposed | — | ||
| ACT-012474 | Outreach address corrected Outreach | Elizabeth Grant: 7355 Palm Dr, Sacramento → 7355 Palm Dr Apt 34, Sacramento |
| Proposed | — | ||
| ACT-012475 | Outreach address corrected Outreach | Dick Pierce: 2290 Grand Ave Apt 40, San Antonio → 2290 Grand Ave, San Antonio |
| Proposed | — | ||
| ACT-012476 | Outreach address corrected Outreach | Paul Hughes: 6451 Jefferson Ave, Minneapolis → 9635 Palm Dr, Charlotte |
| Proposed | — | ||
| ACT-012477 | Outreach address corrected Outreach | Brenda Day: 32 Grand Ave Apt 38, Denver → 8929 Willow Ct, Tucson |
| Proposed | — | ||
| ACT-012478 | Outreach address corrected Outreach | Adam Griffin: 2417 River Rd, Tempe → 2417 River Rd Apt 10, Tempe |
| Proposed | — | ||
| ACT-012479 | Outreach address corrected Outreach | Kayla Hansen: 5023 Church St, Charlotte → 5023 Church St # 736, Charlotte |
| Proposed | — | ||
| ACT-012480 | Outreach address corrected Outreach | Doris Jordan: 8975 River Rd, Chandler → 7210 Canyon Rd, Charlotte |
| Proposed | — | ||
| ACT-012481 | Outreach address corrected Outreach | Melissa Gonzalez: 546 Forest Ave, Denver → 4070 Union St, Jacksonville |
| Proposed | — | ||
| ACT-012482 | Outreach address corrected Outreach | Paul Turner: 1866 Maple Ave, Minneapolis → 1866 Maple Ave # 489, Minneapolis |
| Proposed | — | ||
| ACT-012483 | Outreach address corrected Outreach | Matthew Castro: 3320 Willow Ct Apt 19, Houston → 3320 Willow Ct, Houston |
| Proposed | — | ||
| ACT-012484 | Outreach address corrected Outreach | Christina Rios: 4772 Main St, San Antonio → 4772 Main St # 306, San Antonio |
| Proposed | — | ||
| ACT-012485 | Outreach address corrected Outreach | Debra Mendez: 4030 Palm Dr, Charlotte → 1756 Cedar Ln Apt 15, Glendale |
| Proposed | — | ||
| ACT-012486 | Outreach address corrected Outreach | Raymond Cole: 2312 Ocean Ave Apt 3, Tempe → 2312 Ocean Ave, Tempe |
| Proposed | — | ||
| ACT-012487 | Outreach address corrected Outreach | Mark Simpson: 3103 Park Pl # 494, Fresno → 3103 Park Pl, Fresno |
| Proposed | — | ||
| ACT-012488 | Outreach address corrected Outreach | Elizzabeth Lucas: 8572 Sage Ct, Plano → 8572 Sage Ct Apt 37, Plano |
| Proposed | — | ||
| ACT-012489 | Outreach address corrected Outreach | Shirley Fernandez: 9656 Camelback Rd, Jacksonville → 3166 Desert Sky Blvd, Tucson |
| Proposed | — | ||
| ACT-012490 | Outreach address corrected Outreach | Jeremy Austin: 9368 River Rd # 918, Minneapolis → 1708 Apache Blvd, Minneapolis |
| Proposed | — | ||
| ACT-012491 | Outreach address corrected Outreach | Joyce Armstrong: 7518 Desert Sky Blvd, Houston → 7518 Desert Sky Blvd # 468, Houston |
| Proposed | — | ||
| ACT-012492 | Outreach address corrected Outreach | Lawrence Gutierrez: 6953 Central Ave, San Diego → 3482 Jefferson Ave, Columbus |
| Proposed | — | ||
| ACT-012493 | Outreach address corrected Outreach | Virginia Hayes: 2603 Jefferson Ave, Los Angeles → 2603 Jefferson Ave # 211, Los Angeles |
| Proposed | — | ||
| ACT-012494 | Outreach address corrected Outreach | Edward Cook: 39 Mesa Dr, Eden Prairie → 39 Mesa Dr Apt 23, Eden Prairie |
| Proposed | — | ||
| ACT-012495 | Outreach address corrected Outreach | Sandra Murphy: 2648 Mesa Dr, Minneapolis → 6860 Ocean Ave, Las Vegas |
| Proposed | — | ||
| ACT-012496 | Outreach address corrected Outreach | Katherine Palmer: 4419 Camelback Rd Apt 20, Plano → 4419 Camelback Rd, Plano |
| Proposed | — | ||
| ACT-012497 | Outreach address corrected Outreach | Mark Espinoza: 8996 Ridge Rd, Plano → 6501 Willow Ct, Tampa |
| Proposed | — | ||
| ACT-012498 | Outreach address corrected Outreach | Lisa Wang: 5726 Indian School Rd, Scottsdale → 5726 Indian School Rd Apt 14, Scottsdale |
| Proposed | — | ||
| ACT-012499 | Outreach address corrected Outreach | Kayla Dunn: 4401 Ridge Rd, Los Angeles → 7551 Indian School Rd, Las Vegas |
| Proposed | — | ||
| ACT-012500 | Outreach address corrected Outreach | Janice Austin: 3680 Valley View Dr, Tempe → 3077 Bayshore Dr, Columbus |
| Proposed | — | ||
| ACT-012501 | Outreach address corrected Outreach | Robert Guerrero: 1020 Washington St, Orlando → 1020 Washington St # 978, Orlando |
| 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.