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-010502 | Outreach address corrected Outreach | Ryan Hill: 5138 Harbor Blvd # 202, Austin → 2450 Ridge Rd, Tempe |
| Proposed | — | ||
| ACT-010503 | Outreach address corrected Outreach | Ruth Hill: 9606 Mesa Dr, Los Angeles → 557 Jefferson Ave, Plano |
| Proposed | — | ||
| ACT-010504 | Outreach address corrected Outreach | Mateo Jackson: 3971 Lincoln Way, Las Vegas → 3971 Lincoln Way # 814, Las Vegas |
| Proposed | — | ||
| ACT-010505 | Outreach address corrected Outreach | Gary Stewart: 4203 Apache Blvd, Plano → 4203 Apache Blvd Apt 18, Plano |
| Proposed | — | ||
| ACT-010506 | Outreach address corrected Outreach | Andrew Matthews: 9858 Baseline Rd Apt 31, Orlando → 9858 Baseline Rd, Orlando |
| Proposed | — | ||
| ACT-010507 | Outreach address corrected Outreach | Camila Lucas: 4364 Maple Ave, Chandler → 1620 Jefferson Ave, Dallas |
| Proposed | — | ||
| ACT-010508 | Outreach address corrected Outreach | Daniel Evans: 6814 Willow Ct # 204, Fresno → 6814 Willow Ct, Fresno |
| Proposed | — | ||
| ACT-010509 | Outreach address corrected Outreach | Joshua Holmes: 2964 Bayshore Dr, Mesa → 7245 River Rd # 568, Glendale |
| Proposed | — | ||
| ACT-010510 | Outreach address corrected Outreach | Rachel Cruz: 5467 Forest Ave, Minneapolis → 94 Palm Dr, Eden Prairie |
| Proposed | — | ||
| ACT-010511 | Outreach address corrected Outreach | Vincent Morgan: 6852 Union St, Phoenix → 6852 Union St # 772, Phoenix |
| Proposed | — | ||
| ACT-010512 | Outreach address corrected Outreach | Betty Pena: 8194 Maple Ave, Nashville → 8194 Maple Ave Apt 5, Nashville |
| Proposed | — | ||
| ACT-010513 | Outreach address corrected Outreach | Amy Jenkins: 2438 Cedar Ln, San Diego → 5235 Bayshore Dr, Eden Prairie |
| Proposed | — | ||
| ACT-010514 | Outreach address corrected Outreach | Sara Burton: 2589 Canyon Rd, Atlanta → 2589 Canyon Rd Apt 22, Atlanta |
| Proposed | — | ||
| ACT-010515 | Outreach address corrected Outreach | Willie McCoy: 1428 Cedar Ln, Fresno → 1428 Cedar Ln # 597, Fresno |
| Proposed | — | ||
| ACT-010516 | Outreach address corrected Outreach | Lisa Morales: 2095 Washington St, San Diego → 2095 Washington St Apt 1, San Diego |
| Proposed | — | ||
| ACT-010517 | Outreach address corrected Outreach | Christine Morgan: 469 Pine Dr Apt 1, Austin → 469 Pine Dr, Austin |
| Proposed | — | ||
| ACT-010518 | Outreach address corrected Outreach | Brittany Alvarado: 7794 Baseline Rd # 601, Phoenix → 7794 Baseline Rd, Phoenix |
| Proposed | — | ||
| ACT-010519 | Outreach address corrected Outreach | Jason Espinoza: 7502 Central Ave, Miami → 7266 Grand Ave, Tempe |
| Proposed | — | ||
| ACT-010520 | Outreach address corrected Outreach | Emma Silva: 7932 Grand Ave, Tucson → 6272 Church St, Plano |
| Proposed | — | ||
| ACT-010521 | Outreach address corrected Outreach | Christine Contreras: 5571 Meadow Ln # 461, Orlando → 5571 Meadow Ln Apt 40, Orlando |
| Proposed | — | ||
| ACT-010522 | Outreach address corrected Outreach | Nicole Sanders: 4261 Hillcrest Rd, Atlanta → 329 Jefferson Ave, Columbus |
| Proposed | — | ||
| ACT-010523 | Outreach address corrected Outreach | Carolyn Flores: 2384 Apache Blvd, Los Angeles → 2384 Apache Blvd Apt 34, Los Angeles |
| Proposed | — | ||
| ACT-010524 | Outreach address corrected Outreach | Omar Le: 2377 Elm St # 704, Minneapolis → 2377 Elm St, Minneapolis |
| Proposed | — | ||
| ACT-010525 | Outreach address corrected Outreach | Emily Stewart: 4286 Forest Ave # 201, Atlanta → 4286 Forest Ave, Atlanta |
| Proposed | — | ||
| ACT-010526 | Outreach address corrected Outreach | Frank Bailey: 7687 Indian School Rd, Las Vegas → 7687 Indian School Rd Apt 20, Las Vegas |
| Proposed | — | ||
| ACT-010527 | Outreach address corrected Outreach | Ronald Valdez: 5097 Valley View Dr, Sacramento → 9019 Central Ave, Jacksonville |
| Proposed | — | ||
| ACT-010528 | Outreach address corrected Outreach | Martha Rodriguez: 3973 Washington St, Phoenix → 5909 Elm St, Denver |
| Proposed | — | ||
| ACT-010529 | Outreach address corrected Outreach | Harold Fisher: 2037 Lake View Rd, Mesa → 2037 Lake View Rd Apt 18, Mesa |
| Proposed | — | ||
| ACT-010530 | Outreach address corrected Outreach | Amanda Santiago: 275 Park Pl, Austin → 8739 Pine Dr, Miami |
| Proposed | — | ||
| ACT-010531 | Outreach address corrected Outreach | Juan Chen: 9807 Church St, Nashville → 9807 Church St # 941, Nashville |
| Proposed | — | ||
| ACT-010532 | Outreach address corrected Outreach | Karen Foster: 4572 Grand Ave, Jacksonville → 6582 Pine Dr, Fresno |
| Proposed | — | ||
| ACT-010533 | Outreach address corrected Outreach | Keith Gordon: 9536 Lake View Rd, Dallas → 9536 Lake View Rd Apt 38, Dallas |
| Proposed | — | ||
| ACT-010534 | Outreach address corrected Outreach | Kelly Lucas: 8835 Market St # 556, Las Vegas → 8835 Market St, Las Vegas |
| Proposed | — | ||
| ACT-010535 | Outreach address corrected Outreach | Raymond Patel: 5018 Broadway Apt 7, Dallas → 5018 Broadway, Dallas |
| Proposed | — | ||
| ACT-010536 | Outreach address corrected Outreach | Camila Parker: 4559 Bayshore Dr, Chandler → 4559 Bayshore Dr Apt 13, Chandler |
| Proposed | — | ||
| ACT-010537 | Outreach address corrected Outreach | Valentina Harris: 2755 Sunset Blvd, Glendale → 2755 Sunset Blvd Apt 19, Glendale |
| Proposed | — | ||
| ACT-010538 | Outreach address corrected Outreach | Mary George: 1674 Sage Ct, Denver → 4853 Baseline Rd, Houston |
| Proposed | — | ||
| ACT-010539 | Outreach address corrected Outreach | Ryan Chen: 4269 Maple Ave, San Diego → 4269 Maple Ave # 585, San Diego |
| Proposed | — | ||
| ACT-010540 | Outreach address corrected Outreach | Michelle Schultz: 8375 Forest Ave # 397, Tempe → 8375 Forest Ave, Tempe |
| Proposed | — | ||
| ACT-010541 | Outreach address corrected Outreach | Priya Roberts: 7499 Market St, Las Vegas → 7499 Market St # 608, Las Vegas |
| Proposed | — | ||
| ACT-010542 | Outreach address corrected Outreach | Brandon Hansen: 4589 Mesa Dr, Chandler → 4589 Mesa Dr Apt 31, Chandler |
| Proposed | — | ||
| ACT-010543 | Outreach address corrected Outreach | Timothy Reynolds: 8333 Forest Ave Apt 6, Miami → 8333 Forest Ave, Miami |
| Proposed | — | ||
| ACT-010544 | Outreach address corrected Outreach | Deennis Elliott: 3313 Maple Ave Apt 40, Gilbert → 3313 Maple Ave, Gilbert |
| Proposed | — | ||
| ACT-010545 | Outreach address corrected Outreach | Thomas Moore: 7668 Canyon Rd, Phoenix → 8891 Elm St, Miami |
| Proposed | — | ||
| ACT-010546 | Outreach address corrected Outreach | Marilyn Castillo: 7402 Highland Ave Apt 39, Chandler → 7402 Highland Ave, Chandler |
| Proposed | — | ||
| ACT-010547 | Outreach address corrected Outreach | Russell Fernandez: 1840 Camelback Rd, Dallas → 1840 Camelback Rd # 324, Dallas |
| Proposed | — | ||
| ACT-010548 | Outreach address corrected Outreach | Sophia Reid: 4481 Bayshore Dr, Las Vegas → 4481 Bayshore Dr Apt 28, Las Vegas |
| Proposed | — | ||
| ACT-010549 | Outreach address corrected Outreach | Luis Romero: 2683 Mountain View Dr Apt 4, Glendale → 2683 Mountain View Dr, Glendale |
| Proposed | — | ||
| ACT-010550 | Outreach address corrected Outreach | Alexander Aguilar: 2890 Jefferson Ave, Columbus → 2890 Jefferson Ave Apt 9, Columbus |
| Proposed | — | ||
| ACT-010551 | Outreach address corrected Outreach | Kevin Johnston: 8262 Maple Ave, Fresno → 8262 Maple Ave # 382, Fresno |
| 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.