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-012902 | Outreach address corrected Outreach | Frank Garcia: 9059 Market St, Denver → 9059 Market St # 371, Denver |
| Proposed | — | ||
| ACT-012903 | Outreach address corrected Outreach | Donna Diaz: 1140 Elm St Apt 38, Miami → 1140 Elm St, Miami |
| Proposed | — | ||
| ACT-012904 | Outreach address corrected Outreach | Jonathan Reed: 1324 Camelback Rd Apt 1, Tucson → 6034 Jefferson Ave, Tucson |
| Proposed | — | ||
| ACT-012905 | Outreach address corrected Outreach | Jeen Edwards: 4057 Sage Ct, Sacramento → 4057 Sage Ct Apt 4, Sacramento |
| Proposed | — | ||
| ACT-012906 | Outreach address corrected Outreach | Amy Wright: 295 Meadow Ln, Tucson → 295 Meadow Ln # 518, Tucson |
| Proposed | — | ||
| ACT-012907 | Outreach address corrected Outreach | Jean Gonzales: 6416 Canyon Rd, San Antonio → 6416 Canyon Rd Apt 9, San Antonio |
| Proposed | — | ||
| ACT-012908 | Outreach address corrected Outreach | Ronald Ford: 137 Hillcrest Rd, Atlanta → 2253 Lake View Rd, Columbus |
| Proposed | — | ||
| ACT-012909 | Outreach address corrected Outreach | Mary Torres: 9232 Bayshore Dr, Scottsdale → 2322 Maple Ave, Phoenix |
| Proposed | — | ||
| ACT-012910 | Outreach address corrected Outreach | Sara Campbell: 5159 Desert Sky Blvd Apt 24, Gilbert → 5159 Desert Sky Blvd, Gilbert |
| Proposed | — | ||
| ACT-012911 | Outreach address corrected Outreach | Hannah Riley: 2847 Sage Ct, Houston → 2847 Sage Ct Apt 7, Houston |
| Proposed | — | ||
| ACT-012912 | Outreach address corrected Outreach | Ashley Davis: 1452 Church St, Orlando → 1452 Church St Apt 23, Orlando |
| Proposed | — | ||
| ACT-012913 | Outreach address corrected Outreach | Arthur Thompson: 9081 Canyon Rd, Chandler → 4865 Elm St, Atlanta |
| Proposed | — | ||
| ACT-012914 | Outreach address corrected Outreach | Jason Robinson: 3577 Lake View Rd Apt 37, Atlanta → 3577 Lake View Rd, Atlanta |
| Proposed | — | ||
| ACT-012915 | Outreach address corrected Outreach | Richard Kim: 9847 Oak St Apt 20, Dallas → 9847 Oak St, Dallas |
| Proposed | — | ||
| ACT-012916 | Outreach address corrected Outreach | Marilyn Ferguson: 5755 Pine Dr, Mesa → 8625 Camelback Rd, Charlotte |
| Proposed | — | ||
| ACT-012917 | Outreach address corrected Outreach | Judyth Lawrence: 8822 Maple Ave, Gilbert → 8384 Mountain View Dr, San Antonio |
| Proposed | — | ||
| ACT-012918 | Outreach address corrected Outreach | Diane Scott: 5172 Meadow Ln, Sacramento → 6799 Main St, Los Angeles |
| Proposed | — | ||
| ACT-012919 | Outreach address corrected Outreach | Olivia Espinoza: 1329 Meadow Ln Apt 31, San Diego → 1329 Meadow Ln, San Diego |
| Proposed | — | ||
| ACT-012920 | Outreach address corrected Outreach | Deborah Johnson: 1475 Ridge Rd Apt 7, Phoenix → 1475 Ridge Rd, Phoenix |
| Proposed | — | ||
| ACT-012921 | Outreach address corrected Outreach | Sophia Hill: 4128 Spring St # 237, Denver → 4128 Spring St, Denver |
| Proposed | — | ||
| ACT-012922 | Outreach address corrected Outreach | Wei Carroll: 1945 Ocean Ave, Nashville → 1945 Ocean Ave # 936, Nashville |
| Proposed | — | ||
| ACT-012923 | Outreach address corrected Outreach | Jacqueline West: 4293 Cedar Ln, Orlando → 6379 Cedar Ln, Orlando |
| Proposed | — | ||
| ACT-012924 | Outreach address corrected Outreach | Ronald Richardson: 7869 Grand Ave, Sacramento → 7869 Grand Ave # 299, Sacramento |
| Proposed | — | ||
| ACT-012925 | Outreach address corrected Outreach | Anna Bowman: 3232 Spring St Apt 23, Orlando → 3232 Spring St, Orlando |
| Proposed | — | ||
| ACT-012926 | Outreach address corrected Outreach | Russell Hudson: 2756 Washington St # 769, San Antonio → 2756 Washington St, San Antonio |
| Proposed | — | ||
| ACT-012927 | Outreach address corrected Outreach | Lisa Campbell: 1629 Pine Dr # 601, Denver → 1629 Pine Dr, Denver |
| Proposed | — | ||
| ACT-012928 | Outreach address corrected Outreach | Nicholas Kennedy: 1637 Indian School Rd, Phoenix → 4906 Main St, Phoenix |
| Proposed | — | ||
| ACT-012929 | Outreach address corrected Outreach | Heather Burton: 1164 Oak St, Tempe → 9594 Maple Ave, Orlando |
| Proposed | — | ||
| ACT-012930 | Outreach address corrected Outreach | Austin Henderson: 4944 Indian School Rd, San Diego → 4944 Indian School Rd Apt 2, San Diego |
| Proposed | — | ||
| ACT-012931 | Outreach address corrected Outreach | Ryan Daniels: 2759 Bayshore Dr, Glendale → 2759 Bayshore Dr Apt 13, Glendale |
| Proposed | — | ||
| ACT-012932 | Outreach address corrected Outreach | Ashley Hunt: 9010 Grand Ave, Miami → 9010 Grand Ave # 407, Miami |
| Proposed | — | ||
| ACT-012933 | Outreach address corrected Outreach | Martha Simmons: 1191 Park Pl, Atlanta → 1191 Park Pl # 792, Atlanta |
| Proposed | — | ||
| ACT-012934 | Outreach address corrected Outreach | Aisha Cole: 4922 Cedar Ln Apt 39, Minneapolis → 4922 Cedar Ln, Minneapolis |
| Proposed | — | ||
| ACT-012935 | Outreach address corrected Outreach | Marcus Bryant: 7423 Spring St, Fresno → 7423 Spring St # 682, Fresno |
| Proposed | — | ||
| ACT-012936 | Outreach address corrected Outreach | Isabella Reed: 8519 Main St, Gilbert → 8519 Main St # 450, Gilbert |
| Proposed | — | ||
| ACT-012937 | Outreach address corrected Outreach | Sofia Cooper: 4007 Washington St, Sacramento → 4007 Washington St # 866, Sacramento |
| Proposed | — | ||
| ACT-012938 | Outreach address corrected Outreach | Marilyn Perkins: 5018 Ridge Rd # 381, Minneapolis → 5018 Ridge Rd, Minneapolis |
| Proposed | — | ||
| ACT-012939 | Outreach address corrected Outreach | Maria Simpson: 2468 Union St, Houston → 6926 Union St, Tempe |
| Proposed | — | ||
| ACT-012940 | Outreach address corrected Outreach | Maria Wheeler: 6718 Broadway Apt 10, Austin → 6718 Broadway, Austin |
| Proposed | — | ||
| ACT-012941 | Outreach address corrected Outreach | Michael Garrett: 63 Harbor Blvd, Scottsdale → 2144 Apache Blvd, Scottsdale |
| Proposed | — | ||
| ACT-012942 | Outreach address corrected Outreach | Kelly Pierce: 7028 Mesa Dr # 887, Plano → 7028 Mesa Dr, Plano |
| Proposed | — | ||
| ACT-012943 | Outreach address corrected Outreach | Wayne Duncan: 7593 Market St, Mesa → 7593 Market St Apt 32, Mesa |
| Proposed | — | ||
| ACT-012944 | Outreach address corrected Outreach | Aaron Soto: 505 Washington St Apt 29, Fresno → 505 Washington St, Fresno |
| Proposed | — | ||
| ACT-012945 | Outreach address corrected Outreach | Joseph Fowler: 7897 Elm St Apt 34, Miami → 7897 Elm St, Miami |
| Proposed | — | ||
| ACT-012946 | Outreach address corrected Outreach | Linda Luna: 5602 Baseline Rd, Denver → 5602 Baseline Rd # 329, Denver |
| Proposed | — | ||
| ACT-012947 | Outreach address corrected Outreach | Alexis Burton: 6768 Oak St # 694, Dallas → 6768 Oak St, Dallas |
| Proposed | — | ||
| ACT-012948 | Outreach address corrected Outreach | Jack Robertson: 883 Ocean Ave, Tucson → 883 Ocean Ave # 406, Tucson |
| Proposed | — | ||
| ACT-012949 | Outreach address corrected Outreach | Isabella Burton: 3009 Apache Blvd # 188, Tempe → 3009 Apache Blvd, Tempe |
| Proposed | — | ||
| ACT-012950 | Outreach address corrected Outreach | Jason Flores: 2046 Oak St, Atlanta → 8992 Central Ave Apt 12, Orlando |
| Proposed | — | ||
| ACT-012951 | Outreach address corrected Outreach | Hiroshi Lynch: 581 Cedar Ln # 365, Tampa → 581 Cedar Ln, Tampa |
| 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.