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-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.