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-011252 | Outreach address corrected Outreach | Kenneth Gibson: 9424 Central Ave, San Antonio → 9424 Central Ave # 543, San Antonio |
| Proposed | — | ||
| ACT-011253 | Outreach address corrected Outreach | Billy Washington: 1371 Desert Sky Blvd, Glendale → 1371 Desert Sky Blvd Apt 13, Glendale |
| Proposed | — | ||
| ACT-011254 | Outreach address corrected Outreach | Sean Delgado: 8367 Cedar Ln, Orlando → 2586 Jefferson Ave, Gilbert |
| Proposed | — | ||
| ACT-011255 | Outreach address corrected Outreach | Richard Burke: 3768 Washington St, Charlotte → 2536 Park Pl, Miami |
| Proposed | — | ||
| ACT-011256 | Outreach address corrected Outreach | Patrick Fisher: 7715 Baseline Rd, Mesa → 8910 Camelback Rd, Plano |
| Proposed | — | ||
| ACT-011257 | Outreach address corrected Outreach | Mei Gibson: 8772 Union St, Seattle → 8772 Union St # 605, Seattle |
| Proposed | — | ||
| ACT-011258 | Outreach address corrected Outreach | Carol Jordan: 4129 Lincoln Way # 700, Eden Prairie → 5834 Broadway, Glendale |
| Proposed | — | ||
| ACT-011259 | Outreach address corrected Outreach | Terry Watson: 706 Forest Ave, San Diego → 706 Forest Ave Apt 23, San Diego |
| Proposed | — | ||
| ACT-011260 | Outreach address corrected Outreach | Eugene Arnold: 8379 Valley View Dr # 593, Gilbert → 8379 Valley View Dr, Gilbert |
| Proposed | — | ||
| ACT-011261 | Outreach address corrected Outreach | Kelly Foowler: 4775 Washington St # 735, Mesa → 4775 Washington St, Mesa |
| Proposed | — | ||
| ACT-011262 | Outreach address corrected Outreach | Kimberly Payne: 4517 Bayshore Dr # 140, Jacksonville → 4517 Bayshore Dr, Jacksonville |
| Proposed | — | ||
| ACT-011263 | Outreach address corrected Outreach | Martha Hayes: 873 Bayshore Dr, Plano → 873 Bayshore Dr Apt 30, Plano |
| Proposed | — | ||
| ACT-011264 | Outreach address corrected Outreach | Angela Martinez: 8789 Indian School Rd, Tempe → 8789 Indian School Rd # 632, Tempe |
| Proposed | — | ||
| ACT-011265 | Outreach address corrected Outreach | Mei Turner: 7497 Spring St, Tempe → 7497 Spring St Apt 22, Tempe |
| Proposed | — | ||
| ACT-011266 | Outreach address corrected Outreach | Maria Welch: 5189 Camelback Rd, Jacksonville → 5189 Camelback Rd # 798, Jacksonville |
| Proposed | — | ||
| ACT-011267 | Outreach address corrected Outreach | Mason Price: 2697 Hillcrest Rd, Charlotte → 2697 Hillcrest Rd Apt 39, Charlotte |
| Proposed | — | ||
| ACT-011268 | Outreach address corrected Outreach | Gary Torres: 2720 Central Ave, Plano → 1172 Church St, Minneapolis |
| Proposed | — | ||
| ACT-011269 | Outreach address corrected Outreach | Vincent Jones: 3540 Jefferson Ave, Nashville → 3540 Jefferson Ave Apt 25, Nashville |
| Proposed | — | ||
| ACT-011270 | Outreach address corrected Outreach | Susan Webb: 2347 Lincoln Way, Eden Prairie → 2347 Lincoln Way # 613, Eden Prairie |
| Proposed | — | ||
| ACT-011271 | Outreach address corrected Outreach | Zachary Pena: 6126 Mountain View Dr, Gilbert → 5936 Willow Ct, Gilbert |
| Proposed | — | ||
| ACT-011272 | Outreach address corrected Outreach | Terry Kennedy: 5008 Ridge Rd, Eden Prairie → 5008 Ridge Rd Apt 4, Eden Prairie |
| Proposed | — | ||
| ACT-011273 | Outreach address corrected Outreach | Patrick Patel: 701 Hillcrest Rd, Atlanta → 3003 Ocean Ave # 285, Scottsdale |
| Proposed | — | ||
| ACT-011274 | Outreach address corrected Outreach | Jason Davis: 8435 Pine Dr Apt 15, Gilbert → 8435 Pine Dr, Gilbert |
| Proposed | — | ||
| ACT-011275 | Outreach address corrected Outreach | Jacqueline Mason: 5140 Cedar Ln, Minneapolis → 5140 Cedar Ln Apt 8, Minneapolis |
| Proposed | — | ||
| ACT-011276 | Outreach address corrected Outreach | Deborah Holmes: 4331 Grand Ave, Nashville → 4331 Grand Ave Apt 27, Nashville |
| Proposed | — | ||
| ACT-011277 | Outreach address corrected Outreach | Robert Myers: 4724 Broadway, San Diego → 4724 Broadway # 449, San Diego |
| Proposed | — | ||
| ACT-011278 | Outreach address corrected Outreach | Gloria Lane: 9513 Willow Ct, Tempe → 4625 Elm St, Orlando |
| Proposed | — | ||
| ACT-011279 | Outreach address corrected Outreach | Carlos Howard: 3073 Sage Ct, Fresno → 4386 Palm Dr, Orlando |
| Proposed | — | ||
| ACT-011280 | Outreach address corrected Outreach | Kathryn Carlson: 3619 Highland Ave, Mesa → 2320 Highland Ave, Las Vegas |
| Proposed | — | ||
| ACT-011281 | Outreach address corrected Outreach | Christina Morgan: 785 Highland Ave, Austin → 5685 Cedar Ln, Phoenix |
| Proposed | — | ||
| ACT-011282 | Outreach address corrected Outreach | Ann Perez: 2559 Baseline Rd, Phoenix → 2559 Baseline Rd # 496, Phoenix |
| Proposed | — | ||
| ACT-011283 | Outreach address corrected Outreach | Arthur Greene: 5078 Indian School Rd, Miami → 5078 Indian School Rd # 379, Miami |
| Proposed | — | ||
| ACT-011284 | Outreach address corrected Outreach | Rachel Santos: 3018 Elm St, Glendale → 7609 Union St, Dallas |
| Proposed | — | ||
| ACT-011285 | Outreach address corrected Outreach | Cheryl Knight: 7882 Lake View Rd Apt 9, San Diego → 7882 Lake View Rd, San Diego |
| Proposed | — | ||
| ACT-011286 | Outreach address corrected Outreach | Austin Warren: 5121 Mesa Dr, Tampa → 5121 Mesa Dr Apt 30, Tampa |
| Proposed | — | ||
| ACT-011287 | Outreach address corrected Outreach | Donald Aguilar: 3963 Mesa Dr # 938, Austin → 3477 Bayshore Dr, Columbus |
| Proposed | — | ||
| ACT-011288 | Outreach address corrected Outreach | Rachel Coleman: 935 Meadow Ln, Atlanta → 935 Meadow Ln Apt 14, Atlanta |
| Proposed | — | ||
| ACT-011289 | Outreach address corrected Outreach | Samuel Salazar: 8284 Harbor Blvd, Sacramento → 8284 Harbor Blvd # 317, Sacramento |
| Proposed | — | ||
| ACT-011290 | Outreach address corrected Outreach | Scott Gomez: 5700 Baseline Rd, Tucson → 4489 Union St, Las Vegas |
| Proposed | — | ||
| ACT-011291 | Outreach address corrected Outreach | Brittany Munoz: 8564 Meadow Ln, Orlando → 6223 Central Ave, Chandler |
| Proposed | — | ||
| ACT-011292 | Outreach address corrected Outreach | Doris Carlson: 4649 Meadow Ln, Nashville → 2317 Broadway, San Diego |
| Proposed | — | ||
| ACT-011293 | Outreach address corrected Outreach | Christopher Pierce: 7091 Pine Dr, Dallas → 5397 Ridge Rd, Austin |
| Proposed | — | ||
| ACT-011294 | Outreach address corrected Outreach | Linda Lucas: 592 Jefferson Ave Apt 17, Tucson → 6009 Bayshore Dr # 516, Eden Prairie |
| Proposed | — | ||
| ACT-011295 | Outreach address corrected Outreach | Gary Walker: 2765 Camelback Rd, Charlotte → 6703 Cedar Ln Apt 19, San Diego |
| Proposed | — | ||
| ACT-011296 | Outreach address corrected Outreach | Gary Tucker: 5434 Desert Sky Blvd Apt 32, Orlando → 5434 Desert Sky Blvd, Orlando |
| Proposed | — | ||
| ACT-011297 | Outreach address corrected Outreach | Isabella Parker: 4527 Pine Dr, San Diego → 3551 Bayshore Dr, Phoenix |
| Proposed | — | ||
| ACT-011298 | Outreach address corrected Outreach | Jessica Carroll: 9859 Sage Ct Apt 29, Jacksonville → 9859 Sage Ct, Jacksonville |
| Proposed | — | ||
| ACT-011299 | Outreach address corrected Outreach | William Moreno: 4043 Jefferson Ave, Glendale → 7067 Forest Ave, Austin |
| Proposed | — | ||
| ACT-011300 | Outreach address corrected Outreach | Beverly Chen: 3317 Park Pl, Las Vegas → 3317 Park Pl # 825, Las Vegas |
| Proposed | — | ||
| ACT-011301 | Outreach address corrected Outreach | Steven Ramos: 1184 Hillcrest Rd, Sacramento → 1184 Hillcrest Rd Apt 12, Sacramento |
| 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.