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-013402 | Outreach address corrected Outreach | Brian Ramirez: 3731 Market St, Tempe → 3731 Market St Apt 29, Tempe |
| Proposed | — | ||
| ACT-013403 | Outreach address corrected Outreach | Billy Contreras: 556 Mountain View Dr Apt 19, Miami → 556 Mountain View Dr, Miami |
| Proposed | — | ||
| ACT-013404 | Outreach address corrected Outreach | Lucia Bryant: 7434 Market St # 638, Glendale → 7434 Market St, Glendale |
| Proposed | — | ||
| ACT-013405 | Outreach address corrected Outreach | Steven West: 16 Mesa Dr Apt 6, Gilbert → 16 Mesa Dr, Gilbert |
| Proposed | — | ||
| ACT-013406 | Outreach address corrected Outreach | Jonathan Sulllivan: 7212 Mesa Dr, Gilbert → 7212 Mesa Dr # 208, Gilbert |
| Proposed | — | ||
| ACT-013407 | Outreach address corrected Outreach | Gloriia Ramirez: 6554 Highland Ave # 803, Seattle → 6554 Highland Ave, Seattle |
| Proposed | — | ||
| ACT-013408 | Outreach address corrected Outreach | Sandra Wang: 4488 Cedar Ln Apt 2, Seattle → 4488 Cedar Ln, Seattle |
| Proposed | — | ||
| ACT-013409 | Outreach address corrected Outreach | Jeffrey Silva: 4836 Pine Dr, Glendale → 4836 Pine Dr Apt 11, Glendale |
| Proposed | — | ||
| ACT-013410 | Outreach address corrected Outreach | Shirley Harper: 9319 Church St, Scottsdale → 9319 Church St Apt 37, Scottsdale |
| Proposed | — | ||
| ACT-013411 | Outreach address corrected Outreach | Joohn Lee: 6819 Pine Dr, Mesa → 6819 Pine Dr Apt 16, Mesa |
| Proposed | — | ||
| ACT-013412 | Outreach address corrected Outreach | Kevin Gonzales: 2112 Hillcrest Rd, Chandler → 2112 Hillcrest Rd Apt 6, Chandler |
| Proposed | — | ||
| ACT-013413 | Outreach address corrected Outreach | Charles Ford: 8772 Maple Ave Apt 18, Tucson → 8772 Maple Ave, Tucson |
| Proposed | — | ||
| ACT-013414 | Outreach address corrected Outreach | Sean Payne: 7739 Mesa Dr, Austin → 7324 Maple Ave, Columbus |
| Proposed | — | ||
| ACT-013415 | Outreach address corrected Outreach | Julia McCoy: 5228 Park Pl, Plano → 3123 Willow Ct, San Antonio |
| Proposed | — | ||
| ACT-013416 | Outreach address corrected Outreach | Omar Sanchez: 1184 Pine Dr, Austin → 1184 Pine Dr # 247, Austin |
| Proposed | — | ||
| ACT-013417 | Outreach address corrected Outreach | Aaron Torrees: 6393 Mountain View Dr Apt 3, Minneapolis → 6393 Mountain View Dr, Minneapolis |
| Proposed | — | ||
| ACT-013418 | Outreach address corrected Outreach | Ana Rojas: 2168 Meadow Ln Apt 31, Mesa → 2168 Meadow Ln, Mesa |
| Proposed | — | ||
| ACT-013419 | Outreach address corrected Outreach | Noah Ryan: 2398 Willow Ct, San Antonio → 2398 Willow Ct Apt 38, San Antonio |
| Proposed | — | ||
| ACT-013420 | Outreach address corrected Outreach | Rebecca Wheeler: 627 Apache Blvd, Nashville → 1319 Elm St, Sacramento |
| Proposed | — | ||
| ACT-013421 | Outreach address corrected Outreach | Diana McDonald: 3084 Elm St, Plano → 5119 Canyon Rd, Nashville |
| Proposed | — | ||
| ACT-013422 | Outreach address corrected Outreach | Melissa Raed: 3282 Church St, Los Angeles → 3282 Church St # 660, Los Angeles |
| Proposed | — | ||
| ACT-013423 | Outreach address corrected Outreach | Ashley Fernandez: 6961 Lake View Rd Apt 31, Fresno → 6961 Lake View Rd, Fresno |
| Proposed | — | ||
| ACT-013424 | Outreach address corrected Outreach | Ashley Synder: 3146 Sage Ct, Nashville → 3146 Sage Ct # 677, Nashville |
| Proposed | — | ||
| ACT-013425 | Outreach address corrected Outreach | Bobby Hart: 6693 Meadow Ln, Miami → 9401 Camelback Rd, Las Vegas |
| Proposed | — | ||
| ACT-013426 | Outreach address corrected Outreach | Mariana Matthews: 241 Jefferson Ave, Tempe → 241 Jefferson Ave # 948, Tempe |
| Proposed | — | ||
| ACT-013427 | Outreach address corrected Outreach | Judith Valdez: 6196 Baseline Rd Apt 16, San Diego → 6196 Baseline Rd, San Diego |
| Proposed | — | ||
| ACT-013428 | Outreach address corrected Outreach | Mei Thompson: 3545 Harbor Blvd # 572, San Antonio → 3545 Harbor Blvd, San Antonio |
| Proposed | — | ||
| ACT-013429 | Outreach address corrected Outreach | Laura Rogers: 2821 River Rd Apt 20, Tempe → 2821 River Rd, Tempe |
| Proposed | — | ||
| ACT-013430 | Outreach address corrected Outreach | Camila Nelson: 5213 Valley View Dr, San Antonio → 1110 Sunset Blvd, Fresno |
| Proposed | — | ||
| ACT-013431 | Outreach address corrected Outreach | Burns Alice: 1416 Pine Dr # 154, Scottsdale → 1416 Pine Dr, Scottsdale |
| Proposed | — | ||
| ACT-013432 | Outreach address corrected Outreach | Joey Smiht: 3961 Ridge Rd, Phoenix → 3961 Ridge Rd Apt 11, Phoenix |
| Proposed | — | ||
| ACT-013433 | Outreach address corrected Outreach | Juan Wells: 8015 Lake View Rd, Orlando → 943 Lincoln Way, Dallas |
| Proposed | — | ||
| ACT-013434 | Outreach address corrected Outreach | Aaron Pierce: 9338 Spring St, Columbus → 9338 Spring St # 712, Columbus |
| Proposed | — | ||
| ACT-013435 | Outreach address corrected Outreach | Denise Spencer: 7119 Canyon Rd, Jacksonville → 8865 Bayshore Dr, Los Angeles |
| Proposed | — | ||
| ACT-013436 | Outreach address corrected Outreach | Christina Ramos: 7157 Market St, Los Angeles → 7083 Grand Ave, Seattle |
| Proposed | — | ||
| ACT-013437 | Outreach address corrected Outreach | Angela Lopez: 7803 Canyon Rd Apt 39, Houston → 7803 Canyon Rd, Houston |
| Proposed | — | ||
| ACT-013438 | Outreach address corrected Outreach | Scott Vazquez: 7201 Sunset Blvd Apt 12, Charlotte → 7201 Sunset Blvd, Charlotte |
| Proposed | — | ||
| ACT-013439 | Outreach address corrected Outreach | Emily Adams: 9365 Sage Ct # 739, Orlando → 9365 Sage Ct, Orlando |
| Proposed | — | ||
| ACT-013440 | Outreach address corrected Outreach | Andrew Reyes: 6345 Ridge Rd, Eden Prairie → 6345 Ridge Rd Apt 29, Eden Prairie |
| Proposed | — | ||
| ACT-013441 | Outreach address corrected Outreach | Nathan Day: 4425 Broadway, Dallas → 4425 Broadway Apt 22, Dallas |
| Proposed | — | ||
| ACT-013442 | Outreach address corrected Outreach | Juan Tran: 354 Central Ave # 791, Plano → 354 Central Ave Apt 33, Plano |
| Proposed | — | ||
| ACT-013443 | Outreach address corrected Outreach | Eric Bowman: 8419 Central Ave # 287, Nashville → 2259 River Rd, Minneapolis |
| Proposed | — | ||
| ACT-013444 | Outreach address corrected Outreach | Henry Rios: 2185 Palm Dr, San Antonio → 2185 Palm Dr Apt 24, San Antonio |
| 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.