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
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-010463 | Outreach address corrected Outreach | Isabella Carr: 1829 Mountain View Dr, Phoenix → 1829 Mountain View Dr Apt 17, Phoenix |
| Proposed | — | ||
| ACT-010464 | Outreach address corrected Outreach | Sarah Henderson: 8426 Cedar Ln # 716, Mesa → 8426 Cedar Ln, Mesa |
| Proposed | — | ||
| ACT-010465 | Outreach address corrected Outreach | Pamela Espinoza: 952 Lincoln Way # 766, San Diego → 952 Lincoln Way, San Diego |
| Proposed | — | ||
| ACT-010466 | Outreach address corrected Outreach | Ryan Dixon: 3550 Lake View Rd Apt 27, San Diego → 3550 Lake View Rd, San Diego |
| Proposed | — | ||
| ACT-010467 | Outreach address corrected Outreach | Lisa Hughes: 3596 Main St, Las Vegas → 3596 Main St # 498, Las Vegas |
| Proposed | — | ||
| ACT-010468 | Outreach address corrected Outreach | Elizabeth Contreras: 5143 Elm St, Nashville → 5635 Sunset Blvd, Fresno |
| Proposed | — | ||
| ACT-010469 | Outreach address corrected Outreach | Elijah Flores: 2946 Washington St, Sacramento → 7879 Market St, Los Angeles |
| Proposed | — | ||
| ACT-010470 | Outreach address corrected Outreach | Virginia Vazquez: 7732 Palm Dr, Mesa → 1472 Willow Ct # 869, Eden Prairie |
| Proposed | — | ||
| ACT-010471 | Outreach address corrected Outreach | Tyler Ramirez: 970 Main St, Scottsdale → 135 Church St, San Diego |
| Proposed | — | ||
| ACT-010472 | Outreach address corrected Outreach | Joyce Santiago: 832 Highland Ave, Los Angeles → 832 Highland Ave # 934, Los Angeles |
| Proposed | — | ||
| ACT-010473 | Outreach address corrected Outreach | Judith Soto: 580 Jefferson Ave, San Antonio → 580 Jefferson Ave Apt 22, San Antonio |
| Proposed | — | ||
| ACT-010474 | Outreach address corrected Outreach | Ronald Cox: 1782 Camelback Rd, Scottsdale → 1782 Camelback Rd # 759, Scottsdale |
| Proposed | — | ||
| ACT-010475 | Outreach address corrected Outreach | Dorothy Garcia: 4613 Bayshore Dr, San Antonio → 6761 Sunset Blvd, Denver |
| Proposed | — | ||
| ACT-010476 | Outreach address corrected Outreach | Mariana Dixon: 9177 Main St Apt 27, Scottsdale → 9177 Main St, Scottsdale |
| Proposed | — | ||
| ACT-010477 | Outreach address corrected Outreach | Mateo Snyder: 7355 Pine Dr # 524, Dallas → 7355 Pine Dr, Dallas |
| Proposed | — | ||
| ACT-010478 | Outreach address corrected Outreach | Luis Carlson: 8906 Meadow Ln Apt 31, Tempe → 8906 Meadow Ln, Tempe |
| Proposed | — | ||
| ACT-010479 | Outreach address corrected Outreach | Noah Morgan: 5058 Palm Dr # 214, Nashville → 5058 Palm Dr, Nashville |
| Proposed | — | ||
| ACT-010480 | Outreach address corrected Outreach | Henry Hunter: 1192 Oak St # 167, Las Vegas → 1192 Oak St, Las Vegas |
| Proposed | — | ||
| ACT-010481 | Outreach address corrected Outreach | Sandra Medina: 2837 Willow Ct # 597, Las Vegas → 2837 Willow Ct, Las Vegas |
| Proposed | — | ||
| ACT-010482 | Outreach address corrected Outreach | Patrick Flores: 6167 Oak St, Charlotte → 253 Lake View Rd Apt 36, Seattle |
| Proposed | — | ||
| ACT-010483 | Outreach address corrected Outreach | Amanda Bennett: 6065 Union St # 946, Columbus → 6065 Union St, Columbus |
| Proposed | — | ||
| ACT-010484 | Outreach address corrected Outreach | Amber White: 2131 Sunset Blvd, Miami → 2131 Sunset Blvd # 710, Miami |
| Proposed | — | ||
| ACT-010485 | Outreach address corrected Outreach | Luis Willis: 8903 Desert Sky Blvd Apt 17, Denver → 8903 Desert Sky Blvd, Denver |
| Proposed | — | ||
| ACT-010486 | Outreach address corrected Outreach | Virginia Hansen: 3692 Sunset Blvd, Jacksonville → 3692 Sunset Blvd Apt 30, Jacksonville |
| Proposed | — | ||
| ACT-010487 | Outreach address corrected Outreach | Christian Simmons: 976 Valley View Dr # 870, Mesa → 976 Valley View Dr, Mesa |
| Proposed | — | ||
| ACT-010488 | Outreach address corrected Outreach | Sofia Price: 1481 River Rd, Chandler → 2370 Spring St, Phoenix |
| Proposed | — | ||
| ACT-010489 | Outreach address corrected Outreach | Denise Morgan: 5211 Harbor Blvd Apt 36, Houston → 5211 Harbor Blvd Apt 4, Houston |
| Proposed | — | ||
| ACT-010490 | Outreach address corrected Outreach | Marcus Russell: 3158 Jefferson Ave, Tampa → 1187 Church St, Gilbert |
| Proposed | — | ||
| ACT-010491 | Outreach address corrected Outreach | Denise Boyd: 3478 Bayshore Dr Apt 6, Tampa → 8652 Broadway Apt 19, Mesa |
| Proposed | — | ||
| ACT-010492 | Outreach address corrected Outreach | Kelly Shaw: 8505 Forest Ave, Scottsdale → 8505 Forest Ave Apt 19, Scottsdale |
| Proposed | — | ||
| ACT-010493 | Outreach address corrected Outreach | Philip Schmidt: 7365 Harbor Blvd, Gilbert → 5704 Bayshore Dr, Jacksonville |
| Proposed | — | ||
| ACT-010494 | Outreach address corrected Outreach | Richard Lawrence: 7375 Sage Ct, Eden Prairie → 7375 Sage Ct # 614, Eden Prairie |
| Proposed | — | ||
| ACT-010495 | Outreach address corrected Outreach | Barb Ryan: 6299 Sunset Blvd Apt 25, San Diego → 6299 Sunset Blvd, San Diego |
| Proposed | — | ||
| ACT-010496 | Outreach address corrected Outreach | Alexander Hunt: 2344 Church St, Miami → 2344 Church St Apt 9, Miami |
| Proposed | — | ||
| ACT-010497 | Outreach address corrected Outreach | Nathan Morrison: 1788 Valley View Dr, Seattle → 1788 Valley View Dr # 194, Seattle |
| Proposed | — | ||
| ACT-010498 | Outreach address corrected Outreach | Valentina Price: 9812 Meadow Ln, Phoenix → 9812 Meadow Ln # 599, Phoenix |
| Proposed | — | ||
| ACT-010499 | Outreach address corrected Outreach | Walter Chavez: 7980 Maple Ave Apt 22, Austin → 7980 Maple Ave, Austin |
| Proposed | — | ||
| ACT-010500 | Outreach address corrected Outreach | Terry West: 4900 Church St # 545, Los Angeles → 4900 Church St, Los Angeles |
| Proposed | — | ||
| ACT-010501 | Outreach address corrected Outreach | Judy Franklin: 7597 Sage Ct, Atlanta → 7597 Sage Ct # 191, Atlanta |
| Proposed | — | ||
| ACT-010502 | Outreach address corrected Outreach | Ryan Hill: 5138 Harbor Blvd # 202, Austin → 2450 Ridge Rd, Tempe |
| Proposed | — | ||
| ACT-010503 | Outreach address corrected Outreach | Ruth Hill: 9606 Mesa Dr, Los Angeles → 557 Jefferson Ave, Plano |
| Proposed | — | ||
| ACT-010504 | Outreach address corrected Outreach | Mateo Jackson: 3971 Lincoln Way, Las Vegas → 3971 Lincoln Way # 814, Las Vegas |
| Proposed | — | ||
| ACT-010505 | Outreach address corrected Outreach | Gary Stewart: 4203 Apache Blvd, Plano → 4203 Apache Blvd Apt 18, Plano |
| Proposed | — | ||
| ACT-010506 | Outreach address corrected Outreach | Andrew Matthews: 9858 Baseline Rd Apt 31, Orlando → 9858 Baseline Rd, Orlando |
| Proposed | — | ||
| ACT-010507 | Outreach address corrected Outreach | Camila Lucas: 4364 Maple Ave, Chandler → 1620 Jefferson Ave, Dallas |
| Proposed | — | ||
| ACT-010508 | Outreach address corrected Outreach | Daniel Evans: 6814 Willow Ct # 204, Fresno → 6814 Willow Ct, Fresno |
| Proposed | — | ||
| ACT-010509 | Outreach address corrected Outreach | Joshua Holmes: 2964 Bayshore Dr, Mesa → 7245 River Rd # 568, Glendale |
| Proposed | — | ||
| ACT-010510 | Outreach address corrected Outreach | Rachel Cruz: 5467 Forest Ave, Minneapolis → 94 Palm Dr, Eden Prairie |
| Proposed | — | ||
| ACT-010511 | Outreach address corrected Outreach | Vincent Morgan: 6852 Union St, Phoenix → 6852 Union St # 772, Phoenix |
| Proposed | — | ||
| ACT-010512 | Outreach address corrected Outreach | Betty Pena: 8194 Maple Ave, Nashville → 8194 Maple Ave Apt 5, Nashville |
| 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.