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-010902 | Outreach address corrected Outreach | Melissa Park: 2042 Camelback Rd # 829, Eden Prairie → 2042 Camelback Rd, Eden Prairie |
| Proposed | — | ||
| ACT-010903 | Outreach address corrected Outreach | Ashley Hayes: 2850 Valley View Dr Apt 38, Chandler → 2850 Valley View Dr, Chandler |
| Proposed | — | ||
| ACT-010904 | Outreach address corrected Outreach | Billy Fisher: 1611 Hillcrest Rd Apt 31, Seattle → 1611 Hillcrest Rd, Seattle |
| Proposed | — | ||
| ACT-010905 | Outreach address corrected Outreach | Vincent Sullivan: 8234 Jefferson Ave Apt 18, San Antonio → 8234 Jefferson Ave, San Antonio |
| Proposed | — | ||
| ACT-010906 | Outreach address corrected Outreach | Ethan Rogers: 1672 Spring St # 140, San Antonio → 1672 Spring St, San Antonio |
| Proposed | — | ||
| ACT-010907 | Outreach address corrected Outreach | Madison Vazquez: 6427 Mesa Dr, Miami → 9099 Mesa Dr, Minneapolis |
| Proposed | — | ||
| ACT-010908 | Outreach address corrected Outreach | Amber Ross: 8205 Spring St, Minneapolis → 8205 Spring St Apt 6, Minneapolis |
| Proposed | — | ||
| ACT-010909 | Outreach address corrected Outreach | Brandon Hart: 2303 Indian School Rd Apt 33, Columbus → 2303 Indian School Rd, Columbus |
| Proposed | — | ||
| ACT-010910 | Outreach address corrected Outreach | Anna Torres: 9611 Sage Ct, Plano → 5265 Canyon Rd, Charlotte |
| Proposed | — | ||
| ACT-010911 | Outreach address corrected Outreach | Wei Walsh: 4054 Willow Ct, Chandler → 4054 Willow Ct Apt 21, Chandler |
| Proposed | — | ||
| ACT-010912 | Outreach address corrected Outreach | Nancy Stephens: 8008 Ocean Ave Apt 10, Scottsdale → 8008 Ocean Ave, Scottsdale |
| Proposed | — | ||
| ACT-010913 | Outreach address corrected Outreach | Ralph Jenkins: 525 Sage Ct, Fresno → 525 Sage Ct # 882, Fresno |
| Proposed | — | ||
| ACT-010914 | Outreach address corrected Outreach | Heather Rodriguez: 5155 Highland Ave, Fresno → 5388 Valley View Dr, Houston |
| Proposed | — | ||
| ACT-010915 | Outreach address corrected Outreach | Raymond Banks: 2102 Central Ave # 626, Denver → 2102 Central Ave, Denver |
| Proposed | — | ||
| ACT-010916 | Outreach address corrected Outreach | Paul Coleman: 8638 Main St, Miami → 8638 Main St Apt 16, Miami |
| Proposed | — | ||
| ACT-010917 | Outreach address corrected Outreach | Lauren Jackson: 4793 Church St, Minneapolis → 7895 Harbor Blvd, Houston |
| Proposed | — | ||
| ACT-010918 | Outreach address corrected Outreach | Laura Weaver: 5819 Ridge Rd, Charlotte → 1147 Meadow Ln, Phoenix |
| Proposed | — | ||
| ACT-010919 | Outreach address corrected Outreach | Ruth Rose: 8340 Maple Ave, Dallas → 5846 Washington St, Miami |
| Proposed | — | ||
| ACT-010920 | Outreach address corrected Outreach | Kathryn Berry: 6986 Washington St Apt 31, Houston → 6986 Washington St, Houston |
| Proposed | — | ||
| ACT-010921 | Outreach address corrected Outreach | Mariana Nguyen: 9516 Ocean Ave Apt 18, Chandler → 9516 Ocean Ave, Chandler |
| Proposed | — | ||
| ACT-010922 | Outreach address corrected Outreach | Brenda Parker: 6506 Elm St, Austin → 6506 Elm St Apt 21, Austin |
| Proposed | — | ||
| ACT-010923 | Outreach address corrected Outreach | Natalie Wang: 5773 Baseline Rd # 137, Minneapolis → 5773 Baseline Rd Apt 33, Minneapolis |
| Proposed | — | ||
| ACT-010924 | Outreach address corrected Outreach | Brandon Alvarado: 231 Maple Ave, Sacramento → 1039 Valley View Dr, Scottsdale |
| Proposed | — | ||
| ACT-010925 | Outreach address corrected Outreach | Douglas Stewart: 4478 Cedar Ln Apt 31, Dallas → 4478 Cedar Ln, Dallas |
| Proposed | — | ||
| ACT-010926 | Outreach address corrected Outreach | Hiroshi Chen: 9756 Sage Ct, Chandler → 647 Market St, Chandler |
| Proposed | — | ||
| ACT-010927 | Outreach address corrected Outreach | Linda Howard: 6346 Market St, Tampa → 6346 Market St # 936, Tampa |
| Proposed | — | ||
| ACT-010928 | Outreach address corrected Outreach | Logan Hoffman: 9891 Lincoln Way Apt 19, Glendale → 9891 Lincoln Way, Glendale |
| Proposed | — | ||
| ACT-010929 | Outreach address corrected Outreach | Juan Harris: 5790 Cedar Ln, Sacramento → 3753 Sage Ct, Fresno |
| Proposed | — | ||
| ACT-010930 | Outreach address corrected Outreach | Emma Ramirez: 6283 Willow Ct, Sacramento → 6283 Willow Ct # 499, Sacramento |
| Proposed | — | ||
| ACT-010931 | Outreach address corrected Outreach | Abigal Murphy: 6723 Willow Ct, Austin → 6723 Willow Ct # 418, Austin |
| Proposed | — | ||
| ACT-010932 | Outreach address corrected Outreach | Kathy West: 3928 Camelback Rd # 253, Glendale → 3928 Camelback Rd # 477, Glendale |
| Proposed | — | ||
| ACT-010933 | Outreach address corrected Outreach | Jason Ross: 1716 Maple Ave, Gilbert → 1716 Maple Ave # 669, Gilbert |
| Proposed | — | ||
| ACT-010934 | Outreach address corrected Outreach | Emily Palmer: 2418 Oak St, Chandler → 7132 Forest Ave, Nashville |
| Proposed | — | ||
| ACT-010935 | Outreach address corrected Outreach | Abby Kelley: 3540 Harbor Blvd Apt 23, Seattle → 3540 Harbor Blvd, Seattle |
| Proposed | — | ||
| ACT-010936 | Outreach address corrected Outreach | Jose Bryant: 7395 Harbor Blvd, San Antonio → 4172 Apache Blvd, Tempe |
| Proposed | — | ||
| ACT-010937 | Outreach address corrected Outreach | Brenda Clark: 4157 Cedar Ln, Orlando → 4157 Cedar Ln Apt 14, Orlando |
| Proposed | — | ||
| ACT-010938 | Outreach address corrected Outreach | Zachary Hill: 7404 Market St # 840, Sacramento → 7404 Market St, Sacramento |
| Proposed | — | ||
| ACT-010939 | Outreach address corrected Outreach | Kathryn Stone: 428 Central Ave, Eden Prairie → 4756 Pine Dr Apt 30, Seattle |
| Proposed | — | ||
| ACT-010940 | Outreach address corrected Outreach | Mark Espinoza: 4753 Willow Ct, Fresno → 6788 Ocean Ave, Mesa |
| Proposed | — | ||
| ACT-010941 | Outreach address corrected Outreach | Santiago Lynch: 2281 River Rd, Las Vegas → 2281 River Rd # 188, Las Vegas |
| Proposed | — | ||
| ACT-010942 | Outreach address corrected Outreach | Sandra Rose: 2061 Camelback Rd, Tucson → 2061 Camelback Rd Apt 27, Tucson |
| Proposed | — | ||
| ACT-010943 | Outreach address corrected Outreach | Randy Flores: 9683 Indian School Rd Apt 25, Orlando → 9683 Indian School Rd Apt 33, Orlando |
| Proposed | — | ||
| ACT-010944 | Outreach address corrected Outreach | Kathleen Day: 3932 Meadow Ln Apt 19, Tampa → 3932 Meadow Ln, Tampa |
| Proposed | — | ||
| ACT-010945 | Outreach address corrected Outreach | Laura Thomas: 2534 Central Ave, Columbus → 2534 Central Ave # 407, Columbus |
| Proposed | — | ||
| ACT-010946 | Outreach address corrected Outreach | Scott Anderson: 4712 Hillcrest Rd Apt 1, Glendale → 4712 Hillcrest Rd, Glendale |
| Proposed | — | ||
| ACT-010947 | Outreach address corrected Outreach | Christian Holmes: 4067 Highland Ave Apt 4, Minneapolis → 4067 Highland Ave, Minneapolis |
| Proposed | — | ||
| ACT-010948 | Outreach address corrected Outreach | Jennifer Castro: 1633 Sage Ct, Jacksonville → 1633 Sage Ct Apt 35, Jacksonville |
| Proposed | — | ||
| ACT-010949 | Outreach address corrected Outreach | Eric Schmidt: 3720 Pine Dr, Miami → 2124 Forest Ave, Sacramento |
| Proposed | — | ||
| ACT-010950 | Outreach address corrected Outreach | Ruth Jackson: 8808 Camelback Rd, Las Vegas → 4532 Jefferson Ave, Mesa |
| Proposed | — | ||
| ACT-010951 | Outreach address corrected Outreach | Nancy Simpson: 5617 Jefferson Ave, Sacramento → 5617 Jefferson Ave # 110, Sacramento |
| 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.