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-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.