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-011302 | Outreach address corrected Outreach | Zachary Danils: 5811 Apache Blvd, Minneapolis → 8615 Indian School Rd, Las Vegas |
| Proposed | — | ||
| ACT-011303 | Outreach address corrected Outreach | Diane Carr: 2848 Lake View Rd # 813, Seattle → 2848 Lake View Rd, Seattle |
| Proposed | — | ||
| ACT-011304 | Outreach address corrected Outreach | Banks Banks: 125 Lake View Rd, Charlotte → 125 Lake View Rd Apt 40, Charlotte |
| Proposed | — | ||
| ACT-011305 | Outreach address corrected Outreach | Mary Olson: 853 Forest Ave # 785, Orlando → 853 Forest Ave, Orlando |
| Proposed | — | ||
| ACT-011306 | Outreach address corrected Outreach | Christian Hudson: 3963 Jefferson Ave, Denver → 4425 Mountain View Dr, Plano |
| Proposed | — | ||
| ACT-011307 | Outreach address corrected Outreach | Betty Gilbert: 9021 Broadway, Phoenix → 9021 Broadway Apt 16, Phoenix |
| Proposed | — | ||
| ACT-011308 | Outreach address corrected Outreach | Sofia Woods: 6262 Forest Ave # 867, Chandler → 6262 Forest Ave, Chandler |
| Proposed | — | ||
| ACT-011309 | Outreach address corrected Outreach | Jessica Alexander: 5403 Jefferson Ave Apt 33, Phoenix → 5403 Jefferson Ave, Phoenix |
| Proposed | — | ||
| ACT-011310 | Outreach address corrected Outreach | Albert Marquez: 8098 Union St Apt 35, Las Vegas → 8098 Union St, Las Vegas |
| Proposed | — | ||
| ACT-011311 | Outreach address corrected Outreach | Eric Bell: 6105 Bayshore Dr Apt 9, Denver → 6105 Bayshore Dr, Denver |
| Proposed | — | ||
| ACT-011312 | Outreach address corrected Outreach | Daniel Jordan: 2166 Mountain View Dr # 335, Plano → 2166 Mountain View Dr, Plano |
| Proposed | — | ||
| ACT-011313 | Outreach address corrected Outreach | Larry Stephens: 6390 Camelback Rd Apt 40, Las Vegas → 6390 Camelback Rd, Las Vegas |
| Proposed | — | ||
| ACT-011314 | Outreach address corrected Outreach | Douglas Castillo: 81 Mesa Dr, Phoenix → 5903 Lake View Rd # 572, Jacksonville |
| Proposed | — | ||
| ACT-011315 | Outreach address corrected Outreach | Andrew Montgomery: 3903 Mesa Dr, San Antonio → 3903 Mesa Dr Apt 27, San Antonio |
| Proposed | — | ||
| ACT-011316 | Outreach address corrected Outreach | Christine Morales: 8944 Forest Ave Apt 8, Charlotte → 9879 Lincoln Way, Fresno |
| Proposed | — | ||
| ACT-011317 | Outreach address corrected Outreach | Harold Mejia: 2037 Desert Sky Blvd, Las Vegas → 1262 Willow Ct, Nashville |
| Proposed | — | ||
| ACT-011318 | Outreach address corrected Outreach | Lauren Montgomery: 2528 Desert Sky Blvd, Minneapolis → 2528 Desert Sky Blvd Apt 4, Minneapolis |
| Proposed | — | ||
| ACT-011319 | Outreach address corrected Outreach | Albert Delgado: 7963 Meadow Ln, Plano → 7963 Meadow Ln Apt 28, Plano |
| Proposed | — | ||
| ACT-011320 | Outreach address corrected Outreach | Charlotte Saanchez: 7218 Washington St # 498, Orlando → 7218 Washington St, Orlando |
| Proposed | — | ||
| ACT-011321 | Outreach address corrected Outreach | Eric Freeman: 4064 Indian School Rd, San Diego → 8096 Spring St, Minneapolis |
| Proposed | — | ||
| ACT-011322 | Outreach address corrected Outreach | Ahmed Jackson: 6354 Lincoln Way Apt 4, Eden Prairie → 6354 Lincoln Way, Eden Prairie |
| Proposed | — | ||
| ACT-011323 | Outreach address corrected Outreach | Elizabeth Myers: 9332 Ridge Rd, Dallas → 9332 Ridge Rd Apt 40, Dallas |
| Proposed | — | ||
| ACT-011324 | Outreach address corrected Outreach | Danielle Peterson: 5530 Harbor Blvd, San Antonio → 863 Camelback Rd, Nashville |
| Proposed | — | ||
| ACT-011325 | Outreach address corrected Outreach | Bobby Castro: 288 Ocean Ave Apt 13, Los Angeles → 288 Ocean Ave, Los Angeles |
| Proposed | — | ||
| ACT-011326 | Outreach address corrected Outreach | Mark Knight: 7891 Apache Blvd, Eden Prairie → 7891 Apache Blvd # 767, Eden Prairie |
| Proposed | — | ||
| ACT-011327 | Outreach address corrected Outreach | Jason Gray: 3678 Spring St, Gilbert → 3678 Spring St # 478, Gilbert |
| Proposed | — | ||
| ACT-011328 | Outreach address corrected Outreach | Kevin Rios: 6283 Desert Sky Blvd Apt 2, Houston → 6283 Desert Sky Blvd Apt 38, Houston |
| Proposed | — | ||
| ACT-011329 | Outreach address corrected Outreach | Nicholas Diaz: 9304 Elm St # 560, Seattle → 9304 Elm St, Seattle |
| Proposed | — | ||
| ACT-011330 | Outreach address corrected Outreach | Cheryl Jacobs: 1398 Spring St, Eden Prairie → 8057 Harbor Blvd, Minneapolis |
| Proposed | — | ||
| ACT-011331 | Outreach address corrected Outreach | Raymond Wood: 2432 Camelback Rd, Miami → 1485 Apache Blvd Apt 11, Glendale |
| Proposed | — | ||
| ACT-011332 | Outreach address corrected Outreach | Joseph Gray: 907 Cedar Ln, Phoenix → 907 Cedar Ln # 569, Phoenix |
| Proposed | — | ||
| ACT-011333 | Outreach address corrected Outreach | Jonathan McDonald: 8333 Canyon Rd # 675, Gilbert → 8333 Canyon Rd, Gilbert |
| Proposed | — | ||
| ACT-011334 | Outreach address corrected Outreach | Joyce Howard: 9252 Lake View Rd # 798, Houston → 9252 Lake View Rd, Houston |
| Proposed | — | ||
| ACT-011335 | Outreach address corrected Outreach | Therresa Mills: 1162 Elm St, Sacramento → 1162 Elm St # 189, Sacramento |
| Proposed | — | ||
| ACT-011336 | Outreach address corrected Outreach | Tyler Barnes: 7124 Market St # 841, Chandler → 7124 Market St # 346, Chandler |
| Proposed | — | ||
| ACT-011337 | Outreach address corrected Outreach | Steve Spencer: 2764 Apache Blvd Apt 31, Tampa → 605 Sunset Blvd, San Antonio |
| Proposed | — | ||
| ACT-011338 | Outreach address corrected Outreach | Helen Chen: 6943 Spring St # 730, Tucson → 6943 Spring St, Tucson |
| Proposed | — | ||
| ACT-011339 | Outreach address corrected Outreach | Amber Amber: 1009 Mountain View Dr, Los Angeles → 9369 Valley View Dr, Columbus |
| Proposed | — | ||
| ACT-011340 | Outreach address corrected Outreach | Jesse Jones: 9066 Union St Apt 31, Tampa → 9066 Union St, Tampa |
| Proposed | — | ||
| ACT-011341 | Outreach address corrected Outreach | Michael Patterson: 9741 Sunset Blvd Apt 30, Mesa → 9741 Sunset Blvd, Mesa |
| Proposed | — | ||
| ACT-011342 | Outreach address corrected Outreach | John Gardner: 6299 Desert Sky Blvd Apt 3, Austin → 6299 Desert Sky Blvd, Austin |
| Proposed | — | ||
| ACT-011343 | Outreach address corrected Outreach | Grace Garza: 7828 Maple Ave, Chandler → 7828 Maple Ave Apt 40, Chandler |
| Proposed | — | ||
| ACT-011344 | Outreach address corrected Outreach | Sophia Carroll: 5642 Desert Sky Blvd, Atlanta → 5642 Desert Sky Blvd Apt 21, Atlanta |
| Proposed | — | ||
| ACT-011345 | Outreach address corrected Outreach | Nicholas Ellis: 7082 Willow Ct, Mesa → 7082 Willow Ct # 712, Mesa |
| Proposed | — | ||
| ACT-011346 | Outreach address corrected Outreach | Alexander Cruz: 1838 Sunset Blvd, Houston → 2134 Union St, Tampa |
| Proposed | — | ||
| ACT-011347 | Outreach address corrected Outreach | Brittany Watson: 2223 River Rd, Los Angeles → 3073 Market St, Sacramento |
| Proposed | — | ||
| ACT-011348 | Outreach address corrected Outreach | Isabellla Stephens: 3799 Jefferson Ave, Denver → 8454 Park Pl, Sacramento |
| Proposed | — | ||
| ACT-011349 | Outreach address corrected Outreach | Justin Hawkins: 2459 Sunset Blvd # 482, Tucson → 2459 Sunset Blvd, Tucson |
| Proposed | — | ||
| ACT-011350 | Outreach address corrected Outreach | William Daniels: 1798 Ridge Rd, Austin → 1798 Ridge Rd Apt 11, Austin |
| Proposed | — | ||
| ACT-011351 | Outreach address corrected Outreach | Shirley Vasquez: 7831 Harbor Blvd, Las Vegas → 9094 Apache Blvd, Atlanta |
| 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.