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-010763 | Outreach address corrected Outreach | Julie Rojas: 5396 Meadow Ln # 617, San Diego → 5396 Meadow Ln # 484, San Diego |
| Proposed | — | ||
| ACT-010764 | Outreach address corrected Outreach | Nicholas Obrien: 4628 Sunset Blvd, Las Vegas → 4628 Sunset Blvd Apt 9, Las Vegas |
| Proposed | — | ||
| ACT-010765 | Outreach address corrected Outreach | Ahmed Moore: 376 Palm Dr # 943, Las Vegas → 5163 Valley View Dr, Houston |
| Proposed | — | ||
| ACT-010766 | Outreach address corrected Outreach | Kimberly Gordon: 88 Willow Ct Apt 12, Eden Prairie → 1992 Mountain View Dr, Charlotte |
| Proposed | — | ||
| ACT-010767 | Outreach address corrected Outreach | Alert James: 2638 Forest Ave # 327, Tempe → 2638 Forest Ave, Tempe |
| Proposed | — | ||
| ACT-010768 | Outreach address corrected Outreach | Megan Morgan: 5484 Ridge Rd, Atlanta → 9294 Lake View Rd, Tempe |
| Proposed | — | ||
| ACT-010769 | Outreach address corrected Outreach | Peter Robertson: 3414 Broadway, Chandler → 3414 Broadway Apt 29, Chandler |
| Proposed | — | ||
| ACT-010770 | Outreach address corrected Outreach | Watler Matthews: 6009 Spring St Apt 28, San Antonio → 6009 Spring St, San Antonio |
| Proposed | — | ||
| ACT-010771 | Outreach address corrected Outreach | Vincent Hudson: 8952 Market St, Fresno → 8952 Market St # 836, Fresno |
| Proposed | — | ||
| ACT-010772 | Outreach address corrected Outreach | Tyler Welch: 2593 Spring St, Gilbert → 2593 Spring St Apt 26, Gilbert |
| Proposed | — | ||
| ACT-010773 | Outreach address corrected Outreach | Isabella Crawford: 4169 Willow Ct, San Diego → 2664 River Rd, Eden Prairie |
| Proposed | — | ||
| ACT-010774 | Outreach address corrected Outreach | Gary Patterson: 1153 River Rd # 803, Gilbert → 1153 River Rd, Gilbert |
| Proposed | — | ||
| ACT-010775 | Outreach address corrected Outreach | Bradley Oliver: 5188 Union St, Tampa → 5188 Union St # 888, Tampa |
| Proposed | — | ||
| ACT-010776 | Outreach address corrected Outreach | Timothy Lopez: 9308 Meadow Ln, Nashville → 9308 Meadow Ln # 186, Nashville |
| Proposed | — | ||
| ACT-010777 | Outreach address corrected Outreach | George James: 4063 Willow Ct, Columbus → 4063 Willow Ct # 191, Columbus |
| Proposed | — | ||
| ACT-010778 | Outreach address corrected Outreach | Martha Sullivan: 4612 Valley View Dr, Denver → 175 Main St, Eden Prairie |
| Proposed | — | ||
| ACT-010779 | Outreach address corrected Outreach | Sandra Johnston: 774 Desert Sky Blvd, Scottsdale → 8467 Sunset Blvd, Austin |
| Proposed | — | ||
| ACT-010780 | Outreach address corrected Outreach | Zachary Harris: 6872 Sage Ct, Miami → 6872 Sage Ct # 826, Miami |
| Proposed | — | ||
| ACT-010781 | Outreach address corrected Outreach | Bruce Sanchez: 9891 Highland Ave, Tempe → 9891 Highland Ave # 771, Tempe |
| Proposed | — | ||
| ACT-010782 | Outreach address corrected Outreach | Kathryn Robinson: 8157 Ridge Rd, Charlotte → 3930 Palm Dr, Las Vegas |
| Proposed | — | ||
| ACT-010783 | Outreach address corrected Outreach | Thomas Baker: 9431 Desert Sky Blvd, Eden Prairie → 9431 Desert Sky Blvd Apt 39, Eden Prairie |
| Proposed | — | ||
| ACT-010784 | Outreach address corrected Outreach | Natalie Taylor: 3265 Main St Apt 31, Atlanta → 3265 Main St, Atlanta |
| Proposed | — | ||
| ACT-010785 | Outreach address corrected Outreach | Wayne Bailey: 8816 Forest Ave, Phoenix → 8816 Forest Ave Apt 19, Phoenix |
| Proposed | — | ||
| ACT-010786 | Outreach address corrected Outreach | Brian Larson: 5233 River Rd Apt 20, Jacksonville → 5233 River Rd, Jacksonville |
| Proposed | — | ||
| ACT-010787 | Outreach address corrected Outreach | Gabriel Bradley: 5543 Washington St, Scottsdale → 1795 Church St, Fresno |
| Proposed | — | ||
| ACT-010788 | Outreach address corrected Outreach | Kyle Li: 7657 Elm St, Austin → 7657 Elm St # 388, Austin |
| Proposed | — | ||
| ACT-010789 | Outreach address corrected Outreach | Sophia Roberts: 2565 Forest Ave, Plano → 6874 Canyon Rd, Miami |
| Proposed | — | ||
| ACT-010790 | Outreach address corrected Outreach | Cynthia Nguyen: 4251 Desert Sky Blvd, Seattle → 4251 Desert Sky Blvd Apt 34, Seattle |
| Proposed | — | ||
| ACT-010791 | Outreach address corrected Outreach | Stephen Valdez: 3115 Park Pl Apt 17, Denver → 3115 Park Pl, Denver |
| Proposed | — | ||
| ACT-010792 | Outreach address corrected Outreach | Katherine West: 798 Central Ave Apt 4, Dallas → 798 Central Ave, Dallas |
| Proposed | — | ||
| ACT-010793 | Outreach address corrected Outreach | Mason Fowler: 606 Palm Dr # 377, Glendale → 606 Palm Dr, Glendale |
| Proposed | — | ||
| ACT-010794 | Outreach address corrected Outreach | Rachel Carter: 6729 Grand Ave # 633, San Diego → 6729 Grand Ave, San Diego |
| Proposed | — | ||
| ACT-010795 | Outreach address corrected Outreach | Wei Knight: 5983 Harbor Blvd, Minneapolis → 5983 Harbor Blvd # 742, Minneapolis |
| Proposed | — | ||
| ACT-010796 | Outreach address corrected Outreach | Bruce Fuller: 9452 Cedar Ln, Atlanta → 7507 Market St, Jacksonville |
| Proposed | — | ||
| ACT-010797 | Outreach address corrected Outreach | Lisa Griffin: 7485 Broadway, Houston → 7485 Broadway # 633, Houston |
| Proposed | — | ||
| ACT-010798 | Outreach address corrected Outreach | Harold Allen: 4801 Mountain View Dr, Atlanta → 4801 Mountain View Dr Apt 8, Atlanta |
| Proposed | — | ||
| ACT-010799 | Outreach address corrected Outreach | Bobby Garcia: 3222 Valley View Dr, Minneapolis → 3222 Valley View Dr Apt 33, Minneapolis |
| Proposed | — | ||
| ACT-010800 | Outreach address corrected Outreach | Edward Elliott: 2976 Park Pl Apt 6, Tempe → 2976 Park Pl, Tempe |
| Proposed | — | ||
| ACT-010801 | Outreach address corrected Outreach | Hiroshi Tran: 5710 Jefferson Ave, Tempe → 3262 Lincoln Way, Austin |
| Proposed | — | ||
| ACT-010802 | Outreach address corrected Outreach | Carlos Alvarez: 2196 Harbor Blvd # 317, Houston → 2196 Harbor Blvd, Houston |
| Proposed | — | ||
| ACT-010803 | Outreach address corrected Outreach | John Bradley: 349 River Rd, Chandler → 5776 Elm St, Chandler |
| Proposed | — | ||
| ACT-010804 | Outreach address corrected Outreach | Scott Phillips: 4082 River Rd Apt 11, Sacramento → 4082 River Rd Apt 13, Sacramento |
| Proposed | — | ||
| ACT-010805 | Outreach address corrected Outreach | George Sims: 461 Jefferson Ave Apt 13, Plano → 461 Jefferson Ave, Plano |
| Proposed | — | ||
| ACT-010806 | Outreach address corrected Outreach | Hiroshi Greene: 1246 Union St, Houston → 4815 Ridge Rd, Los Angeles |
| Proposed | — | ||
| ACT-010807 | Outreach address corrected Outreach | Barbara Stephens: 857 Union St, Eden Prairie → 315 Grand Ave, Chandler |
| Proposed | — | ||
| ACT-010808 | Outreach address corrected Outreach | Aaron Rojas: 7749 Mesa Dr, Gilbert → 7749 Mesa Dr Apt 24, Gilbert |
| Proposed | — | ||
| ACT-010809 | Outreach address corrected Outreach | Michael Rios: 9120 Lake View Rd Apt 25, Los Angeles → 9120 Lake View Rd, Los Angeles |
| Proposed | — | ||
| ACT-010810 | Outreach address corrected Outreach | Peter Fowler: 646 Willow Ct Apt 3, Tampa → 646 Willow Ct, Tampa |
| Proposed | — | ||
| ACT-010811 | Outreach address corrected Outreach | Scott Shaw: 663 Market St, Dallas → 663 Market St Apt 17, Dallas |
| Proposed | — | ||
| ACT-010812 | Outreach address corrected Outreach | Lawrence Weaver: 3519 Church St Apt 22, Tempe → 3519 Church St, 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.