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-011352 | Outreach address corrected Outreach | Gregory Campbell: 6371 Mountain View Dr Apt 5, Austin → 6371 Mountain View Dr, Austin |
| Proposed | — | ||
| ACT-011353 | Outreach address corrected Outreach | Russell King: 9139 Willow Ct, Fresno → 9139 Willow Ct Apt 32, Fresno |
| Proposed | — | ||
| ACT-011354 | Outreach address corrected Outreach | Elizabeth Lane: 8892 Apache Blvd, Minneapolis → 8892 Apache Blvd # 967, Minneapolis |
| Proposed | — | ||
| ACT-011355 | Outreach address corrected Outreach | Jordan Welch: 2704 Maple Ave, Denver → 2704 Maple Ave # 582, Denver |
| Proposed | — | ||
| ACT-011356 | Outreach address corrected Outreach | Peter Mendoza: 4978 Valley View Dr, Austin → 4978 Valley View Dr Apt 11, Austin |
| Proposed | — | ||
| ACT-011357 | Outreach address corrected Outreach | Mateo Obrien: 3686 Bayshore Dr, San Diego → 9873 Pine Dr, Fresno |
| Proposed | — | ||
| ACT-011358 | Outreach address corrected Outreach | Arjun Robinson: 7011 Forest Ave # 397, Tucson → 7011 Forest Ave, Tucson |
| Proposed | — | ||
| ACT-011359 | Outreach address corrected Outreach | Peter Ford: 3506 Central Ave Apt 35, Columbus → 9835 Pine Dr, Dallas |
| Proposed | — | ||
| ACT-011360 | Outreach address corrected Outreach | Roy Fowler: 6743 Apache Blvd # 496, Austin → 6743 Apache Blvd Apt 8, Austin |
| Proposed | — | ||
| ACT-011361 | Outreach address corrected Outreach | Larry Singh: 3589 Main St Apt 37, Los Angeles → 3589 Main St, Los Angeles |
| Proposed | — | ||
| ACT-011362 | Outreach address corrected Outreach | Janet Lewis: 3583 River Rd, Phoenix → 3583 River Rd # 937, Phoenix |
| Proposed | — | ||
| ACT-011363 | Outreach address corrected Outreach | Rachel Maldonado: 1474 Ridge Rd, Sacramento → 1474 Ridge Rd # 742, Sacramento |
| Proposed | — | ||
| ACT-011364 | Outreach address corrected Outreach | Abigail Walker: 9062 Ridge Rd Apt 36, Sacramento → 9062 Ridge Rd, Sacramento |
| Proposed | — | ||
| ACT-011365 | Outreach address corrected Outreach | Christine Sims: 5333 Bayshore Dr, Los Angeles → 5333 Bayshore Dr # 847, Los Angeles |
| Proposed | — | ||
| ACT-011366 | Outreach address corrected Outreach | Charlotte Turner: 7851 Union St, Nashville → 7851 Union St Apt 20, Nashville |
| Proposed | — | ||
| ACT-011367 | Outreach address corrected Outreach | Terry Spencer: 642 Union St, Fresno → 642 Union St # 210, Fresno |
| Proposed | — | ||
| ACT-011368 | Outreach address corrected Outreach | Jerry Lynch: 5218 Broadway, Miami → 5218 Broadway Apt 32, Miami |
| Proposed | — | ||
| ACT-011369 | Outreach address corrected Outreach | Jordan Carr: 9856 Highland Ave, Chandler → 4252 Park Pl, Jacksonville |
| Proposed | — | ||
| ACT-011370 | Outreach address corrected Outreach | Kathryn Campbell: 3280 Valley View Dr, Los Angeles → 3280 Valley View Dr Apt 8, Los Angeles |
| Proposed | — | ||
| ACT-011371 | Outreach address corrected Outreach | Kelly Chapman: 3677 Apache Blvd, Tampa → 5381 Grand Ave, Las Vegas |
| Proposed | — | ||
| ACT-011372 | Outreach address corrected Outreach | Diane Collins: 875 Harbor Blvd, Scottsdale → 1129 Lake View Rd, Scottsdale |
| Proposed | — | ||
| ACT-011373 | Outreach address corrected Outreach | Sara Greene: 2557 Main St, Las Vegas → 3971 Lincoln Way, Minneapolis |
| Proposed | — | ||
| ACT-011374 | Outreach address corrected Outreach | Keith Dixon: 4238 Oak St, Mesa → 8405 Meadow Ln, Las Vegas |
| Proposed | — | ||
| ACT-011375 | Outreach address corrected Outreach | Helen Ellis: 7967 Church St # 733, Eden Prairie → 7967 Church St, Eden Prairie |
| Proposed | — | ||
| ACT-011376 | Outreach address corrected Outreach | Kathleen Johnston: 1204 Highland Ave, Los Angeles → 5071 Elm St, Miami |
| Proposed | — | ||
| ACT-011377 | Outreach address corrected Outreach | Kathleen Obrien: 6948 Pine Dr Apt 37, Columbus → 6948 Pine Dr, Columbus |
| Proposed | — | ||
| ACT-011378 | Outreach address corrected Outreach | Rachel Wagner: 8428 Indian School Rd, Austin → 8428 Indian School Rd # 972, Austin |
| Proposed | — | ||
| ACT-011379 | Outreach address corrected Outreach | Daniel Parker: 5608 Canyon Rd, Tucson → 5608 Canyon Rd Apt 7, Tucson |
| Proposed | — | ||
| ACT-011380 | Outreach address corrected Outreach | Joseph Daniels: 9477 Bayshore Dr, Phoenix → 2516 Hillcrest Rd, Nashville |
| Proposed | — | ||
| ACT-011381 | Outreach address corrected Outreach | Luis Jones: 5765 Bayshore Dr, Sacramento → 5765 Bayshore Dr Apt 24, Sacramento |
| Proposed | — | ||
| ACT-011382 | Outreach address corrected Outreach | Shirley Russell: 6139 Spring St, Miami → 6139 Spring St # 518, Miami |
| Proposed | — | ||
| ACT-011383 | Outreach address corrected Outreach | Marcus Lawson: 1599 Meadow Ln, Orlando → 1599 Meadow Ln Apt 10, Orlando |
| Proposed | — | ||
| ACT-011384 | Outreach address corrected Outreach | Heather Long: 1715 Camelback Rd, San Antonio → 1715 Camelback Rd # 115, San Antonio |
| Proposed | — | ||
| ACT-011385 | Outreach address corrected Outreach | Natalie Hughes: 4686 Sage Ct # 702, Chandler → 4686 Sage Ct, Chandler |
| Proposed | — | ||
| ACT-011386 | Outreach address corrected Outreach | Keneth Schultz: 9468 Ocean Ave, Columbus → 455 Washington St, Nashville |
| Proposed | — | ||
| ACT-011387 | Outreach address corrected Outreach | Brenda Harris: 654 Bayshore Dr, Dallas → 4126 Lake View Rd # 301, Plano |
| Proposed | — | ||
| ACT-011388 | Outreach address corrected Outreach | Catherine Gonzales: 8551 Lake View Rd, Los Angeles → 8551 Lake View Rd Apt 28, Los Angeles |
| Proposed | — | ||
| ACT-011389 | Outreach address corrected Outreach | Sarah Singh: 220 Broadway, Jacksonville → 220 Broadway Apt 20, Jacksonville |
| Proposed | — | ||
| ACT-011390 | Outreach address corrected Outreach | Eric Nunez: 1621 Valley View Dr Apt 19, Chandler → 1621 Valley View Dr, Chandler |
| Proposed | — | ||
| ACT-011391 | Outreach address corrected Outreach | Kelly Perry: 6792 Maple Ave Apt 11, Fresno → 6792 Maple Ave, Fresno |
| Proposed | — | ||
| ACT-011392 | Outreach address corrected Outreach | Henry Jordan: 948 Central Ave, Chandler → 3607 Ridge Rd, Tampa |
| Proposed | — | ||
| ACT-011393 | Outreach address corrected Outreach | Matthew Vega: 789 River Rd, Dallas → 4884 Desert Sky Blvd, Tucson |
| Proposed | — | ||
| ACT-011394 | Outreach address corrected Outreach | Sarah Lewis: 2010 Sunset Blvd Apt 21, Dallas → 2010 Sunset Blvd, Dallas |
| Proposed | — | ||
| ACT-011395 | Outreach address corrected Outreach | Megan West: 1875 Main St, Eden Prairie → 1875 Main St # 628, Eden Prairie |
| Proposed | — | ||
| ACT-011396 | Outreach address corrected Outreach | Walter Ortega: 3191 Elm St # 238, San Antonio → 3191 Elm St, San Antonio |
| Proposed | — | ||
| ACT-011397 | Outreach address corrected Outreach | Gloria Torres: 156 Sunset Blvd, Charlotte → 156 Sunset Blvd # 548, Charlotte |
| Proposed | — | ||
| ACT-011398 | Outreach address corrected Outreach | Diego Castillo: 5556 Central Ave Apt 4, Columbus → 5556 Central Ave, Columbus |
| Proposed | — | ||
| ACT-011399 | Outreach address corrected Outreach | Nicole Jordan: 7092 Maple Ave, Houston → 7092 Maple Ave Apt 7, Houston |
| Proposed | — | ||
| ACT-011400 | Outreach address corrected Outreach | Dylan Robinson: 3396 Maple Ave Apt 14, Orlando → 3396 Maple Ave, Orlando |
| Proposed | — | ||
| ACT-011401 | Outreach address corrected Outreach | Anthony Taylor: 5141 Central Ave Apt 30, Atlanta → 5141 Central Ave, 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.