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-012952 | Outreach address corrected Outreach | Rlaph Pierce: 1005 Broadway, Gilbert → 1005 Broadway Apt 5, Gilbert |
| Proposed | — | ||
| ACT-012953 | Outreach address corrected Outreach | Charlotte Webb: 7084 Central Ave, San Antonio → 7926 River Rd, Miami |
| Proposed | — | ||
| ACT-012954 | Outreach address corrected Outreach | Jason Guerrero: 1164 Indian School Rd Apt 5, Seattle → 1164 Indian School Rd, Seattle |
| Proposed | — | ||
| ACT-012955 | Outreach address corrected Outreach | Christopher Fox: 3691 Hillcrest Rd Apt 21, Atlanta → 3691 Hillcrest Rd, Atlanta |
| Proposed | — | ||
| ACT-012956 | Outreach address corrected Outreach | Justin Knight: 2710 Cedar Ln, Charlotte → 8250 Willow Ct, Fresno |
| Proposed | — | ||
| ACT-012957 | Outreach address corrected Outreach | Stephanie Lee: 1459 Baseline Rd, Glendale → 1459 Baseline Rd # 734, Glendale |
| Proposed | — | ||
| ACT-012958 | Outreach address corrected Outreach | Mateo Perkins: 8531 Ridge Rd, Nashville → 8531 Ridge Rd Apt 13, Nashville |
| Proposed | — | ||
| ACT-012959 | Outreach address corrected Outreach | Frank Williamson: 5825 Forest Ave, Los Angeles → 5825 Forest Ave # 233, Los Angeles |
| Proposed | — | ||
| ACT-012960 | Outreach address corrected Outreach | Dylan Yang: 5592 Lake View Rd Apt 21, Tucson → 5592 Lake View Rd, Tucson |
| Proposed | — | ||
| ACT-012961 | Outreach address corrected Outreach | Olivia Chavez: 5964 Meadow Ln Apt 17, Atlanta → 5964 Meadow Ln, Atlanta |
| Proposed | — | ||
| ACT-012962 | Outreach address corrected Outreach | Grace Soto: 9467 Harbor Blvd, Chandler → 3732 Highland Ave, Scottsdale |
| Proposed | — | ||
| ACT-012963 | Outreach address corrected Outreach | Priya Weber: 7071 Forest Ave, Glendale → 7071 Forest Ave Apt 21, Glendale |
| Proposed | — | ||
| ACT-012964 | Outreach address corrected Outreach | Priya Weest: 1090 Broadway # 683, Eden Prairie → 1090 Broadway, Eden Prairie |
| Proposed | — | ||
| ACT-012965 | Outreach address corrected Outreach | Albert Murphy: 3133 Lincoln Way, Miami → 3133 Lincoln Way Apt 27, Miami |
| Proposed | — | ||
| ACT-012966 | Outreach address corrected Outreach | Matthew Carpenter: 6282 Desert Sky Blvd, Orlando → 8003 Cedar Ln, Minneapolis |
| Proposed | — | ||
| ACT-012967 | Outreach address corrected Outreach | Jesse Hudson: 7065 Lincoln Way Apt 15, Los Angeles → 7065 Lincoln Way, Los Angeles |
| Proposed | — | ||
| ACT-012968 | Outreach address corrected Outreach | Paul Harper: 7744 Ridge Rd # 529, Scottsdale → 7744 Ridge Rd, Scottsdale |
| Proposed | — | ||
| ACT-012969 | Outreach address corrected Outreach | Doris Diaz: 9094 Desert Sky Blvd, Austin → 9094 Desert Sky Blvd # 290, Austin |
| Proposed | — | ||
| ACT-012970 | Outreach address corrected Outreach | Cheryl Guzman: 9620 Main St # 128, Minneapolis → 9620 Main St, Minneapolis |
| Proposed | — | ||
| ACT-012971 | Outreach address corrected Outreach | Brian Price: 2834 Broadway, Las Vegas → 2834 Broadway # 231, Las Vegas |
| Proposed | — | ||
| ACT-012972 | Outreach address corrected Outreach | Jeffrey Delgado: 1110 Washington St, Denver → 3273 Spring St, Scottsdale |
| Proposed | — | ||
| ACT-012973 | Outreach address corrected Outreach | Ashley Mason: 8239 Mesa Dr Apt 7, Los Angeles → 8239 Mesa Dr, Los Angeles |
| Proposed | — | ||
| ACT-012974 | Outreach address corrected Outreach | Ana Jackson: 347 Lincoln Way, Dallas → 347 Lincoln Way Apt 13, Dallas |
| Proposed | — | ||
| ACT-012975 | Outreach address corrected Outreach | Virginia Cox: 6875 Camelback Rd, Houston → 6875 Camelback Rd # 275, Houston |
| Proposed | — | ||
| ACT-012976 | Outreach address corrected Outreach | Jessica Montgomery: 4165 Jefferson Ave Apt 16, Fresno → 4165 Jefferson Ave, Fresno |
| Proposed | — | ||
| ACT-012977 | Outreach address corrected Outreach | Yuki Lynch: 1153 Canyon Rd Apt 20, Gilbert → 1153 Canyon Rd, Gilbert |
| Proposed | — | ||
| ACT-012978 | Outreach address corrected Outreach | Jean Hunt: 3757 Central Ave # 557, Seattle → 3757 Central Ave, Seattle |
| Proposed | — | ||
| ACT-012979 | Outreach address corrected Outreach | Ann Simmons: 3060 Market St, Glendale → 3913 Park Pl, Eden Prairie |
| Proposed | — | ||
| ACT-012980 | Outreach address corrected Outreach | Maria Nunez: 2337 Palm Dr # 540, Austin → 2337 Palm Dr, Austin |
| Proposed | — | ||
| ACT-012981 | Outreach address corrected Outreach | Sandra Jackson: 3183 Union St, Fresno → 3183 Union St # 539, Fresno |
| Proposed | — | ||
| ACT-012982 | Outreach address corrected Outreach | Michael Evans: 8354 Maple Ave, Orlando → 8354 Maple Ave Apt 7, Orlando |
| Proposed | — | ||
| ACT-012983 | Outreach address corrected Outreach | Omar Cruz: 4576 Jefferson Ave, Phoenix → 4576 Jefferson Ave # 141, Phoenix |
| Proposed | — | ||
| ACT-012984 | Outreach address corrected Outreach | Mark Palmer: 6191 Oak St, Gilbert → 6191 Oak St Apt 3, Gilbert |
| Proposed | — | ||
| ACT-012985 | Outreach address corrected Outreach | Amy Pena: 9258 Hillcrest Rd, Houston → 9258 Hillcrest Rd # 611, Houston |
| Proposed | — | ||
| ACT-012986 | Outreach address corrected Outreach | Christian Morrison: 556 Apache Blvd Apt 34, Fresno → 7318 Mesa Dr, Tempe |
| Proposed | — | ||
| ACT-012987 | Outreach address corrected Outreach | Betty Stevens: 9098 Desert Sky Blvd Apt 22, Nashville → 9098 Desert Sky Blvd, Nashville |
| Proposed | — | ||
| ACT-012988 | Outreach address corrected Outreach | Kathryn Lawson: 6143 Washington St Apt 3, San Antonio → 6143 Washington St, San Antonio |
| Proposed | — | ||
| ACT-012989 | Outreach address corrected Outreach | Stephen Peterson: 6606 Jefferson Ave Apt 1, San Antonio → 6606 Jefferson Ave, San Antonio |
| Proposed | — | ||
| ACT-012990 | Outreach address corrected Outreach | Gloria Hamilton: 4463 Lake View Rd, Tampa → 4463 Lake View Rd Apt 18, Tampa |
| Proposed | — | ||
| ACT-012991 | Outreach address corrected Outreach | Nicholas Sanders: 7213 Pine Dr, Houston → 7213 Pine Dr Apt 24, Houston |
| Proposed | — | ||
| ACT-012992 | Outreach address corrected Outreach | Pamela Thompson: 4065 Valley View Dr, Glendale → 5987 Forest Ave, Denver |
| Proposed | — | ||
| ACT-012993 | Outreach address corrected Outreach | Benjamin Henry: 6289 Desert Sky Blvd # 957, Plano → 6289 Desert Sky Blvd, Plano |
| Proposed | — | ||
| ACT-012994 | Outreach address corrected Outreach | Mary Cox: 6931 Canyon Rd # 358, Glendale → 6931 Canyon Rd, Glendale |
| Proposed | — | ||
| ACT-012995 | Outreach address corrected Outreach | Danielle Elliott: 5017 Indian School Rd # 665, Miami → 5017 Indian School Rd, Miami |
| Proposed | — | ||
| ACT-012996 | Outreach address corrected Outreach | Sarah Schmidt: 8051 Willow Ct # 958, San Diego → 8051 Willow Ct, San Diego |
| Proposed | — | ||
| ACT-012997 | Outreach address corrected Outreach | Sofia Patel: 5736 Ocean Ave, Chandler → 5736 Ocean Ave # 100, Chandler |
| Proposed | — | ||
| ACT-012998 | Outreach address corrected Outreach | Bradley Armstrong: 6289 Market St Apt 1, Chandler → 7778 Willow Ct, Eden Prairie |
| Proposed | — | ||
| ACT-012999 | Outreach address corrected Outreach | Gary Brown: 5247 Jefferson Ave # 952, Tucson → 5247 Jefferson Ave, Tucson |
| Proposed | — | ||
| ACT-013000 | Outreach address corrected Outreach | Roger Marquez: 5303 Elm St, Minneapolis → 5303 Elm St Apt 14, Minneapolis |
| Proposed | — | ||
| ACT-013001 | Outreach address corrected Outreach | Alexis Edwards: 561 Indian School Rd Apt 29, San Antonio → 561 Indian School Rd, San Antonio |
| 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.