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-011052 | Outreach address corrected Outreach | Vincent Diaz: 8104 Lincoln Way # 427, Seattle → 8104 Lincoln Way, Seattle |
| Proposed | — | ||
| ACT-011053 | Outreach address corrected Outreach | Carlos Sttewart: 1899 Desert Sky Blvd, San Antonio → 1899 Desert Sky Blvd Apt 17, San Antonio |
| Proposed | — | ||
| ACT-011054 | Outreach address corrected Outreach | Megan Bishop: 9082 Spring St, Orlando → 9082 Spring St # 860, Orlando |
| Proposed | — | ||
| ACT-011055 | Outreach address corrected Outreach | Daniel Black: 4370 Spring St, Phoenix → 4370 Spring St # 768, Phoenix |
| Proposed | — | ||
| ACT-011056 | Outreach address corrected Outreach | Amanda Nunez: 9286 Grand Ave, Fresno → 7796 Main St, Atlanta |
| Proposed | — | ||
| ACT-011057 | Outreach address corrected Outreach | Susan Kennedy: 9397 Canyon Rd # 224, Atlanta → 9397 Canyon Rd, Atlanta |
| Proposed | — | ||
| ACT-011058 | Outreach address corrected Outreach | Brittany Wright: 9086 Hillcrest Rd # 586, Miami → 9086 Hillcrest Rd, Miami |
| Proposed | — | ||
| ACT-011059 | Outreach address corrected Outreach | Peter Clark: 275 Cedar Ln # 858, Denver → 275 Cedar Ln # 442, Denver |
| Proposed | — | ||
| ACT-011060 | Outreach address corrected Outreach | Danielle Fox: 6963 Ocean Ave Apt 30, Orlando → 6963 Ocean Ave, Orlando |
| Proposed | — | ||
| ACT-011061 | Outreach address corrected Outreach | Stephen Herrera: 1373 Park Pl, Minneapolis → 1373 Park Pl Apt 33, Minneapolis |
| Proposed | — | ||
| ACT-011062 | Outreach address corrected Outreach | Mariana Henderson: 8672 Highland Ave # 881, Orlando → 8672 Highland Ave, Orlando |
| Proposed | — | ||
| ACT-011063 | Outreach address corrected Outreach | Jason Mason: 6011 Washington St, Sacramento → 6011 Washington St Apt 11, Sacramento |
| Proposed | — | ||
| ACT-011064 | Outreach address corrected Outreach | Wei Morrison: 5478 Canyon Rd Apt 34, Plano → 5478 Canyon Rd, Plano |
| Proposed | — | ||
| ACT-011065 | Outreach address corrected Outreach | Mary Young: 9853 Sage Ct Apt 39, Mesa → 9853 Sage Ct, Mesa |
| Proposed | — | ||
| ACT-011066 | Outreach address corrected Outreach | Rebecca Duncan: 1670 Broadway, Gilbert → 2569 Broadway, Denver |
| Proposed | — | ||
| ACT-011067 | Outreach address corrected Outreach | Arjun Holmes: 5851 Main St, Glendale → 5851 Main St Apt 35, Glendale |
| Proposed | — | ||
| ACT-011068 | Outreach address corrected Outreach | Jack Dunn: 414 Broadway, Nashville → 414 Broadway Apt 40, Nashville |
| Proposed | — | ||
| ACT-011069 | Outreach address corrected Outreach | Lawrence Jackson: 3008 Ocean Ave, Austin → 8802 Harbor Blvd, Nashville |
| Proposed | — | ||
| ACT-011070 | Outreach address corrected Outreach | Aisha Hughes: 5338 Cedar Ln, Denver → 5338 Cedar Ln # 606, Denver |
| Proposed | — | ||
| ACT-011071 | Outreach address corrected Outreach | Beverly Vasquez: 3211 Meadow Ln, Denver → 3211 Meadow Ln Apt 35, Denver |
| Proposed | — | ||
| ACT-011072 | Outreach address corrected Outreach | Evelyn Rice: 456 Palm Dr, San Antonio → 456 Palm Dr Apt 31, San Antonio |
| Proposed | — | ||
| ACT-011073 | Outreach address corrected Outreach | Catherine Cunningham: 615 River Rd # 272, Sacramento → 5687 River Rd, Miami |
| Proposed | — | ||
| ACT-011074 | Outreach address corrected Outreach | Lawrence Berry: 5911 Lake View Rd # 254, Seattle → 4585 Canyon Rd, Miami |
| Proposed | — | ||
| ACT-011075 | Outreach address corrected Outreach | Logan Sanders: 5114 Forest Ave Apt 26, Fresno → 5114 Forest Ave, Fresno |
| Proposed | — | ||
| ACT-011076 | Outreach address corrected Outreach | Rebecca Sims: 9430 Broadway, Seattle → 9430 Broadway Apt 5, Seattle |
| Proposed | — | ||
| ACT-011077 | Outreach address corrected Outreach | Nathan Hall: 7748 Bayshore Dr Apt 6, Austin → 7748 Bayshore Dr, Austin |
| Proposed | — | ||
| ACT-011078 | Outreach address corrected Outreach | Elijah Campbell: 6580 Central Ave # 332, Sacramento → 6580 Central Ave, Sacramento |
| Proposed | — | ||
| ACT-011079 | Outreach address corrected Outreach | Kevin Burton: 2103 Forest Ave, Tampa → 6383 Mountain View Dr, Gilbert |
| Proposed | — | ||
| ACT-011080 | Outreach address corrected Outreach | Eric Wright: 5338 Main St Apt 14, Mesa → 5338 Main St, Mesa |
| Proposed | — | ||
| ACT-011081 | Outreach address corrected Outreach | Heather Rice: 5355 Broadway, Charlotte → 8115 Elm St, Scottsdale |
| Proposed | — | ||
| ACT-011082 | Outreach address corrected Outreach | Cheryl Little: 4835 Hillcrest Rd Apt 33, Eden Prairie → 4835 Hillcrest Rd, Eden Prairie |
| Proposed | — | ||
| ACT-011083 | Outreach address corrected Outreach | David Lee: 997 Desert Sky Blvd Apt 14, Mesa → 997 Desert Sky Blvd, Mesa |
| Proposed | — | ||
| ACT-011084 | Outreach address corrected Outreach | Frank Richards: 7427 Union St, Chandler → 7427 Union St # 125, Chandler |
| Proposed | — | ||
| ACT-011085 | Outreach address corrected Outreach | Rebecca Carlson: 3457 Bayshore Dr, Chandler → 3457 Bayshore Dr Apt 27, Chandler |
| Proposed | — | ||
| ACT-011086 | Outreach address corrected Outreach | Amanda Phillips: 3745 Canyon Rd, Mesa → 3745 Canyon Rd # 260, Mesa |
| Proposed | — | ||
| ACT-011087 | Outreach address corrected Outreach | Elijah Spencer: 3963 Forest Ave, Sacramento → 3963 Forest Ave Apt 35, Sacramento |
| Proposed | — | ||
| ACT-011088 | Outreach address corrected Outreach | Gregory Richardson: 1687 Palm Dr Apt 34, Dallas → 1687 Palm Dr, Dallas |
| Proposed | — | ||
| ACT-011089 | Outreach address corrected Outreach | Ryan Grant: 6174 Valley View Dr, Tucson → 6174 Valley View Dr # 604, Tucson |
| Proposed | — | ||
| ACT-011090 | Outreach address corrected Outreach | Timothy Hill: 4849 Spring St, Houston → 7501 Grand Ave, Minneapolis |
| Proposed | — | ||
| ACT-011091 | Outreach address corrected Outreach | Amber Coleman: 6563 Valley View Dr Apt 28, Jacksonville → 6563 Valley View Dr, Jacksonville |
| Proposed | — | ||
| ACT-011092 | Outreach address corrected Outreach | Maria Mejia: 5673 Elm St, Scottsdale → 6944 Park Pl, Chandler |
| Proposed | — | ||
| ACT-011093 | Outreach address corrected Outreach | Annna Reid: 8941 Ocean Ave, Tempe → 6762 Spring St, Fresno |
| Proposed | — | ||
| ACT-011094 | Outreach address corrected Outreach | Alexis Little: 3461 Baseline Rd # 710, Chandler → 3461 Baseline Rd, Chandler |
| Proposed | — | ||
| ACT-011095 | Outreach address corrected Outreach | Don Price: 1458 Oak St, San Antonio → 1458 Oak St # 770, San Antonio |
| Proposed | — | ||
| ACT-011096 | Outreach address corrected Outreach | Marilyn Gonzals: 823 Mountain View Dr, Columbus → 5305 Forest Ave, Sacramento |
| Proposed | — | ||
| ACT-011097 | Outreach address corrected Outreach | Kevin George: 1143 Jefferson Ave, Houston → 1143 Jefferson Ave # 221, Houston |
| Proposed | — | ||
| ACT-011098 | Outreach address corrected Outreach | Sandra Reed: 4807 Central Ave Apt 37, Columbus → 4807 Central Ave, Columbus |
| Proposed | — | ||
| ACT-011099 | Outreach address corrected Outreach | Santiago Hoffman: 2511 Harbor Blvd, Orlando → 2511 Harbor Blvd # 508, Orlando |
| Proposed | — | ||
| ACT-011100 | Outreach address corrected Outreach | Cynthia Ray: 8816 Meadow Ln, Orlando → 2807 Lake View Rd, Houston |
| Proposed | — | ||
| ACT-011101 | Outreach address corrected Outreach | Joshua Brown: 7905 Sunset Blvd, Tampa → 6299 Meadow Ln, Glendale |
| 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.