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-010913 | Outreach address corrected Outreach | Ralph Jenkins: 525 Sage Ct, Fresno → 525 Sage Ct # 882, Fresno |
| Proposed | — | ||
| ACT-010914 | Outreach address corrected Outreach | Heather Rodriguez: 5155 Highland Ave, Fresno → 5388 Valley View Dr, Houston |
| Proposed | — | ||
| ACT-010915 | Outreach address corrected Outreach | Raymond Banks: 2102 Central Ave # 626, Denver → 2102 Central Ave, Denver |
| Proposed | — | ||
| ACT-010916 | Outreach address corrected Outreach | Paul Coleman: 8638 Main St, Miami → 8638 Main St Apt 16, Miami |
| Proposed | — | ||
| ACT-010917 | Outreach address corrected Outreach | Lauren Jackson: 4793 Church St, Minneapolis → 7895 Harbor Blvd, Houston |
| Proposed | — | ||
| ACT-010918 | Outreach address corrected Outreach | Laura Weaver: 5819 Ridge Rd, Charlotte → 1147 Meadow Ln, Phoenix |
| Proposed | — | ||
| ACT-010919 | Outreach address corrected Outreach | Ruth Rose: 8340 Maple Ave, Dallas → 5846 Washington St, Miami |
| Proposed | — | ||
| ACT-010920 | Outreach address corrected Outreach | Kathryn Berry: 6986 Washington St Apt 31, Houston → 6986 Washington St, Houston |
| Proposed | — | ||
| ACT-010921 | Outreach address corrected Outreach | Mariana Nguyen: 9516 Ocean Ave Apt 18, Chandler → 9516 Ocean Ave, Chandler |
| Proposed | — | ||
| ACT-010922 | Outreach address corrected Outreach | Brenda Parker: 6506 Elm St, Austin → 6506 Elm St Apt 21, Austin |
| Proposed | — | ||
| ACT-010923 | Outreach address corrected Outreach | Natalie Wang: 5773 Baseline Rd # 137, Minneapolis → 5773 Baseline Rd Apt 33, Minneapolis |
| Proposed | — | ||
| ACT-010924 | Outreach address corrected Outreach | Brandon Alvarado: 231 Maple Ave, Sacramento → 1039 Valley View Dr, Scottsdale |
| Proposed | — | ||
| ACT-010925 | Outreach address corrected Outreach | Douglas Stewart: 4478 Cedar Ln Apt 31, Dallas → 4478 Cedar Ln, Dallas |
| Proposed | — | ||
| ACT-010926 | Outreach address corrected Outreach | Hiroshi Chen: 9756 Sage Ct, Chandler → 647 Market St, Chandler |
| Proposed | — | ||
| ACT-010927 | Outreach address corrected Outreach | Linda Howard: 6346 Market St, Tampa → 6346 Market St # 936, Tampa |
| Proposed | — | ||
| ACT-010928 | Outreach address corrected Outreach | Logan Hoffman: 9891 Lincoln Way Apt 19, Glendale → 9891 Lincoln Way, Glendale |
| Proposed | — | ||
| ACT-010929 | Outreach address corrected Outreach | Juan Harris: 5790 Cedar Ln, Sacramento → 3753 Sage Ct, Fresno |
| Proposed | — | ||
| ACT-010930 | Outreach address corrected Outreach | Emma Ramirez: 6283 Willow Ct, Sacramento → 6283 Willow Ct # 499, Sacramento |
| Proposed | — | ||
| ACT-010931 | Outreach address corrected Outreach | Abigal Murphy: 6723 Willow Ct, Austin → 6723 Willow Ct # 418, Austin |
| Proposed | — | ||
| ACT-010932 | Outreach address corrected Outreach | Kathy West: 3928 Camelback Rd # 253, Glendale → 3928 Camelback Rd # 477, Glendale |
| Proposed | — | ||
| ACT-010933 | Outreach address corrected Outreach | Jason Ross: 1716 Maple Ave, Gilbert → 1716 Maple Ave # 669, Gilbert |
| Proposed | — | ||
| ACT-010934 | Outreach address corrected Outreach | Emily Palmer: 2418 Oak St, Chandler → 7132 Forest Ave, Nashville |
| Proposed | — | ||
| ACT-010935 | Outreach address corrected Outreach | Abby Kelley: 3540 Harbor Blvd Apt 23, Seattle → 3540 Harbor Blvd, Seattle |
| Proposed | — | ||
| ACT-010936 | Outreach address corrected Outreach | Jose Bryant: 7395 Harbor Blvd, San Antonio → 4172 Apache Blvd, Tempe |
| Proposed | — | ||
| ACT-010937 | Outreach address corrected Outreach | Brenda Clark: 4157 Cedar Ln, Orlando → 4157 Cedar Ln Apt 14, Orlando |
| Proposed | — | ||
| ACT-010938 | Outreach address corrected Outreach | Zachary Hill: 7404 Market St # 840, Sacramento → 7404 Market St, Sacramento |
| Proposed | — | ||
| ACT-010939 | Outreach address corrected Outreach | Kathryn Stone: 428 Central Ave, Eden Prairie → 4756 Pine Dr Apt 30, Seattle |
| Proposed | — | ||
| ACT-010940 | Outreach address corrected Outreach | Mark Espinoza: 4753 Willow Ct, Fresno → 6788 Ocean Ave, Mesa |
| Proposed | — | ||
| ACT-010941 | Outreach address corrected Outreach | Santiago Lynch: 2281 River Rd, Las Vegas → 2281 River Rd # 188, Las Vegas |
| Proposed | — | ||
| ACT-010942 | Outreach address corrected Outreach | Sandra Rose: 2061 Camelback Rd, Tucson → 2061 Camelback Rd Apt 27, Tucson |
| Proposed | — | ||
| ACT-010943 | Outreach address corrected Outreach | Randy Flores: 9683 Indian School Rd Apt 25, Orlando → 9683 Indian School Rd Apt 33, Orlando |
| Proposed | — | ||
| ACT-010944 | Outreach address corrected Outreach | Kathleen Day: 3932 Meadow Ln Apt 19, Tampa → 3932 Meadow Ln, Tampa |
| Proposed | — | ||
| ACT-010945 | Outreach address corrected Outreach | Laura Thomas: 2534 Central Ave, Columbus → 2534 Central Ave # 407, Columbus |
| Proposed | — | ||
| ACT-010946 | Outreach address corrected Outreach | Scott Anderson: 4712 Hillcrest Rd Apt 1, Glendale → 4712 Hillcrest Rd, Glendale |
| Proposed | — | ||
| ACT-010947 | Outreach address corrected Outreach | Christian Holmes: 4067 Highland Ave Apt 4, Minneapolis → 4067 Highland Ave, Minneapolis |
| Proposed | — | ||
| ACT-010948 | Outreach address corrected Outreach | Jennifer Castro: 1633 Sage Ct, Jacksonville → 1633 Sage Ct Apt 35, Jacksonville |
| Proposed | — | ||
| ACT-010949 | Outreach address corrected Outreach | Eric Schmidt: 3720 Pine Dr, Miami → 2124 Forest Ave, Sacramento |
| Proposed | — | ||
| ACT-010950 | Outreach address corrected Outreach | Ruth Jackson: 8808 Camelback Rd, Las Vegas → 4532 Jefferson Ave, Mesa |
| Proposed | — | ||
| ACT-010951 | Outreach address corrected Outreach | Nancy Simpson: 5617 Jefferson Ave, Sacramento → 5617 Jefferson Ave # 110, Sacramento |
| Proposed | — | ||
| ACT-010952 | Outreach address corrected Outreach | Gary Holmes: 8936 Oak St, Denver → 8860 Lincoln Way, Orlando |
| Proposed | — | ||
| ACT-010953 | Outreach address corrected Outreach | Angela Flores: 9795 Washington St Apt 26, Los Angeles → 9795 Washington St # 636, Los Angeles |
| Proposed | — | ||
| ACT-010954 | Outreach address corrected Outreach | Charles Ortiz: 6243 Hillcrest Rd Apt 21, Glendale → 6243 Hillcrest Rd, Glendale |
| Proposed | — | ||
| ACT-010955 | Outreach address corrected Outreach | Logan Ramirez: 3552 Lincoln Way, Minneapolis → 666 Hillcrest Rd, Los Angeles |
| Proposed | — | ||
| ACT-010956 | Outreach address corrected Outreach | Patricia Gomez: 3964 Highland Ave # 973, Scottsdale → 3964 Highland Ave, Scottsdale |
| Proposed | — | ||
| ACT-010957 | Outreach address corrected Outreach | Michelle Cunningham: 1038 Main St, Gilbert → 1038 Main St # 290, Gilbert |
| Proposed | — | ||
| ACT-010958 | Outreach address corrected Outreach | Lauren Montgomery: 3614 Canyon Rd, Fresno → 2399 Hillcrest Rd, Scottsdale |
| Proposed | — | ||
| ACT-010959 | Outreach address corrected Outreach | Emma Jensen: 5617 Central Ave, Phoenix → 6876 Mesa Dr, Miami |
| Proposed | — | ||
| ACT-010960 | Outreach address corrected Outreach | Carlos Perry: 1213 Spring St Apt 1, San Antonio → 872 Mesa Dr, Seattle |
| Proposed | — | ||
| ACT-010961 | Outreach address corrected Outreach | Danielle Carter: 1393 Willow Ct, Gilbert → 8020 Highland Ave, Atlanta |
| Proposed | — | ||
| ACT-010962 | Outreach address corrected Outreach | Rebecca Bailey: 1103 Lake View Rd, Eden Prairie → 1884 Willow Ct, Jacksonville |
| 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.