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-010513 | Outreach address corrected Outreach | Amy Jenkins: 2438 Cedar Ln, San Diego → 5235 Bayshore Dr, Eden Prairie |
| Proposed | — | ||
| ACT-010514 | Outreach address corrected Outreach | Sara Burton: 2589 Canyon Rd, Atlanta → 2589 Canyon Rd Apt 22, Atlanta |
| Proposed | — | ||
| ACT-010515 | Outreach address corrected Outreach | Willie McCoy: 1428 Cedar Ln, Fresno → 1428 Cedar Ln # 597, Fresno |
| Proposed | — | ||
| ACT-010516 | Outreach address corrected Outreach | Lisa Morales: 2095 Washington St, San Diego → 2095 Washington St Apt 1, San Diego |
| Proposed | — | ||
| ACT-010517 | Outreach address corrected Outreach | Christine Morgan: 469 Pine Dr Apt 1, Austin → 469 Pine Dr, Austin |
| Proposed | — | ||
| ACT-010518 | Outreach address corrected Outreach | Brittany Alvarado: 7794 Baseline Rd # 601, Phoenix → 7794 Baseline Rd, Phoenix |
| Proposed | — | ||
| ACT-010519 | Outreach address corrected Outreach | Jason Espinoza: 7502 Central Ave, Miami → 7266 Grand Ave, Tempe |
| Proposed | — | ||
| ACT-010520 | Outreach address corrected Outreach | Emma Silva: 7932 Grand Ave, Tucson → 6272 Church St, Plano |
| Proposed | — | ||
| ACT-010521 | Outreach address corrected Outreach | Christine Contreras: 5571 Meadow Ln # 461, Orlando → 5571 Meadow Ln Apt 40, Orlando |
| Proposed | — | ||
| ACT-010522 | Outreach address corrected Outreach | Nicole Sanders: 4261 Hillcrest Rd, Atlanta → 329 Jefferson Ave, Columbus |
| Proposed | — | ||
| ACT-010523 | Outreach address corrected Outreach | Carolyn Flores: 2384 Apache Blvd, Los Angeles → 2384 Apache Blvd Apt 34, Los Angeles |
| Proposed | — | ||
| ACT-010524 | Outreach address corrected Outreach | Omar Le: 2377 Elm St # 704, Minneapolis → 2377 Elm St, Minneapolis |
| Proposed | — | ||
| ACT-010525 | Outreach address corrected Outreach | Emily Stewart: 4286 Forest Ave # 201, Atlanta → 4286 Forest Ave, Atlanta |
| Proposed | — | ||
| ACT-010526 | Outreach address corrected Outreach | Frank Bailey: 7687 Indian School Rd, Las Vegas → 7687 Indian School Rd Apt 20, Las Vegas |
| Proposed | — | ||
| ACT-010527 | Outreach address corrected Outreach | Ronald Valdez: 5097 Valley View Dr, Sacramento → 9019 Central Ave, Jacksonville |
| Proposed | — | ||
| ACT-010528 | Outreach address corrected Outreach | Martha Rodriguez: 3973 Washington St, Phoenix → 5909 Elm St, Denver |
| Proposed | — | ||
| ACT-010529 | Outreach address corrected Outreach | Harold Fisher: 2037 Lake View Rd, Mesa → 2037 Lake View Rd Apt 18, Mesa |
| Proposed | — | ||
| ACT-010530 | Outreach address corrected Outreach | Amanda Santiago: 275 Park Pl, Austin → 8739 Pine Dr, Miami |
| Proposed | — | ||
| ACT-010531 | Outreach address corrected Outreach | Juan Chen: 9807 Church St, Nashville → 9807 Church St # 941, Nashville |
| Proposed | — | ||
| ACT-010532 | Outreach address corrected Outreach | Karen Foster: 4572 Grand Ave, Jacksonville → 6582 Pine Dr, Fresno |
| Proposed | — | ||
| ACT-010533 | Outreach address corrected Outreach | Keith Gordon: 9536 Lake View Rd, Dallas → 9536 Lake View Rd Apt 38, Dallas |
| Proposed | — | ||
| ACT-010534 | Outreach address corrected Outreach | Kelly Lucas: 8835 Market St # 556, Las Vegas → 8835 Market St, Las Vegas |
| Proposed | — | ||
| ACT-010535 | Outreach address corrected Outreach | Raymond Patel: 5018 Broadway Apt 7, Dallas → 5018 Broadway, Dallas |
| Proposed | — | ||
| ACT-010536 | Outreach address corrected Outreach | Camila Parker: 4559 Bayshore Dr, Chandler → 4559 Bayshore Dr Apt 13, Chandler |
| Proposed | — | ||
| ACT-010537 | Outreach address corrected Outreach | Valentina Harris: 2755 Sunset Blvd, Glendale → 2755 Sunset Blvd Apt 19, Glendale |
| Proposed | — | ||
| ACT-010538 | Outreach address corrected Outreach | Mary George: 1674 Sage Ct, Denver → 4853 Baseline Rd, Houston |
| Proposed | — | ||
| ACT-010539 | Outreach address corrected Outreach | Ryan Chen: 4269 Maple Ave, San Diego → 4269 Maple Ave # 585, San Diego |
| Proposed | — | ||
| ACT-010540 | Outreach address corrected Outreach | Michelle Schultz: 8375 Forest Ave # 397, Tempe → 8375 Forest Ave, Tempe |
| Proposed | — | ||
| ACT-010541 | Outreach address corrected Outreach | Priya Roberts: 7499 Market St, Las Vegas → 7499 Market St # 608, Las Vegas |
| Proposed | — | ||
| ACT-010542 | Outreach address corrected Outreach | Brandon Hansen: 4589 Mesa Dr, Chandler → 4589 Mesa Dr Apt 31, Chandler |
| Proposed | — | ||
| ACT-010543 | Outreach address corrected Outreach | Timothy Reynolds: 8333 Forest Ave Apt 6, Miami → 8333 Forest Ave, Miami |
| Proposed | — | ||
| ACT-010544 | Outreach address corrected Outreach | Deennis Elliott: 3313 Maple Ave Apt 40, Gilbert → 3313 Maple Ave, Gilbert |
| Proposed | — | ||
| ACT-010545 | Outreach address corrected Outreach | Thomas Moore: 7668 Canyon Rd, Phoenix → 8891 Elm St, Miami |
| Proposed | — | ||
| ACT-010546 | Outreach address corrected Outreach | Marilyn Castillo: 7402 Highland Ave Apt 39, Chandler → 7402 Highland Ave, Chandler |
| Proposed | — | ||
| ACT-010547 | Outreach address corrected Outreach | Russell Fernandez: 1840 Camelback Rd, Dallas → 1840 Camelback Rd # 324, Dallas |
| Proposed | — | ||
| ACT-010548 | Outreach address corrected Outreach | Sophia Reid: 4481 Bayshore Dr, Las Vegas → 4481 Bayshore Dr Apt 28, Las Vegas |
| Proposed | — | ||
| ACT-010549 | Outreach address corrected Outreach | Luis Romero: 2683 Mountain View Dr Apt 4, Glendale → 2683 Mountain View Dr, Glendale |
| Proposed | — | ||
| ACT-010550 | Outreach address corrected Outreach | Alexander Aguilar: 2890 Jefferson Ave, Columbus → 2890 Jefferson Ave Apt 9, Columbus |
| Proposed | — | ||
| ACT-010551 | Outreach address corrected Outreach | Kevin Johnston: 8262 Maple Ave, Fresno → 8262 Maple Ave # 382, Fresno |
| Proposed | — | ||
| ACT-010552 | Outreach address corrected Outreach | Barbara Howard: 6324 Mountain View Dr, Jacksonville → 6324 Mountain View Dr Apt 6, Jacksonville |
| Proposed | — | ||
| ACT-010553 | Outreach address corrected Outreach | Sarah Olson: 5496 River Rd Apt 31, Seattle → 5496 River Rd, Seattle |
| Proposed | — | ||
| ACT-010554 | Outreach address corrected Outreach | Kyle Contreras: 7575 Canyon Rd # 830, Denver → 5877 Church St, Scottsdale |
| Proposed | — | ||
| ACT-010555 | Outreach address corrected Outreach | Samuel Brown: 8733 Main St # 212, Scottsdale → 8733 Main St, Scottsdale |
| Proposed | — | ||
| ACT-010556 | Outreach address corrected Outreach | Michelle Cooper: 3137 Sunset Blvd, Houston → 3137 Sunset Blvd # 723, Houston |
| Proposed | — | ||
| ACT-010557 | Outreach address corrected Outreach | Sandra Scott: 3181 Lake View Rd, Tempe → 3181 Lake View Rd # 968, Tempe |
| Proposed | — | ||
| ACT-010558 | Outreach address corrected Outreach | Priya Kelly: 6859 Grand Ave # 370, Tucson → 6859 Grand Ave, Tucson |
| Proposed | — | ||
| ACT-010559 | Outreach address corrected Outreach | Julia Rice: 2155 Valley View Dr Apt 28, Fresno → 2155 Valley View Dr, Fresno |
| Proposed | — | ||
| ACT-010560 | Outreach address corrected Outreach | Karen Guerrero: 7928 Bayshore Dr # 356, Orlando → 7928 Bayshore Dr, Orlando |
| Proposed | — | ||
| ACT-010561 | Outreach address corrected Outreach | Mateo Espinoza: 2755 Central Ave Apt 18, Austin → 2755 Central Ave, Austin |
| Proposed | — | ||
| ACT-010562 | Outreach address corrected Outreach | Frances Jacobs: 2317 Central Ave, Jacksonville → 9439 Baseline Rd, Atlanta |
| 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.