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-011552 | Outreach address corrected Outreach | Samuel Marquez: 927 Church St, Phoenix → 927 Church St # 957, Phoenix |
| Proposed | — | ||
| ACT-011553 | Outreach address corrected Outreach | Joseph Carroll: 56 River Rd, Scottsdale → 319 Jefferson Ave, Fresno |
| Proposed | — | ||
| ACT-011554 | Outreach address corrected Outreach | Evelyn Ortiz: 3238 Spring St, Chandler → 5848 Sage Ct, Plano |
| Proposed | — | ||
| ACT-011555 | Outreach address corrected Outreach | Vincent Holmes: 2193 Maple Ave, Seattle → 2193 Maple Ave Apt 9, Seattle |
| Proposed | — | ||
| ACT-011556 | Outreach address corrected Outreach | Laura Murray: 5256 Cedar Ln Apt 15, Austin → 5256 Cedar Ln, Austin |
| Proposed | — | ||
| ACT-011557 | Outreach address corrected Outreach | Russell Luna: 3367 Elm St Apt 35, Columbus → 3367 Elm St # 402, Columbus |
| Proposed | — | ||
| ACT-011558 | Outreach address corrected Outreach | Harold Vasquez: 4231 Lake View Rd Apt 26, Mesa → 4231 Lake View Rd, Mesa |
| Proposed | — | ||
| ACT-011559 | Outreach address corrected Outreach | Ryan Jimenez: 2708 Forest Ave, Denver → 2708 Forest Ave Apt 1, Denver |
| Proposed | — | ||
| ACT-011560 | Outreach address corrected Outreach | Megan Gordon: 5144 Maple Ave Apt 28, Tampa → 5144 Maple Ave, Tampa |
| Proposed | — | ||
| ACT-011561 | Outreach address corrected Outreach | Debra Ray: 2737 Meadow Ln, Miami → 1431 Cedar Ln, Chandler |
| Proposed | — | ||
| ACT-011562 | Outreach address corrected Outreach | Lisa Hicks: 8771 Apache Blvd Apt 12, Seattle → 8771 Apache Blvd, Seattle |
| Proposed | — | ||
| ACT-011563 | Outreach address corrected Outreach | Theresa Padilla: 5793 Hillcrest Rd Apt 3, Columbus → 5793 Hillcrest Rd, Columbus |
| Proposed | — | ||
| ACT-011564 | Outreach address corrected Outreach | Jessica Bennett: 41 Indian School Rd # 527, Mesa → 41 Indian School Rd, Mesa |
| Proposed | — | ||
| ACT-011565 | Outreach address corrected Outreach | Tyler Wagner: 2317 Camelback Rd, Chandler → 2137 Lake View Rd, Austin |
| Proposed | — | ||
| ACT-011566 | Outreach address corrected Outreach | Charles Bryant: 8292 Hillcrest Rd, Las Vegas → 8292 Hillcrest Rd Apt 38, Las Vegas |
| Proposed | — | ||
| ACT-011567 | Outreach address corrected Outreach | Vicky Cook: 2012 Ridge Rd Apt 22, San Antonio → 2012 Ridge Rd, San Antonio |
| Proposed | — | ||
| ACT-011568 | Outreach address corrected Outreach | Rachel Jacobs: 8448 Camelback Rd, Gilbert → 8448 Camelback Rd # 179, Gilbert |
| Proposed | — | ||
| ACT-011569 | Outreach address corrected Outreach | Luis Hernandez: 3548 River Rd, Denver → 3548 River Rd Apt 19, Denver |
| Proposed | — | ||
| ACT-011570 | Outreach address corrected Outreach | Sofia Robertson: 1515 Market St, Plano → 1630 Mesa Dr, Minneapolis |
| Proposed | — | ||
| ACT-011571 | Outreach address corrected Outreach | Ashley Perry: 3205 Ridge Rd, Atlanta → 3205 Ridge Rd Apt 17, Atlanta |
| Proposed | — | ||
| ACT-011572 | Outreach address corrected Outreach | Ahmed Ortiz: 210 Maple Ave # 307, San Antonio → 210 Maple Ave, San Antonio |
| Proposed | — | ||
| ACT-011573 | Outreach address corrected Outreach | Peter Banks: 7123 Ridge Rd # 128, Orlando → 7123 Ridge Rd # 814, Orlando |
| Proposed | — | ||
| ACT-011574 | Outreach address corrected Outreach | Isabella Harper: 6566 Cedar Ln, Las Vegas → 6566 Cedar Ln Apt 35, Las Vegas |
| Proposed | — | ||
| ACT-011575 | Outreach address corrected Outreach | Diana Bailey: 3860 Spring St, Miami → 7001 Central Ave, San Antonio |
| Proposed | — | ||
| ACT-011576 | Outreach address corrected Outreach | Martha Dixon: 1052 Ocean Ave, Chandler → 6794 Park Pl, Atlanta |
| Proposed | — | ||
| ACT-011577 | Outreach address corrected Outreach | Margaret Rice: 5498 Main St, Scottsdale → 1283 Church St, Eden Prairie |
| Proposed | — | ||
| ACT-011578 | Outreach address corrected Outreach | Jordan Thomas: 1659 Desert Sky Blvd, Tampa → 1659 Desert Sky Blvd Apt 24, Tampa |
| Proposed | — | ||
| ACT-011579 | Outreach address corrected Outreach | Hiroshi Dean: 4880 Mountain View Dr, Austin → 8478 Lincoln Way, Austin |
| Proposed | — | ||
| ACT-011580 | Outreach address corrected Outreach | Jose Espinoza: 8225 Market St # 129, Seattle → 8225 Market St, Seattle |
| Proposed | — | ||
| ACT-011581 | Outreach address corrected Outreach | Philip Gray: 9035 Willow Ct, Seattle → 9035 Willow Ct # 251, Seattle |
| Proposed | — | ||
| ACT-011582 | Outreach address corrected Outreach | Arthur Espinoza: 9292 Indian School Rd, Tampa → 9292 Indian School Rd # 446, Tampa |
| Proposed | — | ||
| ACT-011583 | Outreach address corrected Outreach | Larry Grant: 3030 Hillcrest Rd, Los Angeles → 7055 Mesa Dr, Los Angeles |
| Proposed | — | ||
| ACT-011584 | Outreach address corrected Outreach | Kimberly Bryant: 1902 Willow Ct, Dallas → 767 River Rd Apt 12, Scottsdale |
| Proposed | — | ||
| ACT-011585 | Outreach address corrected Outreach | Elijah Montgomery: 7134 Jefferson Ave Apt 24, Nashville → 7134 Jefferson Ave, Nashville |
| Proposed | — | ||
| ACT-011586 | Outreach address corrected Outreach | Bryan Valdez: 3633 Highland Ave, Minneapolis → 5624 Canyon Rd, Columbus |
| Proposed | — | ||
| ACT-011587 | Outreach address corrected Outreach | Gary Sullivan: 8505 Market St, Tempe → 4564 Baseline Rd, Atlanta |
| Proposed | — | ||
| ACT-011588 | Outreach address corrected Outreach | Victoria Bennett: 9161 Maple Ave # 210, Tempe → 9161 Maple Ave, Tempe |
| Proposed | — | ||
| ACT-011589 | Outreach address corrected Outreach | Julie Ross: 7517 Meadow Ln # 182, Chandler → 7517 Meadow Ln, Chandler |
| Proposed | — | ||
| ACT-011590 | Outreach address corrected Outreach | Michael Schmidt: 7258 Harbor Blvd # 156, Dallas → 7258 Harbor Blvd, Dallas |
| Proposed | — | ||
| ACT-011591 | Outreach address corrected Outreach | Joan Rivera: 5441 Ocean Ave, Gilbert → 7244 Oak St, Miami |
| Proposed | — | ||
| ACT-011592 | Outreach address corrected Outreach | Adaam Mendez: 2377 Ridge Rd, Orlando → 2377 Ridge Rd # 194, Orlando |
| Proposed | — | ||
| ACT-011593 | Outreach address corrected Outreach | Judith Gonzales: 144 Canyon Rd Apt 2, Seattle → 144 Canyon Rd, Seattle |
| Proposed | — | ||
| ACT-011594 | Outreach address corrected Outreach | Carol Kelly: 1796 Maple Ave, Seattle → 1796 Maple Ave # 529, Seattle |
| Proposed | — | ||
| ACT-011595 | Outreach address corrected Outreach | Olivia Hunter: 785 Cedar Ln Apt 40, Seattle → 9412 Harbor Blvd, Scottsdale |
| Proposed | — | ||
| ACT-011596 | Outreach address corrected Outreach | Gregory Jimenez: 8862 Sunset Blvd Apt 3, Plano → 8862 Sunset Blvd, Plano |
| Proposed | — | ||
| ACT-011597 | Outreach address corrected Outreach | Kimberly Hunter: 3181 Forest Ave, San Antonio → 3181 Forest Ave Apt 40, San Antonio |
| Proposed | — | ||
| ACT-011598 | Outreach address corrected Outreach | Samantha Adams: 6922 Sage Ct, Fresno → 6922 Sage Ct # 957, Fresno |
| Proposed | — | ||
| ACT-011599 | Outreach address corrected Outreach | Madison Hawkins: 3643 Forest Ave Apt 20, Gilbert → 3643 Forest Ave, Gilbert |
| Proposed | — | ||
| ACT-011600 | Outreach address corrected Outreach | William Weaver: 8974 Indian School Rd, Atlanta → 8974 Indian School Rd # 663, Atlanta |
| Proposed | — | ||
| ACT-011601 | Outreach address corrected Outreach | Alexis Harper: 1298 Central Ave, Sacramento → 1582 Sage Ct, Eden Prairie |
| 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.