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-013002 | Outreach address corrected Outreach | James Yang: 1173 Canyon Rd Apt 37, Scottsdale → 1173 Canyon Rd, Scottsdale |
| Proposed | — | ||
| ACT-013003 | Outreach address corrected Outreach | Maria Nunez: 5440 Camelback Rd, Atlanta → 5440 Camelback Rd # 743, Atlanta |
| Proposed | — | ||
| ACT-013004 | Outreach address corrected Outreach | Jessica Lane: 7112 Grand Ave, Phoenix → 7112 Grand Ave # 411, Phoenix |
| Proposed | — | ||
| ACT-013005 | Outreach address corrected Outreach | Laura Dunn: 8838 Park Pl, Mesa → 8838 Park Pl # 999, Mesa |
| Proposed | — | ||
| ACT-013006 | Outreach address corrected Outreach | Catherine Bennett: 939 Ocean Ave Apt 32, Austin → 939 Ocean Ave, Austin |
| Proposed | — | ||
| ACT-013007 | Outreach address corrected Outreach | Diego Willis: 7121 Elm St Apt 3, Tucson → 7121 Elm St, Tucson |
| Proposed | — | ||
| ACT-013008 | Outreach address corrected Outreach | Larry Mejia: 3854 Desert Sky Blvd, Jacksonville → 3854 Desert Sky Blvd Apt 20, Jacksonville |
| Proposed | — | ||
| ACT-013009 | Outreach address corrected Outreach | Carpenter Kyle: 2745 Valley View Dr, Seattle → 9410 Camelback Rd # 813, Las Vegas |
| Proposed | — | ||
| ACT-013010 | Outreach address corrected Outreach | Christine Silva: 6004 Mesa Dr # 184, Orlando → 6004 Mesa Dr, Orlando |
| Proposed | — | ||
| ACT-013011 | Outreach address corrected Outreach | Anna Morris: 3498 Willow Ct # 779, Columbus → 3498 Willow Ct, Columbus |
| Proposed | — | ||
| ACT-013012 | Outreach address corrected Outreach | Lawrence Wallace: 9318 Elm St # 726, Nashville → 9318 Elm St, Nashville |
| Proposed | — | ||
| ACT-013013 | Outreach address corrected Outreach | Shirley Harris: 8368 Ocean Ave, Fresno → 2404 Maple Ave, San Diego |
| Proposed | — | ||
| ACT-013014 | Outreach address corrected Outreach | Maria Peterson: 9048 Lake View Rd Apt 2, Tempe → 9048 Lake View Rd, Tempe |
| Proposed | — | ||
| ACT-013015 | Outreach address corrected Outreach | Thomas Myers: 4476 Desert Sky Blvd Apt 35, Atlanta → 4476 Desert Sky Blvd, Atlanta |
| Proposed | — | ||
| ACT-013016 | Outreach address corrected Outreach | Susan Obrien: 6292 Desert Sky Blvd, Tucson → 6292 Desert Sky Blvd # 240, Tucson |
| Proposed | — | ||
| ACT-013017 | Outreach address corrected Outreach | Lucia Vargas: 3420 Broadway Apt 9, Jacksonville → 3420 Broadway, Jacksonville |
| Proposed | — | ||
| ACT-013018 | Outreach address corrected Outreach | Mason Lawrence: 5884 Ridge Rd, Fresno → 8662 Forest Ave Apt 3, Glendale |
| Proposed | — | ||
| ACT-013019 | Outreach address corrected Outreach | Roger Patterson: 6366 Washington St, Atlanta → 6366 Washington St # 330, Atlanta |
| Proposed | — | ||
| ACT-013020 | Outreach address corrected Outreach | Lori Fowler: 194 Church St, Tampa → 194 Church St Apt 5, Tampa |
| Proposed | — | ||
| ACT-013021 | Outreach address corrected Outreach | Marilyn Carr: 3588 Jefferson Ave Apt 15, Tampa → 3588 Jefferson Ave, Tampa |
| Proposed | — | ||
| ACT-013022 | Outreach address corrected Outreach | Brittany Fuller: 7598 Grand Ave # 554, Orlando → 7598 Grand Ave, Orlando |
| Proposed | — | ||
| ACT-013023 | Outreach address corrected Outreach | Tyler Fields: 4231 Central Ave, Miami → 1101 Jefferson Ave, Houston |
| Proposed | — | ||
| ACT-013024 | Outreach address corrected Outreach | Stephanie Berry: 7425 Main St, Tucson → 7425 Main St Apt 3, Tucson |
| Proposed | — | ||
| ACT-013025 | Outreach address corrected Outreach | Madison Salazar: 1081 Pine Dr Apt 37, Tempe → 1081 Pine Dr, Tempe |
| Proposed | — | ||
| ACT-013026 | Outreach address corrected Outreach | Judith Olson: 4157 Hillcrest Rd # 811, Phoenix → 4157 Hillcrest Rd, Phoenix |
| Proposed | — | ||
| ACT-013027 | Outreach address corrected Outreach | Valentina Wheeler: 4300 Valley View Dr # 876, Nashville → 4300 Valley View Dr, Nashville |
| Proposed | — | ||
| ACT-013028 | Outreach address corrected Outreach | Helen Guerrero: 9053 Lincoln Way Apt 2, Columbus → 9053 Lincoln Way, Columbus |
| Proposed | — | ||
| ACT-013029 | Outreach address corrected Outreach | David Singh: 6257 Canyon Rd, Houston → 6257 Canyon Rd # 356, Houston |
| Proposed | — | ||
| ACT-013030 | Outreach address corrected Outreach | Ralph Arnold: 1334 Jefferson Ave, San Antonio → 1334 Jefferson Ave # 442, San Antonio |
| Proposed | — | ||
| ACT-013031 | Outreach address corrected Outreach | Ruth Ford: 3627 Desert Sky Blvd, Tempe → 3627 Desert Sky Blvd # 199, Tempe |
| Proposed | — | ||
| ACT-013032 | Outreach address corrected Outreach | Anna Sanchez: 879 Palm Dr Apt 5, Austin → 879 Palm Dr, Austin |
| Proposed | — | ||
| ACT-013033 | Outreach address corrected Outreach | Douglas Reynolds: 8095 Highland Ave, Minneapolis → 8095 Highland Ave Apt 3, Minneapolis |
| Proposed | — | ||
| ACT-013034 | Outreach address corrected Outreach | Patrick Spencer: 1958 Park Pl # 338, Nashville → 1958 Park Pl, Nashville |
| Proposed | — | ||
| ACT-013035 | Outreach address corrected Outreach | Amber Perez: 6547 Union St # 160, Nashville → 6547 Union St, Nashville |
| Proposed | — | ||
| ACT-013036 | Outreach address corrected Outreach | George Jordan: 9029 Mountain View Dr # 994, Mesa → 9029 Mountain View Dr, Mesa |
| Proposed | — | ||
| ACT-013037 | Outreach address corrected Outreach | Justin Robertson: 1356 River Rd, San Antonio → 2985 Market St, Sacramento |
| Proposed | — | ||
| ACT-013038 | Outreach address corrected Outreach | Elijah Ryan: 1873 Meadow Ln # 811, Austin → 1873 Meadow Ln, Austin |
| Proposed | — | ||
| ACT-013039 | Outreach address corrected Outreach | Amber Wells: 299 Meadow Ln, Houston → 4421 Ocean Ave, Tampa |
| Proposed | — | ||
| ACT-013040 | Outreach address corrected Outreach | Dennis Baker: 954 Sunset Blvd, Scottsdale → 954 Sunset Blvd Apt 19, Scottsdale |
| Proposed | — | ||
| ACT-013041 | Outreach address corrected Outreach | Laura Le: 7993 Forest Ave, Charlotte → 103 Harbor Blvd, Scottsdale |
| Proposed | — | ||
| ACT-013042 | Outreach address corrected Outreach | Grace Gilbert: 821 Cedar Ln Apt 8, Denver → 821 Cedar Ln, Denver |
| Proposed | — | ||
| ACT-013043 | Outreach address corrected Outreach | Ethan Vargas: 6425 Highland Ave, Phoenix → 6425 Highland Ave Apt 3, Phoenix |
| Proposed | — | ||
| ACT-013044 | Outreach address corrected Outreach | Lori Duncan: 7113 Harbor Blvd Apt 4, Eden Prairie → 8977 Mesa Dr, Seattle |
| Proposed | — | ||
| ACT-013045 | Outreach address corrected Outreach | Noah Ross: 7804 Maple Ave, Los Angeles → 7804 Maple Ave Apt 32, Los Angeles |
| Proposed | — | ||
| ACT-013046 | Outreach address corrected Outreach | Arjun Cruz: 2005 Indian School Rd Apt 22, Denver → 2005 Indian School Rd, Denver |
| Proposed | — | ||
| ACT-013047 | Outreach address corrected Outreach | Samuel Ray: 4664 Broadway, San Antonio → 1864 Indian School Rd, Gilbert |
| Proposed | — | ||
| ACT-013048 | Outreach address corrected Outreach | Jacob Reed: 9349 Meadow Ln, Columbus → 9349 Meadow Ln # 132, Columbus |
| Proposed | — | ||
| ACT-013049 | Outreach address corrected Outreach | Marcus Barnes: 5166 Indian School Rd, Gilbert → 100 Willow Ct, Atlanta |
| Proposed | — | ||
| ACT-013050 | Outreach address corrected Outreach | Kyle Wong: 1353 Lake View Rd # 157, Mesa → 1353 Lake View Rd, Mesa |
| Proposed | — | ||
| ACT-013051 | Outreach address corrected Outreach | Marcus Stephens: 3957 Sage Ct, Eden Prairie → 3957 Sage Ct Apt 22, 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.