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-013052 | Outreach address corrected Outreach | Lisa Gray: 4142 Washington St, Phoenix → 1231 Hillcrest Rd, Chandler |
| Proposed | — | ||
| ACT-013053 | Outreach address corrected Outreach | George Washington: 3555 Grand Ave, Miami → 3555 Grand Ave Apt 12, Miami |
| Proposed | — | ||
| ACT-013054 | Outreach address corrected Outreach | Linda Martinez: 6116 Pine Dr, Seattle → 6116 Pine Dr Apt 30, Seattle |
| Proposed | — | ||
| ACT-013055 | Outreach address corrected Outreach | Philip Day: 5260 Lincoln Way, Eden Prairie → 6435 Sage Ct, Plano |
| Proposed | — | ||
| ACT-013056 | Outreach address corrected Outreach | Joseph Bradley: 5348 Apache Blvd, Denver → 7644 Park Pl, Charlotte |
| Proposed | — | ||
| ACT-013057 | Outreach address corrected Outreach | Andrew Freeman: 4715 Palm Dr # 408, Tucson → 4715 Palm Dr, Tucson |
| Proposed | — | ||
| ACT-013058 | Outreach address corrected Outreach | Patricia Rice: 8745 Mesa Dr # 267, Los Angeles → 8745 Mesa Dr, Los Angeles |
| Proposed | — | ||
| ACT-013059 | Outreach address corrected Outreach | Wayne Castillo: 9495 Indian School Rd, Las Vegas → 8324 Desert Sky Blvd, San Antonio |
| Proposed | — | ||
| ACT-013060 | Outreach address corrected Outreach | Mary Knight: 6718 Valley View Dr Apt 13, Atlanta → 6718 Valley View Dr, Atlanta |
| Proposed | — | ||
| ACT-013061 | Outreach address corrected Outreach | Sean Torres: 1225 Park Pl # 724, Las Vegas → 1225 Park Pl, Las Vegas |
| Proposed | — | ||
| ACT-013062 | Outreach address corrected Outreach | Willie Delgado: 2592 Sunset Blvd Apt 32, Charlotte → 2592 Sunset Blvd, Charlotte |
| Proposed | — | ||
| ACT-013063 | Outreach address corrected Outreach | Diego Schmidt: 6886 Forest Ave, Miami → 6886 Forest Ave Apt 36, Miami |
| Proposed | — | ||
| ACT-013064 | Outreach address corrected Outreach | Hiroshi Hamilton: 2346 Harbor Blvd, Atlanta → 2346 Harbor Blvd Apt 3, Atlanta |
| Proposed | — | ||
| ACT-013065 | Outreach address corrected Outreach | Carolyn Mills: 9218 Canyon Rd Apt 24, Glendale → 9218 Canyon Rd, Glendale |
| Proposed | — | ||
| ACT-013066 | Outreach address corrected Outreach | Billy Grant: 6053 Spring St, Columbus → 3323 Mountain View Dr # 467, Scottsdale |
| Proposed | — | ||
| ACT-013067 | Outreach address corrected Outreach | Kevin Willis: 8245 Valley View Dr # 827, San Diego → 8245 Valley View Dr, San Diego |
| Proposed | — | ||
| ACT-013068 | Outreach address corrected Outreach | Frank West: 9071 Cedar Ln, Tempe → 9071 Cedar Ln Apt 4, Tempe |
| Proposed | — | ||
| ACT-013069 | Outreach address corrected Outreach | Teresa James: 5550 Jefferson Ave Apt 40, Plano → 5550 Jefferson Ave, Plano |
| Proposed | — | ||
| ACT-013070 | Outreach address corrected Outreach | William Stewart: 3967 Central Ave, San Antonio → 8811 Sage Ct, Scottsdale |
| Proposed | — | ||
| ACT-013071 | Outreach address corrected Outreach | Hiroshi Cook: 2502 Spring St, Chandler → 895 Mountain View Dr, Chandler |
| Proposed | — | ||
| ACT-013072 | Outreach address corrected Outreach | Luis Dominguez: 5547 Baseline Rd, Plano → 5547 Baseline Rd # 215, Plano |
| Proposed | — | ||
| ACT-013073 | Outreach address corrected Outreach | Valentina Valdez: 1921 Broadway, Glendale → 1921 Broadway # 658, Glendale |
| Proposed | — | ||
| ACT-013074 | Outreach address corrected Outreach | Joshua Diaz: 5351 Lake View Rd, Chandler → 5119 Bayshore Dr, Phoenix |
| Proposed | — | ||
| ACT-013075 | Outreach address corrected Outreach | Carlos Richardson: 9280 Forest Ave, Minneapolis → 9280 Forest Ave Apt 4, Minneapolis |
| Proposed | — | ||
| ACT-013076 | Outreach address corrected Outreach | Ana Ray: 467 Harbor Blvd, Atlanta → 467 Harbor Blvd Apt 39, Atlanta |
| Proposed | — | ||
| ACT-013077 | Outreach address corrected Outreach | Billly Peterson: 5137 Harbor Blvd Apt 3, Atlanta → 5137 Harbor Blvd, Atlanta |
| Proposed | — | ||
| ACT-013078 | Outreach address corrected Outreach | Scott Singh: 2352 Oak St Apt 18, Nashville → 2352 Oak St, Nashville |
| Proposed | — | ||
| ACT-013079 | Outreach address corrected Outreach | Anthony Bryant: 5921 Valley View Dr, Charlotte → 5921 Valley View Dr # 783, Charlotte |
| Proposed | — | ||
| ACT-013080 | Outreach address corrected Outreach | Janice Reed: 3152 Harbor Blvd, Seattle → 319 Desert Sky Blvd # 762, San Diego |
| Proposed | — | ||
| ACT-013081 | Outreach address corrected Outreach | Jacqueline Young: 79 Mesa Dr, Orlando → 5905 Maple Ave, Glendale |
| Proposed | — | ||
| ACT-013082 | Outreach address corrected Outreach | Kathryn Watson: 5070 Mountain View Dr # 696, Seattle → 5070 Mountain View Dr, Seattle |
| Proposed | — | ||
| ACT-013083 | Outreach address corrected Outreach | Ann Singh: 1013 Camelback Rd # 671, Fresno → 9512 Main St, Miami |
| Proposed | — | ||
| ACT-013084 | Outreach address corrected Outreach | Elizabeth Reed: 4011 Maple Ave, Houston → 8057 Palm Dr, Tempe |
| Proposed | — | ||
| ACT-013085 | Outreach address corrected Outreach | Hiroshi Wright: 2169 Main St, Chandler → 2169 Main St Apt 32, Chandler |
| Proposed | — | ||
| ACT-013086 | Outreach address corrected Outreach | Ahmed Harper: 7978 Park Pl, Phoenix → 1661 Central Ave, Tampa |
| Proposed | — | ||
| ACT-013087 | Outreach address corrected Outreach | Mary Freeman: 2156 Highland Ave, Sacramento → 2156 Highland Ave Apt 8, Sacramento |
| Proposed | — | ||
| ACT-013088 | Outreach address corrected Outreach | Elijah Medina: 8286 Bayshore Dr, Columbus → 8286 Bayshore Dr # 532, Columbus |
| Proposed | — | ||
| ACT-013089 | Outreach address corrected Outreach | Sarah Freeman: 7830 Hillcrest Rd, Tempe → 4010 Meadow Ln, Seattle |
| Proposed | — | ||
| ACT-013090 | Outreach address corrected Outreach | Diane Weaver: 2791 Maple Ave Apt 3, Atlanta → 2791 Maple Ave Apt 21, Atlanta |
| Proposed | — | ||
| ACT-013091 | Outreach address corrected Outreach | Donald Meyer: 5980 Washington St # 386, Columbus → 5980 Washington St, Columbus |
| Proposed | — | ||
| ACT-013092 | Outreach address corrected Outreach | Peter Edwards: 6925 Pine Dr, Mesa → 6925 Pine Dr # 517, Mesa |
| Proposed | — | ||
| ACT-013093 | Outreach address corrected Outreach | Carolyn Jimenez: 7201 Meadow Ln # 227, Houston → 7201 Meadow Ln, Houston |
| Proposed | — | ||
| ACT-013094 | Outreach address corrected Outreach | Andrew Thomas: 3126 Indian School Rd, Tampa → 3126 Indian School Rd Apt 17, Tampa |
| Proposed | — | ||
| ACT-013095 | Outreach address corrected Outreach | Stephen Schmidt: 8679 Grand Ave, Tampa → 8679 Grand Ave # 319, Tampa |
| Proposed | — | ||
| ACT-013096 | Outreach address corrected Outreach | Karen Shaw: 9539 Camelback Rd, Austin → 9539 Camelback Rd Apt 26, Austin |
| Proposed | — | ||
| ACT-013097 | Outreach address corrected Outreach | Arthur Wagner: 9144 Desert Sky Blvd, Orlando → 7311 Baseline Rd, San Antonio |
| Proposed | — | ||
| ACT-013098 | Outreach address corrected Outreach | Christopher Ruiz: 7578 Ocean Ave, Sacramento → 7578 Ocean Ave Apt 25, Sacramento |
| Proposed | — | ||
| ACT-013099 | Outreach address corrected Outreach | Heather Lopez: 2352 Ridge Rd Apt 19, Seattle → 2352 Ridge Rd, Seattle |
| Proposed | — | ||
| ACT-013100 | Outreach address corrected Outreach | Douglas Lucas: 2791 Forest Ave Apt 37, Las Vegas → 2791 Forest Ave, Las Vegas |
| Proposed | — | ||
| ACT-013101 | Outreach address corrected Outreach | Luis Cooper: 3847 Maple Ave, San Diego → 3847 Maple Ave # 829, San Diego |
| 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.