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-010952 | Outreach address corrected Outreach | Gary Holmes: 8936 Oak St, Denver → 8860 Lincoln Way, Orlando |
| Proposed | — | ||
| ACT-010953 | Outreach address corrected Outreach | Angela Flores: 9795 Washington St Apt 26, Los Angeles → 9795 Washington St # 636, Los Angeles |
| Proposed | — | ||
| ACT-010954 | Outreach address corrected Outreach | Charles Ortiz: 6243 Hillcrest Rd Apt 21, Glendale → 6243 Hillcrest Rd, Glendale |
| Proposed | — | ||
| ACT-010955 | Outreach address corrected Outreach | Logan Ramirez: 3552 Lincoln Way, Minneapolis → 666 Hillcrest Rd, Los Angeles |
| Proposed | — | ||
| ACT-010956 | Outreach address corrected Outreach | Patricia Gomez: 3964 Highland Ave # 973, Scottsdale → 3964 Highland Ave, Scottsdale |
| Proposed | — | ||
| ACT-010957 | Outreach address corrected Outreach | Michelle Cunningham: 1038 Main St, Gilbert → 1038 Main St # 290, Gilbert |
| Proposed | — | ||
| ACT-010958 | Outreach address corrected Outreach | Lauren Montgomery: 3614 Canyon Rd, Fresno → 2399 Hillcrest Rd, Scottsdale |
| Proposed | — | ||
| ACT-010959 | Outreach address corrected Outreach | Emma Jensen: 5617 Central Ave, Phoenix → 6876 Mesa Dr, Miami |
| Proposed | — | ||
| ACT-010960 | Outreach address corrected Outreach | Carlos Perry: 1213 Spring St Apt 1, San Antonio → 872 Mesa Dr, Seattle |
| Proposed | — | ||
| ACT-010961 | Outreach address corrected Outreach | Danielle Carter: 1393 Willow Ct, Gilbert → 8020 Highland Ave, Atlanta |
| Proposed | — | ||
| ACT-010962 | Outreach address corrected Outreach | Rebecca Bailey: 1103 Lake View Rd, Eden Prairie → 1884 Willow Ct, Jacksonville |
| Proposed | — | ||
| ACT-010963 | Outreach address corrected Outreach | Mark Sandoval: 2986 Forest Ave, San Antonio → 6181 Mountain View Dr, Houston |
| Proposed | — | ||
| ACT-010964 | Outreach address corrected Outreach | Virginia Watkins: 1208 Forest Ave, Scottsdale → 1208 Forest Ave Apt 37, Scottsdale |
| Proposed | — | ||
| ACT-010965 | Outreach address corrected Outreach | Joshua Nelson: 1628 Camelback Rd, Denver → 1628 Camelback Rd # 816, Denver |
| Proposed | — | ||
| ACT-010966 | Outreach address corrected Outreach | Brenda Ramos: 8244 Union St Apt 2, Nashville → 8244 Union St, Nashville |
| Proposed | — | ||
| ACT-010967 | Outreach address corrected Outreach | Kelly Reed: 1750 Grand Ave # 324, Minneapolis → 1750 Grand Ave, Minneapolis |
| Proposed | — | ||
| ACT-010968 | Outreach address corrected Outreach | Laaura Stone: 7846 Willow Ct, Seattle → 5772 Elm St Apt 26, Orlando |
| Proposed | — | ||
| ACT-010969 | Outreach address corrected Outreach | Ana King: 5915 Park Pl # 766, Orlando → 5915 Park Pl, Orlando |
| Proposed | — | ||
| ACT-010970 | Outreach address corrected Outreach | Brenda Bennett: 6951 Sunset Blvd, San Diego → 6951 Sunset Blvd Apt 31, San Diego |
| Proposed | — | ||
| ACT-010971 | Outreach address corrected Outreach | Cynthia Hill: 3680 Indian School Rd Apt 33, Tucson → 3680 Indian School Rd, Tucson |
| Proposed | — | ||
| ACT-010972 | Outreach address corrected Outreach | Justin Wilson: 5123 Camelback Rd # 308, Plano → 5123 Camelback Rd, Plano |
| Proposed | — | ||
| ACT-010973 | Outreach address corrected Outreach | Steven Welch: 259 Broadway Apt 25, Los Angeles → 259 Broadway, Los Angeles |
| Proposed | — | ||
| ACT-010974 | Outreach address corrected Outreach | Ray Dixon: 7727 Mesa Dr, Seattle → 803 Apache Blvd # 566, Gilbert |
| Proposed | — | ||
| ACT-010975 | Outreach address corrected Outreach | Juan Alexander: 9353 Main St, Plano → 9353 Main St Apt 13, Plano |
| Proposed | — | ||
| ACT-010976 | Outreach address corrected Outreach | Vincent Griffin: 2128 River Rd # 430, Scottsdale → 2128 River Rd, Scottsdale |
| Proposed | — | ||
| ACT-010977 | Outreach address corrected Outreach | Carl Johnston: 8398 Desert Sky Blvd, Minneapolis → 8398 Desert Sky Blvd Apt 35, Minneapolis |
| Proposed | — | ||
| ACT-010978 | Outreach address corrected Outreach | Stephen Stevens: 9133 Sage Ct Apt 38, Phoenix → 9133 Sage Ct, Phoenix |
| Proposed | — | ||
| ACT-010979 | Outreach address corrected Outreach | Amber Baker: 8203 Bayshore Dr, Austin → 8203 Bayshore Dr Apt 23, Austin |
| Proposed | — | ||
| ACT-010980 | Outreach address corrected Outreach | Yuki Wright: 9017 Pine Dr, Jacksonville → 9017 Pine Dr # 800, Jacksonville |
| Proposed | — | ||
| ACT-010981 | Outreach address corrected Outreach | Natalie James: 5951 Desert Sky Blvd, Scottsdale → 5951 Desert Sky Blvd Apt 18, Scottsdale |
| Proposed | — | ||
| ACT-010982 | Outreach address corrected Outreach | Logan Mills: 3968 Grand Ave # 848, Sacramento → 3968 Grand Ave, Sacramento |
| Proposed | — | ||
| ACT-010983 | Outreach address corrected Outreach | Jean Reed: 5322 Sage Ct, Fresno → 5322 Sage Ct Apt 38, Fresno |
| Proposed | — | ||
| ACT-010984 | Outreach address corrected Outreach | Christian Ruiz: 1131 Union St Apt 3, Columbus → 1131 Union St Apt 26, Columbus |
| Proposed | — | ||
| ACT-010985 | Outreach address corrected Outreach | Harold Rivera: 2799 Cedar Ln # 734, Orlando → 2011 Park Pl, Jacksonville |
| Proposed | — | ||
| ACT-010986 | Outreach address corrected Outreach | Zachary Adams: 5796 Broadway, Orlando → 5796 Broadway Apt 21, Orlando |
| Proposed | — | ||
| ACT-010987 | Outreach address corrected Outreach | Couper Andrew: 8838 Jefferson Ave Apt 22, Nashville → 8838 Jefferson Ave, Nashville |
| Proposed | — | ||
| ACT-010988 | Outreach address corrected Outreach | Brian Vazquez: 6606 Oak St, Austin → 6606 Oak St Apt 23, Austin |
| Proposed | — | ||
| ACT-010989 | Outreach address corrected Outreach | Lawrence Carpenter: 132 Valley View Dr, Columbus → 132 Valley View Dr # 304, Columbus |
| Proposed | — | ||
| ACT-010990 | Outreach address corrected Outreach | Sophia Jenkins: 1597 Bayshore Dr, Miami → 1597 Bayshore Dr # 231, Miami |
| Proposed | — | ||
| ACT-010991 | Outreach address corrected Outreach | George Patterson: 5376 Central Ave, San Antonio → 5376 Central Ave # 493, San Antonio |
| Proposed | — | ||
| ACT-010992 | Outreach address corrected Outreach | Karen Diaz: 9348 Canyon Rd, Scottsdale → 9655 Grand Ave, Eden Prairie |
| Proposed | — | ||
| ACT-010993 | Outreach address corrected Outreach | Jose Yang: 6764 Ridge Rd Apt 11, Tampa → 6764 Ridge Rd Apt 25, Tampa |
| Proposed | — | ||
| ACT-010994 | Outreach address corrected Outreach | Julia Fields: 2233 Apache Blvd, Houston → 7380 Bayshore Dr, Phoenix |
| Proposed | — | ||
| ACT-010995 | Outreach address corrected Outreach | Theresa Mitchell: 8445 Harbor Blvd, Austin → 8980 Hillcrest Rd, Minneapolis |
| Proposed | — | ||
| ACT-010996 | Outreach address corrected Outreach | Cynthia Mason: 8767 Central Ave, Fresno → 8767 Central Ave Apt 38, Fresno |
| Proposed | — | ||
| ACT-010997 | Outreach address corrected Outreach | Ana Burns: 226 Ocean Ave # 137, Orlando → 226 Ocean Ave, Orlando |
| Proposed | — | ||
| ACT-010998 | Outreach address corrected Outreach | Bobby Chapman: 5157 Lake View Rd, Dallas → 2613 Cedar Ln, Austin |
| Proposed | — | ||
| ACT-010999 | Outreach address corrected Outreach | Hiroshi Harrison: 8739 Ocean Ave, Las Vegas → 1277 Spring St, Fresno |
| Proposed | — | ||
| ACT-011000 | Outreach address corrected Outreach | Gary Price: 8120 Bayshore Dr # 842, Chandler → 8120 Bayshore Dr, Chandler |
| Proposed | — | ||
| ACT-011001 | Outreach address corrected Outreach | Albert Payne: 1534 Highland Ave, Charlotte → 1534 Highland Ave Apt 3, Charlotte |
| 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.