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-013252 | Outreach address corrected Outreach | William Ray: 3317 Indian School Rd, Glendale → 3317 Indian School Rd # 876, Glendale |
| Proposed | — | ||
| ACT-013253 | Outreach address corrected Outreach | Harold Morlaes: 6059 Bayshore Dr, Miami → 9344 Main St, Glendale |
| Proposed | — | ||
| ACT-013254 | Outreach address corrected Outreach | Laura Dunn: 8726 Apache Blvd, Plano → 8726 Apache Blvd Apt 20, Plano |
| Proposed | — | ||
| ACT-013255 | Outreach address corrected Outreach | Madison Bowman: 6821 Camelback Rd, Scottsdale → 6821 Camelback Rd # 861, Scottsdale |
| Proposed | — | ||
| ACT-013256 | Outreach address corrected Outreach | Ahmed Le: 1420 Washington St, Las Vegas → 1420 Washington St # 228, Las Vegas |
| Proposed | — | ||
| ACT-013257 | Outreach address corrected Outreach | Fatima Fisher: 6660 Spring St, Tucson → 740 Cedar Ln, Tucson |
| Proposed | — | ||
| ACT-013258 | Outreach address corrected Outreach | Nancy Reyes: 8440 Park Pl, Columbus → 1664 Lincoln Way, Houston |
| Proposed | — | ||
| ACT-013259 | Outreach address corrected Outreach | Abigail Griffin: 7618 Ridge Rd, Minneapolis → 7618 Ridge Rd Apt 6, Minneapolis |
| Proposed | — | ||
| ACT-013260 | Outreach address corrected Outreach | Joe Morgan: 8689 Church St # 114, Sacramento → 8689 Church St, Sacramento |
| Proposed | — | ||
| ACT-013261 | Outreach address corrected Outreach | Ahmed Carter: 8000 Camelback Rd, Tampa → 6189 Valley View Dr, Atlanta |
| Proposed | — | ||
| ACT-013262 | Outreach address corrected Outreach | Frank Li: 7401 Indian School Rd, Jacksonville → 365 Highland Ave, Mesa |
| Proposed | — | ||
| ACT-013263 | Outreach address corrected Outreach | Jeffrey Cruz: 6155 Ocean Ave # 695, Nashville → 6155 Ocean Ave, Nashville |
| Proposed | — | ||
| ACT-013264 | Outreach address corrected Outreach | William Walsh: 8684 Spring St Apt 34, Mesa → 8684 Spring St, Mesa |
| Proposed | — | ||
| ACT-013265 | Outreach address corrected Outreach | Raymond Lee: 2487 River Rd, Las Vegas → 2487 River Rd # 708, Las Vegas |
| Proposed | — | ||
| ACT-013266 | Outreach address corrected Outreach | Jeremy Mendez: 9776 Harbor Blvd, Las Vegas → 9855 Sage Ct, Tampa |
| Proposed | — | ||
| ACT-013267 | Outreach address corrected Outreach | Walter Robinson: 9442 Jefferson Ave Apt 28, Tampa → 9442 Jefferson Ave, Tampa |
| Proposed | — | ||
| ACT-013268 | Outreach address corrected Outreach | Keith Gordon: 6363 Mesa Dr, Scottsdale → 6363 Mesa Dr Apt 20, Scottsdale |
| Proposed | — | ||
| ACT-013269 | Outreach address corrected Outreach | Rebecca Park: 3555 Oak St Apt 14, Tempe → 3555 Oak St, Tempe |
| Proposed | — | ||
| ACT-013270 | Outreach address corrected Outreach | Tyler Moreno: 8882 Maple Ave # 420, Orlando → 8882 Maple Ave, Orlando |
| Proposed | — | ||
| ACT-013271 | Outreach address corrected Outreach | Maria Perez: 4692 Grand Ave Apt 38, Denver → 4692 Grand Ave, Denver |
| Proposed | — | ||
| ACT-013272 | Outreach address corrected Outreach | Hiroshi Hamilton: 6891 Park Pl, San Diego → 4949 Lincoln Way, Orlando |
| Proposed | — | ||
| ACT-013273 | Outreach address corrected Outreach | Katherine Knight: 4472 Highland Ave, Las Vegas → 7895 Willow Ct, Plano |
| Proposed | — | ||
| ACT-013274 | Outreach address corrected Outreach | Joshua Stevens: 8776 Central Ave, Plano → 9610 Washington St # 268, Charlotte |
| Proposed | — | ||
| ACT-013275 | Outreach address corrected Outreach | Andrew Vega: 5060 Church St, Phoenix → 2350 Harbor Blvd, Eden Prairie |
| Proposed | — | ||
| ACT-013276 | Outreach address corrected Outreach | Charlotte Ross: 3803 Willow Ct, Houston → 3803 Willow Ct Apt 38, Houston |
| Proposed | — | ||
| ACT-013277 | Outreach address corrected Outreach | Jack Hart: 3096 Lake View Rd # 457, Tempe → 3096 Lake View Rd Apt 7, Tempe |
| Proposed | — | ||
| ACT-013278 | Outreach address corrected Outreach | Ronald Tran: 9300 Broadway Apt 22, Las Vegas → 9300 Broadway, Las Vegas |
| Proposed | — | ||
| ACT-013279 | Outreach address corrected Outreach | Mei James: 911 Oak St # 484, Orlando → 911 Oak St Apt 1, Orlando |
| Proposed | — | ||
| ACT-013280 | Outreach address corrected Outreach | Gabriel Andrews: 816 Mesa Dr, Mesa → 847 Church St, Nashville |
| Proposed | — | ||
| ACT-013281 | Outreach address corrected Outreach | Russell Torres: 4623 Lake View Rd, Nashville → 4623 Lake View Rd # 404, Nashville |
| Proposed | — | ||
| ACT-013282 | Outreach address corrected Outreach | Maria Vazquez: 891 Canyon Rd Apt 19, Los Angeles → 891 Canyon Rd, Los Angeles |
| Proposed | — | ||
| ACT-013283 | Outreach address corrected Outreach | Larry Bishop: 3231 Mountain View Dr, Mesa → 3231 Mountain View Dr # 403, Mesa |
| Proposed | — | ||
| ACT-013284 | Outreach address corrected Outreach | Randy Perkins: 1802 Mesa Dr # 601, Nashville → 1802 Mesa Dr, Nashville |
| Proposed | — | ||
| ACT-013285 | Outreach address corrected Outreach | Luis Simmons: 87 Bayshore Dr, Sacramento → 9389 Sunset Blvd, Scottsdale |
| Proposed | — | ||
| ACT-013286 | Outreach address corrected Outreach | Bobby Fisher: 1197 Ridge Rd Apt 14, Glendale → 1197 Ridge Rd, Glendale |
| Proposed | — | ||
| ACT-013287 | Outreach address corrected Outreach | Carol Warren: 1006 River Rd, Chandler → 7040 Hillcrest Rd, Gilbert |
| Proposed | — | ||
| ACT-013288 | Outreach address corrected Outreach | Ronald Patel: 795 Jefferson Ave Apt 20, Denver → 795 Jefferson Ave, Denver |
| Proposed | — | ||
| ACT-013289 | Outreach address corrected Outreach | Brian Thomas: 1654 Baseline Rd, Chandler → 7042 Mountain View Dr, Dallas |
| Proposed | — | ||
| ACT-013290 | Outreach address corrected Outreach | Bobby Bailey: 2275 Baseline Rd, Plano → 2275 Baseline Rd Apt 37, Plano |
| Proposed | — | ||
| ACT-013291 | Outreach address corrected Outreach | Amber Walker: 6562 Elm St, Orlando → 6562 Elm St Apt 12, Orlando |
| Proposed | — | ||
| ACT-013292 | Outreach address corrected Outreach | Luis Cox: 3779 Grand Ave, Tampa → 3779 Grand Ave Apt 39, Tampa |
| Proposed | — | ||
| ACT-013293 | Outreach address corrected Outreach | Natalie Guzman: 3513 Central Ave, Plano → 3513 Central Ave Apt 22, Plano |
| Proposed | — | ||
| ACT-013294 | Outreach address corrected Outreach | Christina Rose: 1652 Indian School Rd Apt 5, Scottsdale → 1652 Indian School Rd, Scottsdale |
| Proposed | — | ||
| ACT-013295 | Outreach address corrected Outreach | Joan Singh: 5676 Palm Dr # 496, Eden Prairie → 5676 Palm Dr, Eden Prairie |
| Proposed | — | ||
| ACT-013296 | Outreach address corrected Outreach | Joseph Reynolds: 6878 Grand Ave Apt 1, Fresno → 6878 Grand Ave, Fresno |
| Proposed | — | ||
| ACT-013297 | Outreach address corrected Outreach | Kathleen Cole: 7611 Central Ave, Fresno → 186 Ocean Ave, Mesa |
| Proposed | — | ||
| ACT-013298 | Outreach address corrected Outreach | Juan Jimenez: 2041 Forest Ave, Dallas → 2041 Forest Ave # 776, Dallas |
| Proposed | — | ||
| ACT-013299 | Outreach address corrected Outreach | Maggie Cruz: 9104 Jefferson Ave, Glendale → 9104 Jefferson Ave # 302, Glendale |
| Proposed | — | ||
| ACT-013300 | Outreach address corrected Outreach | Benjamin Castillo: 3785 Main St, Phoenix → 374 Canyon Rd, Los Angeles |
| Proposed | — | ||
| ACT-013301 | Outreach address corrected Outreach | Alexis Crawfford: 9305 Central Ave Apt 15, Miami → 9305 Central Ave, Miami |
| 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.