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-012602 | Outreach address corrected Outreach | Doris Guerrero: 1029 Spring St # 887, Las Vegas → 1029 Spring St, Las Vegas |
| Proposed | — | ||
| ACT-012603 | Outreach address corrected Outreach | Patricia Porter: 8080 Forest Ave Apt 9, Denver → 8080 Forest Ave, Denver |
| Proposed | — | ||
| ACT-012604 | Outreach address corrected Outreach | Carl Mendez: 5168 Palm Dr, Seattle → 1007 Valley View Dr, Tempe |
| Proposed | — | ||
| ACT-012605 | Outreach address corrected Outreach | Jonathan Peterson: 9875 Canyon Rd, Chandler → 3469 Spring St, Plano |
| Proposed | — | ||
| ACT-012606 | Outreach address corrected Outreach | Pamela Lopez: 1080 River Rd # 294, Sacramento → 1080 River Rd, Sacramento |
| Proposed | — | ||
| ACT-012607 | Outreach address corrected Outreach | Abigail Gomez: 9733 Apache Blvd, Tempe → 9733 Apache Blvd Apt 37, Tempe |
| Proposed | — | ||
| ACT-012608 | Outreach address corrected Outreach | Mari Ortiz: 5555 Harbor Blvd # 443, Jacksonville → 5555 Harbor Blvd, Jacksonville |
| Proposed | — | ||
| ACT-012609 | Outreach address corrected Outreach | Mateo Ortiz: 9079 Grand Ave Apt 1, Austin → 9079 Grand Ave # 589, Austin |
| Proposed | — | ||
| ACT-012610 | Outreach address corrected Outreach | Brenda Diaz: 6985 Broadway, Denver → 6985 Broadway Apt 5, Denver |
| Proposed | — | ||
| ACT-012611 | Outreach address corrected Outreach | Joseph Flores: 6339 Lincoln Way, Phoenix → 6339 Lincoln Way # 897, Phoenix |
| Proposed | — | ||
| ACT-012612 | Outreach address corrected Outreach | Denise Wilson: 2878 Palm Dr, Atlanta → 420 Hillcrest Rd, San Diego |
| Proposed | — | ||
| ACT-012613 | Outreach address corrected Outreach | Natalie Cooper: 8026 Sunset Blvd, Columbus → 8026 Sunset Blvd # 892, Columbus |
| Proposed | — | ||
| ACT-012614 | Outreach address corrected Outreach | Ronald Long: 3301 Oak St, Charlotte → 3301 Oak St Apt 33, Charlotte |
| Proposed | — | ||
| ACT-012615 | Outreach address corrected Outreach | Bobby Rios: 3864 Mountain View Dr, Minneapolis → 6800 Mesa Dr, San Antonio |
| Proposed | — | ||
| ACT-012616 | Outreach address corrected Outreach | Alxis Morrison: 9552 Forest Ave, Austin → 9552 Forest Ave # 901, Austin |
| Proposed | — | ||
| ACT-012617 | Outreach address corrected Outreach | Alexis Price: 9366 Indian School Rd, Charlotte → 1324 Main St, Scottsdale |
| Proposed | — | ||
| ACT-012618 | Outreach address corrected Outreach | Jordan George: 9033 Bayshore Dr, Tempe → 274 Desert Sky Blvd, Austin |
| Proposed | — | ||
| ACT-012619 | Outreach address corrected Outreach | Grrace Vargas: 955 Ocean Ave, Minneapolis → 955 Ocean Ave # 337, Minneapolis |
| Proposed | — | ||
| ACT-012620 | Outreach address corrected Outreach | Larry Campbell: 5628 Ridge Rd Apt 7, Nashville → 5628 Ridge Rd, Nashville |
| Proposed | — | ||
| ACT-012621 | Outreach address corrected Outreach | Kelly Herrera: 7200 Market St, Scottsdale → 2612 Canyon Rd, Austin |
| Proposed | — | ||
| ACT-012622 | Outreach address corrected Outreach | Larry Morrison: 1961 Lincoln Way, Sacramento → 8003 Canyon Rd, Sacramento |
| Proposed | — | ||
| ACT-012623 | Outreach address corrected Outreach | Ronald Collins: 7802 Central Ave, Tampa → 9779 Indian School Rd, Fresno |
| Proposed | — | ||
| ACT-012624 | Outreach address corrected Outreach | Jacqueline Willis: 1671 Market St, Denver → 1671 Market St # 806, Denver |
| Proposed | — | ||
| ACT-012625 | Outreach address corrected Outreach | Justin Munoz: 2020 Main St # 453, Fresno → 2020 Main St, Fresno |
| Proposed | — | ||
| ACT-012626 | Outreach address corrected Outreach | Peter Payne: 4592 Maple Ave, Atlanta → 1995 Park Pl, Houston |
| Proposed | — | ||
| ACT-012627 | Outreach address corrected Outreach | Timothy Griffin: 3387 Hillcrest Rd # 538, Austin → 3387 Hillcrest Rd, Austin |
| Proposed | — | ||
| ACT-012628 | Outreach address corrected Outreach | Willie Hawkins: 655 Indian School Rd # 286, San Antonio → 655 Indian School Rd, San Antonio |
| Proposed | — | ||
| ACT-012629 | Outreach address corrected Outreach | Deborah Fox: 3808 Highland Ave, Houston → 3808 Highland Ave Apt 36, Houston |
| Proposed | — | ||
| ACT-012630 | Outreach address corrected Outreach | Paul Washington: 951 Washington St, Houston → 3488 Central Ave, San Diego |
| Proposed | — | ||
| ACT-012631 | Outreach address corrected Outreach | Jonathan Harris: 4530 Indian School Rd # 949, Las Vegas → 4530 Indian School Rd, Las Vegas |
| Proposed | — | ||
| ACT-012632 | Outreach address corrected Outreach | Peter Ryan: 5547 River Rd # 281, Tampa → 5547 River Rd, Tampa |
| Proposed | — | ||
| ACT-012633 | Outreach address corrected Outreach | Ryan Kelly: 2586 Oak St, Minneapolis → 9059 Maple Ave, Austin |
| Proposed | — | ||
| ACT-012634 | Outreach address corrected Outreach | Betty Pena: 590 Ridge Rd, Jacksonville → 547 Pine Dr, Fresno |
| Proposed | — | ||
| ACT-012635 | Outreach address corrected Outreach | Benjamin Taylor: 6565 Cedar Ln Apt 23, Las Vegas → 6565 Cedar Ln, Las Vegas |
| Proposed | — | ||
| ACT-012636 | Outreach address corrected Outreach | Judith Larson: 8338 Lincoln Way # 796, Plano → 8338 Lincoln Way, Plano |
| Proposed | — | ||
| ACT-012637 | Outreach address corrected Outreach | Joseph Williams: 6312 Hillcrest Rd, Mesa → 6312 Hillcrest Rd Apt 37, Mesa |
| Proposed | — | ||
| ACT-012638 | Outreach address corrected Outreach | Kevin Cunningham: 4566 Forest Ave # 209, Phoenix → 4566 Forest Ave, Phoenix |
| Proposed | — | ||
| ACT-012639 | Outreach address corrected Outreach | Walter Payne: 1587 Camelback Rd Apt 33, Tempe → 4196 Main St, Phoenix |
| Proposed | — | ||
| ACT-012640 | Outreach address corrected Outreach | Jeremy Green: 638 Meadow Ln, Gilbert → 638 Meadow Ln Apt 14, Gilbert |
| Proposed | — | ||
| ACT-012641 | Outreach address corrected Outreach | Jack Gutierrez: 839 Broadway, Plano → 3287 Bayshore Dr, Orlando |
| Proposed | — | ||
| ACT-012642 | Outreach address corrected Outreach | Mariana Guzman: 3575 Hillcrest Rd, Columbus → 3575 Hillcrest Rd # 161, Columbus |
| Proposed | — | ||
| ACT-012643 | Outreach address corrected Outreach | Robert Obrien: 2522 Bayshore Dr, Phoenix → 2522 Bayshore Dr Apt 32, Phoenix |
| Proposed | — | ||
| ACT-012644 | Outreach address corrected Outreach | Jse Lynch: 5925 Sunset Blvd, Sacramento → 1938 Harbor Blvd, Glendale |
| Proposed | — | ||
| ACT-012645 | Outreach address corrected Outreach | Doris Mendoza: 5532 Main St, Tempe → 5813 Willow Ct, Charlotte |
| Proposed | — | ||
| ACT-012646 | Outreach address corrected Outreach | Mark Contreras: 4270 Ocean Ave # 399, Plano → 7677 Indian School Rd, Sacramento |
| Proposed | — | ||
| ACT-012647 | Outreach address corrected Outreach | Diana Hughes: 8291 Palm Dr, Dallas → 8291 Palm Dr Apt 3, Dallas |
| Proposed | — | ||
| ACT-012648 | Outreach address corrected Outreach | Donna Le: 3414 River Rd, Columbus → 6110 Valley View Dr, Chandler |
| Proposed | — | ||
| ACT-012649 | Outreach address corrected Outreach | Hiroshi Richards: 7384 Valley View Dr, Glendale → 7384 Valley View Dr # 899, Glendale |
| Proposed | — | ||
| ACT-012650 | Outreach address corrected Outreach | Mark Marquez: 5772 Sage Ct, San Antonio → 3821 Ridge Rd, Las Vegas |
| Proposed | — | ||
| ACT-012651 | Outreach address corrected Outreach | Betty Wislon: 4841 Church St, Dallas → 4772 Desert Sky Blvd, Tampa |
| 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.