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-011263 | Outreach address corrected Outreach | Martha Hayes: 873 Bayshore Dr, Plano → 873 Bayshore Dr Apt 30, Plano |
| Proposed | — | ||
| ACT-011264 | Outreach address corrected Outreach | Angela Martinez: 8789 Indian School Rd, Tempe → 8789 Indian School Rd # 632, Tempe |
| Proposed | — | ||
| ACT-011265 | Outreach address corrected Outreach | Mei Turner: 7497 Spring St, Tempe → 7497 Spring St Apt 22, Tempe |
| Proposed | — | ||
| ACT-011266 | Outreach address corrected Outreach | Maria Welch: 5189 Camelback Rd, Jacksonville → 5189 Camelback Rd # 798, Jacksonville |
| Proposed | — | ||
| ACT-011267 | Outreach address corrected Outreach | Mason Price: 2697 Hillcrest Rd, Charlotte → 2697 Hillcrest Rd Apt 39, Charlotte |
| Proposed | — | ||
| ACT-011268 | Outreach address corrected Outreach | Gary Torres: 2720 Central Ave, Plano → 1172 Church St, Minneapolis |
| Proposed | — | ||
| ACT-011269 | Outreach address corrected Outreach | Vincent Jones: 3540 Jefferson Ave, Nashville → 3540 Jefferson Ave Apt 25, Nashville |
| Proposed | — | ||
| ACT-011270 | Outreach address corrected Outreach | Susan Webb: 2347 Lincoln Way, Eden Prairie → 2347 Lincoln Way # 613, Eden Prairie |
| Proposed | — | ||
| ACT-011271 | Outreach address corrected Outreach | Zachary Pena: 6126 Mountain View Dr, Gilbert → 5936 Willow Ct, Gilbert |
| Proposed | — | ||
| ACT-011272 | Outreach address corrected Outreach | Terry Kennedy: 5008 Ridge Rd, Eden Prairie → 5008 Ridge Rd Apt 4, Eden Prairie |
| Proposed | — | ||
| ACT-011273 | Outreach address corrected Outreach | Patrick Patel: 701 Hillcrest Rd, Atlanta → 3003 Ocean Ave # 285, Scottsdale |
| Proposed | — | ||
| ACT-011274 | Outreach address corrected Outreach | Jason Davis: 8435 Pine Dr Apt 15, Gilbert → 8435 Pine Dr, Gilbert |
| Proposed | — | ||
| ACT-011275 | Outreach address corrected Outreach | Jacqueline Mason: 5140 Cedar Ln, Minneapolis → 5140 Cedar Ln Apt 8, Minneapolis |
| Proposed | — | ||
| ACT-011276 | Outreach address corrected Outreach | Deborah Holmes: 4331 Grand Ave, Nashville → 4331 Grand Ave Apt 27, Nashville |
| Proposed | — | ||
| ACT-011277 | Outreach address corrected Outreach | Robert Myers: 4724 Broadway, San Diego → 4724 Broadway # 449, San Diego |
| Proposed | — | ||
| ACT-011278 | Outreach address corrected Outreach | Gloria Lane: 9513 Willow Ct, Tempe → 4625 Elm St, Orlando |
| Proposed | — | ||
| ACT-011279 | Outreach address corrected Outreach | Carlos Howard: 3073 Sage Ct, Fresno → 4386 Palm Dr, Orlando |
| Proposed | — | ||
| ACT-011280 | Outreach address corrected Outreach | Kathryn Carlson: 3619 Highland Ave, Mesa → 2320 Highland Ave, Las Vegas |
| Proposed | — | ||
| ACT-011281 | Outreach address corrected Outreach | Christina Morgan: 785 Highland Ave, Austin → 5685 Cedar Ln, Phoenix |
| Proposed | — | ||
| ACT-011282 | Outreach address corrected Outreach | Ann Perez: 2559 Baseline Rd, Phoenix → 2559 Baseline Rd # 496, Phoenix |
| Proposed | — | ||
| ACT-011283 | Outreach address corrected Outreach | Arthur Greene: 5078 Indian School Rd, Miami → 5078 Indian School Rd # 379, Miami |
| Proposed | — | ||
| ACT-011284 | Outreach address corrected Outreach | Rachel Santos: 3018 Elm St, Glendale → 7609 Union St, Dallas |
| Proposed | — | ||
| ACT-011285 | Outreach address corrected Outreach | Cheryl Knight: 7882 Lake View Rd Apt 9, San Diego → 7882 Lake View Rd, San Diego |
| Proposed | — | ||
| ACT-011286 | Outreach address corrected Outreach | Austin Warren: 5121 Mesa Dr, Tampa → 5121 Mesa Dr Apt 30, Tampa |
| Proposed | — | ||
| ACT-011287 | Outreach address corrected Outreach | Donald Aguilar: 3963 Mesa Dr # 938, Austin → 3477 Bayshore Dr, Columbus |
| Proposed | — | ||
| ACT-011288 | Outreach address corrected Outreach | Rachel Coleman: 935 Meadow Ln, Atlanta → 935 Meadow Ln Apt 14, Atlanta |
| Proposed | — | ||
| ACT-011289 | Outreach address corrected Outreach | Samuel Salazar: 8284 Harbor Blvd, Sacramento → 8284 Harbor Blvd # 317, Sacramento |
| Proposed | — | ||
| ACT-011290 | Outreach address corrected Outreach | Scott Gomez: 5700 Baseline Rd, Tucson → 4489 Union St, Las Vegas |
| Proposed | — | ||
| ACT-011291 | Outreach address corrected Outreach | Brittany Munoz: 8564 Meadow Ln, Orlando → 6223 Central Ave, Chandler |
| Proposed | — | ||
| ACT-011292 | Outreach address corrected Outreach | Doris Carlson: 4649 Meadow Ln, Nashville → 2317 Broadway, San Diego |
| Proposed | — | ||
| ACT-011293 | Outreach address corrected Outreach | Christopher Pierce: 7091 Pine Dr, Dallas → 5397 Ridge Rd, Austin |
| Proposed | — | ||
| ACT-011294 | Outreach address corrected Outreach | Linda Lucas: 592 Jefferson Ave Apt 17, Tucson → 6009 Bayshore Dr # 516, Eden Prairie |
| Proposed | — | ||
| ACT-011295 | Outreach address corrected Outreach | Gary Walker: 2765 Camelback Rd, Charlotte → 6703 Cedar Ln Apt 19, San Diego |
| Proposed | — | ||
| ACT-011296 | Outreach address corrected Outreach | Gary Tucker: 5434 Desert Sky Blvd Apt 32, Orlando → 5434 Desert Sky Blvd, Orlando |
| Proposed | — | ||
| ACT-011297 | Outreach address corrected Outreach | Isabella Parker: 4527 Pine Dr, San Diego → 3551 Bayshore Dr, Phoenix |
| Proposed | — | ||
| ACT-011298 | Outreach address corrected Outreach | Jessica Carroll: 9859 Sage Ct Apt 29, Jacksonville → 9859 Sage Ct, Jacksonville |
| Proposed | — | ||
| ACT-011299 | Outreach address corrected Outreach | William Moreno: 4043 Jefferson Ave, Glendale → 7067 Forest Ave, Austin |
| Proposed | — | ||
| ACT-011300 | Outreach address corrected Outreach | Beverly Chen: 3317 Park Pl, Las Vegas → 3317 Park Pl # 825, Las Vegas |
| Proposed | — | ||
| ACT-011301 | Outreach address corrected Outreach | Steven Ramos: 1184 Hillcrest Rd, Sacramento → 1184 Hillcrest Rd Apt 12, Sacramento |
| Proposed | — | ||
| ACT-011302 | Outreach address corrected Outreach | Zachary Danils: 5811 Apache Blvd, Minneapolis → 8615 Indian School Rd, Las Vegas |
| Proposed | — | ||
| ACT-011303 | Outreach address corrected Outreach | Diane Carr: 2848 Lake View Rd # 813, Seattle → 2848 Lake View Rd, Seattle |
| Proposed | — | ||
| ACT-011304 | Outreach address corrected Outreach | Banks Banks: 125 Lake View Rd, Charlotte → 125 Lake View Rd Apt 40, Charlotte |
| Proposed | — | ||
| ACT-011305 | Outreach address corrected Outreach | Mary Olson: 853 Forest Ave # 785, Orlando → 853 Forest Ave, Orlando |
| Proposed | — | ||
| ACT-011306 | Outreach address corrected Outreach | Christian Hudson: 3963 Jefferson Ave, Denver → 4425 Mountain View Dr, Plano |
| Proposed | — | ||
| ACT-011307 | Outreach address corrected Outreach | Betty Gilbert: 9021 Broadway, Phoenix → 9021 Broadway Apt 16, Phoenix |
| Proposed | — | ||
| ACT-011308 | Outreach address corrected Outreach | Sofia Woods: 6262 Forest Ave # 867, Chandler → 6262 Forest Ave, Chandler |
| Proposed | — | ||
| ACT-011309 | Outreach address corrected Outreach | Jessica Alexander: 5403 Jefferson Ave Apt 33, Phoenix → 5403 Jefferson Ave, Phoenix |
| Proposed | — | ||
| ACT-011310 | Outreach address corrected Outreach | Albert Marquez: 8098 Union St Apt 35, Las Vegas → 8098 Union St, Las Vegas |
| Proposed | — | ||
| ACT-011311 | Outreach address corrected Outreach | Eric Bell: 6105 Bayshore Dr Apt 9, Denver → 6105 Bayshore Dr, Denver |
| Proposed | — | ||
| ACT-011312 | Outreach address corrected Outreach | Daniel Jordan: 2166 Mountain View Dr # 335, Plano → 2166 Mountain View Dr, Plano |
| 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.