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-012802 | Outreach address corrected Outreach | Samuel Berry: 9512 Indian School Rd, Tampa → 9512 Indian School Rd Apt 34, Tampa |
| Proposed | — | ||
| ACT-012803 | Outreach address corrected Outreach | Victoria Gray: 2615 Hillcrest Rd, Austin → 580 Sage Ct, Eden Prairie |
| Proposed | — | ||
| ACT-012804 | Outreach address corrected Outreach | Dylan Valdez: 2540 Maple Ave, Dallas → 2649 Park Pl, Dallas |
| Proposed | — | ||
| ACT-012805 | Outreach address corrected Outreach | Ralph Cox: 2393 Sage Ct, Charlotte → 2393 Sage Ct Apt 21, Charlotte |
| Proposed | — | ||
| ACT-012806 | Outreach address corrected Outreach | Tyler Tucker: 6236 Mesa Dr Apt 34, Scottsdale → 6236 Mesa Dr, Scottsdale |
| Proposed | — | ||
| ACT-012807 | Outreach address corrected Outreach | Ahmed Vazquez: 2802 Sunset Blvd, Tucson → 6035 Oak St, Fresno |
| Proposed | — | ||
| ACT-012808 | Outreach address corrected Outreach | Deborah Cooper: 5581 Central Ave, San Antonio → 742 River Rd, Tempe |
| Proposed | — | ||
| ACT-012809 | Outreach address corrected Outreach | Ana Ortiz: 1779 Central Ave Apt 15, Atlanta → 1779 Central Ave, Atlanta |
| Proposed | — | ||
| ACT-012810 | Outreach address corrected Outreach | Nicole Mitchell: 8002 Oak St, Houston → 712 Mesa Dr, Seattle |
| Proposed | — | ||
| ACT-012811 | Outreach address corrected Outreach | Richard Grant: 7735 Market St, Houston → 7735 Market St # 999, Houston |
| Proposed | — | ||
| ACT-012812 | Outreach address corrected Outreach | Austin Li: 3597 Spring St, Plano → 3597 Spring St # 140, Plano |
| Proposed | — | ||
| ACT-012813 | Outreach address corrected Outreach | Ralph Little: 3843 Elm St, Tucson → 3843 Elm St # 201, Tucson |
| Proposed | — | ||
| ACT-012814 | Outreach address corrected Outreach | Andrew Nunez: 9834 Elm St, Austin → 9834 Elm St # 965, Austin |
| Proposed | — | ||
| ACT-012815 | Outreach address corrected Outreach | Mateo Simpson: 9683 Canyon Rd Apt 8, Minneapolis → 9683 Canyon Rd, Minneapolis |
| Proposed | — | ||
| ACT-012816 | Outreach address corrected Outreach | Elizabeth Brown: 30 Maple Ave, Austin → 2433 Lincoln Way, Orlando |
| Proposed | — | ||
| ACT-012817 | Outreach address corrected Outreach | Lucia Mendoza: 3079 Sunset Blvd, Tucson → 3079 Sunset Blvd Apt 13, Tucson |
| Proposed | — | ||
| ACT-012818 | Outreach address corrected Outreach | Noah Weaver: 3816 River Rd, Scottsdale → 3816 River Rd Apt 31, Scottsdale |
| Proposed | — | ||
| ACT-012819 | Outreach address corrected Outreach | Isabella Singh: 8764 Baseline Rd # 798, Columbus → 8764 Baseline Rd # 276, Columbus |
| Proposed | — | ||
| ACT-012820 | Outreach address corrected Outreach | Hannah Dixon: 2538 Union St Apt 29, Nashville → 2538 Union St, Nashville |
| Proposed | — | ||
| ACT-012821 | Outreach address corrected Outreach | Walter Moreno: 6699 Pine Dr, Tempe → 363 Willow Ct, Sacramento |
| Proposed | — | ||
| ACT-012822 | Outreach address corrected Outreach | Jesse Pierce: 4125 Canyon Rd, Tucson → 4125 Canyon Rd Apt 29, Tucson |
| Proposed | — | ||
| ACT-012823 | Outreach address corrected Outreach | Kelly Kelly: 8272 Oak St, Seattle → 8272 Oak St Apt 15, Seattle |
| Proposed | — | ||
| ACT-012824 | Outreach address corrected Outreach | Christina Williams: 9383 Ocean Ave Apt 17, Tucson → 9383 Ocean Ave, Tucson |
| Proposed | — | ||
| ACT-012825 | Outreach address corrected Outreach | Maria Woods: 1048 Forest Ave, Denver → 198 Church St, Los Angeles |
| Proposed | — | ||
| ACT-012826 | Outreach address corrected Outreach | Douglas Carlson: 3127 Washington St Apt 34, Austin → 3127 Washington St, Austin |
| Proposed | — | ||
| ACT-012827 | Outreach address corrected Outreach | Mary Morales: 2249 Broadway # 990, Eden Prairie → 738 Broadway, Sacramento |
| Proposed | — | ||
| ACT-012828 | Outreach address corrected Outreach | Sharon Herrera: 8230 Market St # 227, Jacksonville → 8230 Market St, Jacksonville |
| Proposed | — | ||
| ACT-012829 | Outreach address corrected Outreach | Jen Cooper: 8673 Elm St # 583, Denver → 8673 Elm St, Denver |
| Proposed | — | ||
| ACT-012830 | Outreach address corrected Outreach | Margaret Reyes: 2556 Lake View Rd Apt 12, Tampa → 2556 Lake View Rd, Tampa |
| Proposed | — | ||
| ACT-012831 | Outreach address corrected Outreach | Kathryn Wheeler: 1776 Baseline Rd # 456, Las Vegas → 1776 Baseline Rd, Las Vegas |
| Proposed | — | ||
| ACT-012832 | Outreach address corrected Outreach | Janice Rice: 8888 Palm Dr, Tucson → 8888 Palm Dr Apt 4, Tucson |
| Proposed | — | ||
| ACT-012833 | Outreach address corrected Outreach | Jonathan Le: 4386 Market St, Denver → 8427 Valley View Dr, Phoenix |
| Proposed | — | ||
| ACT-012834 | Outreach address corrected Outreach | Gary Morgan: 9136 Maple Ave, Fresno → 8136 Oak St, Jacksonville |
| Proposed | — | ||
| ACT-012835 | Outreach address corrected Outreach | Jennifer Bradley: 8203 Park Pl Apt 17, Houston → 8203 Park Pl, Houston |
| Proposed | — | ||
| ACT-012836 | Outreach address corrected Outreach | Jessica Andrews: 8940 Meadow Ln, Las Vegas → 8940 Meadow Ln Apt 11, Las Vegas |
| Proposed | — | ||
| ACT-012837 | Outreach address corrected Outreach | Jeffrey Gordon: 7623 Spring St # 970, Sacramento → 7623 Spring St, Sacramento |
| Proposed | — | ||
| ACT-012838 | Outreach address corrected Outreach | Victoria Hill: 7117 Pine Dr, Phoenix → 7117 Pine Dr Apt 11, Phoenix |
| Proposed | — | ||
| ACT-012839 | Outreach address corrected Outreach | Danielle Lee: 7026 Jefferson Ave, Atlanta → 7026 Jefferson Ave # 161, Atlanta |
| Proposed | — | ||
| ACT-012840 | Outreach address corrected Outreach | Lori Parker: 5635 Elm St, Chandler → 5635 Elm St Apt 2, Chandler |
| Proposed | — | ||
| ACT-012841 | Outreach address corrected Outreach | Andrea Le: 8785 Canyon Rd, Sacramento → 8785 Canyon Rd # 219, Sacramento |
| Proposed | — | ||
| ACT-012842 | Outreach address corrected Outreach | Sara Moore: 2308 Park Pl # 539, Phoenix → 2308 Park Pl, Phoenix |
| Proposed | — | ||
| ACT-012843 | Outreach address corrected Outreach | Valentina Guerrero: 7765 Grand Ave # 115, Columbus → 7765 Grand Ave, Columbus |
| Proposed | — | ||
| ACT-012844 | Outreach address corrected Outreach | Amandda McCoy: 428 Mesa Dr, Houston → 428 Mesa Dr # 176, Houston |
| Proposed | — | ||
| ACT-012845 | Outreach address corrected Outreach | Keith Cruz: 5885 Sunset Blvd, Plano → 5885 Sunset Blvd # 810, Plano |
| Proposed | — | ||
| ACT-012846 | Outreach address corrected Outreach | Valentina Payne: 4929 Church St, Jacksonville → 4929 Church St Apt 5, Jacksonville |
| Proposed | — | ||
| ACT-012847 | Outreach address corrected Outreach | Ronald Vargas: 4115 Meadow Ln # 959, Chandler → 4115 Meadow Ln, Chandler |
| Proposed | — | ||
| ACT-012848 | Outreach address corrected Outreach | Janet Hawkins: 2446 Indian School Rd Apt 5, Seattle → 2446 Indian School Rd, Seattle |
| Proposed | — | ||
| ACT-012849 | Outreach address corrected Outreach | Charles Ramos: 5609 Camelback Rd, Glendale → 5609 Camelback Rd Apt 23, Glendale |
| Proposed | — | ||
| ACT-012850 | Outreach address corrected Outreach | Eugene Hughes: 2894 Camelback Rd, Plano → 2894 Camelback Rd Apt 19, Plano |
| Proposed | — | ||
| ACT-012851 | Outreach address corrected Outreach | Mark Ford: 2379 Lake View Rd, Eden Prairie → 2379 Lake View Rd Apt 9, Eden Prairie |
| 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.