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-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.