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-011313 | Outreach address corrected Outreach | Larry Stephens: 6390 Camelback Rd Apt 40, Las Vegas → 6390 Camelback Rd, Las Vegas |
| Proposed | — | ||
| ACT-011314 | Outreach address corrected Outreach | Douglas Castillo: 81 Mesa Dr, Phoenix → 5903 Lake View Rd # 572, Jacksonville |
| Proposed | — | ||
| ACT-011315 | Outreach address corrected Outreach | Andrew Montgomery: 3903 Mesa Dr, San Antonio → 3903 Mesa Dr Apt 27, San Antonio |
| Proposed | — | ||
| ACT-011316 | Outreach address corrected Outreach | Christine Morales: 8944 Forest Ave Apt 8, Charlotte → 9879 Lincoln Way, Fresno |
| Proposed | — | ||
| ACT-011317 | Outreach address corrected Outreach | Harold Mejia: 2037 Desert Sky Blvd, Las Vegas → 1262 Willow Ct, Nashville |
| Proposed | — | ||
| ACT-011318 | Outreach address corrected Outreach | Lauren Montgomery: 2528 Desert Sky Blvd, Minneapolis → 2528 Desert Sky Blvd Apt 4, Minneapolis |
| Proposed | — | ||
| ACT-011319 | Outreach address corrected Outreach | Albert Delgado: 7963 Meadow Ln, Plano → 7963 Meadow Ln Apt 28, Plano |
| Proposed | — | ||
| ACT-011320 | Outreach address corrected Outreach | Charlotte Saanchez: 7218 Washington St # 498, Orlando → 7218 Washington St, Orlando |
| Proposed | — | ||
| ACT-011321 | Outreach address corrected Outreach | Eric Freeman: 4064 Indian School Rd, San Diego → 8096 Spring St, Minneapolis |
| Proposed | — | ||
| ACT-011322 | Outreach address corrected Outreach | Ahmed Jackson: 6354 Lincoln Way Apt 4, Eden Prairie → 6354 Lincoln Way, Eden Prairie |
| Proposed | — | ||
| ACT-011323 | Outreach address corrected Outreach | Elizabeth Myers: 9332 Ridge Rd, Dallas → 9332 Ridge Rd Apt 40, Dallas |
| Proposed | — | ||
| ACT-011324 | Outreach address corrected Outreach | Danielle Peterson: 5530 Harbor Blvd, San Antonio → 863 Camelback Rd, Nashville |
| Proposed | — | ||
| ACT-011325 | Outreach address corrected Outreach | Bobby Castro: 288 Ocean Ave Apt 13, Los Angeles → 288 Ocean Ave, Los Angeles |
| Proposed | — | ||
| ACT-011326 | Outreach address corrected Outreach | Mark Knight: 7891 Apache Blvd, Eden Prairie → 7891 Apache Blvd # 767, Eden Prairie |
| Proposed | — | ||
| ACT-011327 | Outreach address corrected Outreach | Jason Gray: 3678 Spring St, Gilbert → 3678 Spring St # 478, Gilbert |
| Proposed | — | ||
| ACT-011328 | Outreach address corrected Outreach | Kevin Rios: 6283 Desert Sky Blvd Apt 2, Houston → 6283 Desert Sky Blvd Apt 38, Houston |
| Proposed | — | ||
| ACT-011329 | Outreach address corrected Outreach | Nicholas Diaz: 9304 Elm St # 560, Seattle → 9304 Elm St, Seattle |
| Proposed | — | ||
| ACT-011330 | Outreach address corrected Outreach | Cheryl Jacobs: 1398 Spring St, Eden Prairie → 8057 Harbor Blvd, Minneapolis |
| Proposed | — | ||
| ACT-011331 | Outreach address corrected Outreach | Raymond Wood: 2432 Camelback Rd, Miami → 1485 Apache Blvd Apt 11, Glendale |
| Proposed | — | ||
| ACT-011332 | Outreach address corrected Outreach | Joseph Gray: 907 Cedar Ln, Phoenix → 907 Cedar Ln # 569, Phoenix |
| Proposed | — | ||
| ACT-011333 | Outreach address corrected Outreach | Jonathan McDonald: 8333 Canyon Rd # 675, Gilbert → 8333 Canyon Rd, Gilbert |
| Proposed | — | ||
| ACT-011334 | Outreach address corrected Outreach | Joyce Howard: 9252 Lake View Rd # 798, Houston → 9252 Lake View Rd, Houston |
| Proposed | — | ||
| ACT-011335 | Outreach address corrected Outreach | Therresa Mills: 1162 Elm St, Sacramento → 1162 Elm St # 189, Sacramento |
| Proposed | — | ||
| ACT-011336 | Outreach address corrected Outreach | Tyler Barnes: 7124 Market St # 841, Chandler → 7124 Market St # 346, Chandler |
| Proposed | — | ||
| ACT-011337 | Outreach address corrected Outreach | Steve Spencer: 2764 Apache Blvd Apt 31, Tampa → 605 Sunset Blvd, San Antonio |
| Proposed | — | ||
| ACT-011338 | Outreach address corrected Outreach | Helen Chen: 6943 Spring St # 730, Tucson → 6943 Spring St, Tucson |
| Proposed | — | ||
| ACT-011339 | Outreach address corrected Outreach | Amber Amber: 1009 Mountain View Dr, Los Angeles → 9369 Valley View Dr, Columbus |
| Proposed | — | ||
| ACT-011340 | Outreach address corrected Outreach | Jesse Jones: 9066 Union St Apt 31, Tampa → 9066 Union St, Tampa |
| Proposed | — | ||
| ACT-011341 | Outreach address corrected Outreach | Michael Patterson: 9741 Sunset Blvd Apt 30, Mesa → 9741 Sunset Blvd, Mesa |
| Proposed | — | ||
| ACT-011342 | Outreach address corrected Outreach | John Gardner: 6299 Desert Sky Blvd Apt 3, Austin → 6299 Desert Sky Blvd, Austin |
| Proposed | — | ||
| ACT-011343 | Outreach address corrected Outreach | Grace Garza: 7828 Maple Ave, Chandler → 7828 Maple Ave Apt 40, Chandler |
| Proposed | — | ||
| ACT-011344 | Outreach address corrected Outreach | Sophia Carroll: 5642 Desert Sky Blvd, Atlanta → 5642 Desert Sky Blvd Apt 21, Atlanta |
| Proposed | — | ||
| ACT-011345 | Outreach address corrected Outreach | Nicholas Ellis: 7082 Willow Ct, Mesa → 7082 Willow Ct # 712, Mesa |
| Proposed | — | ||
| ACT-011346 | Outreach address corrected Outreach | Alexander Cruz: 1838 Sunset Blvd, Houston → 2134 Union St, Tampa |
| Proposed | — | ||
| ACT-011347 | Outreach address corrected Outreach | Brittany Watson: 2223 River Rd, Los Angeles → 3073 Market St, Sacramento |
| Proposed | — | ||
| ACT-011348 | Outreach address corrected Outreach | Isabellla Stephens: 3799 Jefferson Ave, Denver → 8454 Park Pl, Sacramento |
| Proposed | — | ||
| ACT-011349 | Outreach address corrected Outreach | Justin Hawkins: 2459 Sunset Blvd # 482, Tucson → 2459 Sunset Blvd, Tucson |
| Proposed | — | ||
| ACT-011350 | Outreach address corrected Outreach | William Daniels: 1798 Ridge Rd, Austin → 1798 Ridge Rd Apt 11, Austin |
| Proposed | — | ||
| ACT-011351 | Outreach address corrected Outreach | Shirley Vasquez: 7831 Harbor Blvd, Las Vegas → 9094 Apache Blvd, Atlanta |
| Proposed | — | ||
| ACT-011352 | Outreach address corrected Outreach | Gregory Campbell: 6371 Mountain View Dr Apt 5, Austin → 6371 Mountain View Dr, Austin |
| Proposed | — | ||
| ACT-011353 | Outreach address corrected Outreach | Russell King: 9139 Willow Ct, Fresno → 9139 Willow Ct Apt 32, Fresno |
| Proposed | — | ||
| ACT-011354 | Outreach address corrected Outreach | Elizabeth Lane: 8892 Apache Blvd, Minneapolis → 8892 Apache Blvd # 967, Minneapolis |
| Proposed | — | ||
| ACT-011355 | Outreach address corrected Outreach | Jordan Welch: 2704 Maple Ave, Denver → 2704 Maple Ave # 582, Denver |
| Proposed | — | ||
| ACT-011356 | Outreach address corrected Outreach | Peter Mendoza: 4978 Valley View Dr, Austin → 4978 Valley View Dr Apt 11, Austin |
| Proposed | — | ||
| ACT-011357 | Outreach address corrected Outreach | Mateo Obrien: 3686 Bayshore Dr, San Diego → 9873 Pine Dr, Fresno |
| Proposed | — | ||
| ACT-011358 | Outreach address corrected Outreach | Arjun Robinson: 7011 Forest Ave # 397, Tucson → 7011 Forest Ave, Tucson |
| Proposed | — | ||
| ACT-011359 | Outreach address corrected Outreach | Peter Ford: 3506 Central Ave Apt 35, Columbus → 9835 Pine Dr, Dallas |
| Proposed | — | ||
| ACT-011360 | Outreach address corrected Outreach | Roy Fowler: 6743 Apache Blvd # 496, Austin → 6743 Apache Blvd Apt 8, Austin |
| Proposed | — | ||
| ACT-011361 | Outreach address corrected Outreach | Larry Singh: 3589 Main St Apt 37, Los Angeles → 3589 Main St, Los Angeles |
| Proposed | — | ||
| ACT-011362 | Outreach address corrected Outreach | Janet Lewis: 3583 River Rd, Phoenix → 3583 River Rd # 937, Phoenix |
| 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.