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-013152 | Outreach address corrected Outreach | Mary Shaw: 958 Palm Dr, Denver → 958 Palm Dr # 393, Denver |
| Proposed | — | ||
| ACT-013153 | Outreach address corrected Outreach | Jeremy Cruz: 6553 River Rd # 231, Orlando → 6553 River Rd, Orlando |
| Proposed | — | ||
| ACT-013154 | Outreach address corrected Outreach | Martha Turner: 4111 Lake View Rd, Minneapolis → 4111 Lake View Rd # 476, Minneapolis |
| Proposed | — | ||
| ACT-013155 | Outreach address corrected Outreach | Lori Lawson: 1146 Oak St, Houston → 1146 Oak St Apt 4, Houston |
| Proposed | — | ||
| ACT-013156 | Outreach address corrected Outreach | Judy Elliott: 3769 Sage Ct, Jacksonville → 3769 Sage Ct Apt 28, Jacksonville |
| Proposed | — | ||
| ACT-013157 | Outreach address corrected Outreach | Maria Gonzales: 8457 Cedar Ln, Tempe → 1366 Lincoln Way, Atlanta |
| Proposed | — | ||
| ACT-013158 | Outreach address corrected Outreach | Janet Harris: 1529 Highland Ave Apt 31, Tempe → 1529 Highland Ave, Tempe |
| Proposed | — | ||
| ACT-013159 | Outreach address corrected Outreach | Gloria Chapman: 4425 Mesa Dr Apt 8, Denver → 4425 Mesa Dr # 964, Denver |
| Proposed | — | ||
| ACT-013160 | Outreach address corrected Outreach | Julia Meyer: 5564 Central Ave # 415, Minneapolis → 5564 Central Ave Apt 35, Minneapolis |
| Proposed | — | ||
| ACT-013161 | Outreach address corrected Outreach | Mason Garrett: 2814 Desert Sky Blvd, Tucson → 287 Jefferson Ave, Glendale |
| Proposed | — | ||
| ACT-013162 | Outreach address corrected Outreach | Tim George: 397 Sage Ct Apt 38, Denver → 397 Sage Ct, Denver |
| Proposed | — | ||
| ACT-013163 | Outreach address corrected Outreach | Daniel Flores: 4711 Mesa Dr # 570, Mesa → 4711 Mesa Dr, Mesa |
| Proposed | — | ||
| ACT-013164 | Outreach address corrected Outreach | Robert Washington: 8721 Apache Blvd, Miami → 5496 Spring St, Atlanta |
| Proposed | — | ||
| ACT-013165 | Outreach address corrected Outreach | Amy Gilbert: 4705 Mountain View Dr, San Antonio → 4705 Mountain View Dr Apt 18, San Antonio |
| Proposed | — | ||
| ACT-013166 | Outreach address corrected Outreach | Marilyn Rice: 1406 Ocean Ave # 138, Nashville → 1406 Ocean Ave, Nashville |
| Proposed | — | ||
| ACT-013167 | Outreach address corrected Outreach | John Le: 6398 Church St, Los Angeles → 6398 Church St # 867, Los Angeles |
| Proposed | — | ||
| ACT-013168 | Outreach address corrected Outreach | Susan Estrada: 1971 Highland Ave, Seattle → 4482 Union St, Tempe |
| Proposed | — | ||
| ACT-013169 | Outreach address corrected Outreach | Ethan Thompson: 1975 Desert Sky Blvd, Glendale → 1975 Desert Sky Blvd Apt 39, Glendale |
| Proposed | — | ||
| ACT-013170 | Outreach address corrected Outreach | Marilyn Richads: 2627 Church St, Denver → 2627 Church St Apt 15, Denver |
| Proposed | — | ||
| ACT-013171 | Outreach address corrected Outreach | Marilyn Stephens: 7632 Camelback Rd Apt 37, Eden Prairie → 7632 Camelback Rd, Eden Prairie |
| Proposed | — | ||
| ACT-013172 | Outreach address corrected Outreach | Janice Hicks: 5392 Ocean Ave, Austin → 5392 Ocean Ave # 630, Austin |
| Proposed | — | ||
| ACT-013173 | Outreach address corrected Outreach | Emma Maldonado: 2613 Central Ave # 489, San Diego → 2613 Central Ave, San Diego |
| Proposed | — | ||
| ACT-013174 | Outreach address corrected Outreach | Joe Turner: 5634 Valley View Dr, Fresno → 3679 Lincoln Way, Denver |
| Proposed | — | ||
| ACT-013175 | Outreach address corrected Outreach | Jennifer Santiago: 9526 Meadow Ln, Houston → 4521 Valley View Dr, Eden Prairie |
| Proposed | — | ||
| ACT-013176 | Outreach address corrected Outreach | Justin Evans: 4255 Apache Blvd # 504, Denver → 4255 Apache Blvd, Denver |
| Proposed | — | ||
| ACT-013177 | Outreach address corrected Outreach | Henry Obrien: 1614 Camelback Rd, Atlanta → 1614 Camelback Rd # 839, Atlanta |
| Proposed | — | ||
| ACT-013178 | Outreach address corrected Outreach | Marcus Reed: 9817 Oak St Apt 6, Chandler → 9817 Oak St, Chandler |
| Proposed | — | ||
| ACT-013179 | Outreach address corrected Outreach | Denie Miller: 7211 Park Pl, Fresno → 4710 Oak St, Nashville |
| Proposed | — | ||
| ACT-013180 | Outreach address corrected Outreach | Camila Williams: 9110 Mesa Dr, Sacramento → 9110 Mesa Dr Apt 3, Sacramento |
| Proposed | — | ||
| ACT-013181 | Outreach address corrected Outreach | Kathryn Burke: 5009 Grand Ave, Glendale → 5009 Grand Ave # 402, Glendale |
| Proposed | — | ||
| ACT-013182 | Outreach address corrected Outreach | Carol James: 34 Sage Ct Apt 39, Scottsdale → 7188 Market St, Chandler |
| Proposed | — | ||
| ACT-013183 | Outreach address corrected Outreach | Brenda Price: 8415 Spring St, Charlotte → 553 Forest Ave, Atlanta |
| Proposed | — | ||
| ACT-013184 | Outreach address corrected Outreach | Katherine Bryant: 7987 Apache Blvd Apt 18, Phoenix → 7987 Apache Blvd, Phoenix |
| Proposed | — | ||
| ACT-013185 | Outreach address corrected Outreach | Gloria Dean: 7637 Bayshore Dr Apt 12, Glendale → 7637 Bayshore Dr, Glendale |
| Proposed | — | ||
| ACT-013186 | Outreach address corrected Outreach | Maria Cruz: 2124 Ridge Rd, San Diego → 2274 Baseline Rd, Atlanta |
| Proposed | — | ||
| ACT-013187 | Outreach address corrected Outreach | Logan Bradley: 4382 Jefferson Ave, Plano → 5006 Church St, Nashville |
| Proposed | — | ||
| ACT-013188 | Outreach address corrected Outreach | George Martinez: 3067 Sage Ct, Houston → 3998 Lake View Rd, Atlanta |
| Proposed | — | ||
| ACT-013189 | Outreach address corrected Outreach | Sofia Silva: 7071 Maple Ave # 364, Mesa → 7071 Maple Ave, Mesa |
| Proposed | — | ||
| ACT-013190 | Outreach address corrected Outreach | Joe Hunter: 1811 Canyon Rd, Los Angeles → 1811 Canyon Rd Apt 11, Los Angeles |
| Proposed | — | ||
| ACT-013191 | Outreach address corrected Outreach | Sarah Hall: 7399 Park Pl, Gilbert → 7399 Park Pl # 381, Gilbert |
| Proposed | — | ||
| ACT-013192 | Outreach address corrected Outreach | Jeremy Fernandez: 7181 Mesa Dr, Denver → 3364 Valley View Dr, San Diego |
| Proposed | — | ||
| ACT-013193 | Outreach address corrected Outreach | David Lawernce: 4488 Meadow Ln, San Diego → 9104 Washington St, Fresno |
| Proposed | — | ||
| ACT-013194 | Outreach address corrected Outreach | Sean Stephens: 4224 Elm St, Tempe → 8270 Desert Sky Blvd, Mesa |
| Proposed | — | ||
| ACT-013195 | Outreach address corrected Outreach | Brian Bailey: 4358 Indian School Rd # 401, Los Angeles → 4358 Indian School Rd, Los Angeles |
| Proposed | — | ||
| ACT-013196 | Outreach address corrected Outreach | Helen Estrada: 5639 Spring St Apt 5, Las Vegas → 5639 Spring St, Las Vegas |
| Proposed | — | ||
| ACT-013197 | Outreach address corrected Outreach | Donald Torres: 8591 Central Ave # 822, San Diego → 8591 Central Ave, San Diego |
| Proposed | — | ||
| ACT-013198 | Outreach address corrected Outreach | Justin Murphy: 8829 Pine Dr, Dallas → 3207 Union St, Tucson |
| Proposed | — | ||
| ACT-013199 | Outreach address corrected Outreach | Hannah Owens: 6773 Willow Ct Apt 38, Orlando → 6773 Willow Ct, Orlando |
| Proposed | — | ||
| ACT-013200 | Outreach address corrected Outreach | Danielle Jordan: 5513 Market St, Phoenix → 5513 Market St Apt 18, Phoenix |
| Proposed | — | ||
| ACT-013201 | Outreach address corrected Outreach | Arjun Ray: 5602 Camelback Rd Apt 8, Atlanta → 5602 Camelback Rd, Atlanta |
| 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.