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-011502 | Outreach address corrected Outreach | Julie Banks: 2818 River Rd, Minneapolis → 2818 River Rd Apt 11, Minneapolis |
| Proposed | — | ||
| ACT-011503 | Outreach address corrected Outreach | Angela Wheeler: 1829 Grand Ave, Jacksonville → 1829 Grand Ave # 630, Jacksonville |
| Proposed | — | ||
| ACT-011504 | Outreach address corrected Outreach | Ethan Mejia: 6031 Forest Ave, San Antonio → 5630 Church St, Tempe |
| Proposed | — | ||
| ACT-011505 | Outreach address corrected Outreach | Carolyn Kelley: 4456 Jefferson Ave, Tampa → 3821 Market St, Tucson |
| Proposed | — | ||
| ACT-011506 | Outreach address corrected Outreach | Samuel Hart: 3954 Desert Sky Blvd, Tucson → 3954 Desert Sky Blvd Apt 8, Tucson |
| Proposed | — | ||
| ACT-011507 | Outreach address corrected Outreach | Linda Murray: 9085 Washington St Apt 28, Mesa → 9085 Washington St Apt 7, Mesa |
| Proposed | — | ||
| ACT-011508 | Outreach address corrected Outreach | Shirley Harris: 3593 Grand Ave # 614, Plano → 3593 Grand Ave, Plano |
| Proposed | — | ||
| ACT-011509 | Outreach address corrected Outreach | Emma Myers: 8549 Highland Ave, Los Angeles → 1779 Oak St, Sacramento |
| Proposed | — | ||
| ACT-011510 | Outreach address corrected Outreach | Cynthia Nelson: 4108 Forest Ave, Orlando → 4108 Forest Ave Apt 7, Orlando |
| Proposed | — | ||
| ACT-011511 | Outreach address corrected Outreach | Samuel Kelley: 6204 Union St, Orlando → 5846 Mountain View Dr, Phoenix |
| Proposed | — | ||
| ACT-011512 | Outreach address corrected Outreach | Peter Washington: 5478 Church St, Austin → 9079 Meadow Ln, Glendale |
| Proposed | — | ||
| ACT-011513 | Outreach address corrected Outreach | Diana Freeman: 9230 Market St, Charlotte → 9230 Market St # 682, Charlotte |
| Proposed | — | ||
| ACT-011514 | Outreach address corrected Outreach | Charlotte Peterson: 833 Central Ave Apt 40, Tempe → 833 Central Ave, Tempe |
| Proposed | — | ||
| ACT-011515 | Outreach address corrected Outreach | Lucia Medina: 314 Oak St Apt 15, Las Vegas → 8494 Indian School Rd, Plano |
| Proposed | — | ||
| ACT-011516 | Outreach address corrected Outreach | Carol Hall: 6376 Desert Sky Blvd, Phoenix → 6376 Desert Sky Blvd # 229, Phoenix |
| Proposed | — | ||
| ACT-011517 | Outreach address corrected Outreach | Kayla Reid: 2115 Market St Apt 14, Sacramento → 2115 Market St, Sacramento |
| Proposed | — | ||
| ACT-011518 | Outreach address corrected Outreach | Priya Montgomery: 2829 Ocean Ave, Seattle → 2829 Ocean Ave Apt 18, Seattle |
| Proposed | — | ||
| ACT-011519 | Outreach address corrected Outreach | Jessica Ellis: 2135 Mesa Dr Apt 21, Jacksonville → 2135 Mesa Dr, Jacksonville |
| Proposed | — | ||
| ACT-011520 | Outreach address corrected Outreach | Natalie Reid: 9381 Hillcrest Rd, Chandler → 9381 Hillcrest Rd Apt 38, Chandler |
| Proposed | — | ||
| ACT-011521 | Outreach address corrected Outreach | Ralph Jacobs: 1278 River Rd # 398, Phoenix → 1278 River Rd, Phoenix |
| Proposed | — | ||
| ACT-011522 | Outreach address corrected Outreach | Wei Powell: 4446 Indian School Rd, Plano → 4263 Cedar Ln, Glendale |
| Proposed | — | ||
| ACT-011523 | Outreach address corrected Outreach | Evelyn Woods: 7917 Central Ave Apt 35, Tampa → 7917 Central Ave, Tampa |
| Proposed | — | ||
| ACT-011524 | Outreach address corrected Outreach | Nicole Banks: 7657 Canyon Rd, Denver → 2501 Apache Blvd, Tampa |
| Proposed | — | ||
| ACT-011525 | Outreach address corrected Outreach | Kenneth Garrett: 4405 Willow Ct, Chandler → 1710 Harbor Blvd, Minneapolis |
| Proposed | — | ||
| ACT-011526 | Outreach address corrected Outreach | Barbara Yang: 2610 Palm Dr, Sacramento → 2610 Palm Dr # 461, Sacramento |
| Proposed | — | ||
| ACT-011527 | Outreach address corrected Outreach | Ralph Weaver: 2322 Hillcrest Rd, Miami → 2447 Washington St, Orlando |
| Proposed | — | ||
| ACT-011528 | Outreach address corrected Outreach | Madison Mendoza: 7638 Lake View Rd, Dallas → 7638 Lake View Rd Apt 3, Dallas |
| Proposed | — | ||
| ACT-011529 | Outreach address corrected Outreach | Rebecca Cooper: 4303 Forest Ave # 898, Glendale → 4303 Forest Ave, Glendale |
| Proposed | — | ||
| ACT-011530 | Outreach address corrected Outreach | Raymond Chapman: 739 River Rd Apt 39, Nashville → 3099 Maple Ave, Houston |
| Proposed | — | ||
| ACT-011531 | Outreach address corrected Outreach | Aaron Hill: 6660 Willow Ct # 850, Nashville → 6660 Willow Ct, Nashville |
| Proposed | — | ||
| ACT-011532 | Outreach address corrected Outreach | Sean Allen: 9243 Union St # 273, Seattle → 9243 Union St, Seattle |
| Proposed | — | ||
| ACT-011533 | Outreach address corrected Outreach | David Nguyen: 7691 Washington St Apt 8, Jacksonville → 7691 Washington St # 884, Jacksonville |
| Proposed | — | ||
| ACT-011534 | Outreach address corrected Outreach | Larry Porter: 2951 Indian School Rd, San Antonio → 2951 Indian School Rd Apt 5, San Antonio |
| Proposed | — | ||
| ACT-011535 | Outreach address corrected Outreach | Andrea Cunningham: 976 Bayshore Dr, Atlanta → 976 Bayshore Dr Apt 11, Atlanta |
| Proposed | — | ||
| ACT-011536 | Outreach address corrected Outreach | Susan Welch: 6930 Cedar Ln, Minneapolis → 6930 Cedar Ln Apt 40, Minneapolis |
| Proposed | — | ||
| ACT-011537 | Outreach address corrected Outreach | Catherine Richardson: 4471 Elm St, Seattle → 4471 Elm St Apt 20, Seattle |
| Proposed | — | ||
| ACT-011538 | Outreach address corrected Outreach | Natalie Carpenter: 1689 Highland Ave Apt 30, Sacramento → 1689 Highland Ave, Sacramento |
| Proposed | — | ||
| ACT-011539 | Outreach address corrected Outreach | Shirley Walsh: 4744 Lincoln Way Apt 16, Sacramento → 4744 Lincoln Way, Sacramento |
| Proposed | — | ||
| ACT-011540 | Outreach address corrected Outreach | Jacob Obrien: 6666 Mountain View Dr, Dallas → 8849 Cedar Ln, San Diego |
| Proposed | — | ||
| ACT-011541 | Outreach address corrected Outreach | Wei James: 7550 Sage Ct Apt 7, Orlando → 7550 Sage Ct, Orlando |
| Proposed | — | ||
| ACT-011542 | Outreach address corrected Outreach | Richard Hansen: 1452 Cedar Ln # 851, Nashville → 1174 Broadway, Tucson |
| Proposed | — | ||
| ACT-011543 | Outreach address corrected Outreach | Bryan Hanson: 6628 Church St # 890, Eden Prairie → 6628 Church St, Eden Prairie |
| Proposed | — | ||
| ACT-011544 | Outreach address corrected Outreach | Samuel Hall: 2021 Spring St # 138, Fresno → 2021 Spring St, Fresno |
| Proposed | — | ||
| ACT-011545 | Outreach address corrected Outreach | David Simmons: 1491 Lake View Rd, Fresno → 1491 Lake View Rd # 546, Fresno |
| Proposed | — | ||
| ACT-011546 | Outreach address corrected Outreach | Steven Ross: 2627 Bayshore Dr, Atlanta → 5762 Washington St, Jacksonville |
| Proposed | — | ||
| ACT-011547 | Outreach address corrected Outreach | Rebecca Jones: 7642 Lincoln Way Apt 9, Seattle → 7642 Lincoln Way, Seattle |
| Proposed | — | ||
| ACT-011548 | Outreach address corrected Outreach | Natalie Ramos: 8649 Broadway, Seattle → 926 Spring St, Tempe |
| Proposed | — | ||
| ACT-011549 | Outreach address corrected Outreach | Christopher Wilson: 5634 Washington St Apt 15, Tucson → 5634 Washington St, Tucson |
| Proposed | — | ||
| ACT-011550 | Outreach address corrected Outreach | Omar Castro: 6204 Forest Ave Apt 22, Gilbert → 6204 Forest Ave, Gilbert |
| Proposed | — | ||
| ACT-011551 | Outreach address corrected Outreach | Mark Reyes: 5171 Sage Ct Apt 18, Gilbert → 5171 Sage Ct, Gilbert |
| 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.