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-012552 | Outreach address corrected Outreach | Julie Hudson: 3395 Ocean Ave, Tampa → 3203 Oak St, Jacksonville |
| Proposed | — | ||
| ACT-012553 | Outreach address corrected Outreach | Karen Wong: 6744 Union St, Tempe → 672 Hillcrest Rd # 206, Minneapolis |
| Proposed | — | ||
| ACT-012554 | Outreach address corrected Outreach | Jesse Armstrong: 7599 Elm St, Glendale → 2532 Oak St # 979, Scottsdale |
| Proposed | — | ||
| ACT-012555 | Outreach address corrected Outreach | Joseph King: 9130 Broadway Apt 37, Jacksonville → 9130 Broadway, Jacksonville |
| Proposed | — | ||
| ACT-012556 | Outreach address corrected Outreach | Michelle Gutierrez: 1033 Lake View Rd, Sacramento → 7289 Lincoln Way, Jacksonville |
| Proposed | — | ||
| ACT-012557 | Outreach address corrected Outreach | Dennis Salazar: 1001 Mesa Dr, Nashville → 5544 Apache Blvd, Plano |
| Proposed | — | ||
| ACT-012558 | Outreach address corrected Outreach | Theresa Alvarado: 4091 Ridge Rd Apt 19, Atlanta → 4091 Ridge Rd, Atlanta |
| Proposed | — | ||
| ACT-012559 | Outreach address corrected Outreach | Dennis Elliott: 8507 Apache Blvd # 489, Los Angeles → 8507 Apache Blvd, Los Angeles |
| Proposed | — | ||
| ACT-012560 | Outreach address corrected Outreach | Cynthia Gardner: 3740 Desert Sky Blvd, Orlando → 3740 Desert Sky Blvd # 671, Orlando |
| Proposed | — | ||
| ACT-012561 | Outreach address corrected Outreach | Ryan Hill: 2145 Ocean Ave, Scottsdale → 196 Highland Ave, Tucson |
| Proposed | — | ||
| ACT-012562 | Outreach address corrected Outreach | Jesse Brooks: 7865 Meadow Ln, Eden Prairie → 7865 Meadow Ln Apt 17, Eden Prairie |
| Proposed | — | ||
| ACT-012563 | Outreach address corrected Outreach | Isabella Wallace: 2483 Bayshore Dr, Dallas → 8907 Broadway, Nashville |
| Proposed | — | ||
| ACT-012564 | Outreach address corrected Outreach | Sophia Soto: 8505 Ridge Rd # 709, Jacksonville → 8505 Ridge Rd, Jacksonville |
| Proposed | — | ||
| ACT-012565 | Outreach address corrected Outreach | Hannah Larson: 9558 Maple Ave Apt 30, Gilbert → 9558 Maple Ave, Gilbert |
| Proposed | — | ||
| ACT-012566 | Outreach address corrected Outreach | Amanda Walsh: 9882 Cedar Ln Apt 13, Orlando → 9882 Cedar Ln, Orlando |
| Proposed | — | ||
| ACT-012567 | Outreach address corrected Outreach | David Harvey: 9718 Harbor Blvd, Denver → 9718 Harbor Blvd # 891, Denver |
| Proposed | — | ||
| ACT-012568 | Outreach address corrected Outreach | Shirley Burton: 9840 Ocean Ave, San Antonio → 8514 Forest Ave, San Antonio |
| Proposed | — | ||
| ACT-012569 | Outreach address corrected Outreach | Sarah Singh: 6395 Bayshore Dr, Nashville → 6395 Bayshore Dr Apt 39, Nashville |
| Proposed | — | ||
| ACT-012570 | Outreach address corrected Outreach | Judith Mills: 6622 Oak St # 375, Jacksonville → 6622 Oak St, Jacksonville |
| Proposed | — | ||
| ACT-012571 | Outreach address corrected Outreach | Marc Murray: 2029 Mountain View Dr, Columbus → 2029 Mountain View Dr # 686, Columbus |
| Proposed | — | ||
| ACT-012572 | Outreach address corrected Outreach | Patrick Carter: 9383 Washington St Apt 4, San Diego → 9383 Washington St, San Diego |
| Proposed | — | ||
| ACT-012573 | Outreach address corrected Outreach | Larry Moreno: 6676 Oak St, Tempe → 6676 Oak St Apt 5, Tempe |
| Proposed | — | ||
| ACT-012574 | Outreach address corrected Outreach | Omar James: 902 Highland Ave, Sacramento → 902 Highland Ave # 810, Sacramento |
| Proposed | — | ||
| ACT-012575 | Outreach address corrected Outreach | Danielle Vazquez: 8681 Grand Ave, Atlanta → 8681 Grand Ave Apt 37, Atlanta |
| Proposed | — | ||
| ACT-012576 | Outreach address corrected Outreach | Christopher Nguyen: 8876 Desert Sky Blvd, Dallas → 1738 Meadow Ln, Tempe |
| Proposed | — | ||
| ACT-012577 | Outreach address corrected Outreach | Abigail George: 5368 Lincoln Way, Mesa → 6504 Camelback Rd, Tempe |
| Proposed | — | ||
| ACT-012578 | Outreach address corrected Outreach | Samantha Watkins: 935 Cedar Ln, Columbus → 935 Cedar Ln Apt 39, Columbus |
| Proposed | — | ||
| ACT-012579 | Outreach address corrected Outreach | Laura Simpson: 7788 Sunset Blvd Apt 16, Chandler → 7788 Sunset Blvd, Chandler |
| Proposed | — | ||
| ACT-012580 | Outreach address corrected Outreach | Frances Hansen: 8848 Lincoln Way, San Diego → 1316 Ocean Ave, Houston |
| Proposed | — | ||
| ACT-012581 | Outreach address corrected Outreach | Martha Medina: 7446 Central Ave, Atlanta → 2912 River Rd, Denver |
| Proposed | — | ||
| ACT-012582 | Outreach address corrected Outreach | Crlos Tucker: 344 Elm St Apt 16, Columbus → 344 Elm St, Columbus |
| Proposed | — | ||
| ACT-012583 | Outreach address corrected Outreach | Thomas Holmes: 9118 Elm St # 591, Nashville → 9118 Elm St, Nashville |
| Proposed | — | ||
| ACT-012584 | Outreach address corrected Outreach | Barbara Gibson: 6723 Forest Ave, Los Angeles → 6723 Forest Ave # 649, Los Angeles |
| Proposed | — | ||
| ACT-012585 | Outreach address corrected Outreach | Ahmed Patel: 7258 Apache Blvd, Austin → 7258 Apache Blvd Apt 7, Austin |
| Proposed | — | ||
| ACT-012586 | Outreach address corrected Outreach | Martha Jimenez: 6213 Oak St, Fresno → 6213 Oak St # 872, Fresno |
| Proposed | — | ||
| ACT-012587 | Outreach address corrected Outreach | Susan Harper: 4040 Spring St Apt 17, San Antonio → 4040 Spring St, San Antonio |
| Proposed | — | ||
| ACT-012588 | Outreach address corrected Outreach | Jeffrey Obrien: 2023 Washington St, Miami → 353 Park Pl, Tempe |
| Proposed | — | ||
| ACT-012589 | Outreach address corrected Outreach | Heather Arnold: 6480 Lincoln Way, San Diego → 6480 Lincoln Way # 698, San Diego |
| Proposed | — | ||
| ACT-012590 | Outreach address corrected Outreach | Fatima Reyes: 3893 Meadow Ln # 874, Charlotte → 3893 Meadow Ln, Charlotte |
| Proposed | — | ||
| ACT-012591 | Outreach address corrected Outreach | Jean Davis: 4831 Highland Ave, Nashville → 4831 Highland Ave # 411, Nashville |
| Proposed | — | ||
| ACT-012592 | Outreach address corrected Outreach | Sophia Anderson: 2387 Sage Ct Apt 3, Houston → 2387 Sage Ct, Houston |
| Proposed | — | ||
| ACT-012593 | Outreach address corrected Outreach | Carol Webb: 2396 Washington St # 929, Chandler → 2396 Washington St, Chandler |
| Proposed | — | ||
| ACT-012594 | Outreach address corrected Outreach | Carl Sandoval: 7537 Park Pl, Dallas → 1075 Elm St Apt 20, Plano |
| Proposed | — | ||
| ACT-012595 | Outreach address corrected Outreach | Christine Diaz: 1045 Ridge Rd, Chandler → 5277 Mountain View Dr # 572, Los Angeles |
| Proposed | — | ||
| ACT-012596 | Outreach address corrected Outreach | Nathan Howell: 5739 Main St # 263, Miami → 5739 Main St, Miami |
| Proposed | — | ||
| ACT-012597 | Outreach address corrected Outreach | Evelyn Johnston: 5408 Willow Ct, Plano → 5408 Willow Ct # 165, Plano |
| Proposed | — | ||
| ACT-012598 | Outreach address corrected Outreach | Michelle Gutierrez: 118 River Rd # 526, Mesa → 118 River Rd, Mesa |
| Proposed | — | ||
| ACT-012599 | Outreach address corrected Outreach | Kevin Harper: 6084 Church St, Chandler → 8224 Ocean Ave, Charlotte |
| Proposed | — | ||
| ACT-012600 | Outreach address corrected Outreach | Kevin Lewis: 772 Willow Ct, Los Angeles → 8730 Sage Ct, San Diego |
| Proposed | — | ||
| ACT-012601 | Outreach address corrected Outreach | Ralph Martin: 6955 Harbor Blvd, Glendale → 3214 Valley View Dr, Los Angeles |
| 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.