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-011013 | Outreach address corrected Outreach | Alan Marquez: 2304 Central Ave Apt 25, Fresno → 2304 Central Ave, Fresno |
| Proposed | — | ||
| ACT-011014 | Outreach address corrected Outreach | Aisha Chapman: 4462 Cedar Ln, Miami → 4462 Cedar Ln # 123, Miami |
| Proposed | — | ||
| ACT-011015 | Outreach address corrected Outreach | Priya Spencer: 252 Apache Blvd # 847, Houston → 252 Apache Blvd, Houston |
| Proposed | — | ||
| ACT-011016 | Outreach address corrected Outreach | Henry Tran: 4058 Palm Dr # 607, Miami → 4058 Palm Dr, Miami |
| Proposed | — | ||
| ACT-011017 | Outreach address corrected Outreach | Ryan Edwards: 638 Church St, Gilbert → 638 Church St # 701, Gilbert |
| Proposed | — | ||
| ACT-011018 | Outreach address corrected Outreach | Teresa Reid: 7882 Market St # 374, Nashville → 7882 Market St, Nashville |
| Proposed | — | ||
| ACT-011019 | Outreach address corrected Outreach | Dennis Murphy: 1093 Baseline Rd, Plano → 1093 Baseline Rd # 643, Plano |
| Proposed | — | ||
| ACT-011020 | Outreach address corrected Outreach | Austin Stevens: 2950 Spring St Apt 26, Mesa → 2950 Spring St, Mesa |
| Proposed | — | ||
| ACT-011021 | Outreach address corrected Outreach | Pamela Yang: 4873 Market St, Dallas → 4873 Market St # 826, Dallas |
| Proposed | — | ||
| ACT-011022 | Outreach address corrected Outreach | David Stephens: 4228 Jefferson Ave, Las Vegas → 7357 Jefferson Ave # 517, Eden Prairie |
| Proposed | — | ||
| ACT-011023 | Outreach address corrected Outreach | Brandon Fowler: 820 Mesa Dr, Minneapolis → 820 Mesa Dr Apt 14, Minneapolis |
| Proposed | — | ||
| ACT-011024 | Outreach address corrected Outreach | Sam Miller: 5308 Grand Ave # 408, Tucson → 5308 Grand Ave, Tucson |
| Proposed | — | ||
| ACT-011025 | Outreach address corrected Outreach | Bryant Mateo: 5458 Forest Ave, Charlotte → 9124 Sunset Blvd, Gilbert |
| Proposed | — | ||
| ACT-011026 | Outreach address corrected Outreach | Kelly James: 1768 Maple Ave # 797, Eden Prairie → 1768 Maple Ave, Eden Prairie |
| Proposed | — | ||
| ACT-011027 | Outreach address corrected Outreach | Bruce Porter: 2128 Sunset Blvd, Las Vegas → 2200 Bayshore Dr, Fresno |
| Proposed | — | ||
| ACT-011028 | Outreach address corrected Outreach | Gregory Delgado: 4695 Lincoln Way, Austin → 4695 Lincoln Way # 739, Austin |
| Proposed | — | ||
| ACT-011029 | Outreach address corrected Outreach | Donna Silva: 9374 Sage Ct, Las Vegas → 9374 Sage Ct # 789, Las Vegas |
| Proposed | — | ||
| ACT-011030 | Outreach address corrected Outreach | Jeffrey Myers: 3390 Harbor Blvd, Tucson → 7510 Hillcrest Rd, Austin |
| Proposed | — | ||
| ACT-011031 | Outreach address corrected Outreach | Ashley Hall: 5373 Jefferson Ave Apt 27, Nashville → 5373 Jefferson Ave, Nashville |
| Proposed | — | ||
| ACT-011032 | Outreach address corrected Outreach | Justin Espinoza: 2598 Elm St, Eden Prairie → 2598 Elm St Apt 32, Eden Prairie |
| Proposed | — | ||
| ACT-011033 | Outreach address corrected Outreach | Priya Valdez: 3451 Willow Ct, Tempe → 3451 Willow Ct # 241, Tempe |
| Proposed | — | ||
| ACT-011034 | Outreach address corrected Outreach | Denise White: 1157 Washington St Apt 9, Columbus → 1157 Washington St, Columbus |
| Proposed | — | ||
| ACT-011035 | Outreach address corrected Outreach | Ashley Bowman: 6982 Mountain View Dr Apt 25, Glendale → 6982 Mountain View Dr, Glendale |
| Proposed | — | ||
| ACT-011036 | Outreach address corrected Outreach | Helen Wright: 1666 Sunset Blvd # 162, Phoenix → 1666 Sunset Blvd, Phoenix |
| Proposed | — | ||
| ACT-011037 | Outreach address corrected Outreach | Angela Greene: 3078 Sage Ct Apt 17, San Antonio → 3078 Sage Ct, San Antonio |
| Proposed | — | ||
| ACT-011038 | Outreach address corrected Outreach | Randy Fisher: 772 Harbor Blvd, Atlanta → 772 Harbor Blvd # 945, Atlanta |
| Proposed | — | ||
| ACT-011039 | Outreach address corrected Outreach | Joshua Willis: 6663 Oak St Apt 14, Sacramento → 6663 Oak St, Sacramento |
| Proposed | — | ||
| ACT-011040 | Outreach address corrected Outreach | Julia Franklin: 9744 Indian School Rd, Dallas → 2038 Indian School Rd, Jacksonville |
| Proposed | — | ||
| ACT-011041 | Outreach address corrected Outreach | Richard Patterson: 2676 Market St, Nashville → 2676 Market St Apt 31, Nashville |
| Proposed | — | ||
| ACT-011042 | Outreach address corrected Outreach | Aaron Ortiz: 1484 Forest Ave, Fresno → 3890 Baseline Rd, Tempe |
| Proposed | — | ||
| ACT-011043 | Outreach address corrected Outreach | Paul Porter: 4240 Church St Apt 31, Plano → 4240 Church St, Plano |
| Proposed | — | ||
| ACT-011044 | Outreach address corrected Outreach | Barbara Warren: 9804 Ocean Ave # 833, Austin → 9804 Ocean Ave # 139, Austin |
| Proposed | — | ||
| ACT-011045 | Outreach address corrected Outreach | Samantha Armstrong: 6687 Elm St Apt 20, Denver → 6687 Elm St, Denver |
| Proposed | — | ||
| ACT-011046 | Outreach address corrected Outreach | Keith Jordan: 7093 Apache Blvd, Nashville → 7093 Apache Blvd Apt 15, Nashville |
| Proposed | — | ||
| ACT-011047 | Outreach address corrected Outreach | Natalie Ryan: 8410 Central Ave, Austin → 9790 Washington St # 404, Minneapolis |
| Proposed | — | ||
| ACT-011048 | Outreach address corrected Outreach | Patrick Gardner: 3583 Canyon Rd, Dallas → 3583 Canyon Rd # 200, Dallas |
| Proposed | — | ||
| ACT-011049 | Outreach address corrected Outreach | Kelly Harris: 1366 Highland Ave, Tempe → 1366 Highland Ave # 915, Tempe |
| Proposed | — | ||
| ACT-011050 | Outreach address corrected Outreach | Frances Porter: 173 Broadway # 318, Tempe → 173 Broadway, Tempe |
| Proposed | — | ||
| ACT-011051 | Outreach address corrected Outreach | Bruce Sanchez: 990 Palm Dr # 125, San Diego → 990 Palm Dr, San Diego |
| Proposed | — | ||
| ACT-011052 | Outreach address corrected Outreach | Vincent Diaz: 8104 Lincoln Way # 427, Seattle → 8104 Lincoln Way, Seattle |
| Proposed | — | ||
| ACT-011053 | Outreach address corrected Outreach | Carlos Sttewart: 1899 Desert Sky Blvd, San Antonio → 1899 Desert Sky Blvd Apt 17, San Antonio |
| Proposed | — | ||
| ACT-011054 | Outreach address corrected Outreach | Megan Bishop: 9082 Spring St, Orlando → 9082 Spring St # 860, Orlando |
| Proposed | — | ||
| ACT-011055 | Outreach address corrected Outreach | Daniel Black: 4370 Spring St, Phoenix → 4370 Spring St # 768, Phoenix |
| Proposed | — | ||
| ACT-011056 | Outreach address corrected Outreach | Amanda Nunez: 9286 Grand Ave, Fresno → 7796 Main St, Atlanta |
| Proposed | — | ||
| ACT-011057 | Outreach address corrected Outreach | Susan Kennedy: 9397 Canyon Rd # 224, Atlanta → 9397 Canyon Rd, Atlanta |
| Proposed | — | ||
| ACT-011058 | Outreach address corrected Outreach | Brittany Wright: 9086 Hillcrest Rd # 586, Miami → 9086 Hillcrest Rd, Miami |
| Proposed | — | ||
| ACT-011059 | Outreach address corrected Outreach | Peter Clark: 275 Cedar Ln # 858, Denver → 275 Cedar Ln # 442, Denver |
| Proposed | — | ||
| ACT-011060 | Outreach address corrected Outreach | Danielle Fox: 6963 Ocean Ave Apt 30, Orlando → 6963 Ocean Ave, Orlando |
| Proposed | — | ||
| ACT-011061 | Outreach address corrected Outreach | Stephen Herrera: 1373 Park Pl, Minneapolis → 1373 Park Pl Apt 33, Minneapolis |
| Proposed | — | ||
| ACT-011062 | Outreach address corrected Outreach | Mariana Henderson: 8672 Highland Ave # 881, Orlando → 8672 Highland Ave, Orlando |
| 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.