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-012702 | Outreach address corrected Outreach | Keith Ramirez: 339 Broadway, Tucson → 9683 Grand Ave, Tempe |
| Proposed | — | ||
| ACT-012703 | Outreach address corrected Outreach | Tricia Bradley: 5690 Forest Ave Apt 34, Houston → 5690 Forest Ave, Houston |
| Proposed | — | ||
| ACT-012704 | Outreach address corrected Outreach | Wells Wells: 6559 Mesa Dr, Gilbert → 6559 Mesa Dr Apt 30, Gilbert |
| Proposed | — | ||
| ACT-012705 | Outreach address corrected Outreach | Diane George: 6546 Spring St, Houston → 6546 Spring St Apt 8, Houston |
| Proposed | — | ||
| ACT-012706 | Outreach address corrected Outreach | Margaret James: 831 Grand Ave, Tempe → 831 Grand Ave # 328, Tempe |
| Proposed | — | ||
| ACT-012707 | Outreach address corrected Outreach | Vincent Oliver: 9366 Main St, San Antonio → 8864 Baseline Rd, Eden Prairie |
| Proposed | — | ||
| ACT-012708 | Outreach address corrected Outreach | Jordan Sandoval: 1497 Bayshore Dr, Tempe → 1497 Bayshore Dr Apt 40, Tempe |
| Proposed | — | ||
| ACT-012709 | Outreach address corrected Outreach | Sean Sean: 6622 Hillcrest Rd, Nashville → 5369 Grand Ave, Tampa |
| Proposed | — | ||
| ACT-012710 | Outreach address corrected Outreach | Pat Patel: 7904 Sage Ct Apt 31, Minneapolis → 7904 Sage Ct, Minneapolis |
| Proposed | — | ||
| ACT-012711 | Outreach address corrected Outreach | Jeffrey Hall: 857 Forest Ave, Mesa → 8051 Elm St, Scottsdale |
| Proposed | — | ||
| ACT-012712 | Outreach address corrected Outreach | Adm Torres: 7693 Forest Ave # 677, San Antonio → 24 Jefferson Ave, Fresno |
| Proposed | — | ||
| ACT-012713 | Outreach address corrected Outreach | Nancy Peterson: 4126 Highland Ave # 214, Los Angeles → 2780 Mesa Dr, Atlanta |
| Proposed | — | ||
| ACT-012714 | Outreach address corrected Outreach | Stephen Washington: 7605 Sunset Blvd, Las Vegas → 7605 Sunset Blvd # 439, Las Vegas |
| Proposed | — | ||
| ACT-012715 | Outreach address corrected Outreach | Gerald Li: 7477 River Rd, Jacksonville → 2913 Apache Blvd, Gilbert |
| Proposed | — | ||
| ACT-012716 | Outreach address corrected Outreach | Brian Powell: 3245 Main St, Denver → 3656 Sunset Blvd, Minneapolis |
| Proposed | — | ||
| ACT-012717 | Outreach address corrected Outreach | Julia Ortega: 2489 Camelback Rd # 902, Orlando → 2489 Camelback Rd Apt 20, Orlando |
| Proposed | — | ||
| ACT-012718 | Outreach address corrected Outreach | Lisa Hernandez: 4517 Grand Ave # 996, San Antonio → 4517 Grand Ave, San Antonio |
| Proposed | — | ||
| ACT-012719 | Outreach address corrected Outreach | David Moreno: 8613 Baseline Rd, Chandler → 7932 Willow Ct, Plano |
| Proposed | — | ||
| ACT-012720 | Outreach address corrected Outreach | Thomas Luna: 4011 Main St, Orlando → 4011 Main St # 201, Orlando |
| Proposed | — | ||
| ACT-012721 | Outreach address corrected Outreach | Benjamin Gomez: 5654 Washington St, Dallas → 4511 Mesa Dr, Las Vegas |
| Proposed | — | ||
| ACT-012722 | Outreach address corrected Outreach | Emily Luna: 4489 Market St, Denver → 4489 Market St Apt 36, Denver |
| Proposed | — | ||
| ACT-012723 | Outreach address corrected Outreach | Nathan Jacobs: 3405 Pine Dr # 130, Seattle → 3405 Pine Dr, Seattle |
| Proposed | — | ||
| ACT-012724 | Outreach address corrected Outreach | Camila Fowler: 8730 River Rd, Eden Prairie → 91 Mesa Dr, San Antonio |
| Proposed | — | ||
| ACT-012725 | Outreach address corrected Outreach | Maria Tran: 8644 Broadway # 792, Chandler → 8644 Broadway, Chandler |
| Proposed | — | ||
| ACT-012726 | Outreach address corrected Outreach | Kayla Watkins: 5154 Harbor Blvd # 673, Mesa → 5154 Harbor Blvd, Mesa |
| Proposed | — | ||
| ACT-012727 | Outreach address corrected Outreach | Wayne Brooks: 7109 Church St, Tempe → 7109 Church St # 673, Tempe |
| Proposed | — | ||
| ACT-012728 | Outreach address corrected Outreach | Susan Jackson: 1342 Mountain View Dr, Mesa → 1342 Mountain View Dr # 681, Mesa |
| Proposed | — | ||
| ACT-012729 | Outreach address corrected Outreach | Kimberly Armstrong: 5404 Maple Ave, Sacramento → 5404 Maple Ave # 112, Sacramento |
| Proposed | — | ||
| ACT-012730 | Outreach address corrected Outreach | Rick Little: 2180 Baseline Rd, San Antonio → 2180 Baseline Rd Apt 37, San Antonio |
| Proposed | — | ||
| ACT-012731 | Outreach address corrected Outreach | Eric Valdez: 9341 Broadway # 258, Eden Prairie → 9341 Broadway # 456, Eden Prairie |
| Proposed | — | ||
| ACT-012732 | Outreach address corrected Outreach | Micchael Johnston: 3677 Park Pl, Tempe → 590 Bayshore Dr, Columbus |
| Proposed | — | ||
| ACT-012733 | Outreach address corrected Outreach | James Sandoval: 3485 Desert Sky Blvd, Atlanta → 3485 Desert Sky Blvd Apt 29, Atlanta |
| Proposed | — | ||
| ACT-012734 | Outreach address corrected Outreach | Danielle Garza: 4408 Bayshore Dr # 768, Denver → 3040 Spring St, Glendale |
| Proposed | — | ||
| ACT-012735 | Outreach address corrected Outreach | Noah West: 2016 Camelback Rd Apt 13, Tampa → 5602 Central Ave, Denver |
| Proposed | — | ||
| ACT-012736 | Outreach address corrected Outreach | Fatima Bryant: 4105 Valley View Dr, Gilbert → 9517 Lincoln Way, Sacramento |
| Proposed | — | ||
| ACT-012737 | Outreach address corrected Outreach | Kimberly Morrizon: 2587 Lincoln Way, Dallas → 6635 Palm Dr, Gilbert |
| Proposed | — | ||
| ACT-012738 | Outreach address corrected Outreach | Benjamin Mitchell: 7287 Desert Sky Blvd, San Diego → 7287 Desert Sky Blvd Apt 25, San Diego |
| Proposed | — | ||
| ACT-012739 | Outreach address corrected Outreach | Diana Estrada: 2583 Harbor Blvd, Eden Prairie → 2583 Harbor Blvd # 109, Eden Prairie |
| Proposed | — | ||
| ACT-012740 | Outreach address corrected Outreach | Catherine Gonzales: 2473 Central Ave # 552, Fresno → 2473 Central Ave, Fresno |
| Proposed | — | ||
| ACT-012741 | Outreach address corrected Outreach | Madison Lawson: 8845 Mountain View Dr, Tucson → 8044 Elm St, Tempe |
| Proposed | — | ||
| ACT-012742 | Outreach address corrected Outreach | William Dunn: 4111 Maple Ave, Mesa → 702 Palm Dr, Atlanta |
| Proposed | — | ||
| ACT-012743 | Outreach address corrected Outreach | Camila Jensen: 2545 Willow Ct, Miami → 612 Central Ave, Fresno |
| Proposed | — | ||
| ACT-012744 | Outreach address corrected Outreach | Theresa Gonzales: 3488 Lake View Rd, Nashville → 3488 Lake View Rd Apt 33, Nashville |
| Proposed | — | ||
| ACT-012745 | Outreach address corrected Outreach | Evelyn Griffin: 5030 Market St Apt 32, Columbus → 5030 Market St, Columbus |
| Proposed | — | ||
| ACT-012746 | Outreach address corrected Outreach | Peter Simpson: 2473 Lincoln Way, Fresno → 2473 Lincoln Way Apt 4, Fresno |
| Proposed | — | ||
| ACT-012747 | Outreach address corrected Outreach | Larry Butler: 6795 Grand Ave # 552, Orlando → 6795 Grand Ave, Orlando |
| Proposed | — | ||
| ACT-012748 | Outreach address corrected Outreach | Christina Meyer: 2100 Meadow Ln # 291, Los Angeles → 2100 Meadow Ln, Los Angeles |
| Proposed | — | ||
| ACT-012749 | Outreach address corrected Outreach | Shirley Reynolds: 6472 Desert Sky Blvd, Houston → 6472 Desert Sky Blvd Apt 5, Houston |
| Proposed | — | ||
| ACT-012750 | Outreach address corrected Outreach | Aisha Kelley: 5882 Palm Dr, Miami → 8180 Mountain View Dr, Chandler |
| Proposed | — | ||
| ACT-012751 | Outreach address corrected Outreach | Jeremy Cruz: 9297 Mountain View Dr # 878, Tempe → 9297 Mountain View Dr, Tempe |
| 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.