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-012002 | Outreach address corrected Outreach | Jake Harvey: 9345 Main St, San Diego → 9345 Main St Apt 38, San Diego |
| Proposed | — | ||
| ACT-012003 | Outreach address corrected Outreach | Nancy Castillo: 8927 Pine Dr # 413, Tucson → 8927 Pine Dr Apt 40, Tucson |
| Proposed | — | ||
| ACT-012004 | Outreach address corrected Outreach | Mark Kelly: 9319 Main St Apt 40, San Diego → 9319 Main St, San Diego |
| Proposed | — | ||
| ACT-012005 | Outreach address corrected Outreach | Jacqueline Nunez: 2269 Sage Ct Apt 35, Glendale → 2269 Sage Ct, Glendale |
| Proposed | — | ||
| ACT-012006 | Outreach address corrected Outreach | Sam Brown: 5214 Park Pl, Houston → 9729 Lake View Rd, Mesa |
| Proposed | — | ||
| ACT-012007 | Outreach address corrected Outreach | Kathryn Hart: 1306 Pine Dr Apt 24, Atlanta → 1306 Pine Dr, Atlanta |
| Proposed | — | ||
| ACT-012008 | Outreach address corrected Outreach | Marcus Richards: 8720 Market St Apt 18, Atlanta → 8720 Market St Apt 34, Atlanta |
| Proposed | — | ||
| ACT-012009 | Outreach address corrected Outreach | Lisa Wood: 9058 Ocean Ave, Houston → 7709 Meadow Ln, Glendale |
| Proposed | — | ||
| ACT-012010 | Outreach address corrected Outreach | Eric James: 6336 Hillcrest Rd, San Diego → 6336 Hillcrest Rd # 398, San Diego |
| Proposed | — | ||
| ACT-012011 | Outreach address corrected Outreach | Jack Marshall: 4285 Main St, Mesa → 4285 Main St Apt 15, Mesa |
| Proposed | — | ||
| ACT-012012 | Outreach address corrected Outreach | Michael Lynch: 4883 Park Pl # 848, Tempe → 4883 Park Pl, Tempe |
| Proposed | — | ||
| ACT-012013 | Outreach address corrected Outreach | Kathleen Williamson: 7680 Indian School Rd, Charlotte → 2938 Indian School Rd, Dallas |
| Proposed | — | ||
| ACT-012014 | Outreach address corrected Outreach | Ashley Rios: 4034 Ridge Rd, San Diego → 4034 Ridge Rd # 268, San Diego |
| Proposed | — | ||
| ACT-012015 | Outreach address corrected Outreach | Lauren Moreno: 7155 Ocean Ave # 545, Plano → 5356 Ridge Rd, Chandler |
| Proposed | — | ||
| ACT-012016 | Outreach address corrected Outreach | Brenda Stewart: 2741 Hillcrest Rd # 366, Miami → 2741 Hillcrest Rd, Miami |
| Proposed | — | ||
| ACT-012017 | Outreach address corrected Outreach | Jose Roberts: 1301 Elm St # 711, Jacksonville → 1301 Elm St, Jacksonville |
| Proposed | — | ||
| ACT-012018 | Outreach address corrected Outreach | Brandon Armstrong: 2641 Apache Blvd # 334, Denver → 2641 Apache Blvd, Denver |
| Proposed | — | ||
| ACT-012019 | Outreach address corrected Outreach | Jeremy Roberts: 9863 Sage Ct # 235, Columbus → 9863 Sage Ct, Columbus |
| Proposed | — | ||
| ACT-012020 | Outreach address corrected Outreach | Justin Anderson: 3886 Church St, Glendale → 3886 Church St # 737, Glendale |
| Proposed | — | ||
| ACT-012021 | Outreach address corrected Outreach | Nicholas Grant: 7769 Lake View Rd, Fresno → 4316 Desert Sky Blvd, Las Vegas |
| Proposed | — | ||
| ACT-012022 | Outreach address corrected Outreach | Hiroshi Harvey: 2083 Park Pl Apt 7, Jacksonville → 2083 Park Pl, Jacksonville |
| Proposed | — | ||
| ACT-012023 | Outreach address corrected Outreach | Catherine Peters: 387 Park Pl, Tucson → 387 Park Pl # 939, Tucson |
| Proposed | — | ||
| ACT-012024 | Outreach address corrected Outreach | Julie Romero: 5486 Central Ave, Nashville → 5486 Central Ave # 442, Nashville |
| Proposed | — | ||
| ACT-012025 | Outreach address corrected Outreach | Kathryn Holmes: 2668 Willow Ct, Mesa → 7594 Lincoln Way, Los Angeles |
| Proposed | — | ||
| ACT-012026 | Outreach address corrected Outreach | Ken Duncan: 6472 Indian School Rd, Orlando → 6472 Indian School Rd # 106, Orlando |
| Proposed | — | ||
| ACT-012027 | Outreach address corrected Outreach | Yuki Murphy: 9111 Jefferson Ave, Fresno → 3311 Ocean Ave, Sacramento |
| Proposed | — | ||
| ACT-012028 | Outreach address corrected Outreach | Emma Meyer: 4208 Palm Dr # 288, Eden Prairie → 5206 Sunset Blvd, Columbus |
| Proposed | — | ||
| ACT-012029 | Outreach address corrected Outreach | Charles Taylor: 3261 Jefferson Ave, Austin → 3261 Jefferson Ave # 513, Austin |
| Proposed | — | ||
| ACT-012030 | Outreach address corrected Outreach | Diana Dean: 9896 Sage Ct, Dallas → 9896 Sage Ct # 654, Dallas |
| Proposed | — | ||
| ACT-012031 | Outreach address corrected Outreach | Jacob Larson: 4106 Palm Dr Apt 32, Tampa → 4106 Palm Dr, Tampa |
| Proposed | — | ||
| ACT-012032 | Outreach address corrected Outreach | Douglas Mendez: 630 Apache Blvd, Plano → 3502 Willow Ct, Glendale |
| Proposed | — | ||
| ACT-012033 | Outreach address corrected Outreach | Laura Powell: 3187 Harbor Blvd, Eden Prairie → 3187 Harbor Blvd Apt 27, Eden Prairie |
| Proposed | — | ||
| ACT-012034 | Outreach address corrected Outreach | Patricia Banks: 4827 Willow Ct # 283, San Antonio → 4827 Willow Ct, San Antonio |
| Proposed | — | ||
| ACT-012035 | Outreach address corrected Outreach | Sophia Butler: 8857 Washington St Apt 18, Orlando → 8857 Washington St, Orlando |
| Proposed | — | ||
| ACT-012036 | Outreach address corrected Outreach | Ruth Hanson: 3317 Church St # 997, Tempe → 3317 Church St, Tempe |
| Proposed | — | ||
| ACT-012037 | Outreach address corrected Outreach | Joe Peters: 4227 Market St, Miami → 6645 Palm Dr, Los Angeles |
| Proposed | — | ||
| ACT-012038 | Outreach address corrected Outreach | Carl Morales: 5098 Market St # 847, Orlando → 5098 Market St, Orlando |
| Proposed | — | ||
| ACT-012039 | Outreach address corrected Outreach | Cheryl Barnes: 9897 Grand Ave, Scottsdale → 6986 Mountain View Dr, Tempe |
| Proposed | — | ||
| ACT-012040 | Outreach address corrected Outreach | Shirley Carr: 281 Meadow Ln, Fresno → 281 Meadow Ln # 541, Fresno |
| Proposed | — | ||
| ACT-012041 | Outreach address corrected Outreach | Ahmed Silva: 9183 Elm St # 922, Scottsdale → 9183 Elm St, Scottsdale |
| Proposed | — | ||
| ACT-012042 | Outreach address corrected Outreach | Benjamin Rose: 1339 Willow Ct, Phoenix → 3350 Maple Ave, Scottsdale |
| Proposed | — | ||
| ACT-012043 | Outreach address corrected Outreach | Frank Scott: 2437 Highland Ave, Dallas → 2437 Highland Ave Apt 36, Dallas |
| Proposed | — | ||
| ACT-012044 | Outreach address corrected Outreach | Gary King: 6406 Camelback Rd Apt 27, Columbus → 6406 Camelback Rd, Columbus |
| Proposed | — | ||
| ACT-012045 | Outreach address corrected Outreach | Gloria Burton: 9844 Desert Sky Blvd, Glendale → 9844 Desert Sky Blvd Apt 18, Glendale |
| Proposed | — | ||
| ACT-012046 | Outreach address corrected Outreach | Christopher Webb: 3164 Union St Apt 16, Houston → 3164 Union St, Houston |
| Proposed | — | ||
| ACT-012047 | Outreach address corrected Outreach | Arthur Hall: 6568 Cedar Ln, Chandler → 686 Church St, Glendale |
| Proposed | — | ||
| ACT-012048 | Outreach address corrected Outreach | Christine Duncan: 6340 Market St, Las Vegas → 5366 Canyon Rd, Minneapolis |
| Proposed | — | ||
| ACT-012049 | Outreach address corrected Outreach | Helen Jacobs: 2811 Desert Sky Blvd, Las Vegas → 2811 Desert Sky Blvd # 709, Las Vegas |
| Proposed | — | ||
| ACT-012050 | Outreach address corrected Outreach | Michelle Phillips: 4100 Lake View Rd Apt 37, Miami → 4100 Lake View Rd, Miami |
| Proposed | — | ||
| ACT-012051 | Outreach address corrected Outreach | Gregory Gordon: 8156 Mountain View Dr, Tempe → 8156 Mountain View Dr # 815, Tempe |
| 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.