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-013202 | Outreach address corrected Outreach | Jose Harvey: 579 Apache Blvd, Tempe → 579 Apache Blvd # 340, Tempe |
| Proposed | — | ||
| ACT-013203 | Outreach address corrected Outreach | Kimberly Hernandez: 1697 Desert Sky Blvd Apt 3, Chandler → 1697 Desert Sky Blvd, Chandler |
| Proposed | — | ||
| ACT-013204 | Outreach address corrected Outreach | Timothy Bennett: 1538 Harbor Blvd # 855, Tempe → 1538 Harbor Blvd, Tempe |
| Proposed | — | ||
| ACT-013205 | Outreach address corrected Outreach | Diane Fisher: 4157 Church St Apt 9, Columbus → 4157 Church St, Columbus |
| Proposed | — | ||
| ACT-013206 | Outreach address corrected Outreach | Michelle Walker: 1165 Lincoln Way, Tucson → 8094 Desert Sky Blvd, Glendale |
| Proposed | — | ||
| ACT-013207 | Outreach address corrected Outreach | Denise Rogers: 6840 Ocean Ave, San Diego → 2232 Forest Ave, Las Vegas |
| Proposed | — | ||
| ACT-013208 | Outreach address corrected Outreach | Ashley Wallace: 2406 Church St # 727, Tucson → 2406 Church St, Tucson |
| Proposed | — | ||
| ACT-013209 | Outreach address corrected Outreach | Nicholas Perry: 3968 Sunset Blvd, San Antonio → 3968 Sunset Blvd Apt 30, San Antonio |
| Proposed | — | ||
| ACT-013210 | Outreach address corrected Outreach | Fatima Vargas: 1022 Meadow Ln Apt 36, Los Angeles → 1022 Meadow Ln, Los Angeles |
| Proposed | — | ||
| ACT-013211 | Outreach address corrected Outreach | Judith Foster: 8648 Lake View Rd, Fresno → 8648 Lake View Rd Apt 9, Fresno |
| Proposed | — | ||
| ACT-013212 | Outreach address corrected Outreach | Jonathan Edwards: 2491 Palm Dr, Denver → 2491 Palm Dr Apt 15, Denver |
| Proposed | — | ||
| ACT-013213 | Outreach address corrected Outreach | Ahmed Hayes: 896 Bayshore Dr Apt 38, Plano → 896 Bayshore Dr # 901, Plano |
| Proposed | — | ||
| ACT-013214 | Outreach address corrected Outreach | Sophia Robinson: 9439 Oak St # 718, Denver → 9439 Oak St, Denver |
| Proposed | — | ||
| ACT-013215 | Outreach address corrected Outreach | Aisha Dixon: 593 Harbor Blvd, Nashville → 4596 Ridge Rd, Sacramento |
| Proposed | — | ||
| ACT-013216 | Outreach address corrected Outreach | Brandon Cunningham: 4695 Indian School Rd, Sacramento → 4695 Indian School Rd Apt 17, Sacramento |
| Proposed | — | ||
| ACT-013217 | Outreach address corrected Outreach | Russell Stone: 582 Ridge Rd, Nashville → 582 Ridge Rd Apt 37, Nashville |
| Proposed | — | ||
| ACT-013218 | Outreach address corrected Outreach | Danielle Sims: 3165 Willow Ct Apt 40, Tampa → 3165 Willow Ct, Tampa |
| Proposed | — | ||
| ACT-013219 | Outreach address corrected Outreach | Ethan Herrera: 3154 Sunset Blvd # 524, Glendale → 3154 Sunset Blvd, Glendale |
| Proposed | — | ||
| ACT-013220 | Outreach address corrected Outreach | Joan Sntos: 8108 Ridge Rd Apt 2, Dallas → 8108 Ridge Rd, Dallas |
| Proposed | — | ||
| ACT-013221 | Outreach address corrected Outreach | Olivia Jackson: 8395 Highland Ave # 437, Dallas → 8395 Highland Ave, Dallas |
| Proposed | — | ||
| ACT-013222 | Outreach address corrected Outreach | Margaret Little: 7966 Elm St Apt 13, Sacramento → 7966 Elm St, Sacramento |
| Proposed | — | ||
| ACT-013223 | Outreach address corrected Outreach | Christian Welch: 1204 Ridge Rd Apt 38, Tampa → 4593 Elm St, Jacksonville |
| Proposed | — | ||
| ACT-013224 | Outreach address corrected Outreach | Ommar Brown: 305 Bayshore Dr # 791, Austin → 305 Bayshore Dr, Austin |
| Proposed | — | ||
| ACT-013225 | Outreach address corrected Outreach | Randy Gonzales: 5135 Meadow Ln, Plano → 7227 Washington St Apt 40, Denver |
| Proposed | — | ||
| ACT-013226 | Outreach address corrected Outreach | Roy Olson: 1270 Sunset Blvd, Sacramento → 6965 Indian School Rd, Houston |
| Proposed | — | ||
| ACT-013227 | Outreach address corrected Outreach | Valentina Bishop: 8596 Mesa Dr, Chandler → 7983 Washington St, Tampa |
| Proposed | — | ||
| ACT-013228 | Outreach address corrected Outreach | Luis Powell: 1705 Mesa Dr, Atlanta → 7966 Ridge Rd, San Diego |
| Proposed | — | ||
| ACT-013229 | Outreach address corrected Outreach | Margaret Yang: 5878 Indian School Rd, Los Angeles → 5878 Indian School Rd # 857, Los Angeles |
| Proposed | — | ||
| ACT-013230 | Outreach address corrected Outreach | Alexis Singh: 4394 Canyon Rd, Las Vegas → 4394 Canyon Rd Apt 32, Las Vegas |
| Proposed | — | ||
| ACT-013231 | Outreach address corrected Outreach | Santiago Price: 8949 Mesa Dr, Houston → 8949 Mesa Dr Apt 27, Houston |
| Proposed | — | ||
| ACT-013232 | Outreach address corrected Outreach | Larson Lori: 195 Cedar Ln # 842, Gilbert → 195 Cedar Ln, Gilbert |
| Proposed | — | ||
| ACT-013233 | Outreach address corrected Outreach | Tyler Wang: 2982 Central Ave, Tempe → 1579 Lincoln Way, Dallas |
| Proposed | — | ||
| ACT-013234 | Outreach address corrected Outreach | Jonathan Aguilar: 9826 Indian School Rd, Atlanta → 2803 Palm Dr, Seattle |
| Proposed | — | ||
| ACT-013235 | Outreach address corrected Outreach | Sara Hawkins: 6912 Willow Ct Apt 18, San Antonio → 6912 Willow Ct, San Antonio |
| Proposed | — | ||
| ACT-013236 | Outreach address corrected Outreach | Betty Ramos: 727 Pine Dr, Tampa → 9450 Valley View Dr, Tucson |
| Proposed | — | ||
| ACT-013237 | Outreach address corrected Outreach | Frances Weber: 4716 Camelback Rd, Los Angeles → 4716 Camelback Rd Apt 35, Los Angeles |
| Proposed | — | ||
| ACT-013238 | Outreach address corrected Outreach | Diana Maldonado: 5458 Jefferson Ave # 918, Columbus → 5458 Jefferson Ave, Columbus |
| Proposed | — | ||
| ACT-013239 | Outreach address corrected Outreach | Janet Le: 1029 Oak St, Tucson → 1029 Oak St Apt 22, Tucson |
| Proposed | — | ||
| ACT-013240 | Outreach address corrected Outreach | Steven Ortiz: 4945 Elm St, Charlotte → 7834 Camelback Rd, Jacksonville |
| Proposed | — | ||
| ACT-013241 | Outreach address corrected Outreach | Justin Rogers: 9050 Willow Ct, San Diego → 9050 Willow Ct Apt 17, San Diego |
| Proposed | — | ||
| ACT-013242 | Outreach address corrected Outreach | Aisha Miller: 5672 Elm St # 540, Austin → 2169 Forest Ave, Tempe |
| Proposed | — | ||
| ACT-013243 | Outreach address corrected Outreach | Roger Patel: 4678 Lincoln Way, Plano → 1629 Union St, Las Vegas |
| Proposed | — | ||
| ACT-013244 | Outreach address corrected Outreach | Paul Jimenez: 1194 Pine Dr Apt 28, Tempe → 1194 Pine Dr, Tempe |
| Proposed | — | ||
| ACT-013245 | Outreach address corrected Outreach | Olivia Parker: 4826 Cedar Ln Apt 6, Glendale → 4826 Cedar Ln, Glendale |
| Proposed | — | ||
| ACT-013246 | Outreach address corrected Outreach | Frank Bowman: 8692 Desert Sky Blvd, Jacksonville → 520 Lake View Rd, San Diego |
| Proposed | — | ||
| ACT-013247 | Outreach address corrected Outreach | Douglas Alvarado: 1453 Indian School Rd, Jacksonville → 1453 Indian School Rd Apt 2, Jacksonville |
| Proposed | — | ||
| ACT-013248 | Outreach address corrected Outreach | Rebecca Hoffman: 218 Apache Blvd, Las Vegas → 218 Apache Blvd # 191, Las Vegas |
| Proposed | — | ||
| ACT-013249 | Outreach address corrected Outreach | Diane Jimenez: 7314 Bayshore Dr Apt 28, Las Vegas → 7314 Bayshore Dr, Las Vegas |
| Proposed | — | ||
| ACT-013250 | Outreach address corrected Outreach | Joseph Silva: 2092 Spring St # 620, Mesa → 2092 Spring St, Mesa |
| Proposed | — | ||
| ACT-013251 | Outreach address corrected Outreach | Ed Edwards: 3370 Baseline Rd Apt 31, Jacksonville → 3370 Baseline Rd, Jacksonville |
| 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.