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-010713 | Outreach address corrected Outreach | Dennis Warren: 3986 Mountain View Dr, Miami → 5204 Bayshore Dr, Dallas |
| Proposed | — | ||
| ACT-010714 | Outreach address corrected Outreach | Yuki Maldonado: 2304 Highland Ave, Las Vegas → 647 Church St, Orlando |
| Proposed | — | ||
| ACT-010715 | Outreach address corrected Outreach | Cynthia Weber: 37 Elm St, Tampa → 4461 Pine Dr Apt 35, Tampa |
| Proposed | — | ||
| ACT-010716 | Outreach address corrected Outreach | Theresa Torres: 4431 Highland Ave, San Antonio → 4431 Highland Ave # 930, San Antonio |
| Proposed | — | ||
| ACT-010717 | Outreach address corrected Outreach | Steven Black: 7645 Sage Ct, Scottsdale → 7645 Sage Ct # 969, Scottsdale |
| Proposed | — | ||
| ACT-010718 | Outreach address corrected Outreach | Judy Rose: 1226 Highland Ave # 942, Sacramento → 1226 Highland Ave, Sacramento |
| Proposed | — | ||
| ACT-010719 | Outreach address corrected Outreach | Mark Chen: 5207 Maple Ave, Dallas → 5207 Maple Ave Apt 12, Dallas |
| Proposed | — | ||
| ACT-010720 | Outreach address corrected Outreach | Michelle Carpenter: 8637 Ocean Ave Apt 21, Chandler → 8637 Ocean Ave # 264, Chandler |
| Proposed | — | ||
| ACT-010721 | Outreach address corrected Outreach | Margaret Roberts: 6363 Highland Ave Apt 30, Los Angeles → 6363 Highland Ave, Los Angeles |
| Proposed | — | ||
| ACT-010722 | Outreach address corrected Outreach | Julia George: 6168 Market St Apt 7, Tampa → 6168 Market St, Tampa |
| Proposed | — | ||
| ACT-010723 | Outreach address corrected Outreach | Elijah Matthews: 8875 Ridge Rd, Charlotte → 8875 Ridge Rd # 131, Charlotte |
| Proposed | — | ||
| ACT-010724 | Outreach address corrected Outreach | Joe Hicks: 3667 Meadow Ln Apt 22, Phoenix → 3667 Meadow Ln # 746, Phoenix |
| Proposed | — | ||
| ACT-010725 | Outreach address corrected Outreach | Lisa Griffin: 1440 Elm St, Jacksonville → 1629 Church St, Jacksonville |
| Proposed | — | ||
| ACT-010726 | Outreach address corrected Outreach | Alexander Vasquez: 4517 Ridge Rd, Seattle → 9766 Central Ave, Gilbert |
| Proposed | — | ||
| ACT-010727 | Outreach address corrected Outreach | Tyler Garza: 4587 Maple Ave, San Antonio → 2887 Maple Ave, Gilbert |
| Proposed | — | ||
| ACT-010728 | Outreach address corrected Outreach | Catherine Silva: 1651 Oak St, Austin → 1651 Oak St Apt 37, Austin |
| Proposed | — | ||
| ACT-010729 | Outreach address corrected Outreach | Marilyn Aguilar: 1454 Jefferson Ave # 544, Phoenix → 3638 Bayshore Dr, Dallas |
| Proposed | — | ||
| ACT-010730 | Outreach address corrected Outreach | Madison Ellis: 5893 Central Ave, Atlanta → 5893 Central Ave # 221, Atlanta |
| Proposed | — | ||
| ACT-010731 | Outreach address corrected Outreach | Maia Nichols: 1856 Willow Ct, Minneapolis → 1856 Willow Ct Apt 35, Minneapolis |
| Proposed | — | ||
| ACT-010732 | Outreach address corrected Outreach | Aaron Aguilar: 8520 Meadow Ln Apt 1, Austin → 8520 Meadow Ln, Austin |
| Proposed | — | ||
| ACT-010733 | Outreach address corrected Outreach | Nataliie Wells: 7507 Ridge Rd, Phoenix → 2363 Sage Ct, Dallas |
| Proposed | — | ||
| ACT-010734 | Outreach address corrected Outreach | Olivia Gonzales: 8846 Apache Blvd, Seattle → 8846 Apache Blvd # 256, Seattle |
| Proposed | — | ||
| ACT-010735 | Outreach address corrected Outreach | Christina Morales: 7231 Broadway Apt 7, Jacksonville → 7231 Broadway, Jacksonville |
| Proposed | — | ||
| ACT-010736 | Outreach address corrected Outreach | Russell Mendoza: 2400 Hillcrest Rd # 119, Tempe → 2400 Hillcrest Rd, Tempe |
| Proposed | — | ||
| ACT-010737 | Outreach address corrected Outreach | Ray McCoy: 6844 Harbor Blvd, Scottsdale → 8238 River Rd, Eden Prairie |
| Proposed | — | ||
| ACT-010738 | Outreach address corrected Outreach | Samuel Castro: 5853 Market St, Fresno → 216 Indian School Rd, Dallas |
| Proposed | — | ||
| ACT-010739 | Outreach address corrected Outreach | Alice James: 6915 Harbor Blvd, Jacksonville → 1005 Forest Ave # 764, Phoenix |
| Proposed | — | ||
| ACT-010740 | Outreach address corrected Outreach | Eugene Cox: 28 Spring St Apt 20, Miami → 28 Spring St, Miami |
| Proposed | — | ||
| ACT-010741 | Outreach address corrected Outreach | Janice Greene: 3408 Spring St, Sacramento → 3408 Spring St Apt 5, Sacramento |
| Proposed | — | ||
| ACT-010742 | Outreach address corrected Outreach | Keith Gonzales: 703 Camelback Rd, Tampa → 3073 Sage Ct, Scottsdale |
| Proposed | — | ||
| ACT-010743 | Outreach address corrected Outreach | Bradley Brery: 302 Canyon Rd, Tempe → 1406 Broadway, Orlando |
| Proposed | — | ||
| ACT-010744 | Outreach address corrected Outreach | Elijah Hudson: 4748 Apache Blvd # 434, Nashville → 4748 Apache Blvd, Nashville |
| Proposed | — | ||
| ACT-010745 | Outreach address corrected Outreach | Gary Herrera: 589 Mountain View Dr # 352, Plano → 589 Mountain View Dr, Plano |
| Proposed | — | ||
| ACT-010746 | Outreach address corrected Outreach | Diego Hanson: 3400 Broadway # 158, Mesa → 3400 Broadway # 333, Mesa |
| Proposed | — | ||
| ACT-010747 | Outreach address corrected Outreach | Bradley Burton: 2223 Valley View Dr Apt 4, Tucson → 2223 Valley View Dr, Tucson |
| Proposed | — | ||
| ACT-010748 | Outreach address corrected Outreach | Valentina Ortiz: 9809 Valley View Dr, Phoenix → 6321 Mesa Dr, Nashville |
| Proposed | — | ||
| ACT-010749 | Outreach address corrected Outreach | Jeremy Armstrong: 9463 Harbor Blvd # 406, Plano → 9463 Harbor Blvd, Plano |
| Proposed | — | ||
| ACT-010750 | Outreach address corrected Outreach | Bobby Banks: 6297 Elm St, Tempe → 5703 Valley View Dr Apt 18, Eden Prairie |
| Proposed | — | ||
| ACT-010751 | Outreach address corrected Outreach | Terry Stone: 7799 Park Pl, Los Angeles → 7619 Ridge Rd, Charlotte |
| Proposed | — | ||
| ACT-010752 | Outreach address corrected Outreach | Ana Knight: 3846 Market St, Seattle → 3627 Lincoln Way # 531, Gilbert |
| Proposed | — | ||
| ACT-010753 | Outreach address corrected Outreach | Pamela Arnold: 3833 Willow Ct, Tempe → 2015 Lake View Rd, Houston |
| Proposed | — | ||
| ACT-010754 | Outreach address corrected Outreach | Karen Mitchell: 5453 Spring St, Los Angeles → 5453 Spring St # 400, Los Angeles |
| Proposed | — | ||
| ACT-010755 | Outreach address corrected Outreach | Roy Price: 9852 Grand Ave # 937, Houston → 9852 Grand Ave, Houston |
| Proposed | — | ||
| ACT-010756 | Outreach address corrected Outreach | Marilyn Romero: 2973 Main St # 159, Eden Prairie → 2973 Main St, Eden Prairie |
| Proposed | — | ||
| ACT-010757 | Outreach address corrected Outreach | Diane Washington: 6998 Bayshore Dr Apt 12, Plano → 6998 Bayshore Dr, Plano |
| Proposed | — | ||
| ACT-010758 | Outreach address corrected Outreach | Albert Tran: 2632 Cedar Ln # 907, Austin → 2632 Cedar Ln, Austin |
| Proposed | — | ||
| ACT-010759 | Outreach address corrected Outreach | David Hoffman: 9643 Camelback Rd, Nashville → 9643 Camelback Rd Apt 33, Nashville |
| Proposed | — | ||
| ACT-010760 | Outreach address corrected Outreach | Kimberly Banks: 1608 Pine Dr # 286, Miami → 1608 Pine Dr, Miami |
| Proposed | — | ||
| ACT-010761 | Outreach address corrected Outreach | Keith Morales: 8899 Park Pl, Las Vegas → 9255 Washington St, Plano |
| Proposed | — | ||
| ACT-010762 | Outreach address corrected Outreach | Mari Matthews: 380 Oak St, Minneapolis → 1610 Willow Ct, Scottsdale |
| 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.