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-012652 | Outreach address corrected Outreach | Gabriel Sullivan: 4637 Main St, Fresno → 8840 Highland Ave, Austin |
| Proposed | — | ||
| ACT-012653 | Outreach address corrected Outreach | Dylan Carlson: 6138 Baseline Rd, Nashville → 1363 Baseline Rd, Atlanta |
| Proposed | — | ||
| ACT-012654 | Outreach address corrected Outreach | Christian Santiago: 3993 Jefferson Ave Apt 11, San Antonio → 3993 Jefferson Ave, San Antonio |
| Proposed | — | ||
| ACT-012655 | Outreach address corrected Outreach | Lawrence Nichhols: 5355 Forest Ave Apt 13, Atlanta → 5355 Forest Ave, Atlanta |
| Proposed | — | ||
| ACT-012656 | Outreach address corrected Outreach | Jerry Woods: 3422 Oak St, Jacksonville → 2742 Oak St, Minneapolis |
| Proposed | — | ||
| ACT-012657 | Outreach address corrected Outreach | Jack Smith: 6832 Meadow Ln # 277, Dallas → 6832 Meadow Ln, Dallas |
| Proposed | — | ||
| ACT-012658 | Outreach address corrected Outreach | Terry Williams: 2679 Ocean Ave, Glendale → 9227 Cedar Ln # 376, Nashville |
| Proposed | — | ||
| ACT-012659 | Outreach address corrected Outreach | Elijah Phillips: 2832 Baseline Rd # 432, Sacramento → 2832 Baseline Rd, Sacramento |
| Proposed | — | ||
| ACT-012660 | Outreach address corrected Outreach | Pamela Tran: 8893 Grand Ave, Glendale → 8893 Grand Ave Apt 36, Glendale |
| Proposed | — | ||
| ACT-012661 | Outreach address corrected Outreach | Amber Delgado: 3484 Broadway, Scottsdale → 1854 Union St, Seattle |
| Proposed | — | ||
| ACT-012662 | Outreach address corrected Outreach | Kenneth James: 2485 Baseline Rd, Gilbert → 2485 Baseline Rd Apt 31, Gilbert |
| Proposed | — | ||
| ACT-012663 | Outreach address corrected Outreach | Eric Piarce: 5615 Market St, Las Vegas → 6314 Baseline Rd, Houston |
| Proposed | — | ||
| ACT-012664 | Outreach address corrected Outreach | Karen Lucas: 6460 Bayshore Dr, Phoenix → 6460 Bayshore Dr Apt 23, Phoenix |
| Proposed | — | ||
| ACT-012665 | Outreach address corrected Outreach | Mark Foster: 4474 Sage Ct, Fresno → 4474 Sage Ct Apt 34, Fresno |
| Proposed | — | ||
| ACT-012666 | Outreach address corrected Outreach | Sophia Vasquez: 5478 Canyon Rd, Tucson → 5478 Canyon Rd Apt 20, Tucson |
| Proposed | — | ||
| ACT-012667 | Outreach address corrected Outreach | Alexander Gomez: 9313 Mountain View Dr # 550, San Diego → 9313 Mountain View Dr, San Diego |
| Proposed | — | ||
| ACT-012668 | Outreach address corrected Outreach | Robert Ray: 9442 Pine Dr # 634, Seattle → 9442 Pine Dr, Seattle |
| Proposed | — | ||
| ACT-012669 | Outreach address corrected Outreach | Joseph Peters: 6481 Broadway Apt 24, Nashville → 6481 Broadway, Nashville |
| Proposed | — | ||
| ACT-012670 | Outreach address corrected Outreach | Kelly Little: 1047 Palm Dr # 838, Austin → 1047 Palm Dr, Austin |
| Proposed | — | ||
| ACT-012671 | Outreach address corrected Outreach | Shirley Baker: 2489 Lake View Rd, Tucson → 1033 Bayshore Dr, Denver |
| Proposed | — | ||
| ACT-012672 | Outreach address corrected Outreach | Jason Nelson: 5012 Desert Sky Blvd, San Diego → 5012 Desert Sky Blvd # 887, San Diego |
| Proposed | — | ||
| ACT-012673 | Outreach address corrected Outreach | Diego Dominguez: 3937 Lake View Rd # 689, Austin → 3937 Lake View Rd, Austin |
| Proposed | — | ||
| ACT-012674 | Outreach address corrected Outreach | Denise Harrison: 1036 Union St # 837, Sacramento → 1036 Union St, Sacramento |
| Proposed | — | ||
| ACT-012675 | Outreach address corrected Outreach | Pamela Santiago: 3766 Palm Dr, Atlanta → 3766 Palm Dr Apt 10, Atlanta |
| Proposed | — | ||
| ACT-012676 | Outreach address corrected Outreach | Priya Rodriguez: 7200 Indian School Rd, Las Vegas → 7200 Indian School Rd # 773, Las Vegas |
| Proposed | — | ||
| ACT-012677 | Outreach address corrected Outreach | Vincent Owens: 7679 Church St # 745, Jacksonville → 7679 Church St, Jacksonville |
| Proposed | — | ||
| ACT-012678 | Outreach address corrected Outreach | Kimberly McDonald: 8110 Ridge Rd, San Antonio → 2253 Cedar Ln, San Diego |
| Proposed | — | ||
| ACT-012679 | Outreach address corrected Outreach | Kimberly Bryant: 9728 Lincoln Way, Orlando → 9728 Lincoln Way # 837, Orlando |
| Proposed | — | ||
| ACT-012680 | Outreach address corrected Outreach | Kayla Riley: 2261 River Rd, Dallas → 2261 River Rd # 713, Dallas |
| Proposed | — | ||
| ACT-012681 | Outreach address corrected Outreach | Joan Chavez: 7276 Spring St, Eden Prairie → 7276 Spring St Apt 35, Eden Prairie |
| Proposed | — | ||
| ACT-012682 | Outreach address corrected Outreach | Sandra Roberts: 2636 Union St Apt 29, Austin → 2636 Union St, Austin |
| Proposed | — | ||
| ACT-012683 | Outreach address corrected Outreach | Jannice Schulltz: 3150 Lake View Rd, Orlando → 3150 Lake View Rd Apt 37, Orlando |
| Proposed | — | ||
| ACT-012684 | Outreach address corrected Outreach | Jordan Mendez: 7025 Baseline Rd # 503, San Antonio → 7025 Baseline Rd, San Antonio |
| Proposed | — | ||
| ACT-012685 | Outreach address corrected Outreach | Matthew Cruz: 7979 Pine Dr # 573, Eden Prairie → 7979 Pine Dr, Eden Prairie |
| Proposed | — | ||
| ACT-012686 | Outreach address corrected Outreach | Douglas Rivera: 2311 Park Pl, Los Angeles → 4178 Cedar Ln, Columbus |
| Proposed | — | ||
| ACT-012687 | Outreach address corrected Outreach | Jonathan Sullivan: 2307 Forest Ave Apt 6, Charlotte → 2307 Forest Ave, Charlotte |
| Proposed | — | ||
| ACT-012688 | Outreach address corrected Outreach | Heather Munoz: 2548 Washington St # 658, Orlando → 2548 Washington St, Orlando |
| Proposed | — | ||
| ACT-012689 | Outreach address corrected Outreach | Gloria Stone: 5334 Ocean Ave, Mesa → 2470 Indian School Rd, Fresno |
| Proposed | — | ||
| ACT-012690 | Outreach address corrected Outreach | Lauren Castillo: 1958 Highland Ave Apt 14, Austin → 1958 Highland Ave, Austin |
| Proposed | — | ||
| ACT-012691 | Outreach address corrected Outreach | Ann Ryes: 10 Jefferson Ave # 851, Mesa → 5760 Oak St # 231, Gilbert |
| Proposed | — | ||
| ACT-012692 | Outreach address corrected Outreach | Lawrence McCoy: 5429 Highland Ave, San Diego → 5429 Highland Ave # 390, San Diego |
| Proposed | — | ||
| ACT-012693 | Outreach address corrected Outreach | Ralph Lopez: 8498 Baseline Rd # 408, Eden Prairie → 6257 Jefferson Ave, Orlando |
| Proposed | — | ||
| ACT-012694 | Outreach address corrected Outreach | Russell Matthews: 288 Desert Sky Blvd, San Antonio → 6159 Canyon Rd, Plano |
| Proposed | — | ||
| ACT-012695 | Outreach address corrected Outreach | Diego Ellis: 7247 Broadway, Plano → 7247 Broadway # 286, Plano |
| Proposed | — | ||
| ACT-012696 | Outreach address corrected Outreach | Jenny Day: 2217 Elm St, Houston → 2217 Elm St Apt 27, Houston |
| Proposed | — | ||
| ACT-012697 | Outreach address corrected Outreach | Joan Garcia: 5420 Market St # 292, Eden Prairie → 5420 Market St, Eden Prairie |
| Proposed | — | ||
| ACT-012698 | Outreach address corrected Outreach | Nancy Mendoza: 994 Lincoln Way # 291, Tucson → 994 Lincoln Way, Tucson |
| Proposed | — | ||
| ACT-012699 | Outreach address corrected Outreach | Kelly Rodriguez: 1765 Cedar Ln, Jacksonville → 1765 Cedar Ln Apt 21, Jacksonville |
| Proposed | — | ||
| ACT-012700 | Outreach address corrected Outreach | Lori Cruz: 3912 Main St Apt 17, Austin → 3912 Main St, Austin |
| Proposed | — | ||
| ACT-012701 | Outreach address corrected Outreach | Charles Williams: 2024 Central Ave, Charlotte → 9734 Bayshore Dr, Columbus |
| 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.