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-010813 | Outreach address corrected Outreach | Roger Fox: 5466 Maple Ave # 686, Tampa → 5466 Maple Ave, Tampa |
| Proposed | — | ||
| ACT-010814 | Outreach address corrected Outreach | James Richardson: 4127 Highland Ave Apt 35, Gilbert → 4127 Highland Ave, Gilbert |
| Proposed | — | ||
| ACT-010815 | Outreach address corrected Outreach | Larry Banks: 7288 Mesa Dr, Sacramento → 7288 Mesa Dr Apt 29, Sacramento |
| Proposed | — | ||
| ACT-010816 | Outreach address corrected Outreach | Bradely Carr: 2339 Jefferson Ave Apt 25, Phoenix → 2339 Jefferson Ave, Phoenix |
| Proposed | — | ||
| ACT-010817 | Outreach address corrected Outreach | Jean Schmidt: 944 Sage Ct Apt 33, Las Vegas → 944 Sage Ct, Las Vegas |
| Proposed | — | ||
| ACT-010818 | Outreach address corrected Outreach | Santiago Bennett: 5393 Palm Dr, San Diego → 5393 Palm Dr # 357, San Diego |
| Proposed | — | ||
| ACT-010819 | Outreach address corrected Outreach | Judy Henry: 1612 Forest Ave, Tempe → 1612 Forest Ave # 114, Tempe |
| Proposed | — | ||
| ACT-010820 | Outreach address corrected Outreach | Sofia Peters: 4433 Camelback Rd Apt 33, Glendale → 4433 Camelback Rd, Glendale |
| Proposed | — | ||
| ACT-010821 | Outreach address corrected Outreach | Timothy Arnold: 7089 Mesa Dr, Charlotte → 7089 Mesa Dr Apt 37, Charlotte |
| Proposed | — | ||
| ACT-010822 | Outreach address corrected Outreach | John Mendez: 4815 Pine Dr Apt 25, Chandler → 9735 Church St, Tempe |
| Proposed | — | ||
| ACT-010823 | Outreach address corrected Outreach | Angela Williams: 7312 Meadow Ln Apt 38, Jacksonville → 7312 Meadow Ln, Jacksonville |
| Proposed | — | ||
| ACT-010824 | Outreach address corrected Outreach | Donna Hicks: 2177 Highland Ave, Tempe → 2177 Highland Ave # 112, Tempe |
| Proposed | — | ||
| ACT-010825 | Outreach address corrected Outreach | Logan Sims: 539 Meadow Ln Apt 36, Houston → 539 Meadow Ln, Houston |
| Proposed | — | ||
| ACT-010826 | Outreach address corrected Outreach | Denise Bennett: 3143 Mountain View Dr, Denver → 3143 Mountain View Dr Apt 33, Denver |
| Proposed | — | ||
| ACT-010827 | Outreach address corrected Outreach | Arthur Gray: 4343 Spring St, Nashville → 4343 Spring St # 181, Nashville |
| Proposed | — | ||
| ACT-010828 | Outreach address corrected Outreach | Terry Gibson: 3151 Forest Ave, Seattle → 5213 Spring St, Seattle |
| Proposed | — | ||
| ACT-010829 | Outreach address corrected Outreach | Mark Gomez: 1934 Market St, Houston → 5174 Meadow Ln, Seattle |
| Proposed | — | ||
| ACT-010830 | Outreach address corrected Outreach | Virginia Harvey: 5319 Indian School Rd, Seattle → 5319 Indian School Rd # 324, Seattle |
| Proposed | — | ||
| ACT-010831 | Outreach address corrected Outreach | Rebecca Munoz: 8264 Hillcrest Rd, Charlotte → 8264 Hillcrest Rd # 969, Charlotte |
| Proposed | — | ||
| ACT-010832 | Outreach address corrected Outreach | Nancy Millls: 7380 Oak St # 505, Charlotte → 7380 Oak St, Charlotte |
| Proposed | — | ||
| ACT-010833 | Outreach address corrected Outreach | Lucia Gray: 8060 Harbor Blvd, Houston → 5550 Lincoln Way, Charlotte |
| Proposed | — | ||
| ACT-010834 | Outreach address corrected Outreach | Alexis Duncan: 7653 Park Pl, Scottsdale → 2572 Union St, San Diego |
| Proposed | — | ||
| ACT-010835 | Outreach address corrected Outreach | Eugene Evans: 6250 Mountain View Dr, Scottsdale → 6250 Mountain View Dr # 486, Scottsdale |
| Proposed | — | ||
| ACT-010836 | Outreach address corrected Outreach | Katherine Cox: 1424 Market St, Minneapolis → 4094 Washington St, Denver |
| Proposed | — | ||
| ACT-010837 | Outreach address corrected Outreach | Alexis Elliott: 1711 Canyon Rd, Tempe → 1711 Canyon Rd Apt 33, Tempe |
| Proposed | — | ||
| ACT-010838 | Outreach address corrected Outreach | Benjamin Cooper: 5419 Market St, Houston → 2277 Maple Ave, Sacramento |
| Proposed | — | ||
| ACT-010839 | Outreach address corrected Outreach | Christine Wells: 8006 Hillcrest Rd Apt 6, Miami → 8006 Hillcrest Rd, Miami |
| Proposed | — | ||
| ACT-010840 | Outreach address corrected Outreach | Charles Payne: 4594 Ocean Ave # 221, Atlanta → 4594 Ocean Ave Apt 3, Atlanta |
| Proposed | — | ||
| ACT-010841 | Outreach address corrected Outreach | Anna Scott: 2964 Central Ave, Columbus → 5407 Harbor Blvd, San Diego |
| Proposed | — | ||
| ACT-010842 | Outreach address corrected Outreach | Carlos Lane: 8291 Desert Sky Blvd # 828, Nashville → 8291 Desert Sky Blvd, Nashville |
| Proposed | — | ||
| ACT-010843 | Outreach address corrected Outreach | David Vezquez: 5456 Washington St # 974, Seattle → 5431 Mesa Dr, Atlanta |
| Proposed | — | ||
| ACT-010844 | Outreach address corrected Outreach | John Henry: 9524 Desert Sky Blvd Apt 10, Atlanta → 9524 Desert Sky Blvd, Atlanta |
| Proposed | — | ||
| ACT-010845 | Outreach address corrected Outreach | Andrea Reyes: 5494 Church St, Tampa → 4480 Sunset Blvd, Gilbert |
| Proposed | — | ||
| ACT-010846 | Outreach address corrected Outreach | Aisha Gilbert: 8619 Elm St, Houston → 7169 Mountain View Dr, Sacramento |
| Proposed | — | ||
| ACT-010847 | Outreach address corrected Outreach | Debra Rojas: 8068 Meadow Ln, Tampa → 2800 Sage Ct # 427, Las Vegas |
| Proposed | — | ||
| ACT-010848 | Outreach address corrected Outreach | Beverly Ross: 8373 Hillcrest Rd # 311, Eden Prairie → 8373 Hillcrest Rd, Eden Prairie |
| Proposed | — | ||
| ACT-010849 | Outreach address corrected Outreach | Jacqueline Lewis: 5522 Lake View Rd, Dallas → 9882 Sage Ct, San Diego |
| Proposed | — | ||
| ACT-010850 | Outreach address corrected Outreach | James Rivera: 1090 Spring St, Glendale → 1090 Spring St Apt 4, Glendale |
| Proposed | — | ||
| ACT-010851 | Outreach address corrected Outreach | Larry Freeman: 8114 Sage Ct Apt 15, Tampa → 8114 Sage Ct, Tampa |
| Proposed | — | ||
| ACT-010852 | Outreach address corrected Outreach | Arjun Nunez: 4496 Willow Ct, Tampa → 1279 Bayshore Dr, Nashville |
| Proposed | — | ||
| ACT-010853 | Outreach address corrected Outreach | Christina Young: 1509 Maple Ave Apt 13, Denver → 1509 Maple Ave, Denver |
| Proposed | — | ||
| ACT-010854 | Outreach address corrected Outreach | Ann Martinez: 3769 Highland Ave Apt 39, Houston → 3769 Highland Ave, Houston |
| Proposed | — | ||
| ACT-010855 | Outreach address corrected Outreach | Joshua Campbell: 2377 Harbor Blvd, Fresno → 2377 Harbor Blvd # 561, Fresno |
| Proposed | — | ||
| ACT-010856 | Outreach address corrected Outreach | Marilyn West: 4394 Apache Blvd Apt 38, Glendale → 4394 Apache Blvd, Glendale |
| Proposed | — | ||
| ACT-010857 | Outreach address corrected Outreach | Digeo Wood: 333 Ridge Rd, Fresno → 3988 Grand Ave, Austin |
| Proposed | — | ||
| ACT-010858 | Outreach address corrected Outreach | Albert Brooks: 883 Ocean Ave, San Antonio → 3371 Elm St, Tempe |
| Proposed | — | ||
| ACT-010859 | Outreach address corrected Outreach | Olivia Morgan: 4590 Grand Ave, Las Vegas → 7840 Oak St, Jacksonville |
| Proposed | — | ||
| ACT-010860 | Outreach address corrected Outreach | Dorothy Jacobs: 5935 Mountain View Dr, Austin → 2626 River Rd, Fresno |
| Proposed | — | ||
| ACT-010861 | Outreach address corrected Outreach | Lori Nunez: 2267 Harbor Blvd, Glendale → 5216 Meadow Ln Apt 5, Plano |
| Proposed | — | ||
| ACT-010862 | Outreach address corrected Outreach | Barbara Johnston: 1870 Indian School Rd, Tampa → 5293 Washington St, Dallas |
| 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.