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-011402 | Outreach address corrected Outreach | Ralph Knight: 7040 Palm Dr Apt 2, Denver → 7040 Palm Dr, Denver |
| Proposed | — | ||
| ACT-011403 | Outreach address corrected Outreach | Sharon Hanson: 8200 Oak St, Tampa → 5577 Canyon Rd, Jacksonville |
| Proposed | — | ||
| ACT-011404 | Outreach address corrected Outreach | Cerlos Palmer: 9440 Palm Dr # 638, Tampa → 9440 Palm Dr # 423, Tampa |
| Proposed | — | ||
| ACT-011405 | Outreach address corrected Outreach | Michael Carpenter: 8019 Market St Apt 13, Plano → 8019 Market St, Plano |
| Proposed | — | ||
| ACT-011406 | Outreach address corrected Outreach | Lnda Stevens: 5554 Forest Ave, Dallas → 5554 Forest Ave # 815, Dallas |
| Proposed | — | ||
| ACT-011407 | Outreach address corrected Outreach | Kelly Evans: 7134 Main St, Austin → 9234 Lake View Rd # 148, Atlanta |
| Proposed | — | ||
| ACT-011408 | Outreach address corrected Outreach | Linda Wood: 4941 Highland Ave, Columbus → 4941 Highland Ave Apt 30, Columbus |
| Proposed | — | ||
| ACT-011409 | Outreach address corrected Outreach | Olivia Bailey: 5702 Canyon Rd, Jacksonville → 1333 Forest Ave, Tampa |
| Proposed | — | ||
| ACT-011410 | Outreach address corrected Outreach | Michelle Walker: 7539 Bayshore Dr Apt 19, Jacksonville → 7539 Bayshore Dr, Jacksonville |
| Proposed | — | ||
| ACT-011411 | Outreach address corrected Outreach | Julia Tran: 7521 Meadow Ln Apt 5, Sacramento → 7521 Meadow Ln, Sacramento |
| Proposed | — | ||
| ACT-011412 | Outreach address corrected Outreach | Arthur Ryan: 2777 Oak St Apt 5, Tampa → 2777 Oak St, Tampa |
| Proposed | — | ||
| ACT-011413 | Outreach address corrected Outreach | Abigail Berry: 9149 Lincoln Way, Tampa → 9149 Lincoln Way # 622, Tampa |
| Proposed | — | ||
| ACT-011414 | Outreach address corrected Outreach | Emily Murray: 768 Desert Sky Blvd, Denver → 8357 Spring St, Charlotte |
| Proposed | — | ||
| ACT-011415 | Outreach address corrected Outreach | Judy Garza: 3068 Jefferson Ave Apt 18, Columbus → 3068 Jefferson Ave, Columbus |
| Proposed | — | ||
| ACT-011416 | Outreach address corrected Outreach | Logan Scott: 3265 Jefferson Ave Apt 1, Las Vegas → 3265 Jefferson Ave Apt 8, Las Vegas |
| Proposed | — | ||
| ACT-011417 | Outreach address corrected Outreach | Joshua Hayes: 3463 Mountain View Dr, San Diego → 3922 Hillcrest Rd, Eden Prairie |
| Proposed | — | ||
| ACT-011418 | Outreach address corrected Outreach | Linda Lawrence: 4617 Palm Dr Apt 39, Tucson → 4617 Palm Dr, Tucson |
| Proposed | — | ||
| ACT-011419 | Outreach address corrected Outreach | Jeremy West: 3262 Baseline Rd Apt 32, Scottsdale → 3262 Baseline Rd, Scottsdale |
| Proposed | — | ||
| ACT-011420 | Outreach address corrected Outreach | Camila Hart: 4858 Canyon Rd, Plano → 4743 Camelback Rd, Fresno |
| Proposed | — | ||
| ACT-011421 | Outreach address corrected Outreach | Eric Castillo: 8778 Ocean Ave, Minneapolis → 8778 Ocean Ave # 605, Minneapolis |
| Proposed | — | ||
| ACT-011422 | Outreach address corrected Outreach | Yuki Perkins: 5842 Jefferson Ave, Gilbert → 329 Park Pl, Dallas |
| Proposed | — | ||
| ACT-011423 | Outreach address corrected Outreach | Sharon Dominguez: 7026 Mountain View Dr, Plano → 2504 Camelback Rd, Glendale |
| Proposed | — | ||
| ACT-011424 | Outreach address corrected Outreach | Cynthia Lopez: 4377 Washington St Apt 1, Austin → 4377 Washington St, Austin |
| Proposed | — | ||
| ACT-011425 | Outreach address corrected Outreach | Jacqueline Campbell: 1998 Broadway # 806, Seattle → 1998 Broadway, Seattle |
| Proposed | — | ||
| ACT-011426 | Outreach address corrected Outreach | Harold Martinez: 8897 Broadway, Gilbert → 8897 Broadway # 479, Gilbert |
| Proposed | — | ||
| ACT-011427 | Outreach address corrected Outreach | Melissa Fox: 2330 Ridge Rd, Fresno → 4095 Valley View Dr, Houston |
| Proposed | — | ||
| ACT-011428 | Outreach address corrected Outreach | Kelly Diaz: 4716 Forest Ave, Tucson → 5998 Mesa Dr, Austin |
| Proposed | — | ||
| ACT-011429 | Outreach address corrected Outreach | George Moreno: 5556 Camelback Rd, San Diego → 5556 Camelback Rd Apt 23, San Diego |
| Proposed | — | ||
| ACT-011430 | Outreach address corrected Outreach | Michelle Riley: 3847 Highland Ave, Plano → 3847 Highland Ave # 897, Plano |
| Proposed | — | ||
| ACT-011431 | Outreach address corrected Outreach | Paaul Hernandez: 3778 Sage Ct Apt 14, Chandler → 3778 Sage Ct, Chandler |
| Proposed | — | ||
| ACT-011432 | Outreach address corrected Outreach | Bryan King: 3073 Canyon Rd, Fresno → 833 Desert Sky Blvd, Tampa |
| Proposed | — | ||
| ACT-011433 | Outreach address corrected Outreach | Luis Kelly: 7567 Highland Ave # 447, Glendale → 7567 Highland Ave, Glendale |
| Proposed | — | ||
| ACT-011434 | Outreach address corrected Outreach | Christopher Mendoza: 3250 Meadow Ln # 944, Seattle → 9673 Bayshore Dr, Gilbert |
| Proposed | — | ||
| ACT-011435 | Outreach address corrected Outreach | Joseph Webb: 838 Washington St # 194, Minneapolis → 838 Washington St, Minneapolis |
| Proposed | — | ||
| ACT-011436 | Outreach address corrected Outreach | Jesse Fowler: 4715 Sage Ct, Miami → 4715 Sage Ct # 627, Miami |
| Proposed | — | ||
| ACT-011437 | Outreach address corrected Outreach | Paul Fisher: 1977 Mountain View Dr Apt 2, Eden Prairie → 1977 Mountain View Dr, Eden Prairie |
| Proposed | — | ||
| ACT-011438 | Outreach address corrected Outreach | Michael Reynolds: 9598 Mesa Dr, Plano → 9598 Mesa Dr Apt 31, Plano |
| Proposed | — | ||
| ACT-011439 | Outreach address corrected Outreach | Elizabeth Lane: 9077 Hillcrest Rd, Columbus → 9077 Hillcrest Rd Apt 36, Columbus |
| Proposed | — | ||
| ACT-011440 | Outreach address corrected Outreach | Martha Boyd: 6625 Maple Ave, San Diego → 1811 Spring St, Las Vegas |
| Proposed | — | ||
| ACT-011441 | Outreach address corrected Outreach | Ann Morales: 3142 Park Pl Apt 9, Austin → 3142 Park Pl, Austin |
| Proposed | — | ||
| ACT-011442 | Outreach address corrected Outreach | Matthew Kelley: 3860 Ocean Ave, Houston → 3283 Camelback Rd, Gilbert |
| Proposed | — | ||
| ACT-011443 | Outreach address corrected Outreach | Arjun Jackson: 5869 Market St, Plano → 9393 Forest Ave, Jacksonville |
| Proposed | — | ||
| ACT-011444 | Outreach address corrected Outreach | Christine Banks: 1950 Valley View Dr Apt 16, Tempe → 1950 Valley View Dr, Tempe |
| Proposed | — | ||
| ACT-011445 | Outreach address corrected Outreach | Teresa Murphy: 4268 Broadway, Mesa → 4268 Broadway Apt 19, Mesa |
| Proposed | — | ||
| ACT-011446 | Outreach address corrected Outreach | Donald Owens: 4305 Ridge Rd Apt 1, Nashville → 4305 Ridge Rd, Nashville |
| Proposed | — | ||
| ACT-011447 | Outreach address corrected Outreach | Steven Wheeler: 7249 Harbor Blvd # 460, Houston → 7249 Harbor Blvd, Houston |
| Proposed | — | ||
| ACT-011448 | Outreach address corrected Outreach | Sarah Banks: 2393 Broadway, Scottsdale → 3771 Lincoln Way, Houston |
| Proposed | — | ||
| ACT-011449 | Outreach address corrected Outreach | Dennis Morris: 1592 Cedar Ln, Seattle → 1592 Cedar Ln # 237, Seattle |
| Proposed | — | ||
| ACT-011450 | Outreach address corrected Outreach | Danielle Rojas: 4114 Forest Ave, Tucson → 4114 Forest Ave Apt 28, Tucson |
| Proposed | — | ||
| ACT-011451 | Outreach address corrected Outreach | Noah Black: 1296 Willow Ct # 287, Chandler → 1296 Willow Ct, Chandler |
| 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.