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-011952 | Outreach address corrected Outreach | Susan Boyd: 1420 Elm St, Orlando → 8404 Elm St, Gilbert |
| Proposed | — | ||
| ACT-011953 | Outreach address corrected Outreach | Alan Gilbert: 5697 Camelback Rd, Charlotte → 2678 Washington St, Jacksonville |
| Proposed | — | ||
| ACT-011954 | Outreach address corrected Outreach | Marcus Aguilar: 4924 Broadway, Phoenix → 4797 Cedar Ln, Sacramento |
| Proposed | — | ||
| ACT-011955 | Outreach address corrected Outreach | Lawrence Anderson: 5201 Valley View Dr, Denver → 5201 Valley View Dr # 920, Denver |
| Proposed | — | ||
| ACT-011956 | Outreach address corrected Outreach | Alice Yang: 3250 Forest Ave # 936, Sacramento → 3250 Forest Ave, Sacramento |
| Proposed | — | ||
| ACT-011957 | Outreach address corrected Outreach | Patrick Hayes: 2698 Forest Ave, Tampa → 5129 Grand Ave, Orlando |
| Proposed | — | ||
| ACT-011958 | Outreach address corrected Outreach | Edward Hunt: 2783 Bayshore Dr, Atlanta → 2783 Bayshore Dr # 610, Atlanta |
| Proposed | — | ||
| ACT-011959 | Outreach address corrected Outreach | Teresa Roberts: 7920 Main St, Glendale → 4591 Baseline Rd, Nashville |
| Proposed | — | ||
| ACT-011960 | Outreach address corrected Outreach | Valentina Roberts: 8848 Baseline Rd Apt 20, Charlotte → 8848 Baseline Rd, Charlotte |
| Proposed | — | ||
| ACT-011961 | Outreach address corrected Outreach | Donna Morris: 7992 Elm St Apt 3, Nashville → 7992 Elm St, Nashville |
| Proposed | — | ||
| ACT-011962 | Outreach address corrected Outreach | John Taylor: 8613 Washington St, Atlanta → 8613 Washington St # 791, Atlanta |
| Proposed | — | ||
| ACT-011963 | Outreach address corrected Outreach | Maria Jordan: 4541 Spring St, Seattle → 9605 Cedar Ln, Austin |
| Proposed | — | ||
| ACT-011964 | Outreach address corrected Outreach | Priya Collins: 6339 Baseline Rd Apt 24, Mesa → 6339 Baseline Rd, Mesa |
| Proposed | — | ||
| ACT-011965 | Outreach address corrected Outreach | Alexis Lane: 5964 Maple Ave, Miami → 7368 Desert Sky Blvd, San Antonio |
| Proposed | — | ||
| ACT-011966 | Outreach address corrected Outreach | Lori Warren: 4758 Highland Ave Apt 7, Los Angeles → 4758 Highland Ave, Los Angeles |
| Proposed | — | ||
| ACT-011967 | Outreach address corrected Outreach | Marcus Nelson: 4225 Washington St, Tempe → 4225 Washington St Apt 11, Tempe |
| Proposed | — | ||
| ACT-011968 | Outreach address corrected Outreach | Joan Elliott: 8888 Central Ave, Miami → 8888 Central Ave Apt 27, Miami |
| Proposed | — | ||
| ACT-011969 | Outreach address corrected Outreach | Sarah Guzman: 1172 Sage Ct, Denver → 2359 Canyon Rd, Minneapolis |
| Proposed | — | ||
| ACT-011970 | Outreach address corrected Outreach | Ann White: 159 Hillcrest Rd Apt 19, Nashville → 159 Hillcrest Rd, Nashville |
| Proposed | — | ||
| ACT-011971 | Outreach address corrected Outreach | Gary Greene: 1733 River Rd # 757, Houston → 1733 River Rd, Houston |
| Proposed | — | ||
| ACT-011972 | Outreach address corrected Outreach | Melissa Simmons: 3474 Sage Ct Apt 23, Atlanta → 3474 Sage Ct, Atlanta |
| Proposed | — | ||
| ACT-011973 | Outreach address corrected Outreach | Betty Lewis: 3459 River Rd Apt 22, San Antonio → 3459 River Rd, San Antonio |
| Proposed | — | ||
| ACT-011974 | Outreach address corrected Outreach | Edward Russell: 7133 Meadow Ln # 302, Tucson → 7133 Meadow Ln # 832, Tucson |
| Proposed | — | ||
| ACT-011975 | Outreach address corrected Outreach | Pamela Phillips: 9186 Willow Ct Apt 35, Denver → 9186 Willow Ct, Denver |
| Proposed | — | ||
| ACT-011976 | Outreach address corrected Outreach | Omar Thomas: 3899 Union St # 135, Eden Prairie → 3899 Union St Apt 32, Eden Prairie |
| Proposed | — | ||
| ACT-011977 | Outreach address corrected Outreach | Alice Gonzalez: 8376 Ridge Rd, Seattle → 8283 Mesa Dr, Sacramento |
| Proposed | — | ||
| ACT-011978 | Outreach address corrected Outreach | Gerald Alvarez: 3604 Mountain View Dr, Miami → 3604 Mountain View Dr Apt 27, Miami |
| Proposed | — | ||
| ACT-011979 | Outreach address corrected Outreach | Billy Hansen: 8826 Grand Ave, San Diego → 8826 Grand Ave Apt 5, San Diego |
| Proposed | — | ||
| ACT-011980 | Outreach address corrected Outreach | Helen Nguyen: 9835 Meadow Ln # 392, Nashville → 9835 Meadow Ln, Nashville |
| Proposed | — | ||
| ACT-011981 | Outreach address corrected Outreach | Mateo Warren: 9718 Elm St, Sacramento → 9718 Elm St Apt 32, Sacramento |
| Proposed | — | ||
| ACT-011982 | Outreach address corrected Outreach | Amy Mejia: 4656 Union St, Atlanta → 1011 Canyon Rd, Houston |
| Proposed | — | ||
| ACT-011983 | Outreach address corrected Outreach | Keith Singh: 7307 Apache Blvd # 368, Columbus → 7307 Apache Blvd, Columbus |
| Proposed | — | ||
| ACT-011984 | Outreach address corrected Outreach | Brittany Patel: 7747 Apache Blvd, Mesa → 7747 Apache Blvd Apt 10, Mesa |
| Proposed | — | ||
| ACT-011985 | Outreach address corrected Outreach | Padilla Ann: 6081 Lake View Rd, Minneapolis → 6081 Lake View Rd Apt 17, Minneapolis |
| Proposed | — | ||
| ACT-011986 | Outreach address corrected Outreach | Carolyn Andrews: 3145 Ridge Rd, Austin → 5721 Ocean Ave, Tucson |
| Proposed | — | ||
| ACT-011987 | Outreach address corrected Outreach | Wayne Brown: 4147 Market St, Sacramento → 7841 River Rd, Columbus |
| Proposed | — | ||
| ACT-011988 | Outreach address corrected Outreach | Logan Andrews: 1919 Union St, Eden Prairie → 1378 Park Pl, Tempe |
| Proposed | — | ||
| ACT-011989 | Outreach address corrected Outreach | Natalie Ferguson: 8350 Hillcrest Rd, Tempe → 8350 Hillcrest Rd Apt 20, Tempe |
| Proposed | — | ||
| ACT-011990 | Outreach address corrected Outreach | Adam Collins: 4869 Willow Ct, Columbus → 4869 Willow Ct # 683, Columbus |
| Proposed | — | ||
| ACT-011991 | Outreach address corrected Outreach | Harold Fernandez: 6390 Lake View Rd, Sacramento → 6390 Lake View Rd Apt 24, Sacramento |
| Proposed | — | ||
| ACT-011992 | Outreach address corrected Outreach | Kenneth Hill: 9118 Spring St Apt 14, Las Vegas → 9118 Spring St, Las Vegas |
| Proposed | — | ||
| ACT-011993 | Outreach address corrected Outreach | Angela Brown: 5531 Grand Ave, Glendale → 7762 Mesa Dr, San Antonio |
| Proposed | — | ||
| ACT-011994 | Outreach address corrected Outreach | Dennis Morris: 1163 Willow Ct, Minneapolis → 1163 Willow Ct Apt 1, Minneapolis |
| Proposed | — | ||
| ACT-011995 | Outreach address corrected Outreach | Megan Maqruez: 4790 Washington St # 163, Mesa → 4790 Washington St, Mesa |
| Proposed | — | ||
| ACT-011996 | Outreach address corrected Outreach | Teresa Ortega: 7314 Oak St, Jacksonville → 2558 Broadway, Jacksonville |
| Proposed | — | ||
| ACT-011997 | Outreach address corrected Outreach | Gabriel Castillo: 1163 Church St Apt 2, Plano → 1163 Church St, Plano |
| Proposed | — | ||
| ACT-011998 | Outreach address corrected Outreach | Bryan Grant: 2840 Grand Ave, Charlotte → 7460 Mountain View Dr, Chandler |
| Proposed | — | ||
| ACT-011999 | Outreach address corrected Outreach | Andrew Bennett: 7139 Grand Ave, Denver → 7099 Cedar Ln, Las Vegas |
| Proposed | — | ||
| ACT-012000 | Outreach address corrected Outreach | Keith Bell: 2197 Oak St, Eden Prairie → 2197 Oak St Apt 8, Eden Prairie |
| Proposed | — | ||
| ACT-012001 | Outreach address corrected Outreach | Raymond Armstrong: 2275 Forest Ave Apt 36, Sacramento → 2275 Forest Ave, Sacramento |
| 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.