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-011002 | Outreach address corrected Outreach | Eugene Carlson: 7646 Ridge Rd # 888, Phoenix → 7646 Ridge Rd, Phoenix |
| Proposed | — | ||
| ACT-011003 | Outreach address corrected Outreach | Ruth Ortiz: 8190 Grand Ave # 315, Los Angeles → 8190 Grand Ave, Los Angeles |
| Proposed | — | ||
| ACT-011004 | Outreach address corrected Outreach | Diane Lucas: 6585 Maple Ave, Dallas → 3522 Jefferson Ave, Tampa |
| Proposed | — | ||
| ACT-011005 | Outreach address corrected Outreach | Kathryn Gonzalez: 4472 Main St Apt 35, Minneapolis → 4472 Main St, Minneapolis |
| Proposed | — | ||
| ACT-011006 | Outreach address corrected Outreach | Ralph Gibson: 2194 Baseline Rd # 791, Miami → 2194 Baseline Rd, Miami |
| Proposed | — | ||
| ACT-011007 | Outreach address corrected Outreach | Mary Wlilis: 7077 Sunset Blvd, Houston → 1470 Apache Blvd, Austin |
| Proposed | — | ||
| ACT-011008 | Outreach address corrected Outreach | Scott Ward: 468 Pine Dr, Jacksonville → 468 Pine Dr # 226, Jacksonville |
| Proposed | — | ||
| ACT-011009 | Outreach address corrected Outreach | Elizabeth Hamilton: 4500 Maple Ave # 816, Seattle → 4500 Maple Ave, Seattle |
| Proposed | — | ||
| ACT-011010 | Outreach address corrected Outreach | Paul Marshall: 8380 Ocean Ave # 276, Tampa → 8380 Ocean Ave, Tampa |
| Proposed | — | ||
| ACT-011011 | Outreach address corrected Outreach | Bobby Gray: 481 Broadway, Nashville → 5084 Market St, Tampa |
| Proposed | — | ||
| ACT-011012 | Outreach address corrected Outreach | Joshua Rios: 8168 Cedar Ln, Las Vegas → 6349 Indian School Rd Apt 35, Charlotte |
| Proposed | — | ||
| ACT-011013 | Outreach address corrected Outreach | Alan Marquez: 2304 Central Ave Apt 25, Fresno → 2304 Central Ave, Fresno |
| Proposed | — | ||
| ACT-011014 | Outreach address corrected Outreach | Aisha Chapman: 4462 Cedar Ln, Miami → 4462 Cedar Ln # 123, Miami |
| Proposed | — | ||
| ACT-011015 | Outreach address corrected Outreach | Priya Spencer: 252 Apache Blvd # 847, Houston → 252 Apache Blvd, Houston |
| Proposed | — | ||
| ACT-011016 | Outreach address corrected Outreach | Henry Tran: 4058 Palm Dr # 607, Miami → 4058 Palm Dr, Miami |
| Proposed | — | ||
| ACT-011017 | Outreach address corrected Outreach | Ryan Edwards: 638 Church St, Gilbert → 638 Church St # 701, Gilbert |
| Proposed | — | ||
| ACT-011018 | Outreach address corrected Outreach | Teresa Reid: 7882 Market St # 374, Nashville → 7882 Market St, Nashville |
| Proposed | — | ||
| ACT-011019 | Outreach address corrected Outreach | Dennis Murphy: 1093 Baseline Rd, Plano → 1093 Baseline Rd # 643, Plano |
| Proposed | — | ||
| ACT-011020 | Outreach address corrected Outreach | Austin Stevens: 2950 Spring St Apt 26, Mesa → 2950 Spring St, Mesa |
| Proposed | — | ||
| ACT-011021 | Outreach address corrected Outreach | Pamela Yang: 4873 Market St, Dallas → 4873 Market St # 826, Dallas |
| Proposed | — | ||
| ACT-011022 | Outreach address corrected Outreach | David Stephens: 4228 Jefferson Ave, Las Vegas → 7357 Jefferson Ave # 517, Eden Prairie |
| Proposed | — | ||
| ACT-011023 | Outreach address corrected Outreach | Brandon Fowler: 820 Mesa Dr, Minneapolis → 820 Mesa Dr Apt 14, Minneapolis |
| Proposed | — | ||
| ACT-011024 | Outreach address corrected Outreach | Sam Miller: 5308 Grand Ave # 408, Tucson → 5308 Grand Ave, Tucson |
| Proposed | — | ||
| ACT-011025 | Outreach address corrected Outreach | Bryant Mateo: 5458 Forest Ave, Charlotte → 9124 Sunset Blvd, Gilbert |
| Proposed | — | ||
| ACT-011026 | Outreach address corrected Outreach | Kelly James: 1768 Maple Ave # 797, Eden Prairie → 1768 Maple Ave, Eden Prairie |
| Proposed | — | ||
| ACT-011027 | Outreach address corrected Outreach | Bruce Porter: 2128 Sunset Blvd, Las Vegas → 2200 Bayshore Dr, Fresno |
| Proposed | — | ||
| ACT-011028 | Outreach address corrected Outreach | Gregory Delgado: 4695 Lincoln Way, Austin → 4695 Lincoln Way # 739, Austin |
| Proposed | — | ||
| ACT-011029 | Outreach address corrected Outreach | Donna Silva: 9374 Sage Ct, Las Vegas → 9374 Sage Ct # 789, Las Vegas |
| Proposed | — | ||
| ACT-011030 | Outreach address corrected Outreach | Jeffrey Myers: 3390 Harbor Blvd, Tucson → 7510 Hillcrest Rd, Austin |
| Proposed | — | ||
| ACT-011031 | Outreach address corrected Outreach | Ashley Hall: 5373 Jefferson Ave Apt 27, Nashville → 5373 Jefferson Ave, Nashville |
| Proposed | — | ||
| ACT-011032 | Outreach address corrected Outreach | Justin Espinoza: 2598 Elm St, Eden Prairie → 2598 Elm St Apt 32, Eden Prairie |
| Proposed | — | ||
| ACT-011033 | Outreach address corrected Outreach | Priya Valdez: 3451 Willow Ct, Tempe → 3451 Willow Ct # 241, Tempe |
| Proposed | — | ||
| ACT-011034 | Outreach address corrected Outreach | Denise White: 1157 Washington St Apt 9, Columbus → 1157 Washington St, Columbus |
| Proposed | — | ||
| ACT-011035 | Outreach address corrected Outreach | Ashley Bowman: 6982 Mountain View Dr Apt 25, Glendale → 6982 Mountain View Dr, Glendale |
| Proposed | — | ||
| ACT-011036 | Outreach address corrected Outreach | Helen Wright: 1666 Sunset Blvd # 162, Phoenix → 1666 Sunset Blvd, Phoenix |
| Proposed | — | ||
| ACT-011037 | Outreach address corrected Outreach | Angela Greene: 3078 Sage Ct Apt 17, San Antonio → 3078 Sage Ct, San Antonio |
| Proposed | — | ||
| ACT-011038 | Outreach address corrected Outreach | Randy Fisher: 772 Harbor Blvd, Atlanta → 772 Harbor Blvd # 945, Atlanta |
| Proposed | — | ||
| ACT-011039 | Outreach address corrected Outreach | Joshua Willis: 6663 Oak St Apt 14, Sacramento → 6663 Oak St, Sacramento |
| Proposed | — | ||
| ACT-011040 | Outreach address corrected Outreach | Julia Franklin: 9744 Indian School Rd, Dallas → 2038 Indian School Rd, Jacksonville |
| Proposed | — | ||
| ACT-011041 | Outreach address corrected Outreach | Richard Patterson: 2676 Market St, Nashville → 2676 Market St Apt 31, Nashville |
| Proposed | — | ||
| ACT-011042 | Outreach address corrected Outreach | Aaron Ortiz: 1484 Forest Ave, Fresno → 3890 Baseline Rd, Tempe |
| Proposed | — | ||
| ACT-011043 | Outreach address corrected Outreach | Paul Porter: 4240 Church St Apt 31, Plano → 4240 Church St, Plano |
| Proposed | — | ||
| ACT-011044 | Outreach address corrected Outreach | Barbara Warren: 9804 Ocean Ave # 833, Austin → 9804 Ocean Ave # 139, Austin |
| Proposed | — | ||
| ACT-011045 | Outreach address corrected Outreach | Samantha Armstrong: 6687 Elm St Apt 20, Denver → 6687 Elm St, Denver |
| Proposed | — | ||
| ACT-011046 | Outreach address corrected Outreach | Keith Jordan: 7093 Apache Blvd, Nashville → 7093 Apache Blvd Apt 15, Nashville |
| Proposed | — | ||
| ACT-011047 | Outreach address corrected Outreach | Natalie Ryan: 8410 Central Ave, Austin → 9790 Washington St # 404, Minneapolis |
| Proposed | — | ||
| ACT-011048 | Outreach address corrected Outreach | Patrick Gardner: 3583 Canyon Rd, Dallas → 3583 Canyon Rd # 200, Dallas |
| Proposed | — | ||
| ACT-011049 | Outreach address corrected Outreach | Kelly Harris: 1366 Highland Ave, Tempe → 1366 Highland Ave # 915, Tempe |
| Proposed | — | ||
| ACT-011050 | Outreach address corrected Outreach | Frances Porter: 173 Broadway # 318, Tempe → 173 Broadway, Tempe |
| Proposed | — | ||
| ACT-011051 | Outreach address corrected Outreach | Bruce Sanchez: 990 Palm Dr # 125, San Diego → 990 Palm Dr, San Diego |
| 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.