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-010863 | Outreach address corrected Outreach | Gary Delgado: 1393 Mountain View Dr, San Diego → 8879 Valley View Dr, Fresno |
| Proposed | — | ||
| ACT-010864 | Outreach address corrected Outreach | Madison Armstrong: 466 Highland Ave, San Diego → 6205 Grand Ave, Plano |
| Proposed | — | ||
| ACT-010865 | Outreach address corrected Outreach | Amanda Aguilar: 4164 Broadway, Tampa → 4164 Broadway # 934, Tampa |
| Proposed | — | ||
| ACT-010866 | Outreach address corrected Outreach | Virginia Smith: 9017 Palm Dr, Atlanta → 9017 Palm Dr Apt 40, Atlanta |
| Proposed | — | ||
| ACT-010867 | Outreach address corrected Outreach | Olivia Cole: 6381 Harbor Blvd # 292, Eden Prairie → 6381 Harbor Blvd, Eden Prairie |
| Proposed | — | ||
| ACT-010868 | Outreach address corrected Outreach | Aaron Bell: 6456 Baseline Rd, Houston → 6456 Baseline Rd Apt 20, Houston |
| Proposed | — | ||
| ACT-010869 | Outreach address corrected Outreach | Brandon Rivera: 5041 Jefferson Ave # 450, Glendale → 5041 Jefferson Ave, Glendale |
| Proposed | — | ||
| ACT-010870 | Outreach address corrected Outreach | Sarah Nelson: 2553 Canyon Rd # 780, Eden Prairie → 2553 Canyon Rd Apt 19, Eden Prairie |
| Proposed | — | ||
| ACT-010871 | Outreach address corrected Outreach | George Murphy: 707 Apache Blvd, Sacramento → 2791 Elm St, Fresno |
| Proposed | — | ||
| ACT-010872 | Outreach address corrected Outreach | Santiago Morrison: 2233 Pine Dr, Atlanta → 9033 Baseline Rd, Columbus |
| Proposed | — | ||
| ACT-010873 | Outreach address corrected Outreach | Albert Park: 4568 Bayshore Dr, Mesa → 2447 Palm Dr, Tempe |
| Proposed | — | ||
| ACT-010874 | Outreach address corrected Outreach | Mason King: 3825 Highland Ave, San Diego → 3044 Ridge Rd, Eden Prairie |
| Proposed | — | ||
| ACT-010875 | Outreach address corrected Outreach | Danielle Mejia: 5814 Indian School Rd, Charlotte → 5814 Indian School Rd # 361, Charlotte |
| Proposed | — | ||
| ACT-010876 | Outreach address corrected Outreach | Theresa Garza: 877 Cedar Ln, Atlanta → 877 Cedar Ln # 244, Atlanta |
| Proposed | — | ||
| ACT-010877 | Outreach address corrected Outreach | Cheryl Welch: 6366 Hillcrest Rd Apt 27, Miami → 6366 Hillcrest Rd, Miami |
| Proposed | — | ||
| ACT-010878 | Outreach address corrected Outreach | Jose Ross: 477 Willow Ct Apt 3, Austin → 477 Willow Ct, Austin |
| Proposed | — | ||
| ACT-010879 | Outreach address corrected Outreach | Terry Howard: 4948 Washington St Apt 2, Jacksonville → 4948 Washington St, Jacksonville |
| Proposed | — | ||
| ACT-010880 | Outreach address corrected Outreach | Abigail Adams: 9028 Spring St # 617, Glendale → 9028 Spring St, Glendale |
| Proposed | — | ||
| ACT-010881 | Outreach address corrected Outreach | Helen Mills: 8254 Cedar Ln, San Diego → 8254 Cedar Ln Apt 27, San Diego |
| Proposed | — | ||
| ACT-010882 | Outreach address corrected Outreach | Mason Porter: 6442 Apache Blvd # 590, San Diego → 6442 Apache Blvd, San Diego |
| Proposed | — | ||
| ACT-010883 | Outreach address corrected Outreach | Julie Wilson: 6180 Canyon Rd, Orlando → 6180 Canyon Rd Apt 16, Orlando |
| Proposed | — | ||
| ACT-010884 | Outreach address corrected Outreach | Stephen Fields: 3886 Cedar Ln Apt 10, Charlotte → 3886 Cedar Ln, Charlotte |
| Proposed | — | ||
| ACT-010885 | Outreach address corrected Outreach | Logan Delgado: 5217 Indian School Rd, Atlanta → 1502 River Rd, Houston |
| Proposed | — | ||
| ACT-010886 | Outreach address corrected Outreach | Gloria Martin: 6216 Canyon Rd # 284, Miami → 6216 Canyon Rd, Miami |
| Proposed | — | ||
| ACT-010887 | Outreach address corrected Outreach | Ethan Rios: 4691 Harbor Blvd, Eden Prairie → 143 Lake View Rd, Orlando |
| Proposed | — | ||
| ACT-010888 | Outreach address corrected Outreach | Amy Warren: 8408 Palm Dr, Columbus → 8408 Palm Dr # 631, Columbus |
| Proposed | — | ||
| ACT-010889 | Outreach address corrected Outreach | Kimberly Jordan: 6477 Palm Dr, Charlotte → 8308 Camelback Rd, Tempe |
| Proposed | — | ||
| ACT-010890 | Outreach address corrected Outreach | Valentina Reid: 6406 Camelback Rd, Nashville → 4462 Lake View Rd, Phoenix |
| Proposed | — | ||
| ACT-010891 | Outreach address corrected Outreach | Evelyn Walsh: 472 Apache Blvd, San Antonio → 472 Apache Blvd Apt 35, San Antonio |
| Proposed | — | ||
| ACT-010892 | Outreach address corrected Outreach | Samantha Bell: 5505 Church St # 994, Tampa → 5505 Church St, Tampa |
| Proposed | — | ||
| ACT-010893 | Outreach address corrected Outreach | Madison Freeman: 9182 Willow Ct Apt 18, Seattle → 9182 Willow Ct, Seattle |
| Proposed | — | ||
| ACT-010894 | Outreach address corrected Outreach | Michael Wells: 7334 Highland Ave, Eden Prairie → 7334 Highland Ave Apt 2, Eden Prairie |
| Proposed | — | ||
| ACT-010895 | Outreach address corrected Outreach | William Nelson: 3672 Main St # 168, San Antonio → 3672 Main St, San Antonio |
| Proposed | — | ||
| ACT-010896 | Outreach address corrected Outreach | Grace Davis: 436 Spring St, Denver → 436 Spring St Apt 1, Denver |
| Proposed | — | ||
| ACT-010897 | Outreach address corrected Outreach | Zachary Green: 2413 Elm St, Tampa → 2091 Willow Ct, San Diego |
| Proposed | — | ||
| ACT-010898 | Outreach address corrected Outreach | Mason Vasquez: 3053 Central Ave # 496, Los Angeles → 3053 Central Ave, Los Angeles |
| Proposed | — | ||
| ACT-010899 | Outreach address corrected Outreach | Jose Peterson: 6822 Baseline Rd, Mesa → 6822 Baseline Rd Apt 27, Mesa |
| Proposed | — | ||
| ACT-010900 | Outreach address corrected Outreach | Alexander Reid: 5107 Lake View Rd, Plano → 5107 Lake View Rd # 452, Plano |
| Proposed | — | ||
| ACT-010901 | Outreach address corrected Outreach | Elijah Burke: 7099 Elm St, Glendale → 7099 Elm St Apt 9, Glendale |
| Proposed | — | ||
| ACT-010902 | Outreach address corrected Outreach | Melissa Park: 2042 Camelback Rd # 829, Eden Prairie → 2042 Camelback Rd, Eden Prairie |
| Proposed | — | ||
| ACT-010903 | Outreach address corrected Outreach | Ashley Hayes: 2850 Valley View Dr Apt 38, Chandler → 2850 Valley View Dr, Chandler |
| Proposed | — | ||
| ACT-010904 | Outreach address corrected Outreach | Billy Fisher: 1611 Hillcrest Rd Apt 31, Seattle → 1611 Hillcrest Rd, Seattle |
| Proposed | — | ||
| ACT-010905 | Outreach address corrected Outreach | Vincent Sullivan: 8234 Jefferson Ave Apt 18, San Antonio → 8234 Jefferson Ave, San Antonio |
| Proposed | — | ||
| ACT-010906 | Outreach address corrected Outreach | Ethan Rogers: 1672 Spring St # 140, San Antonio → 1672 Spring St, San Antonio |
| Proposed | — | ||
| ACT-010907 | Outreach address corrected Outreach | Madison Vazquez: 6427 Mesa Dr, Miami → 9099 Mesa Dr, Minneapolis |
| Proposed | — | ||
| ACT-010908 | Outreach address corrected Outreach | Amber Ross: 8205 Spring St, Minneapolis → 8205 Spring St Apt 6, Minneapolis |
| Proposed | — | ||
| ACT-010909 | Outreach address corrected Outreach | Brandon Hart: 2303 Indian School Rd Apt 33, Columbus → 2303 Indian School Rd, Columbus |
| Proposed | — | ||
| ACT-010910 | Outreach address corrected Outreach | Anna Torres: 9611 Sage Ct, Plano → 5265 Canyon Rd, Charlotte |
| Proposed | — | ||
| ACT-010911 | Outreach address corrected Outreach | Wei Walsh: 4054 Willow Ct, Chandler → 4054 Willow Ct Apt 21, Chandler |
| Proposed | — | ||
| ACT-010912 | Outreach address corrected Outreach | Nancy Stephens: 8008 Ocean Ave Apt 10, Scottsdale → 8008 Ocean Ave, 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.