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-011102 | Outreach address corrected Outreach | Robert Jacobs: 7254 Central Ave, Atlanta → 7254 Central Ave Apt 6, Atlanta |
| Proposed | — | ||
| ACT-011103 | Outreach address corrected Outreach | Kimberly Lucas: 3323 Bayshore Dr # 545, Tucson → 3323 Bayshore Dr, Tucson |
| Proposed | — | ||
| ACT-011104 | Outreach address corrected Outreach | Katyh Anderson: 6950 River Rd Apt 35, Dallas → 6950 River Rd, Dallas |
| Proposed | — | ||
| ACT-011105 | Outreach address corrected Outreach | Lori Austin: 3574 Cedar Ln, Fresno → 500 Camelback Rd, San Diego |
| Proposed | — | ||
| ACT-011106 | Outreach address corrected Outreach | Priya McDonald: 5470 Market St, Tucson → 5470 Market St Apt 30, Tucson |
| Proposed | — | ||
| ACT-011107 | Outreach address corrected Outreach | Heather Lawrence: 1794 Elm St # 908, Glendale → 1794 Elm St, Glendale |
| Proposed | — | ||
| ACT-011108 | Outreach address corrected Outreach | Amy Collins: 3899 Grand Ave, Seattle → 4997 Maple Ave, Minneapolis |
| Proposed | — | ||
| ACT-011109 | Outreach address corrected Outreach | Linda Cooper: 4702 Jefferson Ave, Las Vegas → 9108 Washington St, Eden Prairie |
| Proposed | — | ||
| ACT-011110 | Outreach address corrected Outreach | Sarah Marshall: 4580 River Rd Apt 37, Tucson → 4580 River Rd, Tucson |
| Proposed | — | ||
| ACT-011111 | Outreach address corrected Outreach | Linda Paye: 9531 Sage Ct Apt 4, Tampa → 9531 Sage Ct, Tampa |
| Proposed | — | ||
| ACT-011112 | Outreach address corrected Outreach | Arthur Mason: 5652 Jefferson Ave # 776, San Antonio → 5652 Jefferson Ave, San Antonio |
| Proposed | — | ||
| ACT-011113 | Outreach address corrected Outreach | Gregory Elliott: 1131 Central Ave, Atlanta → 1131 Central Ave Apt 20, Atlanta |
| Proposed | — | ||
| ACT-011114 | Outreach address corrected Outreach | Diego Cunningham: 2574 Broadway, San Diego → 1083 Camelback Rd, Houston |
| Proposed | — | ||
| ACT-011115 | Outreach address corrected Outreach | Stephen Duncan: 2845 Market St Apt 31, Tampa → 2845 Market St, Tampa |
| Proposed | — | ||
| ACT-011116 | Outreach address corrected Outreach | Larry Franklin: 8091 Sunset Blvd Apt 22, Atlanta → 8091 Sunset Blvd Apt 17, Atlanta |
| Proposed | — | ||
| ACT-011117 | Outreach address corrected Outreach | Daniel Jimenez: 5471 Sage Ct # 324, Eden Prairie → 5471 Sage Ct, Eden Prairie |
| Proposed | — | ||
| ACT-011118 | Outreach address corrected Outreach | Virginia Graham: 4205 Indian School Rd, Plano → 4219 Mesa Dr, Austin |
| Proposed | — | ||
| ACT-011119 | Outreach address corrected Outreach | Philip Valdez: 713 Camelback Rd, Denver → 713 Camelback Rd Apt 24, Denver |
| Proposed | — | ||
| ACT-011120 | Outreach address corrected Outreach | Diana Owens: 8103 Willow Ct Apt 10, Minneapolis → 8103 Willow Ct, Minneapolis |
| Proposed | — | ||
| ACT-011121 | Outreach address corrected Outreach | Melissa Rodriguez: 1384 Meadow Ln # 293, Scottsdale → 2585 Ocean Ave, Charlotte |
| Proposed | — | ||
| ACT-011122 | Outreach address corrected Outreach | Barbara Oliver: 2343 Sunset Blvd Apt 6, Austin → 2343 Sunset Blvd, Austin |
| Proposed | — | ||
| ACT-011123 | Outreach address corrected Outreach | Hiroshi Price: 702 Main St, San Diego → 702 Main St Apt 31, San Diego |
| Proposed | — | ||
| ACT-011124 | Outreach address corrected Outreach | Raymond Jenkins: 669 Washington St Apt 39, Plano → 669 Washington St, Plano |
| Proposed | — | ||
| ACT-011125 | Outreach address corrected Outreach | Bradley Reyes: 7930 Harbor Blvd, Glendale → 7930 Harbor Blvd # 578, Glendale |
| Proposed | — | ||
| ACT-011126 | Outreach address corrected Outreach | Aaron Bell: 5517 Desert Sky Blvd # 635, Miami → 5517 Desert Sky Blvd, Miami |
| Proposed | — | ||
| ACT-011127 | Outreach address corrected Outreach | Megan Ford: 1688 Bayshore Dr, Columbus → 1688 Bayshore Dr # 942, Columbus |
| Proposed | — | ||
| ACT-011128 | Outreach address corrected Outreach | Carolyn Clark: 7512 Meadow Ln Apt 39, Tampa → 7512 Meadow Ln, Tampa |
| Proposed | — | ||
| ACT-011129 | Outreach address corrected Outreach | Samuel Collins: 3152 Valley View Dr Apt 30, Charlotte → 3152 Valley View Dr, Charlotte |
| Proposed | — | ||
| ACT-011130 | Outreach address corrected Outreach | Jacob Cooper: 7873 Jefferson Ave, San Diego → 7873 Jefferson Ave # 788, San Diego |
| Proposed | — | ||
| ACT-011131 | Outreach address corrected Outreach | Carl Jacobs: 3975 Canyon Rd, Gilbert → 3975 Canyon Rd # 837, Gilbert |
| Proposed | — | ||
| ACT-011132 | Outreach address corrected Outreach | Margaret Dean: 2873 Maple Ave Apt 39, Tampa → 2873 Maple Ave, Tampa |
| Proposed | — | ||
| ACT-011133 | Outreach address corrected Outreach | Wayne Ferguson: 8019 Broadway Apt 28, Mesa → 8019 Broadway, Mesa |
| Proposed | — | ||
| ACT-011134 | Outreach address corrected Outreach | Sofia Yang: 7983 Maple Ave, Denver → 7983 Maple Ave # 887, Denver |
| Proposed | — | ||
| ACT-011135 | Outreach address corrected Outreach | Carolyn Day: 3750 River Rd, Seattle → 3750 River Rd Apt 20, Seattle |
| Proposed | — | ||
| ACT-011136 | Outreach address corrected Outreach | Vincent Silva: 1724 Valley View Dr, Miami → 1724 Valley View Dr # 352, Miami |
| Proposed | — | ||
| ACT-011137 | Outreach address corrected Outreach | Teresa Lawrence: 6964 Maple Ave, Seattle → 5047 Pine Dr, Houston |
| Proposed | — | ||
| ACT-011138 | Outreach address corrected Outreach | Jordan Wood: 289 Lake View Rd, Seattle → 289 Lake View Rd Apt 26, Seattle |
| Proposed | — | ||
| ACT-011139 | Outreach address corrected Outreach | Arjun Morales: 3741 Lincoln Way Apt 4, Glendale → 3741 Lincoln Way, Glendale |
| Proposed | — | ||
| ACT-011140 | Outreach address corrected Outreach | Steven Campbell: 4595 Union St, Plano → 4595 Union St # 765, Plano |
| Proposed | — | ||
| ACT-011141 | Outreach address corrected Outreach | Denise Lynch: 4354 Sunset Blvd, Phoenix → 4354 Sunset Blvd Apt 31, Phoenix |
| Proposed | — | ||
| ACT-011142 | Outreach address corrected Outreach | Samantha King: 8728 Hillcrest Rd, San Diego → 8728 Hillcrest Rd Apt 9, San Diego |
| Proposed | — | ||
| ACT-011143 | Outreach address corrected Outreach | Noah Tucker: 2659 Park Pl Apt 3, Columbus → 2659 Park Pl, Columbus |
| Proposed | — | ||
| ACT-011144 | Outreach address corrected Outreach | Robert Brooks: 6515 Baseline Rd Apt 22, Denver → 6515 Baseline Rd, Denver |
| Proposed | — | ||
| ACT-011145 | Outreach address corrected Outreach | Daniel Ramirez: 815 Sunset Blvd Apt 19, Miami → 815 Sunset Blvd, Miami |
| Proposed | — | ||
| ACT-011146 | Outreach address corrected Outreach | Rebecca Greene: 3070 Palm Dr # 726, Tampa → 3070 Palm Dr, Tampa |
| Proposed | — | ||
| ACT-011147 | Outreach address corrected Outreach | Maria Montgomery: 2720 Baseline Rd, Plano → 2720 Baseline Rd # 888, Plano |
| Proposed | — | ||
| ACT-011148 | Outreach address corrected Outreach | Benjamin Wong: 1782 Pine Dr, Mesa → 1782 Pine Dr # 137, Mesa |
| Proposed | — | ||
| ACT-011149 | Outreach address corrected Outreach | Linda Murray: 5901 Mesa Dr, Tucson → 5901 Mesa Dr # 726, Tucson |
| Proposed | — | ||
| ACT-011150 | Outreach address corrected Outreach | Jose Hernandez: 8649 Camelback Rd # 107, Columbus → 8649 Camelback Rd, Columbus |
| Proposed | — | ||
| ACT-011151 | Outreach address corrected Outreach | Eric Davis: 9238 Market St, Plano → 9238 Market St # 108, Plano |
| 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.