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-010652 | Outreach address corrected Outreach | Cynthia Allen: 9695 Sunset Blvd # 892, Eden Prairie → 9695 Sunset Blvd, Eden Prairie |
| Proposed | — | ||
| ACT-010653 | Outreach address corrected Outreach | Dorothy Vega: 1660 Ridge Rd # 263, Atlanta → 1660 Ridge Rd, Atlanta |
| Proposed | — | ||
| ACT-010654 | Outreach address corrected Outreach | Ana Rose: 21 Cedar Ln, Columbus → 21 Cedar Ln # 835, Columbus |
| Proposed | — | ||
| ACT-010655 | Outreach address corrected Outreach | Mariana Green: 9052 Grand Ave Apt 1, Denver → 9052 Grand Ave, Denver |
| Proposed | — | ||
| ACT-010656 | Outreach address corrected Outreach | Wayne Garza: 7840 Forest Ave # 508, Jacksonville → 7840 Forest Ave, Jacksonville |
| Proposed | — | ||
| ACT-010657 | Outreach address corrected Outreach | Camila Snyder: 5462 Union St, Austin → 8445 Lake View Rd, Minneapolis |
| Proposed | — | ||
| ACT-010658 | Outreach address corrected Outreach | Marcus Carlson: 4973 Spring St # 808, Orlando → 4973 Spring St, Orlando |
| Proposed | — | ||
| ACT-010659 | Outreach address corrected Outreach | Charles Watson: 2196 Spring St Apt 37, Tempe → 2196 Spring St # 310, Tempe |
| Proposed | — | ||
| ACT-010660 | Outreach address corrected Outreach | Carol Gonzalez: 6918 Desert Sky Blvd, Minneapolis → 6918 Desert Sky Blvd # 784, Minneapolis |
| Proposed | — | ||
| ACT-010661 | Outreach address corrected Outreach | Patrick Gilbert: 1600 Broadway, Phoenix → 9878 Indian School Rd Apt 12, Atlanta |
| Proposed | — | ||
| ACT-010662 | Outreach address corrected Outreach | Gerald Cunningham: 7237 Camelback Rd Apt 27, Nashville → 7237 Camelback Rd, Nashville |
| Proposed | — | ||
| ACT-010663 | Outreach address corrected Outreach | Becky Moore: 6114 Meadow Ln, Charlotte → 6114 Meadow Ln # 964, Charlotte |
| Proposed | — | ||
| ACT-010664 | Outreach address corrected Outreach | Martha Black: 4783 River Rd, Minneapolis → 9603 Baseline Rd, Seattle |
| Proposed | — | ||
| ACT-010665 | Outreach address corrected Outreach | Dorothy Nunez: 5049 Spring St Apt 28, Minneapolis → 5289 Hillcrest Rd, Atlanta |
| Proposed | — | ||
| ACT-010666 | Outreach address corrected Outreach | Pamela Harvey: 5210 River Rd Apt 20, San Antonio → 5210 River Rd, San Antonio |
| Proposed | — | ||
| ACT-010667 | Outreach address corrected Outreach | Anna Ellis: 4372 Lake View Rd # 783, Sacramento → 4372 Lake View Rd # 123, Sacramento |
| Proposed | — | ||
| ACT-010668 | Outreach address corrected Outreach | Jack Yang: 1847 Central Ave # 632, Gilbert → 1847 Central Ave, Gilbert |
| Proposed | — | ||
| ACT-010669 | Outreach address corrected Outreach | Patricia Ross: 52 Desert Sky Blvd, Glendale → 52 Desert Sky Blvd # 609, Glendale |
| Proposed | — | ||
| ACT-010670 | Outreach address corrected Outreach | Denise Roberts: 5846 Indian School Rd, Houston → 5505 Canyon Rd, Scottsdale |
| Proposed | — | ||
| ACT-010671 | Outreach address corrected Outreach | Rachel Marshall: 8677 Washington St, Gilbert → 8677 Washington St # 697, Gilbert |
| Proposed | — | ||
| ACT-010672 | Outreach address corrected Outreach | Noah Roberts: 5412 Main St, Mesa → 5412 Main St Apt 9, Mesa |
| Proposed | — | ||
| ACT-010673 | Outreach address corrected Outreach | Patricia Chavez: 3111 Desert Sky Blvd, Denver → 3111 Desert Sky Blvd Apt 39, Denver |
| Proposed | — | ||
| ACT-010674 | Outreach address corrected Outreach | Dylan Meyer: 6395 Park Pl Apt 2, Scottsdale → 6395 Park Pl, Scottsdale |
| Proposed | — | ||
| ACT-010675 | Outreach address corrected Outreach | Eugene Delgado: 4758 Main St, Tampa → 4758 Main St # 529, Tampa |
| Proposed | — | ||
| ACT-010676 | Outreach address corrected Outreach | Nicholas Stevens: 8181 Sunset Blvd, Glendale → 7772 Washington St, Tampa |
| Proposed | — | ||
| ACT-010677 | Outreach address corrected Outreach | Joyce Carter: 8256 Broadway, Houston → 8256 Broadway # 994, Houston |
| Proposed | — | ||
| ACT-010678 | Outreach address corrected Outreach | Russell Williamson: 1151 Maple Ave Apt 16, Miami → 1151 Maple Ave, Miami |
| Proposed | — | ||
| ACT-010679 | Outreach address corrected Outreach | Joan Gilbert: 6266 Valley View Dr, Austin → 6266 Valley View Dr # 715, Austin |
| Proposed | — | ||
| ACT-010680 | Outreach address corrected Outreach | Mary Miller: 7724 Mountain View Dr, Jacksonville → 9265 Sunset Blvd, Minneapolis |
| Proposed | — | ||
| ACT-010681 | Outreach address corrected Outreach | Gloria Snyder: 8929 Mountain View Dr, Fresno → 8929 Mountain View Dr Apt 13, Fresno |
| Proposed | — | ||
| ACT-010682 | Outreach address corrected Outreach | Billy Nunez: 4262 Washington St # 384, Eden Prairie → 4262 Washington St, Eden Prairie |
| Proposed | — | ||
| ACT-010683 | Outreach address corrected Outreach | Jonathan Rivera: 728 Central Ave # 520, Chandler → 728 Central Ave, Chandler |
| Proposed | — | ||
| ACT-010684 | Outreach address corrected Outreach | Christian Hudson: 5359 Meadow Ln, Columbus → 7305 Market St, Charlotte |
| Proposed | — | ||
| ACT-010685 | Outreach address corrected Outreach | Marilyn James: 4451 Forest Ave Apt 23, Scottsdale → 4451 Forest Ave, Scottsdale |
| Proposed | — | ||
| ACT-010686 | Outreach address corrected Outreach | Mei Bradley: 3322 Palm Dr Apt 27, Denver → 3322 Palm Dr, Denver |
| Proposed | — | ||
| ACT-010687 | Outreach address corrected Outreach | Hannah Simpson: 7540 Camelback Rd, Tucson → 7540 Camelback Rd # 733, Tucson |
| Proposed | — | ||
| ACT-010688 | Outreach address corrected Outreach | Brandon Bans: 9580 Mesa Dr, San Antonio → 41 Central Ave, Houston |
| Proposed | — | ||
| ACT-010689 | Outreach address corrected Outreach | Arthur Ray: 1716 Canyon Rd # 539, Tampa → 1716 Canyon Rd, Tampa |
| Proposed | — | ||
| ACT-010690 | Outreach address corrected Outreach | Austin Welch: 278 Palm Dr Apt 13, Gilbert → 278 Palm Dr, Gilbert |
| Proposed | — | ||
| ACT-010691 | Outreach address corrected Outreach | Mariana Roberts: 3588 Meadow Ln Apt 12, San Antonio → 3588 Meadow Ln, San Antonio |
| Proposed | — | ||
| ACT-010692 | Outreach address corrected Outreach | Theresa Larson: 5031 Church St, Dallas → 5031 Church St # 149, Dallas |
| Proposed | — | ||
| ACT-010693 | Outreach address corrected Outreach | Michael Nelson: 1008 Pine Dr, Sacramento → 1008 Pine Dr Apt 16, Sacramento |
| Proposed | — | ||
| ACT-010694 | Outreach address corrected Outreach | Amber Fields: 2847 Palm Dr, San Antonio → 2847 Palm Dr Apt 40, San Antonio |
| Proposed | — | ||
| ACT-010695 | Outreach address corrected Outreach | Aisha Gardner: 8538 Hillcrest Rd # 265, Sacramento → 8538 Hillcrest Rd, Sacramento |
| Proposed | — | ||
| ACT-010696 | Outreach address corrected Outreach | Evelyn Coleman: 7025 Spring St, Scottsdale → 7025 Spring St # 995, Scottsdale |
| Proposed | — | ||
| ACT-010697 | Outreach address corrected Outreach | Olivia Chapman: 6806 Bayshore Dr, Jacksonville → 8780 Broadway, Orlando |
| Proposed | — | ||
| ACT-010698 | Outreach address corrected Outreach | Patricia Wang: 4280 Lincoln Way, Austin → 8628 Maple Ave, Plano |
| Proposed | — | ||
| ACT-010699 | Outreach address corrected Outreach | Carl Bennett: 9430 Sage Ct, San Antonio → 9430 Sage Ct # 789, San Antonio |
| Proposed | — | ||
| ACT-010700 | Outreach address corrected Outreach | Lauren Nunez: 394 Harbor Blvd, Tampa → 8700 Oak St, Sacramento |
| Proposed | — | ||
| ACT-010701 | Outreach address corrected Outreach | George Medina: 8947 Spring St, Minneapolis → 2311 Sunset Blvd, Seattle |
| 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.