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-010452 | Outreach address corrected Outreach | Emma Reyes: 6614 Lake View Rd # 682, Sacramento → 6614 Lake View Rd, Sacramento |
| Proposed | — | ||
| ACT-010453 | Outreach address corrected Outreach | Billy Collins: 1834 Mountain View Dr Apt 38, Austin → 1834 Mountain View Dr, Austin |
| Proposed | — | ||
| ACT-010454 | Outreach address corrected Outreach | Patty Grant: 2725 Hillcrest Rd # 393, Mesa → 2725 Hillcrest Rd, Mesa |
| Proposed | — | ||
| ACT-010455 | Outreach address corrected Outreach | Luis Howard: 744 Harbor Blvd Apt 37, Las Vegas → 744 Harbor Blvd, Las Vegas |
| Proposed | — | ||
| ACT-010456 | Outreach address corrected Outreach | Arthur Johnson: 58 Spring St # 837, Houston → 58 Spring St, Houston |
| Proposed | — | ||
| ACT-010457 | Outreach address corrected Outreach | Roger Nelson: 9244 Mountain View Dr, Miami → 1103 Desert Sky Blvd, Tucson |
| Proposed | — | ||
| ACT-010458 | Outreach address corrected Outreach | Sara Baker: 9270 Valley View Dr Apt 7, Houston → 9270 Valley View Dr, Houston |
| Proposed | — | ||
| ACT-010459 | Outreach address corrected Outreach | Lucia Weaver: 4920 Lake View Rd Apt 18, Columbus → 4920 Lake View Rd, Columbus |
| Proposed | — | ||
| ACT-010460 | Outreach address corrected Outreach | David Rose: 703 Palm Dr, Minneapolis → 6320 Palm Dr, Scottsdale |
| Proposed | — | ||
| ACT-010461 | Outreach address corrected Outreach | Margaret Hunter: 5534 Union St # 880, Denver → 5534 Union St, Denver |
| Proposed | — | ||
| ACT-010462 | Outreach address corrected Outreach | Jordan Armstrong: 5162 Bayshore Dr, San Antonio → 5162 Bayshore Dr Apt 35, San Antonio |
| Proposed | — | ||
| ACT-010463 | Outreach address corrected Outreach | Isabella Carr: 1829 Mountain View Dr, Phoenix → 1829 Mountain View Dr Apt 17, Phoenix |
| Proposed | — | ||
| ACT-010464 | Outreach address corrected Outreach | Sarah Henderson: 8426 Cedar Ln # 716, Mesa → 8426 Cedar Ln, Mesa |
| Proposed | — | ||
| ACT-010465 | Outreach address corrected Outreach | Pamela Espinoza: 952 Lincoln Way # 766, San Diego → 952 Lincoln Way, San Diego |
| Proposed | — | ||
| ACT-010466 | Outreach address corrected Outreach | Ryan Dixon: 3550 Lake View Rd Apt 27, San Diego → 3550 Lake View Rd, San Diego |
| Proposed | — | ||
| ACT-010467 | Outreach address corrected Outreach | Lisa Hughes: 3596 Main St, Las Vegas → 3596 Main St # 498, Las Vegas |
| Proposed | — | ||
| ACT-010468 | Outreach address corrected Outreach | Elizabeth Contreras: 5143 Elm St, Nashville → 5635 Sunset Blvd, Fresno |
| Proposed | — | ||
| ACT-010469 | Outreach address corrected Outreach | Elijah Flores: 2946 Washington St, Sacramento → 7879 Market St, Los Angeles |
| Proposed | — | ||
| ACT-010470 | Outreach address corrected Outreach | Virginia Vazquez: 7732 Palm Dr, Mesa → 1472 Willow Ct # 869, Eden Prairie |
| Proposed | — | ||
| ACT-010471 | Outreach address corrected Outreach | Tyler Ramirez: 970 Main St, Scottsdale → 135 Church St, San Diego |
| Proposed | — | ||
| ACT-010472 | Outreach address corrected Outreach | Joyce Santiago: 832 Highland Ave, Los Angeles → 832 Highland Ave # 934, Los Angeles |
| Proposed | — | ||
| ACT-010473 | Outreach address corrected Outreach | Judith Soto: 580 Jefferson Ave, San Antonio → 580 Jefferson Ave Apt 22, San Antonio |
| Proposed | — | ||
| ACT-010474 | Outreach address corrected Outreach | Ronald Cox: 1782 Camelback Rd, Scottsdale → 1782 Camelback Rd # 759, Scottsdale |
| Proposed | — | ||
| ACT-010475 | Outreach address corrected Outreach | Dorothy Garcia: 4613 Bayshore Dr, San Antonio → 6761 Sunset Blvd, Denver |
| Proposed | — | ||
| ACT-010476 | Outreach address corrected Outreach | Mariana Dixon: 9177 Main St Apt 27, Scottsdale → 9177 Main St, Scottsdale |
| Proposed | — | ||
| ACT-010477 | Outreach address corrected Outreach | Mateo Snyder: 7355 Pine Dr # 524, Dallas → 7355 Pine Dr, Dallas |
| Proposed | — | ||
| ACT-010478 | Outreach address corrected Outreach | Luis Carlson: 8906 Meadow Ln Apt 31, Tempe → 8906 Meadow Ln, Tempe |
| Proposed | — | ||
| ACT-010479 | Outreach address corrected Outreach | Noah Morgan: 5058 Palm Dr # 214, Nashville → 5058 Palm Dr, Nashville |
| Proposed | — | ||
| ACT-010480 | Outreach address corrected Outreach | Henry Hunter: 1192 Oak St # 167, Las Vegas → 1192 Oak St, Las Vegas |
| Proposed | — | ||
| ACT-010481 | Outreach address corrected Outreach | Sandra Medina: 2837 Willow Ct # 597, Las Vegas → 2837 Willow Ct, Las Vegas |
| Proposed | — | ||
| ACT-010482 | Outreach address corrected Outreach | Patrick Flores: 6167 Oak St, Charlotte → 253 Lake View Rd Apt 36, Seattle |
| Proposed | — | ||
| ACT-010483 | Outreach address corrected Outreach | Amanda Bennett: 6065 Union St # 946, Columbus → 6065 Union St, Columbus |
| Proposed | — | ||
| ACT-010484 | Outreach address corrected Outreach | Amber White: 2131 Sunset Blvd, Miami → 2131 Sunset Blvd # 710, Miami |
| Proposed | — | ||
| ACT-010485 | Outreach address corrected Outreach | Luis Willis: 8903 Desert Sky Blvd Apt 17, Denver → 8903 Desert Sky Blvd, Denver |
| Proposed | — | ||
| ACT-010486 | Outreach address corrected Outreach | Virginia Hansen: 3692 Sunset Blvd, Jacksonville → 3692 Sunset Blvd Apt 30, Jacksonville |
| Proposed | — | ||
| ACT-010487 | Outreach address corrected Outreach | Christian Simmons: 976 Valley View Dr # 870, Mesa → 976 Valley View Dr, Mesa |
| Proposed | — | ||
| ACT-010488 | Outreach address corrected Outreach | Sofia Price: 1481 River Rd, Chandler → 2370 Spring St, Phoenix |
| Proposed | — | ||
| ACT-010489 | Outreach address corrected Outreach | Denise Morgan: 5211 Harbor Blvd Apt 36, Houston → 5211 Harbor Blvd Apt 4, Houston |
| Proposed | — | ||
| ACT-010490 | Outreach address corrected Outreach | Marcus Russell: 3158 Jefferson Ave, Tampa → 1187 Church St, Gilbert |
| Proposed | — | ||
| ACT-010491 | Outreach address corrected Outreach | Denise Boyd: 3478 Bayshore Dr Apt 6, Tampa → 8652 Broadway Apt 19, Mesa |
| Proposed | — | ||
| ACT-010492 | Outreach address corrected Outreach | Kelly Shaw: 8505 Forest Ave, Scottsdale → 8505 Forest Ave Apt 19, Scottsdale |
| Proposed | — | ||
| ACT-010493 | Outreach address corrected Outreach | Philip Schmidt: 7365 Harbor Blvd, Gilbert → 5704 Bayshore Dr, Jacksonville |
| Proposed | — | ||
| ACT-010494 | Outreach address corrected Outreach | Richard Lawrence: 7375 Sage Ct, Eden Prairie → 7375 Sage Ct # 614, Eden Prairie |
| Proposed | — | ||
| ACT-010495 | Outreach address corrected Outreach | Barb Ryan: 6299 Sunset Blvd Apt 25, San Diego → 6299 Sunset Blvd, San Diego |
| Proposed | — | ||
| ACT-010496 | Outreach address corrected Outreach | Alexander Hunt: 2344 Church St, Miami → 2344 Church St Apt 9, Miami |
| Proposed | — | ||
| ACT-010497 | Outreach address corrected Outreach | Nathan Morrison: 1788 Valley View Dr, Seattle → 1788 Valley View Dr # 194, Seattle |
| Proposed | — | ||
| ACT-010498 | Outreach address corrected Outreach | Valentina Price: 9812 Meadow Ln, Phoenix → 9812 Meadow Ln # 599, Phoenix |
| Proposed | — | ||
| ACT-010499 | Outreach address corrected Outreach | Walter Chavez: 7980 Maple Ave Apt 22, Austin → 7980 Maple Ave, Austin |
| Proposed | — | ||
| ACT-010500 | Outreach address corrected Outreach | Terry West: 4900 Church St # 545, Los Angeles → 4900 Church St, Los Angeles |
| Proposed | — | ||
| ACT-010501 | Outreach address corrected Outreach | Judy Franklin: 7597 Sage Ct, Atlanta → 7597 Sage Ct # 191, Atlanta |
| 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.