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-012852 | Outreach address corrected Outreach | Maria Phillips: 4248 Sage Ct, San Diego → 3708 Spring St, Minneapolis |
| Proposed | — | ||
| ACT-012853 | Outreach address corrected Outreach | Cynthia King: 1946 Jefferson Ave, Austin → 1443 Valley View Dr, Charlotte |
| Proposed | — | ||
| ACT-012854 | Outreach address corrected Outreach | Jullia Simpson: 3069 Ocean Ave, Mesa → 4726 Mesa Dr, Nashville |
| Proposed | — | ||
| ACT-012855 | Outreach address corrected Outreach | Albert Santos: 2445 Church St, Jacksonville → 2445 Church St Apt 39, Jacksonville |
| Proposed | — | ||
| ACT-012856 | Outreach address corrected Outreach | Jonathan Sandoval: 2173 Mesa Dr Apt 33, Nashville → 5390 Maple Ave, San Diego |
| Proposed | — | ||
| ACT-012857 | Outreach address corrected Outreach | Abigail Daniels: 6875 Indian School Rd, Los Angeles → 6875 Indian School Rd # 625, Los Angeles |
| Proposed | — | ||
| ACT-012858 | Outreach address corrected Outreach | Jack Sims: 580 Lincoln Way, Gilbert → 580 Lincoln Way # 909, Gilbert |
| Proposed | — | ||
| ACT-012859 | Outreach address corrected Outreach | Heather Harvey: 3733 Union St # 506, Seattle → 3733 Union St, Seattle |
| Proposed | — | ||
| ACT-012860 | Outreach address corrected Outreach | Gabriel Perkins: 3375 Lake View Rd Apt 38, Orlando → 3375 Lake View Rd, Orlando |
| Proposed | — | ||
| ACT-012861 | Outreach address corrected Outreach | Ryan Reid: 1384 Apache Blvd, Orlando → 1384 Apache Blvd # 991, Orlando |
| Proposed | — | ||
| ACT-012862 | Outreach address corrected Outreach | Jesse Miller: 1014 Jefferson Ave # 795, Seattle → 1014 Jefferson Ave, Seattle |
| Proposed | — | ||
| ACT-012863 | Outreach address corrected Outreach | George Salazar: 1928 Palm Dr Apt 9, San Antonio → 1928 Palm Dr, San Antonio |
| Proposed | — | ||
| ACT-012864 | Outreach address corrected Outreach | Diane Evans: 3144 Church St Apt 16, Austin → 3144 Church St, Austin |
| Proposed | — | ||
| ACT-012865 | Outreach address corrected Outreach | Gloria Yang: 4313 Main St, Phoenix → 7271 Broadway, Glendale |
| Proposed | — | ||
| ACT-012866 | Outreach address corrected Outreach | Gregory Contrersa: 5978 Mesa Dr # 754, Tampa → 5978 Mesa Dr # 834, Tampa |
| Proposed | — | ||
| ACT-012867 | Outreach address corrected Outreach | Cheryl Nunez: 3118 Elm St, Scottsdale → 3118 Elm St # 727, Scottsdale |
| Proposed | — | ||
| ACT-012868 | Outreach address corrected Outreach | Billy Hill: 7097 Ridge Rd # 814, Houston → 7097 Ridge Rd, Houston |
| Proposed | — | ||
| ACT-012869 | Outreach address corrected Outreach | Patricia Cooper: 2892 Pine Dr, Jacksonville → 2892 Pine Dr Apt 22, Jacksonville |
| Proposed | — | ||
| ACT-012870 | Outreach address corrected Outreach | Austin Gordon: 9313 Highland Ave # 115, Jacksonville → 2936 Grand Ave # 570, Tempe |
| Proposed | — | ||
| ACT-012871 | Outreach address corrected Outreach | Julia Daniels: 507 Forest Ave # 375, Jacksonville → 507 Forest Ave, Jacksonville |
| Proposed | — | ||
| ACT-012872 | Outreach address corrected Outreach | Brenda Allen: 2354 Apache Blvd Apt 22, Atlanta → 2354 Apache Blvd, Atlanta |
| Proposed | — | ||
| ACT-012873 | Outreach address corrected Outreach | Kimberly Vargas: 5236 Cedar Ln Apt 20, Los Angeles → 5236 Cedar Ln, Los Angeles |
| Proposed | — | ||
| ACT-012874 | Outreach address corrected Outreach | Sean Moreno: 8250 Elm St, San Diego → 8250 Elm St Apt 4, San Diego |
| Proposed | — | ||
| ACT-012875 | Outreach address corrected Outreach | Gary Vega: 6269 Canyon Rd, Denver → 6269 Canyon Rd # 245, Denver |
| Proposed | — | ||
| ACT-012876 | Outreach address corrected Outreach | Adam Snigh: 5610 Camelback Rd # 457, Nashville → 5610 Camelback Rd, Nashville |
| Proposed | — | ||
| ACT-012877 | Outreach address corrected Outreach | Kathryn Wallace: 8278 Canyon Rd # 197, Jacksonville → 8278 Canyon Rd, Jacksonville |
| Proposed | — | ||
| ACT-012878 | Outreach address corrected Outreach | Carolyn Porter: 5268 Church St # 501, Seattle → 5268 Church St, Seattle |
| Proposed | — | ||
| ACT-012879 | Outreach address corrected Outreach | Deborah Nguyen: 9717 Willow Ct, Glendale → 8504 Oak St Apt 34, Denver |
| Proposed | — | ||
| ACT-012880 | Outreach address corrected Outreach | Eric Jones: 5772 Valley View Dr, Sacramento → 8255 Apache Blvd Apt 6, Minneapolis |
| Proposed | — | ||
| ACT-012881 | Outreach address corrected Outreach | Elizabeth Edwards: 2881 Bayshore Dr, Phoenix → 2881 Bayshore Dr Apt 6, Phoenix |
| Proposed | — | ||
| ACT-012882 | Outreach address corrected Outreach | Deborah Berry: 2880 Pine Dr, Gilbert → 5487 Maple Ave, Houston |
| Proposed | — | ||
| ACT-012883 | Outreach address corrected Outreach | Elijah Payne: 7432 Oak St, Miami → 7432 Oak St Apt 11, Miami |
| Proposed | — | ||
| ACT-012884 | Outreach address corrected Outreach | Juan Silva: 5111 Mountain View Dr, Las Vegas → 5111 Mountain View Dr Apt 2, Las Vegas |
| Proposed | — | ||
| ACT-012885 | Outreach address corrected Outreach | Mei White: 3997 Central Ave Apt 39, Eden Prairie → 3997 Central Ave, Eden Prairie |
| Proposed | — | ||
| ACT-012886 | Outreach address corrected Outreach | Diane Morales: 6994 Jefferson Ave # 475, Seattle → 6994 Jefferson Ave, Seattle |
| Proposed | — | ||
| ACT-012887 | Outreach address corrected Outreach | Martha Parker: 9366 Maple Ave Apt 24, Eden Prairie → 9366 Maple Ave, Eden Prairie |
| Proposed | — | ||
| ACT-012888 | Outreach address corrected Outreach | Randy Singh: 9754 Central Ave, Phoenix → 9754 Central Ave # 436, Phoenix |
| Proposed | — | ||
| ACT-012889 | Outreach address corrected Outreach | Douglas Russell: 3018 Harbor Blvd, Sacramento → 3018 Harbor Blvd Apt 3, Sacramento |
| Proposed | — | ||
| ACT-012890 | Outreach address corrected Outreach | Amanda Hansen: 9414 Sunset Blvd, Glendale → 1518 Canyon Rd, Minneapolis |
| Proposed | — | ||
| ACT-012891 | Outreach address corrected Outreach | Austin Garcia: 8689 Meadow Ln, Sacramento → 8689 Meadow Ln Apt 33, Sacramento |
| Proposed | — | ||
| ACT-012892 | Outreach address corrected Outreach | Randy Webb: 2472 Spring St, Houston → 2472 Spring St # 532, Houston |
| Proposed | — | ||
| ACT-012893 | Outreach address corrected Outreach | Carol Snyder: 6064 Jefferson Ave, Eden Prairie → 6212 Baseline Rd, Las Vegas |
| Proposed | — | ||
| ACT-012894 | Outreach address corrected Outreach | Ronald Sims: 6616 Jefferson Ave Apt 24, Eden Prairie → 6616 Jefferson Ave, Eden Prairie |
| Proposed | — | ||
| ACT-012895 | Outreach address corrected Outreach | Elijah Day: 6639 Union St, San Antonio → 6639 Union St # 625, San Antonio |
| Proposed | — | ||
| ACT-012896 | Outreach address corrected Outreach | Jason Cooper: 7903 Main St, Phoenix → 7903 Main St # 205, Phoenix |
| Proposed | — | ||
| ACT-012897 | Outreach address corrected Outreach | Dorothy Walker: 3726 Canyon Rd # 984, Chandler → 3726 Canyon Rd, Chandler |
| Proposed | — | ||
| ACT-012898 | Outreach address corrected Outreach | Heather Howard: 784 Forest Ave # 867, Houston → 784 Forest Ave, Houston |
| Proposed | — | ||
| ACT-012899 | Outreach address corrected Outreach | Joan Mills: 1972 Hillcrest Rd, Scottsdale → 1972 Hillcrest Rd Apt 14, Scottsdale |
| Proposed | — | ||
| ACT-012900 | Outreach address corrected Outreach | Larry Watson: 6529 Baseline Rd, Orlando → 6529 Baseline Rd Apt 18, Orlando |
| Proposed | — | ||
| ACT-012901 | Outreach address corrected Outreach | Martha Garrett: 7161 Union St, Jacksonville → 7161 Union St Apt 17, Jacksonville |
| 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.