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-013302 | Outreach address corrected Outreach | Mary Moore: 3555 Ridge Rd, Columbus → 3555 Ridge Rd # 463, Columbus |
| Proposed | — | ||
| ACT-013303 | Outreach address corrected Outreach | Richard Peters: 8617 Central Ave, Minneapolis → 8617 Central Ave Apt 11, Minneapolis |
| Proposed | — | ||
| ACT-013304 | Outreach address corrected Outreach | Bruce Watson: 8285 Ocean Ave Apt 2, Mesa → 8285 Ocean Ave, Mesa |
| Proposed | — | ||
| ACT-013305 | Outreach address corrected Outreach | Julia Ryan: 5279 Canyon Rd, Mesa → 5279 Canyon Rd Apt 19, Mesa |
| Proposed | — | ||
| ACT-013306 | Outreach address corrected Outreach | Jordan Porter: 6675 Park Pl, Tucson → 214 Washington St, Los Angeles |
| Proposed | — | ||
| ACT-013307 | Outreach address corrected Outreach | Mark Henry: 1685 Market St, Orlando → 8259 Sunset Blvd, Sacramento |
| Proposed | — | ||
| ACT-013308 | Outreach address corrected Outreach | Charles Medina: 8165 Sunset Blvd, Houston → 8165 Sunset Blvd # 325, Houston |
| Proposed | — | ||
| ACT-013309 | Outreach address corrected Outreach | Hunt Hunt: 3532 Highland Ave, Seattle → 3532 Highland Ave # 266, Seattle |
| Proposed | — | ||
| ACT-013310 | Outreach address corrected Outreach | Charlotte Delgado: 8620 Baseline Rd, Atlanta → 8620 Baseline Rd # 835, Atlanta |
| Proposed | — | ||
| ACT-013311 | Outreach address corrected Outreach | Katherine Silva: 7888 Valley View Dr # 573, Las Vegas → 1542 Market St # 102, Tampa |
| Proposed | — | ||
| ACT-013312 | Outreach address corrected Outreach | Daniel Rios: 7004 Palm Dr, Phoenix → 6945 Pine Dr, San Diego |
| Proposed | — | ||
| ACT-013313 | Outreach address corrected Outreach | Jose Crawford: 2181 Willow Ct, Chandler → 2181 Willow Ct # 513, Chandler |
| Proposed | — | ||
| ACT-013314 | Outreach address corrected Outreach | Ana Wheeeler: 4863 Lake View Rd, Fresno → 697 Forest Ave, Seattle |
| Proposed | — | ||
| ACT-013315 | Outreach address corrected Outreach | Carolyn Butler: 116 Meadow Ln, Denver → 116 Meadow Ln Apt 3, Denver |
| Proposed | — | ||
| ACT-013316 | Outreach address corrected Outreach | Ethan Butler: 4299 Forest Ave # 322, Columbus → 4299 Forest Ave, Columbus |
| Proposed | — | ||
| ACT-013317 | Outreach address corrected Outreach | Anthony Morrison: 2796 Pine Dr, San Antonio → 2366 Lake View Rd Apt 23, Tucson |
| Proposed | — | ||
| ACT-013318 | Outreach address corrected Outreach | Isabella Murphy: 1338 Central Ave Apt 34, Columbus → 1338 Central Ave, Columbus |
| Proposed | — | ||
| ACT-013319 | Outreach address corrected Outreach | Elijah Medina: 7673 Ridge Rd # 905, Plano → 7269 Mesa Dr, Denver |
| Proposed | — | ||
| ACT-013320 | Outreach address corrected Outreach | Emma Gutierrez: 9308 Indian School Rd Apt 37, Tampa → 9308 Indian School Rd, Tampa |
| Proposed | — | ||
| ACT-013321 | Outreach address corrected Outreach | Amanda Rodriguez: 2060 Valley View Dr Apt 38, Tampa → 2060 Valley View Dr, Tampa |
| Proposed | — | ||
| ACT-013322 | Outreach address corrected Outreach | Aisha Burke: 6872 Palm Dr # 999, Nashville → 6872 Palm Dr, Nashville |
| Proposed | — | ||
| ACT-013323 | Outreach address corrected Outreach | Beverly Hughes: 4067 Mountain View Dr, Houston → 3148 Cedar Ln, Plano |
| Proposed | — | ||
| ACT-013324 | Outreach address corrected Outreach | Elijah Brooks: 2640 Baseline Rd Apt 25, Orlando → 2640 Baseline Rd, Orlando |
| Proposed | — | ||
| ACT-013325 | Outreach address corrected Outreach | Sofia Smith: 7046 Market St Apt 33, Las Vegas → 7046 Market St, Las Vegas |
| Proposed | — | ||
| ACT-013326 | Outreach address corrected Outreach | Samantha Espinoza: 8512 Valley View Dr Apt 22, Miami → 8512 Valley View Dr, Miami |
| Proposed | — | ||
| ACT-013327 | Outreach address corrected Outreach | Wei Medina: 4780 Lake View Rd, Plano → 4780 Lake View Rd Apt 4, Plano |
| Proposed | — | ||
| ACT-013328 | Outreach address corrected Outreach | Samuel Le: 8848 Cedar Ln # 856, Columbus → 8848 Cedar Ln, Columbus |
| Proposed | — | ||
| ACT-013329 | Outreach address corrected Outreach | Larry Kim: 3283 Church St, Atlanta → 780 Church St, Minneapolis |
| Proposed | — | ||
| ACT-013330 | Outreach address corrected Outreach | Donna Torres: 5372 Bayshore Dr, Los Angeles → 5372 Bayshore Dr Apt 18, Los Angeles |
| Proposed | — | ||
| ACT-013331 | Outreach address corrected Outreach | Julie Murphy: 2688 Desert Sky Blvd, Atlanta → 9070 Ocean Ave, Las Vegas |
| Proposed | — | ||
| ACT-013332 | Outreach address corrected Outreach | Jerry Edwards: 922 Union St # 854, Atlanta → 922 Union St Apt 11, Atlanta |
| Proposed | — | ||
| ACT-013333 | Outreach address corrected Outreach | Dylan Fernandez: 467 Indian School Rd # 103, Denver → 467 Indian School Rd, Denver |
| Proposed | — | ||
| ACT-013334 | Outreach address corrected Outreach | Tyler Woods: 7877 Ridge Rd Apt 31, Houston → 7877 Ridge Rd, Houston |
| Proposed | — | ||
| ACT-013335 | Outreach address corrected Outreach | Mateo Carroll: 3522 Oak St, Tampa → 8407 Ocean Ave, Columbus |
| Proposed | — | ||
| ACT-013336 | Outreach address corrected Outreach | Sophia White: 2873 Highland Ave, San Antonio → 2873 Highland Ave # 647, San Antonio |
| Proposed | — | ||
| ACT-013337 | Outreach address corrected Outreach | Jessica Dunn: 1328 Palm Dr, Los Angeles → 6359 Harbor Blvd, Austin |
| Proposed | — | ||
| ACT-013338 | Outreach address corrected Outreach | Mark Vazquez: 1094 Union St, Tampa → 2171 Hillcrest Rd # 959, Minneapolis |
| Proposed | — | ||
| ACT-013339 | Outreach address corrected Outreach | Linda Kelley: 6434 Washington St, Las Vegas → 6174 Willow Ct, Tempe |
| Proposed | — | ||
| ACT-013340 | Outreach address corrected Outreach | Donad Ruiz: 7520 Cedar Ln, Tempe → 7520 Cedar Ln Apt 1, Tempe |
| Proposed | — | ||
| ACT-013341 | Outreach address corrected Outreach | Jason Alexander: 615 Bayshore Dr, San Diego → 5105 Grand Ave, Glendale |
| Proposed | — | ||
| ACT-013342 | Outreach address corrected Outreach | Amber Schultz: 1979 Washington St Apt 25, Miami → 1979 Washington St Apt 2, Miami |
| Proposed | — | ||
| ACT-013343 | Outreach address corrected Outreach | Grace Johnston: 5768 Jefferson Ave # 562, Fresno → 5768 Jefferson Ave, Fresno |
| Proposed | — | ||
| ACT-013344 | Outreach address corrected Outreach | Carol Henderson: 5023 Central Ave, Minneapolis → 2661 Cedar Ln Apt 1, Los Angeles |
| Proposed | — | ||
| ACT-013345 | Outreach address corrected Outreach | Carl Gardner: 759 Cedar Ln, Plano → 3562 Hillcrest Rd, Glendale |
| Proposed | — | ||
| ACT-013346 | Outreach address corrected Outreach | Alice Spencer: 4684 Mountain View Dr # 932, Houston → 4684 Mountain View Dr, Houston |
| Proposed | — | ||
| ACT-013347 | Outreach address corrected Outreach | Mason Carter: 4253 Mountain View Dr, Houston → 5364 Elm St, Houston |
| Proposed | — | ||
| ACT-013348 | Outreach address corrected Outreach | Linda Nelson: 1516 Mountain View Dr, Los Angeles → 1156 Church St, Denver |
| Proposed | — | ||
| ACT-013349 | Outreach address corrected Outreach | Brenda Lopez: 7991 Park Pl Apt 25, Columbus → 7991 Park Pl, Columbus |
| Proposed | — | ||
| ACT-013350 | Outreach address corrected Outreach | Zachary Anderson: 650 Mountain View Dr Apt 30, Los Angeles → 650 Mountain View Dr, Los Angeles |
| Proposed | — | ||
| ACT-013351 | Outreach address corrected Outreach | Sam Burton: 363 Hillcrest Rd, Scottsdale → 363 Hillcrest Rd Apt 11, Scottsdale |
| 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.