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-011152 | Outreach address corrected Outreach | Mateo Diaz: 2968 Apache Blvd # 166, Houston → 2968 Apache Blvd, Houston |
| Proposed | — | ||
| ACT-011153 | Outreach address corrected Outreach | Megan Davis: 4311 Church St, Atlanta → 5918 Union St, Nashville |
| Proposed | — | ||
| ACT-011154 | Outreach address corrected Outreach | Susan Yang: 3414 Church St, Jacksonville → 3414 Church St Apt 12, Jacksonville |
| Proposed | — | ||
| ACT-011155 | Outreach address corrected Outreach | Gloria Rogers: 5350 Desert Sky Blvd Apt 29, Atlanta → 5350 Desert Sky Blvd Apt 17, Atlanta |
| Proposed | — | ||
| ACT-011156 | Outreach address corrected Outreach | Anthony Martin: 2343 Oak St Apt 31, Phoenix → 2343 Oak St, Phoenix |
| Proposed | — | ||
| ACT-011157 | Outreach address corrected Outreach | Cheryl Harvey: 1249 Hillcrest Rd, Plano → 1249 Hillcrest Rd Apt 13, Plano |
| Proposed | — | ||
| ACT-011158 | Outreach address corrected Outreach | Mariana Clark: 3422 Mesa Dr Apt 2, Tempe → 2426 Cedar Ln, Los Angeles |
| Proposed | — | ||
| ACT-011159 | Outreach address corrected Outreach | Virginia Nelson: 5994 Ridge Rd, Tempe → 5994 Ridge Rd # 606, Tempe |
| Proposed | — | ||
| ACT-011160 | Outreach address corrected Outreach | Saara Gutierrez: 742 Mesa Dr, Austin → 7691 Spring St, Mesa |
| Proposed | — | ||
| ACT-011161 | Outreach address corrected Outreach | Carlos Thomas: 4110 Camelback Rd Apt 17, Mesa → 4110 Camelback Rd, Mesa |
| Proposed | — | ||
| ACT-011162 | Outreach address corrected Outreach | Frank Snchez: 5089 Sunset Blvd, Las Vegas → 2748 Sage Ct, Seattle |
| Proposed | — | ||
| ACT-011163 | Outreach address corrected Outreach | Aisha Baker: 5994 Indian School Rd Apt 8, Charlotte → 5994 Indian School Rd # 611, Charlotte |
| Proposed | — | ||
| ACT-011164 | Outreach address corrected Outreach | Lucia Hernandez: 5947 Bayshore Dr, Tempe → 1139 Mountain View Dr, Seattle |
| Proposed | — | ||
| ACT-011165 | Outreach address corrected Outreach | Susan Ramiirez: 4791 Oak St, Jacksonville → 9289 Sage Ct, Tucson |
| Proposed | — | ||
| ACT-011166 | Outreach address corrected Outreach | Edward Maldonado: 2333 Forest Ave Apt 18, Austin → 2333 Forest Ave, Austin |
| Proposed | — | ||
| ACT-011167 | Outreach address corrected Outreach | Gerald Valdez: 5482 Jefferson Ave, Minneapolis → 5759 Broadway, Plano |
| Proposed | — | ||
| ACT-011168 | Outreach address corrected Outreach | Barbara Lynch: 8824 Maple Ave # 395, Austin → 8824 Maple Ave, Austin |
| Proposed | — | ||
| ACT-011169 | Outreach address corrected Outreach | Teresa Coleman: 5737 Maple Ave # 982, Phoenix → 5737 Maple Ave, Phoenix |
| Proposed | — | ||
| ACT-011170 | Outreach address corrected Outreach | Christine Wagner: 5020 Sunset Blvd, Plano → 8466 Jefferson Ave, Tucson |
| Proposed | — | ||
| ACT-011171 | Outreach address corrected Outreach | Lauren Castro: 2191 Pine Dr, Sacramento → 2191 Pine Dr Apt 15, Sacramento |
| Proposed | — | ||
| ACT-011172 | Outreach address corrected Outreach | Nathan Smith: 7425 Ridge Rd Apt 30, Mesa → 7425 Ridge Rd, Mesa |
| Proposed | — | ||
| ACT-011173 | Outreach address corrected Outreach | Emily Le: 7478 Oak St, Minneapolis → 9284 Meadow Ln, Atlanta |
| Proposed | — | ||
| ACT-011174 | Outreach address corrected Outreach | Bruce Little: 5733 Baseline Rd, Los Angeles → 9067 Harbor Blvd, Fresno |
| Proposed | — | ||
| ACT-011175 | Outreach address corrected Outreach | Mark Ray: 7803 Valley View Dr Apt 32, Chandler → 7803 Valley View Dr, Chandler |
| Proposed | — | ||
| ACT-011176 | Outreach address corrected Outreach | Jose Ford: 7707 Bayshore Dr, Fresno → 7094 Jefferson Ave, Mesa |
| Proposed | — | ||
| ACT-011177 | Outreach address corrected Outreach | Doris Gilbert: 9736 Main St, Sacramento → 5809 Forest Ave, Columbus |
| Proposed | — | ||
| ACT-011178 | Outreach address corrected Outreach | Dorothy Wang: 4129 Bayshore Dr, Columbus → 4129 Bayshore Dr # 533, Columbus |
| Proposed | — | ||
| ACT-011179 | Outreach address corrected Outreach | Gloria Lopez: 1893 Central Ave Apt 9, Tempe → 1893 Central Ave, Tempe |
| Proposed | — | ||
| ACT-011180 | Outreach address corrected Outreach | Madison Thomas: 9336 Maple Ave Apt 27, Minneapolis → 9336 Maple Ave, Minneapolis |
| Proposed | — | ||
| ACT-011181 | Outreach address corrected Outreach | Aaron Morris: 6297 Lake View Rd, Scottsdale → 6297 Lake View Rd # 445, Scottsdale |
| Proposed | — | ||
| ACT-011182 | Outreach address corrected Outreach | Scott Guzman: 2262 Cedar Ln Apt 33, Tampa → 2262 Cedar Ln, Tampa |
| Proposed | — | ||
| ACT-011183 | Outreach address corrected Outreach | Jonathan Wheelar: 8429 Hillcrest Rd, Scottsdale → 8429 Hillcrest Rd # 900, Scottsdale |
| Proposed | — | ||
| ACT-011184 | Outreach address corrected Outreach | Deborah Murray: 1166 Park Pl, Las Vegas → 1166 Park Pl # 806, Las Vegas |
| Proposed | — | ||
| ACT-011185 | Outreach address corrected Outreach | Walter Alvarez: 1502 Apache Blvd Apt 25, Dallas → 1502 Apache Blvd, Dallas |
| Proposed | — | ||
| ACT-011186 | Outreach address corrected Outreach | John Maldonado: 1029 Sage Ct, Mesa → 3335 Park Pl, Austin |
| Proposed | — | ||
| ACT-011187 | Outreach address corrected Outreach | Heather Chavez: 1163 Ocean Ave # 209, Nashville → 1163 Ocean Ave, Nashville |
| Proposed | — | ||
| ACT-011188 | Outreach address corrected Outreach | Philip Banks: 9677 Jefferson Ave # 745, Austin → 9677 Jefferson Ave, Austin |
| Proposed | — | ||
| ACT-011189 | Outreach address corrected Outreach | Christine Vega: 3340 Willow Ct # 845, Atlanta → 3340 Willow Ct, Atlanta |
| Proposed | — | ||
| ACT-011190 | Outreach address corrected Outreach | Philip Valdez: 5651 Ridge Rd, Los Angeles → 2007 Mountain View Dr Apt 38, Eden Prairie |
| Proposed | — | ||
| ACT-011191 | Outreach address corrected Outreach | Abigail Vasquez: 429 Market St, Miami → 6809 Bayshore Dr, Houston |
| Proposed | — | ||
| ACT-011192 | Outreach address corrected Outreach | Debra Coleman: 6947 Ocean Ave Apt 28, Tempe → 6947 Ocean Ave, Tempe |
| Proposed | — | ||
| ACT-011193 | Outreach address corrected Outreach | Gregory Wang: 934 Ocean Ave # 558, Columbus → 934 Ocean Ave, Columbus |
| Proposed | — | ||
| ACT-011194 | Outreach address corrected Outreach | Kiberly Carlson: 8110 Highland Ave # 808, Mesa → 8110 Highland Ave # 212, Mesa |
| Proposed | — | ||
| ACT-011195 | Outreach address corrected Outreach | Debra Simmons: 521 Market St, Los Angeles → 3226 Elm St, Tampa |
| Proposed | — | ||
| ACT-011196 | Outreach address corrected Outreach | Aisha Butler: 181 Maple Ave, Denver → 181 Maple Ave # 771, Denver |
| Proposed | — | ||
| ACT-011197 | Outreach address corrected Outreach | Alice Gutierrez: 8084 Baseline Rd, Tampa → 8084 Baseline Rd # 744, Tampa |
| Proposed | — | ||
| ACT-011198 | Outreach address corrected Outreach | Theresa Murray: 6969 Jefferson Ave, Seattle → 7975 Hillcrest Rd Apt 9, San Diego |
| Proposed | — | ||
| ACT-011199 | Outreach address corrected Outreach | Sharon Burton: 5914 Baseline Rd, Atlanta → 5056 Pine Dr # 333, Plano |
| Proposed | — | ||
| ACT-011200 | Outreach address corrected Outreach | Keith Fox: 7640 Jefferson Ave, Plano → 3150 Willow Ct, Columbus |
| Proposed | — | ||
| ACT-011201 | Outreach address corrected Outreach | David Pteerson: 1308 Apache Blvd, Atlanta → 6452 Highland Ave, Eden Prairie |
| 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.