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-011113 | Outreach address corrected Outreach | Gregory Elliott: 1131 Central Ave, Atlanta → 1131 Central Ave Apt 20, Atlanta |
| Proposed | — | ||
| ACT-011114 | Outreach address corrected Outreach | Diego Cunningham: 2574 Broadway, San Diego → 1083 Camelback Rd, Houston |
| Proposed | — | ||
| ACT-011115 | Outreach address corrected Outreach | Stephen Duncan: 2845 Market St Apt 31, Tampa → 2845 Market St, Tampa |
| Proposed | — | ||
| ACT-011116 | Outreach address corrected Outreach | Larry Franklin: 8091 Sunset Blvd Apt 22, Atlanta → 8091 Sunset Blvd Apt 17, Atlanta |
| Proposed | — | ||
| ACT-011117 | Outreach address corrected Outreach | Daniel Jimenez: 5471 Sage Ct # 324, Eden Prairie → 5471 Sage Ct, Eden Prairie |
| Proposed | — | ||
| ACT-011118 | Outreach address corrected Outreach | Virginia Graham: 4205 Indian School Rd, Plano → 4219 Mesa Dr, Austin |
| Proposed | — | ||
| ACT-011119 | Outreach address corrected Outreach | Philip Valdez: 713 Camelback Rd, Denver → 713 Camelback Rd Apt 24, Denver |
| Proposed | — | ||
| ACT-011120 | Outreach address corrected Outreach | Diana Owens: 8103 Willow Ct Apt 10, Minneapolis → 8103 Willow Ct, Minneapolis |
| Proposed | — | ||
| ACT-011121 | Outreach address corrected Outreach | Melissa Rodriguez: 1384 Meadow Ln # 293, Scottsdale → 2585 Ocean Ave, Charlotte |
| Proposed | — | ||
| ACT-011122 | Outreach address corrected Outreach | Barbara Oliver: 2343 Sunset Blvd Apt 6, Austin → 2343 Sunset Blvd, Austin |
| Proposed | — | ||
| ACT-011123 | Outreach address corrected Outreach | Hiroshi Price: 702 Main St, San Diego → 702 Main St Apt 31, San Diego |
| Proposed | — | ||
| ACT-011124 | Outreach address corrected Outreach | Raymond Jenkins: 669 Washington St Apt 39, Plano → 669 Washington St, Plano |
| Proposed | — | ||
| ACT-011125 | Outreach address corrected Outreach | Bradley Reyes: 7930 Harbor Blvd, Glendale → 7930 Harbor Blvd # 578, Glendale |
| Proposed | — | ||
| ACT-011126 | Outreach address corrected Outreach | Aaron Bell: 5517 Desert Sky Blvd # 635, Miami → 5517 Desert Sky Blvd, Miami |
| Proposed | — | ||
| ACT-011127 | Outreach address corrected Outreach | Megan Ford: 1688 Bayshore Dr, Columbus → 1688 Bayshore Dr # 942, Columbus |
| Proposed | — | ||
| ACT-011128 | Outreach address corrected Outreach | Carolyn Clark: 7512 Meadow Ln Apt 39, Tampa → 7512 Meadow Ln, Tampa |
| Proposed | — | ||
| ACT-011129 | Outreach address corrected Outreach | Samuel Collins: 3152 Valley View Dr Apt 30, Charlotte → 3152 Valley View Dr, Charlotte |
| Proposed | — | ||
| ACT-011130 | Outreach address corrected Outreach | Jacob Cooper: 7873 Jefferson Ave, San Diego → 7873 Jefferson Ave # 788, San Diego |
| Proposed | — | ||
| ACT-011131 | Outreach address corrected Outreach | Carl Jacobs: 3975 Canyon Rd, Gilbert → 3975 Canyon Rd # 837, Gilbert |
| Proposed | — | ||
| ACT-011132 | Outreach address corrected Outreach | Margaret Dean: 2873 Maple Ave Apt 39, Tampa → 2873 Maple Ave, Tampa |
| Proposed | — | ||
| ACT-011133 | Outreach address corrected Outreach | Wayne Ferguson: 8019 Broadway Apt 28, Mesa → 8019 Broadway, Mesa |
| Proposed | — | ||
| ACT-011134 | Outreach address corrected Outreach | Sofia Yang: 7983 Maple Ave, Denver → 7983 Maple Ave # 887, Denver |
| Proposed | — | ||
| ACT-011135 | Outreach address corrected Outreach | Carolyn Day: 3750 River Rd, Seattle → 3750 River Rd Apt 20, Seattle |
| Proposed | — | ||
| ACT-011136 | Outreach address corrected Outreach | Vincent Silva: 1724 Valley View Dr, Miami → 1724 Valley View Dr # 352, Miami |
| Proposed | — | ||
| ACT-011137 | Outreach address corrected Outreach | Teresa Lawrence: 6964 Maple Ave, Seattle → 5047 Pine Dr, Houston |
| Proposed | — | ||
| ACT-011138 | Outreach address corrected Outreach | Jordan Wood: 289 Lake View Rd, Seattle → 289 Lake View Rd Apt 26, Seattle |
| Proposed | — | ||
| ACT-011139 | Outreach address corrected Outreach | Arjun Morales: 3741 Lincoln Way Apt 4, Glendale → 3741 Lincoln Way, Glendale |
| Proposed | — | ||
| ACT-011140 | Outreach address corrected Outreach | Steven Campbell: 4595 Union St, Plano → 4595 Union St # 765, Plano |
| Proposed | — | ||
| ACT-011141 | Outreach address corrected Outreach | Denise Lynch: 4354 Sunset Blvd, Phoenix → 4354 Sunset Blvd Apt 31, Phoenix |
| Proposed | — | ||
| ACT-011142 | Outreach address corrected Outreach | Samantha King: 8728 Hillcrest Rd, San Diego → 8728 Hillcrest Rd Apt 9, San Diego |
| Proposed | — | ||
| ACT-011143 | Outreach address corrected Outreach | Noah Tucker: 2659 Park Pl Apt 3, Columbus → 2659 Park Pl, Columbus |
| Proposed | — | ||
| ACT-011144 | Outreach address corrected Outreach | Robert Brooks: 6515 Baseline Rd Apt 22, Denver → 6515 Baseline Rd, Denver |
| Proposed | — | ||
| ACT-011145 | Outreach address corrected Outreach | Daniel Ramirez: 815 Sunset Blvd Apt 19, Miami → 815 Sunset Blvd, Miami |
| Proposed | — | ||
| ACT-011146 | Outreach address corrected Outreach | Rebecca Greene: 3070 Palm Dr # 726, Tampa → 3070 Palm Dr, Tampa |
| Proposed | — | ||
| ACT-011147 | Outreach address corrected Outreach | Maria Montgomery: 2720 Baseline Rd, Plano → 2720 Baseline Rd # 888, Plano |
| Proposed | — | ||
| ACT-011148 | Outreach address corrected Outreach | Benjamin Wong: 1782 Pine Dr, Mesa → 1782 Pine Dr # 137, Mesa |
| Proposed | — | ||
| ACT-011149 | Outreach address corrected Outreach | Linda Murray: 5901 Mesa Dr, Tucson → 5901 Mesa Dr # 726, Tucson |
| Proposed | — | ||
| ACT-011150 | Outreach address corrected Outreach | Jose Hernandez: 8649 Camelback Rd # 107, Columbus → 8649 Camelback Rd, Columbus |
| Proposed | — | ||
| ACT-011151 | Outreach address corrected Outreach | Eric Davis: 9238 Market St, Plano → 9238 Market St # 108, Plano |
| Proposed | — | ||
| ACT-011152 | Outreach address corrected Outreach | Mateo Diaz: 2968 Apache Blvd # 166, Houston → 2968 Apache Blvd, Houston |
| Proposed | — | ||
| ACT-011153 | Outreach address corrected Outreach | Megan Davis: 4311 Church St, Atlanta → 5918 Union St, Nashville |
| Proposed | — | ||
| ACT-011154 | Outreach address corrected Outreach | Susan Yang: 3414 Church St, Jacksonville → 3414 Church St Apt 12, Jacksonville |
| Proposed | — | ||
| ACT-011155 | Outreach address corrected Outreach | Gloria Rogers: 5350 Desert Sky Blvd Apt 29, Atlanta → 5350 Desert Sky Blvd Apt 17, Atlanta |
| Proposed | — | ||
| ACT-011156 | Outreach address corrected Outreach | Anthony Martin: 2343 Oak St Apt 31, Phoenix → 2343 Oak St, Phoenix |
| Proposed | — | ||
| ACT-011157 | Outreach address corrected Outreach | Cheryl Harvey: 1249 Hillcrest Rd, Plano → 1249 Hillcrest Rd Apt 13, Plano |
| Proposed | — | ||
| ACT-011158 | Outreach address corrected Outreach | Mariana Clark: 3422 Mesa Dr Apt 2, Tempe → 2426 Cedar Ln, Los Angeles |
| Proposed | — | ||
| ACT-011159 | Outreach address corrected Outreach | Virginia Nelson: 5994 Ridge Rd, Tempe → 5994 Ridge Rd # 606, Tempe |
| Proposed | — | ||
| ACT-011160 | Outreach address corrected Outreach | Saara Gutierrez: 742 Mesa Dr, Austin → 7691 Spring St, Mesa |
| Proposed | — | ||
| ACT-011161 | Outreach address corrected Outreach | Carlos Thomas: 4110 Camelback Rd Apt 17, Mesa → 4110 Camelback Rd, Mesa |
| Proposed | — | ||
| ACT-011162 | Outreach address corrected Outreach | Frank Snchez: 5089 Sunset Blvd, Las Vegas → 2748 Sage Ct, Seattle |
| 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.