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-011202 | Outreach address corrected Outreach | Mason Santos: 8308 Canyon Rd # 678, Glendale → 8308 Canyon Rd # 517, Glendale |
| Proposed | — | ||
| ACT-011203 | Outreach address corrected Outreach | Kyle Watkins: 2406 Palm Dr # 708, Tampa → 2406 Palm Dr, Tampa |
| Proposed | — | ||
| ACT-011204 | Outreach address corrected Outreach | Gerald Hudson: 721 Forest Ave, Tucson → 522 Church St, Houston |
| Proposed | — | ||
| ACT-011205 | Outreach address corrected Outreach | Mariana Webb: 4877 Mountain View Dr Apt 21, Seattle → 4877 Mountain View Dr, Seattle |
| Proposed | — | ||
| ACT-011206 | Outreach address corrected Outreach | Sandra Hart: 9811 Maple Ave # 555, Orlando → 9811 Maple Ave, Orlando |
| Proposed | — | ||
| ACT-011207 | Outreach address corrected Outreach | Janice Edwards: 207 Park Pl Apt 30, Dallas → 207 Park Pl, Dallas |
| Proposed | — | ||
| ACT-011208 | Outreach address corrected Outreach | Santiago Rios: 1715 Willow Ct, Sacramento → 8884 Pine Dr, Tucson |
| Proposed | — | ||
| ACT-011209 | Outreach address corrected Outreach | Karen Turner: 6370 Ocean Ave Apt 22, Plano → 6370 Ocean Ave, Plano |
| Proposed | — | ||
| ACT-011210 | Outreach address corrected Outreach | Heather Duncan: 9654 Harbor Blvd, Seattle → 7625 Desert Sky Blvd, Dallas |
| Proposed | — | ||
| ACT-011211 | Outreach address corrected Outreach | Cheryl Collins: 7644 Washington St, Phoenix → 5401 Church St # 246, Los Angeles |
| Proposed | — | ||
| ACT-011212 | Outreach address corrected Outreach | Andrea Scott: 2266 Lincoln Way Apt 22, Chandler → 4760 Mesa Dr, Glendale |
| Proposed | — | ||
| ACT-011213 | Outreach address corrected Outreach | Ralph Ortega: 2079 Meadow Ln Apt 16, Mesa → 2079 Meadow Ln, Mesa |
| Proposed | — | ||
| ACT-011214 | Outreach address corrected Outreach | Jack Jimenez: 1751 Apache Blvd, Tucson → 1751 Apache Blvd # 717, Tucson |
| Proposed | — | ||
| ACT-011215 | Outreach address corrected Outreach | Nicole Daniels: 6952 Central Ave, Tampa → 6952 Central Ave Apt 38, Tampa |
| Proposed | — | ||
| ACT-011216 | Outreach address corrected Outreach | Kelly Hicsk: 2724 Apache Blvd # 569, Nashville → 2724 Apache Blvd, Nashville |
| Proposed | — | ||
| ACT-011217 | Outreach address corrected Outreach | Wayne Lopez: 8070 Highland Ave # 736, Dallas → 8070 Highland Ave, Dallas |
| Proposed | — | ||
| ACT-011218 | Outreach address corrected Outreach | Andrew Dean: 1670 Mesa Dr, Tucson → 8626 Ridge Rd, Scottsdale |
| Proposed | — | ||
| ACT-011219 | Outreach address corrected Outreach | Sofia Davis: 1769 Lincoln Way Apt 32, Plano → 1769 Lincoln Way, Plano |
| Proposed | — | ||
| ACT-011220 | Outreach address corrected Outreach | Juhn Ramos: 8029 Park Pl, San Antonio → 8029 Park Pl # 157, San Antonio |
| Proposed | — | ||
| ACT-011221 | Outreach address corrected Outreach | Roy Young: 3149 Mountain View Dr Apt 22, Jacksonville → 3149 Mountain View Dr, Jacksonville |
| Proposed | — | ||
| ACT-011222 | Outreach address corrected Outreach | Kayla James: 3880 Park Pl # 172, Minneapolis → 3880 Park Pl, Minneapolis |
| Proposed | — | ||
| ACT-011223 | Outreach address corrected Outreach | Noah Cook: 3312 Oak St, Eden Prairie → 496 Market St, Tempe |
| Proposed | — | ||
| ACT-011224 | Outreach address corrected Outreach | Mary Valdez: 4738 Maple Ave Apt 10, Chandler → 4738 Maple Ave, Chandler |
| Proposed | — | ||
| ACT-011225 | Outreach address corrected Outreach | Gloria Nguyen: 242 Desert Sky Blvd, Denver → 242 Desert Sky Blvd # 869, Denver |
| Proposed | — | ||
| ACT-011226 | Outreach address corrected Outreach | Scott Moreno: 2645 Park Pl Apt 21, Sacramento → 2645 Park Pl, Sacramento |
| Proposed | — | ||
| ACT-011227 | Outreach address corrected Outreach | Michael Owens: 3292 Valley View Dr, Austin → 3292 Valley View Dr Apt 14, Austin |
| Proposed | — | ||
| ACT-011228 | Outreach address corrected Outreach | Laura Ryan: 9430 Sunset Blvd Apt 13, Charlotte → 9430 Sunset Blvd, Charlotte |
| Proposed | — | ||
| ACT-011229 | Outreach address corrected Outreach | Santiago Moreno: 4391 Broadway Apt 40, Sacramento → 4391 Broadway, Sacramento |
| Proposed | — | ||
| ACT-011230 | Outreach address corrected Outreach | Andrew Cox: 830 Sunset Blvd Apt 18, Miami → 830 Sunset Blvd, Miami |
| Proposed | — | ||
| ACT-011231 | Outreach address corrected Outreach | Nathan Munoz: 8839 Spring St, Scottsdale → 8839 Spring St Apt 30, Scottsdale |
| Proposed | — | ||
| ACT-011232 | Outreach address corrected Outreach | Melissa Soto: 4356 Jefferson Ave # 435, Fresno → 4356 Jefferson Ave, Fresno |
| Proposed | — | ||
| ACT-011233 | Outreach address corrected Outreach | Natalie Elliott: 6038 Desert Sky Blvd # 245, Miami → 6038 Desert Sky Blvd, Miami |
| Proposed | — | ||
| ACT-011234 | Outreach address corrected Outreach | Yuki Contreras: 4549 Broadway Apt 34, Phoenix → 4549 Broadway, Phoenix |
| Proposed | — | ||
| ACT-011235 | Outreach address corrected Outreach | Carolyn Santiago: 2007 Church St, Plano → 495 Indian School Rd, Dallas |
| Proposed | — | ||
| ACT-011236 | Outreach address corrected Outreach | Ahmed Black: 4516 Indian School Rd Apt 21, Fresno → 4516 Indian School Rd, Fresno |
| Proposed | — | ||
| ACT-011237 | Outreach address corrected Outreach | Amber Reed: 7366 Pine Dr Apt 32, Phoenix → 7366 Pine Dr, Phoenix |
| Proposed | — | ||
| ACT-011238 | Outreach address corrected Outreach | Carrol Reed: 8397 River Rd, Charlotte → 9449 Spring St, Denver |
| Proposed | — | ||
| ACT-011239 | Outreach address corrected Outreach | Jacob Little: 6323 Canyon Rd, Atlanta → 2649 Indian School Rd, Houston |
| Proposed | — | ||
| ACT-011240 | Outreach address corrected Outreach | Ana Allen: 8410 Desert Sky Blvd # 434, Denver → 94 Spring St, Miami |
| Proposed | — | ||
| ACT-011241 | Outreach address corrected Outreach | Kathryn Contreras: 9436 Bayshore Dr, Phoenix → 6059 Ridge Rd, Columbus |
| Proposed | — | ||
| ACT-011242 | Outreach address corrected Outreach | Nancy Vazquez: 4030 Maple Ave, Scottsdale → 4030 Maple Ave Apt 9, Scottsdale |
| Proposed | — | ||
| ACT-011243 | Outreach address corrected Outreach | Cheryl Munoz: 9140 Lake View Rd, Tempe → 5559 Sage Ct, Mesa |
| Proposed | — | ||
| ACT-011244 | Outreach address corrected Outreach | Christine Davis: 5608 Lincoln Way, Dallas → 5608 Lincoln Way # 143, Dallas |
| Proposed | — | ||
| ACT-011245 | Outreach address corrected Outreach | Austin Berry: 9431 Central Ave # 760, Eden Prairie → 9431 Central Ave, Eden Prairie |
| Proposed | — | ||
| ACT-011246 | Outreach address corrected Outreach | Rebecca Young: 2166 Camelback Rd, Austin → 2166 Camelback Rd Apt 22, Austin |
| Proposed | — | ||
| ACT-011247 | Outreach address corrected Outreach | Martha Ellis: 9311 Maple Ave, Phoenix → 6810 Grand Ave, Denver |
| Proposed | — | ||
| ACT-011248 | Outreach address corrected Outreach | Stephanie Cox: 8172 Mesa Dr Apt 26, Las Vegas → 8172 Mesa Dr, Las Vegas |
| Proposed | — | ||
| ACT-011249 | Outreach address corrected Outreach | Amy Young: 1598 Pine Dr, Tucson → 1598 Pine Dr Apt 23, Tucson |
| Proposed | — | ||
| ACT-011250 | Outreach address corrected Outreach | Adam Bailey: 6587 Jefferson Ave Apt 5, Scottsdale → 6587 Jefferson Ave, Scottsdale |
| Proposed | — | ||
| ACT-011251 | Outreach address corrected Outreach | Carol Stephens: 959 Market St, San Diego → 959 Market St Apt 28, 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.