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-013352 | Outreach address corrected Outreach | Carlos Hughes: 5507 Valley View Dr, Gilbert → 516 Sunset Blvd Apt 37, Plano |
| Proposed | — | ||
| ACT-013353 | Outreach address corrected Outreach | Jose Jackson: 2459 Ridge Rd, Dallas → 2459 Ridge Rd # 269, Dallas |
| Proposed | — | ||
| ACT-013354 | Outreach address corrected Outreach | Doris Alvarez: 5997 Cedar Ln, Fresno → 2663 Cedar Ln, Fresno |
| Proposed | — | ||
| ACT-013355 | Outreach address corrected Outreach | Rachel Schmidt: 4772 Sage Ct # 163, San Antonio → 6353 Jefferson Ave, Atlanta |
| Proposed | — | ||
| ACT-013356 | Outreach address corrected Outreach | Cheryl Garcia: 1095 Palm Dr Apt 29, Scottsdale → 1095 Palm Dr, Scottsdale |
| Proposed | — | ||
| ACT-013357 | Outreach address corrected Outreach | Kenneth Fernandez: 4810 Ridge Rd # 491, Mesa → 4810 Ridge Rd, Mesa |
| Proposed | — | ||
| ACT-013358 | Outreach address corrected Outreach | Cheryl Rogers: 3543 Sage Ct Apt 6, Austin → 3543 Sage Ct, Austin |
| Proposed | — | ||
| ACT-013359 | Outreach address corrected Outreach | Judith Gomez: 7594 Pine Dr Apt 27, Denver → 7594 Pine Dr # 271, Denver |
| Proposed | — | ||
| ACT-013360 | Outreach address corrected Outreach | Melissa Delgado: 2360 Hillcrest Rd, Charlotte → 5380 Apache Blvd, Fresno |
| Proposed | — | ||
| ACT-013361 | Outreach address corrected Outreach | Natalie Singh: 1116 Market St, Chandler → 1116 Market St Apt 23, Chandler |
| Proposed | — | ||
| ACT-013362 | Outreach address corrected Outreach | Jaack Guerrero: 197 Sage Ct, Chandler → 197 Sage Ct Apt 25, Chandler |
| Proposed | — | ||
| ACT-013363 | Outreach address corrected Outreach | Carlos Perkins: 2484 Maple Ave # 305, Scottsdale → 2484 Maple Ave, Scottsdale |
| Proposed | — | ||
| ACT-013364 | Outreach address corrected Outreach | Diana Clark: 1561 Meadow Ln, Miami → 8490 Lincoln Way, Las Vegas |
| Proposed | — | ||
| ACT-013365 | Outreach address corrected Outreach | Ronald Lawrence: 3578 Central Ave, Scottsdale → 3578 Central Ave Apt 6, Scottsdale |
| Proposed | — | ||
| ACT-013366 | Outreach address corrected Outreach | Alice Hart: 5467 Grand Ave, Orlando → 3785 Mountain View Dr, Orlando |
| Proposed | — | ||
| ACT-013367 | Outreach address corrected Outreach | Jack Robinson: 1024 Forest Ave, Eden Prairie → 7370 Washington St, Tempe |
| Proposed | — | ||
| ACT-013368 | Outreach address corrected Outreach | Karn Carr: 8024 Union St, Jacksonville → 3110 Ocean Ave, Las Vegas |
| Proposed | — | ||
| ACT-013369 | Outreach address corrected Outreach | George Valdez: 3498 Church St # 539, Charlotte → 3498 Church St, Charlotte |
| Proposed | — | ||
| ACT-013370 | Outreach address corrected Outreach | Gregory Meyer: 2113 Baseline Rd, Chandler → 5926 Willow Ct, Tempe |
| Proposed | — | ||
| ACT-013371 | Outreach address corrected Outreach | Patricia Edwards: 1996 Elm St, Tampa → 1996 Elm St # 811, Tampa |
| Proposed | — | ||
| ACT-013372 | Outreach address corrected Outreach | Jerry Freeman: 2241 Canyon Rd, Las Vegas → 6752 Lincoln Way, Glendale |
| Proposed | — | ||
| ACT-013373 | Outreach address corrected Outreach | Julia Larson: 6838 Maple Ave # 718, Houston → 6838 Maple Ave, Houston |
| Proposed | — | ||
| ACT-013374 | Outreach address corrected Outreach | Randy Guzman: 5574 Elm St # 116, Houston → 5574 Elm St, Houston |
| Proposed | — | ||
| ACT-013375 | Outreach address corrected Outreach | Joe Hart: 3185 Pine Dr, Jacksonville → 3185 Pine Dr # 174, Jacksonville |
| Proposed | — | ||
| ACT-013376 | Outreach address corrected Outreach | Michelle Sullivan: 5469 Union St, Chandler → 5469 Union St Apt 2, Chandler |
| Proposed | — | ||
| ACT-013377 | Outreach address corrected Outreach | Carol Hughes: 2280 Bayshore Dr # 570, Seattle → 2280 Bayshore Dr, Seattle |
| Proposed | — | ||
| ACT-013378 | Outreach address corrected Outreach | Abigali Stewart: 3674 Harbor Blvd, Orlando → 4773 Ridge Rd, Austin |
| Proposed | — | ||
| ACT-013379 | Outreach address corrected Outreach | Jacqueline Brooks: 6927 Park Pl, Columbus → 6927 Park Pl Apt 39, Columbus |
| Proposed | — | ||
| ACT-013380 | Outreach address corrected Outreach | Priya Miller: 1886 Willow Ct, Plano → 9293 Valley View Dr, Las Vegas |
| Proposed | — | ||
| ACT-013381 | Outreach address corrected Outreach | Pamela Hicks: 406 Cedar Ln # 228, Jacksonville → 6514 Mountain View Dr, Plano |
| Proposed | — | ||
| ACT-013382 | Outreach address corrected Outreach | Joan Lynch: 1310 Mountain View Dr # 211, Tampa → 1310 Mountain View Dr, Tampa |
| Proposed | — | ||
| ACT-013383 | Outreach address corrected Outreach | Jerry Price: 7498 Forest Ave Apt 32, San Antonio → 7498 Forest Ave Apt 3, San Antonio |
| Proposed | — | ||
| ACT-013384 | Outreach address corrected Outreach | Jacqueline Willis: 5661 Sage Ct Apt 31, San Diego → 5661 Sage Ct, San Diego |
| Proposed | — | ||
| ACT-013385 | Outreach address corrected Outreach | Reed Dylan: 1234 Pine Dr, Jacksonville → 1234 Pine Dr Apt 13, Jacksonville |
| Proposed | — | ||
| ACT-013386 | Outreach address corrected Outreach | Catherine Carroll: 5270 Highland Ave # 824, Orlando → 5270 Highland Ave, Orlando |
| Proposed | — | ||
| ACT-013387 | Outreach address corrected Outreach | Priya Alvarado: 1111 Ridge Rd, Scottsdale → 5707 Mountain View Dr Apt 11, Miami |
| Proposed | — | ||
| ACT-013388 | Outreach address corrected Outreach | Sandra Guzman: 7954 Desert Sky Blvd Apt 10, Houston → 7954 Desert Sky Blvd, Houston |
| Proposed | — | ||
| ACT-013389 | Outreach address corrected Outreach | Joseph Barnes: 186 Broadway, San Antonio → 9650 Camelback Rd, Chandler |
| Proposed | — | ||
| ACT-013390 | Outreach address corrected Outreach | Brittany Kennedy: 7007 River Rd Apt 39, Nashville → 7007 River Rd, Nashville |
| Proposed | — | ||
| ACT-013391 | Outreach address corrected Outreach | Barbara Vazquez: 6376 Forest Ave # 172, Charlotte → 6376 Forest Ave, Charlotte |
| Proposed | — | ||
| ACT-013392 | Outreach address corrected Outreach | Lawrence Hansen: 2358 Meadow Ln, Miami → 2358 Meadow Ln Apt 21, Miami |
| Proposed | — | ||
| ACT-013393 | Outreach address corrected Outreach | Elijah Morales: 7332 Forest Ave, Columbus → 7332 Forest Ave # 968, Columbus |
| Proposed | — | ||
| ACT-013394 | Outreach address corrected Outreach | Jesse West: 7491 Union St, Eden Prairie → 7491 Union St Apt 28, Eden Prairie |
| Proposed | — | ||
| ACT-013395 | Outreach address corrected Outreach | Jennyfer Padilla: 8407 Highland Ave, Gilbert → 8407 Highland Ave Apt 26, Gilbert |
| Proposed | — | ||
| ACT-013396 | Outreach address corrected Outreach | Victoria Wallace: 2975 Cedar Ln Apt 26, Denver → 2975 Cedar Ln, Denver |
| Proposed | — | ||
| ACT-013397 | Outreach address corrected Outreach | Janice Rojes: 6773 Washington St Apt 33, Denver → 6773 Washington St, Denver |
| Proposed | — | ||
| ACT-013398 | Outreach address corrected Outreach | Valentina Coleman: 5143 Market St, Nashville → 5143 Market St Apt 28, Nashville |
| Proposed | — | ||
| ACT-013399 | Outreach address corrected Outreach | Janet Henderson: 7039 Mountain View Dr, Houston → 7039 Mountain View Dr Apt 28, Houston |
| Proposed | — | ||
| ACT-013400 | Outreach address corrected Outreach | Vincent Goerge: 2954 Lincoln Way # 206, Phoenix → 2954 Lincoln Way, Phoenix |
| Proposed | — | ||
| ACT-013401 | Outreach address corrected Outreach | Christine Wright: 5725 Ocean Ave, Orlando → 5140 Ridge Rd, Glendale |
| 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.