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-011652 | Outreach address corrected Outreach | Russell Holmes: 6297 Sage Ct # 452, Atlanta → 6297 Sage Ct, Atlanta |
| Proposed | — | ||
| ACT-011653 | Outreach address corrected Outreach | Mason Baker: 7065 Harbor Blvd Apt 34, Columbus → 3296 Broadway, Denver |
| Proposed | — | ||
| ACT-011654 | Outreach address corrected Outreach | Julia Peterson: 718 Palm Dr # 820, Dallas → 718 Palm Dr, Dallas |
| Proposed | — | ||
| ACT-011655 | Outreach address corrected Outreach | Joey Geene: 2364 Palm Dr, Tempe → 2364 Palm Dr Apt 10, Tempe |
| Proposed | — | ||
| ACT-011656 | Outreach address corrected Outreach | Jonathan Ortega: 3868 Willow Ct, Orlando → 8757 Desert Sky Blvd, Mesa |
| Proposed | — | ||
| ACT-011657 | Outreach address corrected Outreach | Austin Harvey: 350 Maple Ave, Phoenix → 8260 Main St, Denver |
| Proposed | — | ||
| ACT-011658 | Outreach address corrected Outreach | Debra Cook: 4011 Palm Dr, Orlando → 4011 Palm Dr # 888, Orlando |
| Proposed | — | ||
| ACT-011659 | Outreach address corrected Outreach | Nicole Ortega: 2244 Maple Ave Apt 38, Fresno → 2244 Maple Ave, Fresno |
| Proposed | — | ||
| ACT-011660 | Outreach address corrected Outreach | Elizabeth Soto: 2261 Bayshore Dr # 611, Atlanta → 2261 Bayshore Dr, Atlanta |
| Proposed | — | ||
| ACT-011661 | Outreach address corrected Outreach | Kenneth Gordon: 9879 Union St, Atlanta → 9879 Union St # 283, Atlanta |
| Proposed | — | ||
| ACT-011662 | Outreach address corrected Outreach | Bruce Morris: 5113 Baseline Rd, Tucson → 1843 Market St, San Antonio |
| Proposed | — | ||
| ACT-011663 | Outreach address corrected Outreach | Betty Wright: 6345 Desert Sky Blvd # 933, Miami → 6345 Desert Sky Blvd, Miami |
| Proposed | — | ||
| ACT-011664 | Outreach address corrected Outreach | Christine Espinoza: 6095 Meadow Ln # 554, Plano → 6095 Meadow Ln, Plano |
| Proposed | — | ||
| ACT-011665 | Outreach address corrected Outreach | Brenda Price: 7479 Canyon Rd # 974, Los Angeles → 7479 Canyon Rd, Los Angeles |
| Proposed | — | ||
| ACT-011666 | Outreach address corrected Outreach | Kayla Hart: 9343 Lincoln Way, Minneapolis → 7021 Highland Ave, Mesa |
| Proposed | — | ||
| ACT-011667 | Outreach address corrected Outreach | Ashley Lopez: 1743 Sage Ct Apt 5, Denver → 1743 Sage Ct, Denver |
| Proposed | — | ||
| ACT-011668 | Outreach address corrected Outreach | Anthony Hernandez: 8512 Mesa Dr, Scottsdale → 9167 Main St, Charlotte |
| Proposed | — | ||
| ACT-011669 | Outreach address corrected Outreach | Andrew Little: 7294 Spring St Apt 6, Chandler → 7294 Spring St, Chandler |
| Proposed | — | ||
| ACT-011670 | Outreach address corrected Outreach | Kelly Watson: 8772 Desert Sky Blvd, Phoenix → 8772 Desert Sky Blvd # 732, Phoenix |
| Proposed | — | ||
| ACT-011671 | Outreach address corrected Outreach | Stephanie Burke: 7411 Valley View Dr, Mesa → 3226 River Rd, Tampa |
| Proposed | — | ||
| ACT-011672 | Outreach address corrected Outreach | Walter Griffin: 6093 Hillcrest Rd # 225, Columbus → 6093 Hillcrest Rd, Columbus |
| Proposed | — | ||
| ACT-011673 | Outreach address corrected Outreach | Elizabeth Nunez: 8418 Cedar Ln, Chandler → 5625 Washington St, Sacramento |
| Proposed | — | ||
| ACT-011674 | Outreach address corrected Outreach | Mike Armstrong: 9055 Bayshore Dr, Austin → 9055 Bayshore Dr # 843, Austin |
| Proposed | — | ||
| ACT-011675 | Outreach address corrected Outreach | Teresa Hanson: 6035 Indian School Rd, Jacksonville → 6035 Indian School Rd # 188, Jacksonville |
| Proposed | — | ||
| ACT-011676 | Outreach address corrected Outreach | Jessica Cox: 5392 Market St, Scottsdale → 9143 Cedar Ln Apt 9, Glendale |
| Proposed | — | ||
| ACT-011677 | Outreach address corrected Outreach | Sarah Yang: 6524 Camelback Rd, Tampa → 6429 Jefferson Ave, Nashville |
| Proposed | — | ||
| ACT-011678 | Outreach address corrected Outreach | George Flores: 8251 Pine Dr Apt 10, Jacksonville → 8251 Pine Dr, Jacksonville |
| Proposed | — | ||
| ACT-011679 | Outreach address corrected Outreach | Jacqueline Grant: 9887 Spring St # 854, Charlotte → 9887 Spring St, Charlotte |
| Proposed | — | ||
| ACT-011680 | Outreach address corrected Outreach | Jdy Chen: 7401 Desert Sky Blvd Apt 37, Fresno → 7401 Desert Sky Blvd, Fresno |
| Proposed | — | ||
| ACT-011681 | Outreach address corrected Outreach | Lisa Ryan: 7544 Jefferson Ave, Tempe → 7544 Jefferson Ave Apt 10, Tempe |
| Proposed | — | ||
| ACT-011682 | Outreach address corrected Outreach | Isabella Yang: 6288 Highland Ave, Tempe → 6288 Highland Ave # 427, Tempe |
| Proposed | — | ||
| ACT-011683 | Outreach address corrected Outreach | Priya Price: 7015 Sage Ct, Las Vegas → 7229 Harbor Blvd, Dallas |
| Proposed | — | ||
| ACT-011684 | Outreach address corrected Outreach | Kelly Park: 2146 Willow Ct, Jacksonville → 4154 Apache Blvd, Las Vegas |
| Proposed | — | ||
| ACT-011685 | Outreach address corrected Outreach | Linda Moore: 5612 River Rd, Las Vegas → 2502 Valley View Dr, Gilbert |
| Proposed | — | ||
| ACT-011686 | Outreach address corrected Outreach | Alexander Wells: 5592 Broadway, Los Angeles → 5592 Broadway Apt 40, Los Angeles |
| Proposed | — | ||
| ACT-011687 | Outreach address corrected Outreach | Randy Tucker: 9264 Mesa Dr Apt 32, Orlando → 9264 Mesa Dr, Orlando |
| Proposed | — | ||
| ACT-011688 | Outreach address corrected Outreach | Thhomas Singh: 279 Apache Blvd # 779, Houston → 279 Apache Blvd, Houston |
| Proposed | — | ||
| ACT-011689 | Outreach address corrected Outreach | Jacqueline Wagner: 4420 Sage Ct Apt 2, Miami → 4420 Sage Ct, Miami |
| Proposed | — | ||
| ACT-011690 | Outreach address corrected Outreach | Edward Peterson: 2594 Ridge Rd, Dallas → 1428 Maple Ave, Orlando |
| Proposed | — | ||
| ACT-011691 | Outreach address corrected Outreach | Diane Gibson: 8641 Highland Ave Apt 6, Austin → 8641 Highland Ave, Austin |
| Proposed | — | ||
| ACT-011692 | Outreach address corrected Outreach | Amanda Ward: 177 Park Pl, Columbus → 177 Park Pl Apt 30, Columbus |
| Proposed | — | ||
| ACT-011693 | Outreach address corrected Outreach | Samuel Estrada: 1665 Palm Dr, Dallas → 1665 Palm Dr Apt 10, Dallas |
| Proposed | — | ||
| ACT-011694 | Outreach address corrected Outreach | Diane Hunter: 8372 Lake View Rd Apt 30, Plano → 8372 Lake View Rd, Plano |
| Proposed | — | ||
| ACT-011695 | Outreach address corrected Outreach | Gabriel Sanders: 1842 Broadway # 779, Jacksonville → 1842 Broadway, Jacksonville |
| Proposed | — | ||
| ACT-011696 | Outreach address corrected Outreach | Nancy Contreras: 8194 Jefferson Ave # 666, Denver → 8194 Jefferson Ave, Denver |
| Proposed | — | ||
| ACT-011697 | Outreach address corrected Outreach | James Park: 5255 Church St Apt 20, Seattle → 5255 Church St, Seattle |
| Proposed | — | ||
| ACT-011698 | Outreach address corrected Outreach | Kathleen Andrews: 4573 Baseline Rd # 273, Phoenix → 4573 Baseline Rd, Phoenix |
| Proposed | — | ||
| ACT-011699 | Outreach address corrected Outreach | Kayla Meyer: 4813 Market St # 303, Phoenix → 4813 Market St, Phoenix |
| Proposed | — | ||
| ACT-011700 | Outreach address corrected Outreach | Catherine Lawrence: 9836 Canyon Rd, Chandler → 9836 Canyon Rd Apt 22, Chandler |
| Proposed | — | ||
| ACT-011701 | Outreach address corrected Outreach | Julia Walker: 8617 Apache Blvd, Plano → 8617 Apache Blvd Apt 36, Plano |
| 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.