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
Outreach address corrected, Outreach, 2,993 proposed
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-012652 | Outreach address corrected Outreach | Gabriel Sullivan: 4637 Main St, Fresno → 8840 Highland Ave, Austin |
| Proposed | — | ||
| ACT-012653 | Outreach address corrected Outreach | Dylan Carlson: 6138 Baseline Rd, Nashville → 1363 Baseline Rd, Atlanta |
| Proposed | — | ||
| ACT-012654 | Outreach address corrected Outreach | Christian Santiago: 3993 Jefferson Ave Apt 11, San Antonio → 3993 Jefferson Ave, San Antonio |
| Proposed | — | ||
| ACT-012655 | Outreach address corrected Outreach | Lawrence Nichhols: 5355 Forest Ave Apt 13, Atlanta → 5355 Forest Ave, Atlanta |
| Proposed | — | ||
| ACT-012656 | Outreach address corrected Outreach | Jerry Woods: 3422 Oak St, Jacksonville → 2742 Oak St, Minneapolis |
| Proposed | — | ||
| ACT-012657 | Outreach address corrected Outreach | Jack Smith: 6832 Meadow Ln # 277, Dallas → 6832 Meadow Ln, Dallas |
| Proposed | — | ||
| ACT-012658 | Outreach address corrected Outreach | Terry Williams: 2679 Ocean Ave, Glendale → 9227 Cedar Ln # 376, Nashville |
| Proposed | — | ||
| ACT-012659 | Outreach address corrected Outreach | Elijah Phillips: 2832 Baseline Rd # 432, Sacramento → 2832 Baseline Rd, Sacramento |
| Proposed | — | ||
| ACT-012660 | Outreach address corrected Outreach | Pamela Tran: 8893 Grand Ave, Glendale → 8893 Grand Ave Apt 36, Glendale |
| Proposed | — | ||
| ACT-012661 | Outreach address corrected Outreach | Amber Delgado: 3484 Broadway, Scottsdale → 1854 Union St, Seattle |
| Proposed | — | ||
| ACT-012662 | Outreach address corrected Outreach | Kenneth James: 2485 Baseline Rd, Gilbert → 2485 Baseline Rd Apt 31, Gilbert |
| Proposed | — | ||
| ACT-012663 | Outreach address corrected Outreach | Eric Piarce: 5615 Market St, Las Vegas → 6314 Baseline Rd, Houston |
| Proposed | — | ||
| ACT-012664 | Outreach address corrected Outreach | Karen Lucas: 6460 Bayshore Dr, Phoenix → 6460 Bayshore Dr Apt 23, Phoenix |
| Proposed | — | ||
| ACT-012665 | Outreach address corrected Outreach | Mark Foster: 4474 Sage Ct, Fresno → 4474 Sage Ct Apt 34, Fresno |
| Proposed | — | ||
| ACT-012666 | Outreach address corrected Outreach | Sophia Vasquez: 5478 Canyon Rd, Tucson → 5478 Canyon Rd Apt 20, Tucson |
| Proposed | — | ||
| ACT-012667 | Outreach address corrected Outreach | Alexander Gomez: 9313 Mountain View Dr # 550, San Diego → 9313 Mountain View Dr, San Diego |
| Proposed | — | ||
| ACT-012668 | Outreach address corrected Outreach | Robert Ray: 9442 Pine Dr # 634, Seattle → 9442 Pine Dr, Seattle |
| Proposed | — | ||
| ACT-012669 | Outreach address corrected Outreach | Joseph Peters: 6481 Broadway Apt 24, Nashville → 6481 Broadway, Nashville |
| Proposed | — | ||
| ACT-012670 | Outreach address corrected Outreach | Kelly Little: 1047 Palm Dr # 838, Austin → 1047 Palm Dr, Austin |
| Proposed | — | ||
| ACT-012671 | Outreach address corrected Outreach | Shirley Baker: 2489 Lake View Rd, Tucson → 1033 Bayshore Dr, Denver |
| Proposed | — | ||
| ACT-012672 | Outreach address corrected Outreach | Jason Nelson: 5012 Desert Sky Blvd, San Diego → 5012 Desert Sky Blvd # 887, San Diego |
| Proposed | — | ||
| ACT-012673 | Outreach address corrected Outreach | Diego Dominguez: 3937 Lake View Rd # 689, Austin → 3937 Lake View Rd, Austin |
| Proposed | — | ||
| ACT-012674 | Outreach address corrected Outreach | Denise Harrison: 1036 Union St # 837, Sacramento → 1036 Union St, Sacramento |
| Proposed | — | ||
| ACT-012675 | Outreach address corrected Outreach | Pamela Santiago: 3766 Palm Dr, Atlanta → 3766 Palm Dr Apt 10, Atlanta |
| Proposed | — | ||
| ACT-012676 | Outreach address corrected Outreach | Priya Rodriguez: 7200 Indian School Rd, Las Vegas → 7200 Indian School Rd # 773, Las Vegas |
| Proposed | — | ||
| ACT-012677 | Outreach address corrected Outreach | Vincent Owens: 7679 Church St # 745, Jacksonville → 7679 Church St, Jacksonville |
| Proposed | — | ||
| ACT-012678 | Outreach address corrected Outreach | Kimberly McDonald: 8110 Ridge Rd, San Antonio → 2253 Cedar Ln, San Diego |
| Proposed | — | ||
| ACT-012679 | Outreach address corrected Outreach | Kimberly Bryant: 9728 Lincoln Way, Orlando → 9728 Lincoln Way # 837, Orlando |
| Proposed | — | ||
| ACT-012680 | Outreach address corrected Outreach | Kayla Riley: 2261 River Rd, Dallas → 2261 River Rd # 713, Dallas |
| Proposed | — | ||
| ACT-012681 | Outreach address corrected Outreach | Joan Chavez: 7276 Spring St, Eden Prairie → 7276 Spring St Apt 35, Eden Prairie |
| Proposed | — | ||
| ACT-012682 | Outreach address corrected Outreach | Sandra Roberts: 2636 Union St Apt 29, Austin → 2636 Union St, Austin |
| Proposed | — | ||
| ACT-012683 | Outreach address corrected Outreach | Jannice Schulltz: 3150 Lake View Rd, Orlando → 3150 Lake View Rd Apt 37, Orlando |
| Proposed | — | ||
| ACT-012684 | Outreach address corrected Outreach | Jordan Mendez: 7025 Baseline Rd # 503, San Antonio → 7025 Baseline Rd, San Antonio |
| Proposed | — | ||
| ACT-012685 | Outreach address corrected Outreach | Matthew Cruz: 7979 Pine Dr # 573, Eden Prairie → 7979 Pine Dr, Eden Prairie |
| Proposed | — | ||
| ACT-012686 | Outreach address corrected Outreach | Douglas Rivera: 2311 Park Pl, Los Angeles → 4178 Cedar Ln, Columbus |
| Proposed | — | ||
| ACT-012687 | Outreach address corrected Outreach | Jonathan Sullivan: 2307 Forest Ave Apt 6, Charlotte → 2307 Forest Ave, Charlotte |
| Proposed | — | ||
| ACT-012688 | Outreach address corrected Outreach | Heather Munoz: 2548 Washington St # 658, Orlando → 2548 Washington St, Orlando |
| Proposed | — | ||
| ACT-012689 | Outreach address corrected Outreach | Gloria Stone: 5334 Ocean Ave, Mesa → 2470 Indian School Rd, Fresno |
| Proposed | — | ||
| ACT-012690 | Outreach address corrected Outreach | Lauren Castillo: 1958 Highland Ave Apt 14, Austin → 1958 Highland Ave, Austin |
| Proposed | — | ||
| ACT-012691 | Outreach address corrected Outreach | Ann Ryes: 10 Jefferson Ave # 851, Mesa → 5760 Oak St # 231, Gilbert |
| Proposed | — | ||
| ACT-012692 | Outreach address corrected Outreach | Lawrence McCoy: 5429 Highland Ave, San Diego → 5429 Highland Ave # 390, San Diego |
| Proposed | — | ||
| ACT-012693 | Outreach address corrected Outreach | Ralph Lopez: 8498 Baseline Rd # 408, Eden Prairie → 6257 Jefferson Ave, Orlando |
| Proposed | — | ||
| ACT-012694 | Outreach address corrected Outreach | Russell Matthews: 288 Desert Sky Blvd, San Antonio → 6159 Canyon Rd, Plano |
| Proposed | — | ||
| ACT-012695 | Outreach address corrected Outreach | Diego Ellis: 7247 Broadway, Plano → 7247 Broadway # 286, Plano |
| Proposed | — | ||
| ACT-012696 | Outreach address corrected Outreach | Jenny Day: 2217 Elm St, Houston → 2217 Elm St Apt 27, Houston |
| Proposed | — | ||
| ACT-012697 | Outreach address corrected Outreach | Joan Garcia: 5420 Market St # 292, Eden Prairie → 5420 Market St, Eden Prairie |
| Proposed | — | ||
| ACT-012698 | Outreach address corrected Outreach | Nancy Mendoza: 994 Lincoln Way # 291, Tucson → 994 Lincoln Way, Tucson |
| Proposed | — | ||
| ACT-012699 | Outreach address corrected Outreach | Kelly Rodriguez: 1765 Cedar Ln, Jacksonville → 1765 Cedar Ln Apt 21, Jacksonville |
| Proposed | — | ||
| ACT-012700 | Outreach address corrected Outreach | Lori Cruz: 3912 Main St Apt 17, Austin → 3912 Main St, Austin |
| Proposed | — | ||
| ACT-012701 | Outreach address corrected Outreach | Charles Williams: 2024 Central Ave, Charlotte → 9734 Bayshore Dr, Columbus |
| 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.