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-011452 | Outreach address corrected Outreach | Mateo Myers: 5802 Ridge Rd # 179, Glendale → 5802 Ridge Rd, Glendale |
| Proposed | — | ||
| ACT-011453 | Outreach address corrected Outreach | Andrea Bishop: 7664 Sunset Blvd # 515, Eden Prairie → 7664 Sunset Blvd, Eden Prairie |
| Proposed | — | ||
| ACT-011454 | Outreach address corrected Outreach | Willie Webb: 7251 Willow Ct, Miami → 2644 Grand Ave, Tempe |
| Proposed | — | ||
| ACT-011455 | Outreach address corrected Outreach | Nancy Morrison: 6308 Palm Dr, Seattle → 6308 Palm Dr # 174, Seattle |
| Proposed | — | ||
| ACT-011456 | Outreach address corrected Outreach | Donald Harris: 2294 Valley View Dr, Plano → 2294 Valley View Dr # 737, Plano |
| Proposed | — | ||
| ACT-011457 | Outreach address corrected Outreach | Frances Grant: 7335 Broadway, Los Angeles → 6376 Lake View Rd, Denver |
| Proposed | — | ||
| ACT-011458 | Outreach address corrected Outreach | Michael Castillo: 4631 Sage Ct, Denver → 3184 Bayshore Dr, Dallas |
| Proposed | — | ||
| ACT-011459 | Outreach address corrected Outreach | Terry Henderson: 4042 Desert Sky Blvd, Los Angeles → 6152 Meadow Ln, Minneapolis |
| Proposed | — | ||
| ACT-011460 | Outreach address corrected Outreach | Carol Shaw: 1968 Willow Ct # 833, Orlando → 1968 Willow Ct, Orlando |
| Proposed | — | ||
| ACT-011461 | Outreach address corrected Outreach | Austin Wong: 2723 Grand Ave Apt 35, Houston → 2723 Grand Ave, Houston |
| Proposed | — | ||
| ACT-011462 | Outreach address corrected Outreach | Priya Stewart: 6977 Hillcrest Rd # 880, Jacksonville → 6977 Hillcrest Rd, Jacksonville |
| Proposed | — | ||
| ACT-011463 | Outreach address corrected Outreach | Omar Nunez: 518 Baseline Rd, Mesa → 518 Baseline Rd # 798, Mesa |
| Proposed | — | ||
| ACT-011464 | Outreach address corrected Outreach | Zachary Stevens: 6226 River Rd, Fresno → 6105 Park Pl, Chandler |
| Proposed | — | ||
| ACT-011465 | Outreach address corrected Outreach | George Dominguez: 684 Highland Ave Apt 7, Scottsdale → 684 Highland Ave, Scottsdale |
| Proposed | — | ||
| ACT-011466 | Outreach address corrected Outreach | Cynthia Carlson: 7120 Oak St, Las Vegas → 7120 Oak St # 464, Las Vegas |
| Proposed | — | ||
| ACT-011467 | Outreach address corrected Outreach | Kathlean Silva: 3778 Church St, Glendale → 3778 Church St Apt 4, Glendale |
| Proposed | — | ||
| ACT-011468 | Outreach address corrected Outreach | Jose Chapman: 3582 Pine Dr, Sacramento → 3582 Pine Dr Apt 40, Sacramento |
| Proposed | — | ||
| ACT-011469 | Outreach address corrected Outreach | Gary Miller: 4974 Union St, Miami → 6416 Harbor Blvd, Los Angeles |
| Proposed | — | ||
| ACT-011470 | Outreach address corrected Outreach | Jeremy Williamson: 9294 Maple Ave # 568, San Antonio → 9294 Maple Ave, San Antonio |
| Proposed | — | ||
| ACT-011471 | Outreach address corrected Outreach | Logan Phillips: 3710 Mountain View Dr Apt 32, Orlando → 3710 Mountain View Dr, Orlando |
| Proposed | — | ||
| ACT-011472 | Outreach address corrected Outreach | Stephen Armstrong: 6996 Spring St Apt 22, Phoenix → 6996 Spring St, Phoenix |
| Proposed | — | ||
| ACT-011473 | Outreach address corrected Outreach | Mei Sanchez: 4230 Lincoln Way Apt 10, Jacksonville → 4230 Lincoln Way, Jacksonville |
| Proposed | — | ||
| ACT-011474 | Outreach address corrected Outreach | Raymond Patterson: 8662 Sage Ct, Chandler → 8662 Sage Ct # 505, Chandler |
| Proposed | — | ||
| ACT-011475 | Outreach address corrected Outreach | Brenda Porter: 9264 Oak St # 434, Tempe → 9264 Oak St, Tempe |
| Proposed | — | ||
| ACT-011476 | Outreach address corrected Outreach | Sharon Lynch: 7777 Grand Ave, Jacksonville → 7952 Mountain View Dr Apt 15, Nashville |
| Proposed | — | ||
| ACT-011477 | Outreach address corrected Outreach | Joshua Patel: 6986 Sage Ct, Mesa → 213 Mountain View Dr, Austin |
| Proposed | — | ||
| ACT-011478 | Outreach address corrected Outreach | Richard Webb: 5939 Highland Ave Apt 25, Austin → 5939 Highland Ave, Austin |
| Proposed | — | ||
| ACT-011479 | Outreach address corrected Outreach | Ashley Bryatn: 7372 Pine Dr, Miami → 7372 Pine Dr Apt 13, Miami |
| Proposed | — | ||
| ACT-011480 | Outreach address corrected Outreach | Albert Williams: 5057 Forest Ave # 799, Austin → 5057 Forest Ave, Austin |
| Proposed | — | ||
| ACT-011481 | Outreach address corrected Outreach | Walter Ward: 8712 Main St, Sacramento → 8712 Main St # 960, Sacramento |
| Proposed | — | ||
| ACT-011482 | Outreach address corrected Outreach | John Gomez: 8803 Pine Dr # 722, Tempe → 8803 Pine Dr, Tempe |
| Proposed | — | ||
| ACT-011483 | Outreach address corrected Outreach | Madison Gray: 6503 Maple Ave, San Antonio → 1612 Baseline Rd, San Antonio |
| Proposed | — | ||
| ACT-011484 | Outreach address corrected Outreach | Patricia Robertson: 5703 River Rd, Jacksonville → 2313 Church St, Nashville |
| Proposed | — | ||
| ACT-011485 | Outreach address corrected Outreach | Maria Chavez: 9462 Mountain View Dr, Atlanta → 9462 Mountain View Dr # 944, Atlanta |
| Proposed | — | ||
| ACT-011486 | Outreach address corrected Outreach | Judy Jimenez: 2760 Mesa Dr, Gilbert → 4481 Camelback Rd, Tampa |
| Proposed | — | ||
| ACT-011487 | Outreach address corrected Outreach | Abby Johnson: 658 Elm St, Charlotte → 1190 Park Pl Apt 18, Minneapolis |
| Proposed | — | ||
| ACT-011488 | Outreach address corrected Outreach | Linda Carr: 27 Forest Ave Apt 7, Columbus → 27 Forest Ave, Columbus |
| Proposed | — | ||
| ACT-011489 | Outreach address corrected Outreach | Julie Howard: 7117 Lake View Rd Apt 35, Tempe → 1877 Jefferson Ave, Glendale |
| Proposed | — | ||
| ACT-011490 | Outreach address corrected Outreach | Barbara Bishop: 4698 Willow Ct # 585, Mesa → 4698 Willow Ct, Mesa |
| Proposed | — | ||
| ACT-011491 | Outreach address corrected Outreach | Priya Simpson: 5204 Meadow Ln Apt 29, Columbus → 5204 Meadow Ln, Columbus |
| Proposed | — | ||
| ACT-011492 | Outreach address corrected Outreach | Doris Fernandez: 5596 Bayshore Dr, Jacksonville → 5596 Bayshore Dr Apt 40, Jacksonville |
| Proposed | — | ||
| ACT-011493 | Outreach address corrected Outreach | Albert Hayes: 7339 Hillcrest Rd, Plano → 7339 Hillcrest Rd Apt 9, Plano |
| Proposed | — | ||
| ACT-011494 | Outreach address corrected Outreach | Ryan Weaver: 4467 Mesa Dr # 496, Phoenix → 4467 Mesa Dr, Phoenix |
| Proposed | — | ||
| ACT-011495 | Outreach address corrected Outreach | Emma Richardson: 877 Central Ave, Phoenix → 877 Central Ave Apt 13, Phoenix |
| Proposed | — | ||
| ACT-011496 | Outreach address corrected Outreach | Samantha Meyer: 8827 Main St Apt 35, Chandler → 8827 Main St, Chandler |
| Proposed | — | ||
| ACT-011497 | Outreach address corrected Outreach | Evelyn Le: 1620 Central Ave, Glendale → 1620 Central Ave # 910, Glendale |
| Proposed | — | ||
| ACT-011498 | Outreach address corrected Outreach | Harold Ramirez: 4674 Apache Blvd Apt 12, Fresno → 6606 Forest Ave, Charlotte |
| Proposed | — | ||
| ACT-011499 | Outreach address corrected Outreach | Hannah Lewis: 236 Church St, Denver → 236 Church St # 728, Denver |
| Proposed | — | ||
| ACT-011500 | Outreach address corrected Outreach | Lawrence Morris: 6621 Central Ave, Jacksonville → 6621 Central Ave Apt 5, Jacksonville |
| Proposed | — | ||
| ACT-011501 | Outreach address corrected Outreach | Harold Nguyen: 4469 Union St, Plano → 8987 Central Ave, Los Angeles |
| 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.