Operate, actions

Actions

Downstream actions derived from the resolved identities. Proposed actions wait for an operator; suppressed actions wait for a steward decision.

Actions

26,640 derived from the last resolution run

ActionTypeTitleDetailLinked toStatusExecuted
ACT-013402
Outreach address corrected
Outreach
Brian Ramirez: 3731 Market St, Tempe → 3731 Market St Apt 29, Tempe
Previous
3731 Market St, Tempe
Current
3731 Market St Apt 29, Tempe
Rule
survivorship: most recent address
Proposed—
ACT-013403
Outreach address corrected
Outreach
Billy Contreras: 556 Mountain View Dr Apt 19, Miami → 556 Mountain View Dr, Miami
Previous
556 Mountain View Dr Apt 19, Miami
Current
556 Mountain View Dr, Miami
Rule
survivorship: most recent address
Proposed—
ACT-013404
Outreach address corrected
Outreach
Lucia Bryant: 7434 Market St # 638, Glendale → 7434 Market St, Glendale
Previous
7434 Market St # 638, Glendale
Current
7434 Market St, Glendale
Rule
survivorship: most recent address
Proposed—
ACT-013405
Outreach address corrected
Outreach
Steven West: 16 Mesa Dr Apt 6, Gilbert → 16 Mesa Dr, Gilbert
Previous
16 Mesa Dr Apt 6, Gilbert
Current
16 Mesa Dr, Gilbert
Rule
survivorship: most recent address
Proposed—
ACT-013406
Outreach address corrected
Outreach
Jonathan Sulllivan: 7212 Mesa Dr, Gilbert → 7212 Mesa Dr # 208, Gilbert
Previous
7212 Mesa Dr, Gilbert
Current
7212 Mesa Dr # 208, Gilbert
Rule
survivorship: most recent address
Proposed—
ACT-013407
Outreach address corrected
Outreach
Gloriia Ramirez: 6554 Highland Ave # 803, Seattle → 6554 Highland Ave, Seattle
Previous
6554 Highland Ave # 803, Seattle
Current
6554 Highland Ave, Seattle
Rule
survivorship: most recent address
Proposed—
ACT-013408
Outreach address corrected
Outreach
Sandra Wang: 4488 Cedar Ln Apt 2, Seattle → 4488 Cedar Ln, Seattle
Previous
4488 Cedar Ln Apt 2, Seattle
Current
4488 Cedar Ln, Seattle
Rule
survivorship: most recent address
Proposed—
ACT-013409
Outreach address corrected
Outreach
Jeffrey Silva: 4836 Pine Dr, Glendale → 4836 Pine Dr Apt 11, Glendale
Previous
4836 Pine Dr, Glendale
Current
4836 Pine Dr Apt 11, Glendale
Rule
survivorship: most recent address
Proposed—
ACT-013410
Outreach address corrected
Outreach
Shirley Harper: 9319 Church St, Scottsdale → 9319 Church St Apt 37, Scottsdale
Previous
9319 Church St, Scottsdale
Current
9319 Church St Apt 37, Scottsdale
Rule
survivorship: most recent address
Proposed—
ACT-013411
Outreach address corrected
Outreach
Joohn Lee: 6819 Pine Dr, Mesa → 6819 Pine Dr Apt 16, Mesa
Previous
6819 Pine Dr, Mesa
Current
6819 Pine Dr Apt 16, Mesa
Rule
survivorship: most recent address
Proposed—
ACT-013412
Outreach address corrected
Outreach
Kevin Gonzales: 2112 Hillcrest Rd, Chandler → 2112 Hillcrest Rd Apt 6, Chandler
Previous
2112 Hillcrest Rd, Chandler
Current
2112 Hillcrest Rd Apt 6, Chandler
Rule
survivorship: most recent address
Proposed—
ACT-013413
Outreach address corrected
Outreach
Charles Ford: 8772 Maple Ave Apt 18, Tucson → 8772 Maple Ave, Tucson
Previous
8772 Maple Ave Apt 18, Tucson
Current
8772 Maple Ave, Tucson
Rule
survivorship: most recent address
Proposed—
ACT-013414
Outreach address corrected
Outreach
Sean Payne: 7739 Mesa Dr, Austin → 7324 Maple Ave, Columbus
Previous
7739 Mesa Dr, Austin
Current
7324 Maple Ave, Columbus
Rule
survivorship: most recent address
Proposed—
ACT-013415
Outreach address corrected
Outreach
Julia McCoy: 5228 Park Pl, Plano → 3123 Willow Ct, San Antonio
Previous
5228 Park Pl, Plano
Current
3123 Willow Ct, San Antonio
Rule
survivorship: most recent address
Proposed—
ACT-013416
Outreach address corrected
Outreach
Omar Sanchez: 1184 Pine Dr, Austin → 1184 Pine Dr # 247, Austin
Previous
1184 Pine Dr, Austin
Current
1184 Pine Dr # 247, Austin
Rule
survivorship: most recent address
Proposed—
ACT-013417
Outreach address corrected
Outreach
Aaron Torrees: 6393 Mountain View Dr Apt 3, Minneapolis → 6393 Mountain View Dr, Minneapolis
Previous
6393 Mountain View Dr Apt 3, Minneapolis
Current
6393 Mountain View Dr, Minneapolis
Rule
survivorship: most recent address
Proposed—
ACT-013418
Outreach address corrected
Outreach
Ana Rojas: 2168 Meadow Ln Apt 31, Mesa → 2168 Meadow Ln, Mesa
Previous
2168 Meadow Ln Apt 31, Mesa
Current
2168 Meadow Ln, Mesa
Rule
survivorship: most recent address
Proposed—
ACT-013419
Outreach address corrected
Outreach
Noah Ryan: 2398 Willow Ct, San Antonio → 2398 Willow Ct Apt 38, San Antonio
Previous
2398 Willow Ct, San Antonio
Current
2398 Willow Ct Apt 38, San Antonio
Rule
survivorship: most recent address
Proposed—
ACT-013420
Outreach address corrected
Outreach
Rebecca Wheeler: 627 Apache Blvd, Nashville → 1319 Elm St, Sacramento
Previous
627 Apache Blvd, Nashville
Current
1319 Elm St, Sacramento
Rule
survivorship: most recent address
Proposed—
ACT-013421
Outreach address corrected
Outreach
Diana McDonald: 3084 Elm St, Plano → 5119 Canyon Rd, Nashville
Previous
3084 Elm St, Plano
Current
5119 Canyon Rd, Nashville
Rule
survivorship: most recent address
Proposed—
ACT-013422
Outreach address corrected
Outreach
Melissa Raed: 3282 Church St, Los Angeles → 3282 Church St # 660, Los Angeles
Previous
3282 Church St, Los Angeles
Current
3282 Church St # 660, Los Angeles
Rule
survivorship: most recent address
Proposed—
ACT-013423
Outreach address corrected
Outreach
Ashley Fernandez: 6961 Lake View Rd Apt 31, Fresno → 6961 Lake View Rd, Fresno
Previous
6961 Lake View Rd Apt 31, Fresno
Current
6961 Lake View Rd, Fresno
Rule
survivorship: most recent address
Proposed—
ACT-013424
Outreach address corrected
Outreach
Ashley Synder: 3146 Sage Ct, Nashville → 3146 Sage Ct # 677, Nashville
Previous
3146 Sage Ct, Nashville
Current
3146 Sage Ct # 677, Nashville
Rule
survivorship: most recent address
Proposed—
ACT-013425
Outreach address corrected
Outreach
Bobby Hart: 6693 Meadow Ln, Miami → 9401 Camelback Rd, Las Vegas
Previous
6693 Meadow Ln, Miami
Current
9401 Camelback Rd, Las Vegas
Rule
survivorship: most recent address
Proposed—
ACT-013426
Outreach address corrected
Outreach
Mariana Matthews: 241 Jefferson Ave, Tempe → 241 Jefferson Ave # 948, Tempe
Previous
241 Jefferson Ave, Tempe
Current
241 Jefferson Ave # 948, Tempe
Rule
survivorship: most recent address
Proposed—
ACT-013427
Outreach address corrected
Outreach
Judith Valdez: 6196 Baseline Rd Apt 16, San Diego → 6196 Baseline Rd, San Diego
Previous
6196 Baseline Rd Apt 16, San Diego
Current
6196 Baseline Rd, San Diego
Rule
survivorship: most recent address
Proposed—
ACT-013428
Outreach address corrected
Outreach
Mei Thompson: 3545 Harbor Blvd # 572, San Antonio → 3545 Harbor Blvd, San Antonio
Previous
3545 Harbor Blvd # 572, San Antonio
Current
3545 Harbor Blvd, San Antonio
Rule
survivorship: most recent address
Proposed—
ACT-013429
Outreach address corrected
Outreach
Laura Rogers: 2821 River Rd Apt 20, Tempe → 2821 River Rd, Tempe
Previous
2821 River Rd Apt 20, Tempe
Current
2821 River Rd, Tempe
Rule
survivorship: most recent address
Proposed—
ACT-013430
Outreach address corrected
Outreach
Camila Nelson: 5213 Valley View Dr, San Antonio → 1110 Sunset Blvd, Fresno
Previous
5213 Valley View Dr, San Antonio
Current
1110 Sunset Blvd, Fresno
Rule
survivorship: most recent address
Proposed—
ACT-013431
Outreach address corrected
Outreach
Burns Alice: 1416 Pine Dr # 154, Scottsdale → 1416 Pine Dr, Scottsdale
Previous
1416 Pine Dr # 154, Scottsdale
Current
1416 Pine Dr, Scottsdale
Rule
survivorship: most recent address
Proposed—
ACT-013432
Outreach address corrected
Outreach
Joey Smiht: 3961 Ridge Rd, Phoenix → 3961 Ridge Rd Apt 11, Phoenix
Previous
3961 Ridge Rd, Phoenix
Current
3961 Ridge Rd Apt 11, Phoenix
Rule
survivorship: most recent address
Proposed—
ACT-013433
Outreach address corrected
Outreach
Juan Wells: 8015 Lake View Rd, Orlando → 943 Lincoln Way, Dallas
Previous
8015 Lake View Rd, Orlando
Current
943 Lincoln Way, Dallas
Rule
survivorship: most recent address
Proposed—
ACT-013434
Outreach address corrected
Outreach
Aaron Pierce: 9338 Spring St, Columbus → 9338 Spring St # 712, Columbus
Previous
9338 Spring St, Columbus
Current
9338 Spring St # 712, Columbus
Rule
survivorship: most recent address
Proposed—
ACT-013435
Outreach address corrected
Outreach
Denise Spencer: 7119 Canyon Rd, Jacksonville → 8865 Bayshore Dr, Los Angeles
Previous
7119 Canyon Rd, Jacksonville
Current
8865 Bayshore Dr, Los Angeles
Rule
survivorship: most recent address
Proposed—
ACT-013436
Outreach address corrected
Outreach
Christina Ramos: 7157 Market St, Los Angeles → 7083 Grand Ave, Seattle
Previous
7157 Market St, Los Angeles
Current
7083 Grand Ave, Seattle
Rule
survivorship: most recent address
Proposed—
ACT-013437
Outreach address corrected
Outreach
Angela Lopez: 7803 Canyon Rd Apt 39, Houston → 7803 Canyon Rd, Houston
Previous
7803 Canyon Rd Apt 39, Houston
Current
7803 Canyon Rd, Houston
Rule
survivorship: most recent address
Proposed—
ACT-013438
Outreach address corrected
Outreach
Scott Vazquez: 7201 Sunset Blvd Apt 12, Charlotte → 7201 Sunset Blvd, Charlotte
Previous
7201 Sunset Blvd Apt 12, Charlotte
Current
7201 Sunset Blvd, Charlotte
Rule
survivorship: most recent address
Proposed—
ACT-013439
Outreach address corrected
Outreach
Emily Adams: 9365 Sage Ct # 739, Orlando → 9365 Sage Ct, Orlando
Previous
9365 Sage Ct # 739, Orlando
Current
9365 Sage Ct, Orlando
Rule
survivorship: most recent address
Proposed—
ACT-013440
Outreach address corrected
Outreach
Andrew Reyes: 6345 Ridge Rd, Eden Prairie → 6345 Ridge Rd Apt 29, Eden Prairie
Previous
6345 Ridge Rd, Eden Prairie
Current
6345 Ridge Rd Apt 29, Eden Prairie
Rule
survivorship: most recent address
Proposed—
ACT-013441
Outreach address corrected
Outreach
Nathan Day: 4425 Broadway, Dallas → 4425 Broadway Apt 22, Dallas
Previous
4425 Broadway, Dallas
Current
4425 Broadway Apt 22, Dallas
Rule
survivorship: most recent address
Proposed—
ACT-013442
Outreach address corrected
Outreach
Juan Tran: 354 Central Ave # 791, Plano → 354 Central Ave Apt 33, Plano
Previous
354 Central Ave # 791, Plano
Current
354 Central Ave Apt 33, Plano
Rule
survivorship: most recent address
Proposed—
ACT-013443
Outreach address corrected
Outreach
Eric Bowman: 8419 Central Ave # 287, Nashville → 2259 River Rd, Minneapolis
Previous
8419 Central Ave # 287, Nashville
Current
2259 River Rd, Minneapolis
Rule
survivorship: most recent address
Proposed—
ACT-013444
Outreach address corrected
Outreach
Henry Rios: 2185 Palm Dr, San Antonio → 2185 Palm Dr Apt 24, San Antonio
Previous
2185 Palm Dr, San Antonio
Current
2185 Palm Dr Apt 24, San Antonio
Rule
survivorship: most recent address
Proposed—
ACT-013445
Outreach suppressed pending steward
Outreach
CLM-402482 (Jackie Reyes) held until CASE-000001 is decided
Case id
CASE-000001
Source
CLM
Reason
identity below confidence threshold; sensitive communication withheld
Held—
ACT-013446
Outreach suppressed pending steward
Outreach
TPA-51738 (Ethan Rios) held until CASE-000002 is decided
Case id
CASE-000002
Source
TPA
Reason
identity below confidence threshold; sensitive communication withheld
Held—
ACT-013447
Outreach suppressed pending steward
Outreach
CLM-430743 (Larry Hansen) held until CASE-000003 is decided
Case id
CASE-000003
Source
CLM
Reason
identity below confidence threshold; sensitive communication withheld
Held—
ACT-013448
Outreach suppressed pending steward
Outreach
TPA-60827 (Keith Varggas) held until CASE-000004 is decided
Case id
CASE-000004
Source
TPA
Reason
identity below confidence threshold; sensitive communication withheld
Held—
ACT-013449
Outreach suppressed pending steward
Outreach
TPA-56717 (Kim Marquez) held until CASE-000005 is decided
Case id
CASE-000005
Source
TPA
Reason
identity below confidence threshold; sensitive communication withheld
Held—
ACT-013450
Outreach suppressed pending steward
Outreach
CLM-406008 (Christine Knight) held until CASE-000006 is decided
Case id
CASE-000006
Source
CLM
Reason
identity below confidence threshold; sensitive communication withheld
Held—
ACT-013451
Outreach suppressed pending steward
Outreach
ENR-101256 (Cristian Knight) held until CASE-000007 is decided
Case id
CASE-000007
Source
ENR
Reason
identity below confidence threshold; sensitive communication withheld
Held—
7,319 rows, page 60 of 147PreviousNext

Derivation rules

Evaluated after every gold rebuild

  1. 1
    Eligibility conflict resolved
    The records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
  2. 2
    Orphan claim re-pointed
    A 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.
  3. 3
    Outreach address corrected
    The most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
  4. 4
    Outreach suppressed pending steward
    The record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
  5. 5
    Care coordination outreach
    Three or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
  6. 6
    New member onboarding
    A single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
  7. 7
    Duplicate member record retired
    Two or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.