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-013102 | Outreach address corrected Outreach | Grace Fisher: 6276 River Rd # 470, Las Vegas → 6276 River Rd, Las Vegas |
| Proposed | — | ||
| ACT-013103 | Outreach address corrected Outreach | Linda Ryan: 3595 Elm St # 424, Scottsdale → 3595 Elm St, Scottsdale |
| Proposed | — | ||
| ACT-013104 | Outreach address corrected Outreach | Tyler Carter: 7468 Lake View Rd Apt 8, Los Angeles → 7468 Lake View Rd, Los Angeles |
| Proposed | — | ||
| ACT-013105 | Outreach address corrected Outreach | Brandon Wheeler: 3670 Sunset Blvd Apt 30, Los Angeles → 3670 Sunset Blvd, Los Angeles |
| Proposed | — | ||
| ACT-013106 | Outreach address corrected Outreach | Elizabeth Bishop: 5904 Harbor Blvd, Plano → 5904 Harbor Blvd Apt 12, Plano |
| Proposed | — | ||
| ACT-013107 | Outreach address corrected Outreach | Frank Lynch: 9249 Lincoln Way, Tucson → 6689 Cedar Ln, Nashville |
| Proposed | — | ||
| ACT-013108 | Outreach address corrected Outreach | Jack Alexander: 7505 Mesa Dr, Gilbert → 7505 Mesa Dr # 306, Gilbert |
| Proposed | — | ||
| ACT-013109 | Outreach address corrected Outreach | Jerry Young: 2539 Lincoln Way Apt 13, Chandler → 2539 Lincoln Way, Chandler |
| Proposed | — | ||
| ACT-013110 | Outreach address corrected Outreach | Wayne Jimenez: 6937 Grand Ave # 107, Las Vegas → 6937 Grand Ave, Las Vegas |
| Proposed | — | ||
| ACT-013111 | Outreach address corrected Outreach | Rebecca Schultz: 765 Sunset Blvd, Plano → 765 Sunset Blvd Apt 26, Plano |
| Proposed | — | ||
| ACT-013112 | Outreach address corrected Outreach | Terry Gardner: 1972 Pine Dr, Tempe → 1972 Pine Dr Apt 22, Tempe |
| Proposed | — | ||
| ACT-013113 | Outreach address corrected Outreach | David Rogers: 5317 Washington St Apt 22, Mesa → 5317 Washington St, Mesa |
| Proposed | — | ||
| ACT-013114 | Outreach address corrected Outreach | Cynthia Stephens: 8209 Bayshore Dr, Atlanta → 8209 Bayshore Dr Apt 25, Atlanta |
| Proposed | — | ||
| ACT-013115 | Outreach address corrected Outreach | Pamela Brown: 6660 Maple Ave Apt 23, Orlando → 6660 Maple Ave, Orlando |
| Proposed | — | ||
| ACT-013116 | Outreach address corrected Outreach | Joe Bishop: 69 Highland Ave, Tampa → 69 Highland Ave Apt 8, Tampa |
| Proposed | — | ||
| ACT-013117 | Outreach address corrected Outreach | Ryan Morgan: 4448 Church St Apt 21, Chandler → 4448 Church St, Chandler |
| Proposed | — | ||
| ACT-013118 | Outreach address corrected Outreach | Lucia White: 4563 Lincoln Way # 449, Sacramento → 4563 Lincoln Way, Sacramento |
| Proposed | — | ||
| ACT-013119 | Outreach address corrected Outreach | Martha Walker: 3756 Indian School Rd, Austin → 5060 Broadway, Los Angeles |
| Proposed | — | ||
| ACT-013120 | Outreach address corrected Outreach | Barbara Stevens: 720 Main St, Las Vegas → 720 Main St Apt 37, Las Vegas |
| Proposed | — | ||
| ACT-013121 | Outreach address corrected Outreach | Donald Lene: 4221 Cedar Ln, Denver → 4221 Cedar Ln # 242, Denver |
| Proposed | — | ||
| ACT-013122 | Outreach address corrected Outreach | Heather Graham: 7236 Elm St, Orlando → 7236 Elm St Apt 7, Orlando |
| Proposed | — | ||
| ACT-013123 | Outreach address corrected Outreach | Marcus Myers: 2919 Harbor Blvd, Scottsdale → 2919 Harbor Blvd # 295, Scottsdale |
| Proposed | — | ||
| ACT-013124 | Outreach address corrected Outreach | Gary Vega: 2281 Grand Ave, San Diego → 478 Park Pl, Seattle |
| Proposed | — | ||
| ACT-013125 | Outreach address corrected Outreach | Janet Reyes: 4791 Bayshore Dr, Tucson → 4791 Bayshore Dr # 323, Tucson |
| Proposed | — | ||
| ACT-013126 | Outreach address corrected Outreach | Carlos McDonald: 2060 Desert Sky Blvd, Tempe → 2056 Central Ave, Plano |
| Proposed | — | ||
| ACT-013127 | Outreach address corrected Outreach | Chhristian Carroll: 6134 Oak St, Nashville → 6134 Oak St # 279, Nashville |
| Proposed | — | ||
| ACT-013128 | Outreach address corrected Outreach | Martha Chapman: 6938 Lincoln Way, Seattle → 6938 Lincoln Way Apt 5, Seattle |
| Proposed | — | ||
| ACT-013129 | Outreach address corrected Outreach | Jordan Mitchell: 9584 Valley View Dr # 135, Scottsdale → 9584 Valley View Dr, Scottsdale |
| Proposed | — | ||
| ACT-013130 | Outreach address corrected Outreach | Sharon Sullivan: 6075 Elm St # 439, Nashville → 6075 Elm St, Nashville |
| Proposed | — | ||
| ACT-013131 | Outreach address corrected Outreach | Ronald Wheeler: 1587 Park Pl Apt 17, Plano → 1587 Park Pl, Plano |
| Proposed | — | ||
| ACT-013132 | Outreach address corrected Outreach | Mariana James: 5211 Maple Ave Apt 40, Austin → 5211 Maple Ave, Austin |
| Proposed | — | ||
| ACT-013133 | Outreach address corrected Outreach | Noah Allen: 2225 Market St, San Diego → 2225 Market St # 532, San Diego |
| Proposed | — | ||
| ACT-013134 | Outreach address corrected Outreach | Jack Contreras: 3703 Pine Dr Apt 28, Atlanta → 3703 Pine Dr, Atlanta |
| Proposed | — | ||
| ACT-013135 | Outreach address corrected Outreach | Joseph Delgado: 9091 Sage Ct, Scottsdale → 7648 Jefferson Ave, San Diego |
| Proposed | — | ||
| ACT-013136 | Outreach address corrected Outreach | Thompson Jerry: 3270 Ocean Ave # 634, Jacksonville → 3270 Ocean Ave, Jacksonville |
| Proposed | — | ||
| ACT-013137 | Outreach address corrected Outreach | Angela Carlson: 4333 Church St # 900, Seattle → 4333 Church St, Seattle |
| Proposed | — | ||
| ACT-013138 | Outreach address corrected Outreach | Jordan Jordan: 4162 Desert Sky Blvd, Columbus → 4162 Desert Sky Blvd # 622, Columbus |
| Proposed | — | ||
| ACT-013139 | Outreach address corrected Outreach | Scott Garrdner: 7640 Central Ave, Las Vegas → 7640 Central Ave Apt 36, Las Vegas |
| Proposed | — | ||
| ACT-013140 | Outreach address corrected Outreach | Teresa Greene: 3387 Mountain View Dr Apt 3, Los Angeles → 3387 Mountain View Dr, Los Angeles |
| Proposed | — | ||
| ACT-013141 | Outreach address corrected Outreach | Virginia Moore: 6835 Pine Dr, Miami → 6835 Pine Dr Apt 26, Miami |
| Proposed | — | ||
| ACT-013142 | Outreach address corrected Outreach | Stephen Miller: 8460 Baseline Rd, Jacksonville → 7418 Mountain View Dr, Tempe |
| Proposed | — | ||
| ACT-013143 | Outreach address corrected Outreach | Nicholas Holmes: 6938 Bayshore Dr # 941, Eden Prairie → 6938 Bayshore Dr, Eden Prairie |
| Proposed | — | ||
| ACT-013144 | Outreach address corrected Outreach | Joe Young: 6460 Grand Ave # 673, Sacramento → 6460 Grand Ave, Sacramento |
| Proposed | — | ||
| ACT-013145 | Outreach address corrected Outreach | Anna Hicks: 4474 Valley View Dr, Minneapolis → 4474 Valley View Dr Apt 24, Minneapolis |
| Proposed | — | ||
| ACT-013146 | Outreach address corrected Outreach | Bobby Kelly: 7032 Mesa Dr, Plano → 5505 Washington St, Columbus |
| Proposed | — | ||
| ACT-013147 | Outreach address corrected Outreach | Brittany Taylor: 5296 Sage Ct, Gilbert → 5296 Sage Ct # 765, Gilbert |
| Proposed | — | ||
| ACT-013148 | Outreach address corrected Outreach | Bradley Foster: 8231 Grand Ave, Tempe → 7079 Washington St Apt 1, Los Angeles |
| Proposed | — | ||
| ACT-013149 | Outreach address corrected Outreach | Camila Knight: 531 Baseline Rd, Charlotte → 531 Baseline Rd Apt 2, Charlotte |
| Proposed | — | ||
| ACT-013150 | Outreach address corrected Outreach | Henry Porter: 5986 Mountain View Dr, Jacksonville → 5566 Desert Sky Blvd, Columbus |
| Proposed | — | ||
| ACT-013151 | Outreach address corrected Outreach | Joran Greene: 7289 Palm Dr, Minneapolis → 3593 Central Ave, Dallas |
| 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.