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-011363 | Outreach address corrected Outreach | Rachel Maldonado: 1474 Ridge Rd, Sacramento → 1474 Ridge Rd # 742, Sacramento |
| Proposed | — | ||
| ACT-011364 | Outreach address corrected Outreach | Abigail Walker: 9062 Ridge Rd Apt 36, Sacramento → 9062 Ridge Rd, Sacramento |
| Proposed | — | ||
| ACT-011365 | Outreach address corrected Outreach | Christine Sims: 5333 Bayshore Dr, Los Angeles → 5333 Bayshore Dr # 847, Los Angeles |
| Proposed | — | ||
| ACT-011366 | Outreach address corrected Outreach | Charlotte Turner: 7851 Union St, Nashville → 7851 Union St Apt 20, Nashville |
| Proposed | — | ||
| ACT-011367 | Outreach address corrected Outreach | Terry Spencer: 642 Union St, Fresno → 642 Union St # 210, Fresno |
| Proposed | — | ||
| ACT-011368 | Outreach address corrected Outreach | Jerry Lynch: 5218 Broadway, Miami → 5218 Broadway Apt 32, Miami |
| Proposed | — | ||
| ACT-011369 | Outreach address corrected Outreach | Jordan Carr: 9856 Highland Ave, Chandler → 4252 Park Pl, Jacksonville |
| Proposed | — | ||
| ACT-011370 | Outreach address corrected Outreach | Kathryn Campbell: 3280 Valley View Dr, Los Angeles → 3280 Valley View Dr Apt 8, Los Angeles |
| Proposed | — | ||
| ACT-011371 | Outreach address corrected Outreach | Kelly Chapman: 3677 Apache Blvd, Tampa → 5381 Grand Ave, Las Vegas |
| Proposed | — | ||
| ACT-011372 | Outreach address corrected Outreach | Diane Collins: 875 Harbor Blvd, Scottsdale → 1129 Lake View Rd, Scottsdale |
| Proposed | — | ||
| ACT-011373 | Outreach address corrected Outreach | Sara Greene: 2557 Main St, Las Vegas → 3971 Lincoln Way, Minneapolis |
| Proposed | — | ||
| ACT-011374 | Outreach address corrected Outreach | Keith Dixon: 4238 Oak St, Mesa → 8405 Meadow Ln, Las Vegas |
| Proposed | — | ||
| ACT-011375 | Outreach address corrected Outreach | Helen Ellis: 7967 Church St # 733, Eden Prairie → 7967 Church St, Eden Prairie |
| Proposed | — | ||
| ACT-011376 | Outreach address corrected Outreach | Kathleen Johnston: 1204 Highland Ave, Los Angeles → 5071 Elm St, Miami |
| Proposed | — | ||
| ACT-011377 | Outreach address corrected Outreach | Kathleen Obrien: 6948 Pine Dr Apt 37, Columbus → 6948 Pine Dr, Columbus |
| Proposed | — | ||
| ACT-011378 | Outreach address corrected Outreach | Rachel Wagner: 8428 Indian School Rd, Austin → 8428 Indian School Rd # 972, Austin |
| Proposed | — | ||
| ACT-011379 | Outreach address corrected Outreach | Daniel Parker: 5608 Canyon Rd, Tucson → 5608 Canyon Rd Apt 7, Tucson |
| Proposed | — | ||
| ACT-011380 | Outreach address corrected Outreach | Joseph Daniels: 9477 Bayshore Dr, Phoenix → 2516 Hillcrest Rd, Nashville |
| Proposed | — | ||
| ACT-011381 | Outreach address corrected Outreach | Luis Jones: 5765 Bayshore Dr, Sacramento → 5765 Bayshore Dr Apt 24, Sacramento |
| Proposed | — | ||
| ACT-011382 | Outreach address corrected Outreach | Shirley Russell: 6139 Spring St, Miami → 6139 Spring St # 518, Miami |
| Proposed | — | ||
| ACT-011383 | Outreach address corrected Outreach | Marcus Lawson: 1599 Meadow Ln, Orlando → 1599 Meadow Ln Apt 10, Orlando |
| Proposed | — | ||
| ACT-011384 | Outreach address corrected Outreach | Heather Long: 1715 Camelback Rd, San Antonio → 1715 Camelback Rd # 115, San Antonio |
| Proposed | — | ||
| ACT-011385 | Outreach address corrected Outreach | Natalie Hughes: 4686 Sage Ct # 702, Chandler → 4686 Sage Ct, Chandler |
| Proposed | — | ||
| ACT-011386 | Outreach address corrected Outreach | Keneth Schultz: 9468 Ocean Ave, Columbus → 455 Washington St, Nashville |
| Proposed | — | ||
| ACT-011387 | Outreach address corrected Outreach | Brenda Harris: 654 Bayshore Dr, Dallas → 4126 Lake View Rd # 301, Plano |
| Proposed | — | ||
| ACT-011388 | Outreach address corrected Outreach | Catherine Gonzales: 8551 Lake View Rd, Los Angeles → 8551 Lake View Rd Apt 28, Los Angeles |
| Proposed | — | ||
| ACT-011389 | Outreach address corrected Outreach | Sarah Singh: 220 Broadway, Jacksonville → 220 Broadway Apt 20, Jacksonville |
| Proposed | — | ||
| ACT-011390 | Outreach address corrected Outreach | Eric Nunez: 1621 Valley View Dr Apt 19, Chandler → 1621 Valley View Dr, Chandler |
| Proposed | — | ||
| ACT-011391 | Outreach address corrected Outreach | Kelly Perry: 6792 Maple Ave Apt 11, Fresno → 6792 Maple Ave, Fresno |
| Proposed | — | ||
| ACT-011392 | Outreach address corrected Outreach | Henry Jordan: 948 Central Ave, Chandler → 3607 Ridge Rd, Tampa |
| Proposed | — | ||
| ACT-011393 | Outreach address corrected Outreach | Matthew Vega: 789 River Rd, Dallas → 4884 Desert Sky Blvd, Tucson |
| Proposed | — | ||
| ACT-011394 | Outreach address corrected Outreach | Sarah Lewis: 2010 Sunset Blvd Apt 21, Dallas → 2010 Sunset Blvd, Dallas |
| Proposed | — | ||
| ACT-011395 | Outreach address corrected Outreach | Megan West: 1875 Main St, Eden Prairie → 1875 Main St # 628, Eden Prairie |
| Proposed | — | ||
| ACT-011396 | Outreach address corrected Outreach | Walter Ortega: 3191 Elm St # 238, San Antonio → 3191 Elm St, San Antonio |
| Proposed | — | ||
| ACT-011397 | Outreach address corrected Outreach | Gloria Torres: 156 Sunset Blvd, Charlotte → 156 Sunset Blvd # 548, Charlotte |
| Proposed | — | ||
| ACT-011398 | Outreach address corrected Outreach | Diego Castillo: 5556 Central Ave Apt 4, Columbus → 5556 Central Ave, Columbus |
| Proposed | — | ||
| ACT-011399 | Outreach address corrected Outreach | Nicole Jordan: 7092 Maple Ave, Houston → 7092 Maple Ave Apt 7, Houston |
| Proposed | — | ||
| ACT-011400 | Outreach address corrected Outreach | Dylan Robinson: 3396 Maple Ave Apt 14, Orlando → 3396 Maple Ave, Orlando |
| Proposed | — | ||
| ACT-011401 | Outreach address corrected Outreach | Anthony Taylor: 5141 Central Ave Apt 30, Atlanta → 5141 Central Ave, Atlanta |
| Proposed | — | ||
| ACT-011402 | Outreach address corrected Outreach | Ralph Knight: 7040 Palm Dr Apt 2, Denver → 7040 Palm Dr, Denver |
| Proposed | — | ||
| ACT-011403 | Outreach address corrected Outreach | Sharon Hanson: 8200 Oak St, Tampa → 5577 Canyon Rd, Jacksonville |
| Proposed | — | ||
| ACT-011404 | Outreach address corrected Outreach | Cerlos Palmer: 9440 Palm Dr # 638, Tampa → 9440 Palm Dr # 423, Tampa |
| Proposed | — | ||
| ACT-011405 | Outreach address corrected Outreach | Michael Carpenter: 8019 Market St Apt 13, Plano → 8019 Market St, Plano |
| Proposed | — | ||
| ACT-011406 | Outreach address corrected Outreach | Lnda Stevens: 5554 Forest Ave, Dallas → 5554 Forest Ave # 815, Dallas |
| Proposed | — | ||
| ACT-011407 | Outreach address corrected Outreach | Kelly Evans: 7134 Main St, Austin → 9234 Lake View Rd # 148, Atlanta |
| Proposed | — | ||
| ACT-011408 | Outreach address corrected Outreach | Linda Wood: 4941 Highland Ave, Columbus → 4941 Highland Ave Apt 30, Columbus |
| Proposed | — | ||
| ACT-011409 | Outreach address corrected Outreach | Olivia Bailey: 5702 Canyon Rd, Jacksonville → 1333 Forest Ave, Tampa |
| Proposed | — | ||
| ACT-011410 | Outreach address corrected Outreach | Michelle Walker: 7539 Bayshore Dr Apt 19, Jacksonville → 7539 Bayshore Dr, Jacksonville |
| Proposed | — | ||
| ACT-011411 | Outreach address corrected Outreach | Julia Tran: 7521 Meadow Ln Apt 5, Sacramento → 7521 Meadow Ln, Sacramento |
| Proposed | — | ||
| ACT-011412 | Outreach address corrected Outreach | Arthur Ryan: 2777 Oak St Apt 5, Tampa → 2777 Oak St, Tampa |
| 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.