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-012502 | Outreach address corrected Outreach | Doris Meyer: 7944 Valley View Dr, Plano → 7944 Valley View Dr # 547, Plano |
| Proposed | — | ||
| ACT-012503 | Outreach address corrected Outreach | Henry Jackson: 6258 Forest Ave Apt 7, Columbus → 6258 Forest Ave # 512, Columbus |
| Proposed | — | ||
| ACT-012504 | Outreach address corrected Outreach | Randy Gilbert: 8588 Grand Ave Apt 35, Nashville → 8588 Grand Ave, Nashville |
| Proposed | — | ||
| ACT-012505 | Outreach address corrected Outreach | Deborah Hughes: 7923 Lake View Rd # 360, San Antonio → 7923 Lake View Rd, San Antonio |
| Proposed | — | ||
| ACT-012506 | Outreach address corrected Outreach | Albert Marshall: 8011 Maple Ave, Plano → 8011 Maple Ave # 643, Plano |
| Proposed | — | ||
| ACT-012507 | Outreach address corrected Outreach | Santiago Woods: 8090 Lake View Rd, Chandler → 1535 Hillcrest Rd, Seattle |
| Proposed | — | ||
| ACT-012508 | Outreach address corrected Outreach | Isabella Robertson: 4127 Lake View Rd # 279, San Diego → 4127 Lake View Rd, San Diego |
| Proposed | — | ||
| ACT-012509 | Outreach address corrected Outreach | Jacob George: 1133 Lincoln Way # 436, Eden Prairie → 1133 Lincoln Way, Eden Prairie |
| Proposed | — | ||
| ACT-012510 | Outreach address corrected Outreach | Randy Daniels: 4653 Highland Ave, Austin → 4653 Highland Ave Apt 27, Austin |
| Proposed | — | ||
| ACT-012511 | Outreach address corrected Outreach | Judy Pierce: 2875 Maple Ave # 757, San Antonio → 2875 Maple Ave, San Antonio |
| Proposed | — | ||
| ACT-012512 | Outreach address corrected Outreach | Austin Lopez: 5139 Ocean Ave, Charlotte → 5139 Ocean Ave Apt 30, Charlotte |
| Proposed | — | ||
| ACT-012513 | Outreach address corrected Outreach | Daniel Elliott: 4953 Washington St # 595, Eden Prairie → 4953 Washington St, Eden Prairie |
| Proposed | — | ||
| ACT-012514 | Outreach address corrected Outreach | Joan Estrada: 5173 Highland Ave # 435, Nashville → 5173 Highland Ave, Nashville |
| Proposed | — | ||
| ACT-012515 | Outreach address corrected Outreach | Bradley Morales: 4309 Canyon Rd, Scottsdale → 4309 Canyon Rd Apt 30, Scottsdale |
| Proposed | — | ||
| ACT-012516 | Outreach address corrected Outreach | Janet Wood: 230 Ocean Ave # 800, Phoenix → 230 Ocean Ave, Phoenix |
| Proposed | — | ||
| ACT-012517 | Outreach address corrected Outreach | Diana Oliver: 7663 Maple Ave, Columbus → 7663 Maple Ave # 921, Columbus |
| Proposed | — | ||
| ACT-012518 | Outreach address corrected Outreach | Kevin Andrews: 7867 Ocean Ave, San Diego → 7867 Ocean Ave # 777, San Diego |
| Proposed | — | ||
| ACT-012519 | Outreach address corrected Outreach | Sharon Rose: 99 Lake View Rd Apt 16, Orlando → 99 Lake View Rd, Orlando |
| Proposed | — | ||
| ACT-012520 | Outreach address corrected Outreach | Brandon Bennett: 1280 Camelback Rd, Tucson → 1280 Camelback Rd # 719, Tucson |
| Proposed | — | ||
| ACT-012521 | Outreach address corrected Outreach | Santiago Jiimenez: 6514 Central Ave Apt 28, Chandler → 6514 Central Ave, Chandler |
| Proposed | — | ||
| ACT-012522 | Outreach address corrected Outreach | Jesse Wood: 6327 Indian School Rd, Miami → 6327 Indian School Rd # 870, Miami |
| Proposed | — | ||
| ACT-012523 | Outreach address corrected Outreach | Sean Davis: 1123 Indian School Rd # 277, Dallas → 1123 Indian School Rd Apt 7, Dallas |
| Proposed | — | ||
| ACT-012524 | Outreach address corrected Outreach | Peter Brooks: 2138 Union St Apt 6, Seattle → 2138 Union St, Seattle |
| Proposed | — | ||
| ACT-012525 | Outreach address corrected Outreach | Judy Knight: 1771 Ridge Rd, Scottsdale → 1771 Ridge Rd Apt 24, Scottsdale |
| Proposed | — | ||
| ACT-012526 | Outreach address corrected Outreach | Sofia Ramirez: 8190 Camelback Rd Apt 37, Jacksonville → 8190 Camelback Rd, Jacksonville |
| Proposed | — | ||
| ACT-012527 | Outreach address corrected Outreach | Ashley Ryan: 5777 Grand Ave, Fresno → 5777 Grand Ave Apt 34, Fresno |
| Proposed | — | ||
| ACT-012528 | Outreach address corrected Outreach | Ahmed Kim: 4911 Forest Ave, Nashville → 4911 Forest Ave # 468, Nashville |
| Proposed | — | ||
| ACT-012529 | Outreach address corrected Outreach | Randy Hlil: 9664 Washington St, Fresno → 2962 Washington St, Columbus |
| Proposed | — | ||
| ACT-012530 | Outreach address corrected Outreach | Will Moore: 2025 Bayshore Dr, Austin → 2025 Bayshore Dr # 961, Austin |
| Proposed | — | ||
| ACT-012531 | Outreach address corrected Outreach | Keith Ross: 7356 Maple Ave, Houston → 7356 Maple Ave # 587, Houston |
| Proposed | — | ||
| ACT-012532 | Outreach address corrected Outreach | Peter Hernandez: 7574 Baseline Rd, Gilbert → 7574 Baseline Rd # 842, Gilbert |
| Proposed | — | ||
| ACT-012533 | Outreach address corrected Outreach | Laura Ray: 6445 Lake View Rd, Denver → 5902 Lake View Rd, Tempe |
| Proposed | — | ||
| ACT-012534 | Outreach address corrected Outreach | Brenda Lewis: 4062 Market St, Columbus → 5805 Valley View Dr Apt 38, Charlotte |
| Proposed | — | ||
| ACT-012535 | Outreach address corrected Outreach | Carol Ruiz: 1381 Sunset Blvd # 734, Seattle → 1381 Sunset Blvd, Seattle |
| Proposed | — | ||
| ACT-012536 | Outreach address corrected Outreach | Julie Maldonado: 2499 Cedar Ln, Tampa → 2499 Cedar Ln # 572, Tampa |
| Proposed | — | ||
| ACT-012537 | Outreach address corrected Outreach | Charles Edwards: 7460 Bayshore Dr, San Antonio → 7460 Bayshore Dr Apt 26, San Antonio |
| Proposed | — | ||
| ACT-012538 | Outreach address corrected Outreach | Diane Little: 9056 Washington St, Orlando → 9056 Washington St # 639, Orlando |
| Proposed | — | ||
| ACT-012539 | Outreach address corrected Outreach | Kathryn Porter: 1943 Broadway # 930, Tucson → 1943 Broadway, Tucson |
| Proposed | — | ||
| ACT-012540 | Outreach address corrected Outreach | Stephanie Bell: 8348 Elm St Apt 35, Minneapolis → 8348 Elm St, Minneapolis |
| Proposed | — | ||
| ACT-012541 | Outreach address corrected Outreach | Grace Carr: 9265 Palm Dr # 815, Minneapolis → 9265 Palm Dr, Minneapolis |
| Proposed | — | ||
| ACT-012542 | Outreach address corrected Outreach | Noah Burton: 6852 Meadow Ln, Jacksonville → 6852 Meadow Ln # 186, Jacksonville |
| Proposed | — | ||
| ACT-012543 | Outreach address corrected Outreach | Dylan Reed: 4465 Desert Sky Blvd # 550, Austin → 4465 Desert Sky Blvd, Austin |
| Proposed | — | ||
| ACT-012544 | Outreach address corrected Outreach | Keith Tran: 2672 Washington St, Dallas → 8577 Highland Ave, Fresno |
| Proposed | — | ||
| ACT-012545 | Outreach address corrected Outreach | Lucia Smith: 980 Ridge Rd, Austin → 866 Broadway Apt 26, Tempe |
| Proposed | — | ||
| ACT-012546 | Outreach address corrected Outreach | Gregory Hunt: 6266 Ocean Ave, Seattle → 4621 Sage Ct, Scottsdale |
| Proposed | — | ||
| ACT-012547 | Outreach address corrected Outreach | Teresa Burton: 5876 Indian School Rd # 546, Minneapolis → 5876 Indian School Rd, Minneapolis |
| Proposed | — | ||
| ACT-012548 | Outreach address corrected Outreach | Philip Lawson: 9078 Sage Ct, Fresno → 5458 Ocean Ave, Charlotte |
| Proposed | — | ||
| ACT-012549 | Outreach address corrected Outreach | Judith Simpson: 2933 Pine Dr, Tempe → 2933 Pine Dr Apt 20, Tempe |
| Proposed | — | ||
| ACT-012550 | Outreach address corrected Outreach | Deborah Carlson: 3493 Mountain View Dr, Sacramento → 3493 Mountain View Dr Apt 14, Sacramento |
| Proposed | — | ||
| ACT-012551 | Outreach address corrected Outreach | Gloria Stone: 6617 Camelback Rd, Tucson → 2107 Park Pl, Charlotte |
| 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.