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-011602 | Outreach address corrected Outreach | Juan Armstrong: 4410 Forest Ave, Columbus → 4410 Forest Ave Apt 12, Columbus |
| Proposed | — | ||
| ACT-011603 | Outreach address corrected Outreach | Lawrence Ramirez: 1423 Cedar Ln Apt 23, Tucson → 1423 Cedar Ln, Tucson |
| Proposed | — | ||
| ACT-011604 | Outreach address corrected Outreach | Margaret Watson: 5608 Elm St # 807, Orlando → 5608 Elm St, Orlando |
| Proposed | — | ||
| ACT-011605 | Outreach address corrected Outreach | Michael Baker: 3497 Oak St, Eden Prairie → 3497 Oak St Apt 25, Eden Prairie |
| Proposed | — | ||
| ACT-011606 | Outreach address corrected Outreach | Lawrence Mitchell: 5724 Hillcrest Rd Apt 11, Columbus → 5724 Hillcrest Rd, Columbus |
| Proposed | — | ||
| ACT-011607 | Outreach address corrected Outreach | Nathan Burns: 9807 Mesa Dr, Austin → 9807 Mesa Dr # 200, Austin |
| Proposed | — | ||
| ACT-011608 | Outreach address corrected Outreach | Keith Griffin: 9173 Lake View Rd Apt 2, Tucson → 9173 Lake View Rd, Tucson |
| Proposed | — | ||
| ACT-011609 | Outreach address corrected Outreach | Theresa Carroll: 1156 Harbor Blvd, Seattle → 7403 Baseline Rd, Scottsdale |
| Proposed | — | ||
| ACT-011610 | Outreach address corrected Outreach | Thomas Soto: 3604 Spring St, Tempe → 3604 Spring St Apt 14, Tempe |
| Proposed | — | ||
| ACT-011611 | Outreach address corrected Outreach | Sean Nunez: 4431 Forest Ave, Fresno → 4431 Forest Ave # 376, Fresno |
| Proposed | — | ||
| ACT-011612 | Outreach address corrected Outreach | Jean Thomas: 7194 Ocean Ave, Scottsdale → 2362 Mesa Dr, Tempe |
| Proposed | — | ||
| ACT-011613 | Outreach address corrected Outreach | Lawrence Young: 3964 Oak St Apt 3, Tucson → 3964 Oak St, Tucson |
| Proposed | — | ||
| ACT-011614 | Outreach address corrected Outreach | Ralph Fowler: 3163 Oak St # 815, Miami → 3163 Oak St, Miami |
| Proposed | — | ||
| ACT-011615 | Outreach address corrected Outreach | Jose Williams: 4096 Oak St, Las Vegas → 4096 Oak St Apt 23, Las Vegas |
| Proposed | — | ||
| ACT-011616 | Outreach address corrected Outreach | Robert Watkins: 8144 Grand Ave Apt 4, Dallas → 8144 Grand Ave Apt 23, Dallas |
| Proposed | — | ||
| ACT-011617 | Outreach address corrected Outreach | Alexis Peterson: 3155 Camelback Rd, Austin → 7289 River Rd, Orlando |
| Proposed | — | ||
| ACT-011618 | Outreach address corrected Outreach | Philip Grant: 5762 Main St Apt 10, Mesa → 5762 Main St, Mesa |
| Proposed | — | ||
| ACT-011619 | Outreach address corrected Outreach | Sophia Bowman: 6351 Willow Ct, Phoenix → 1910 Forest Ave, San Diego |
| Proposed | — | ||
| ACT-011620 | Outreach address corrected Outreach | Kimberly Parker: 7164 Elm St, Chandler → 7164 Elm St Apt 11, Chandler |
| Proposed | — | ||
| ACT-011621 | Outreach address corrected Outreach | Carl Cole: 2452 Oak St, Columbus → 7349 Ocean Ave, Denver |
| Proposed | — | ||
| ACT-011622 | Outreach address corrected Outreach | Andrea McDonald: 323 Mountain View Dr, Columbus → 323 Mountain View Dr # 112, Columbus |
| Proposed | — | ||
| ACT-011623 | Outreach address corrected Outreach | Christina Sanchez: 28 Sunset Blvd Apt 1, Houston → 28 Sunset Blvd, Houston |
| Proposed | — | ||
| ACT-011624 | Outreach address corrected Outreach | Roy Baker: 3050 Elm St, Phoenix → 3050 Elm St Apt 21, Phoenix |
| Proposed | — | ||
| ACT-011625 | Outreach address corrected Outreach | Christina Carroll: 1480 Main St, Eden Prairie → 1480 Main St Apt 4, Eden Prairie |
| Proposed | — | ||
| ACT-011626 | Outreach address corrected Outreach | Katherine Hill: 983 Spring St # 199, Fresno → 983 Spring St, Fresno |
| Proposed | — | ||
| ACT-011627 | Outreach address corrected Outreach | Margaret Vasquez: 3239 Pine Dr, Denver → 3239 Pine Dr Apt 35, Denver |
| Proposed | — | ||
| ACT-011628 | Outreach address corrected Outreach | Edward Daniels: 8035 Central Ave, Tampa → 8035 Central Ave Apt 10, Tampa |
| Proposed | — | ||
| ACT-011629 | Outreach address corrected Outreach | Amber Bailey: 630 Union St Apt 7, Jacksonville → 630 Union St, Jacksonville |
| Proposed | — | ||
| ACT-011630 | Outreach address corrected Outreach | Jeremy Yang: 7540 Valley View Dr # 190, Phoenix → 7540 Valley View Dr, Phoenix |
| Proposed | — | ||
| ACT-011631 | Outreach address corrected Outreach | Lori Garcia: 975 Baseline Rd # 661, Nashville → 988 Sage Ct, Tampa |
| Proposed | — | ||
| ACT-011632 | Outreach address corrected Outreach | Don Marquez: 8380 Desert Sky Blvd, Orlando → 8380 Desert Sky Blvd Apt 30, Orlando |
| Proposed | — | ||
| ACT-011633 | Outreach address corrected Outreach | Lawrence Roberts: 8764 Ocean Ave, Tucson → 8764 Ocean Ave # 600, Tucson |
| Proposed | — | ||
| ACT-011634 | Outreach address corrected Outreach | Rebecca Roberts: 7070 Jefferson Ave, San Antonio → 7830 Camelback Rd, Glendale |
| Proposed | — | ||
| ACT-011635 | Outreach address corrected Outreach | Walter Soto: 9326 Bayshore Dr, Chandler → 2060 Elm St, Phoenix |
| Proposed | — | ||
| ACT-011636 | Outreach address corrected Outreach | Adam Sanders: 1697 Broadway Apt 11, Tempe → 1697 Broadway, Tempe |
| Proposed | — | ||
| ACT-011637 | Outreach address corrected Outreach | Billy Medina: 2742 Church St, Jacksonville → 2742 Church St # 462, Jacksonville |
| Proposed | — | ||
| ACT-011638 | Outreach address corrected Outreach | Janet Williams: 8624 Bayshore Dr Apt 14, Sacramento → 8624 Bayshore Dr, Sacramento |
| Proposed | — | ||
| ACT-011639 | Outreach address corrected Outreach | Lawrence Rojas: 691 Palm Dr, Eden Prairie → 856 Church St, Orlando |
| Proposed | — | ||
| ACT-011640 | Outreach address corrected Outreach | Susan Huntter: 5487 Lake View Rd, Mesa → 7346 Elm St, Charlotte |
| Proposed | — | ||
| ACT-011641 | Outreach address corrected Outreach | Kathleen Watson: 2694 Maple Ave, Dallas → 2694 Maple Ave Apt 11, Dallas |
| Proposed | — | ||
| ACT-011642 | Outreach address corrected Outreach | Peterson Jordan: 8500 Bayshore Dr, Seattle → 4811 Meadow Ln, Houston |
| Proposed | — | ||
| ACT-011643 | Outreach address corrected Outreach | Jesse Freeman: 3400 Grand Ave, Tucson → 3400 Grand Ave Apt 8, Tucson |
| Proposed | — | ||
| ACT-011644 | Outreach address corrected Outreach | Viktoria Medina: 2066 Cedar Ln Apt 5, Dallas → 2066 Cedar Ln, Dallas |
| Proposed | — | ||
| ACT-011645 | Outreach address corrected Outreach | Shirley McDonald: 3937 Church St Apt 26, San Diego → 3937 Church St, San Diego |
| Proposed | — | ||
| ACT-011646 | Outreach address corrected Outreach | Angela Franklin: 4623 Maple Ave, Chandler → 8529 Lake View Rd, Scottsdale |
| Proposed | — | ||
| ACT-011647 | Outreach address corrected Outreach | Camila James: 6031 Oak St, Eden Prairie → 6031 Oak St # 857, Eden Prairie |
| Proposed | — | ||
| ACT-011648 | Outreach address corrected Outreach | Ethan Gordon: 706 Lincoln Way Apt 21, Dallas → 706 Lincoln Way, Dallas |
| Proposed | — | ||
| ACT-011649 | Outreach address corrected Outreach | Abigail Martinez: 3266 Bayshore Dr Apt 28, Plano → 3266 Bayshore Dr, Plano |
| Proposed | — | ||
| ACT-011650 | Outreach address corrected Outreach | Mark Lewis: 1859 Indian School Rd, Austin → 1859 Indian School Rd Apt 6, Austin |
| Proposed | — | ||
| ACT-011651 | Outreach address corrected Outreach | Carol Stone: 6601 Forest Ave, Miami → 1957 Lake View Rd, 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.