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-011413 | Outreach address corrected Outreach | Abigail Berry: 9149 Lincoln Way, Tampa → 9149 Lincoln Way # 622, Tampa |
| Proposed | — | ||
| ACT-011414 | Outreach address corrected Outreach | Emily Murray: 768 Desert Sky Blvd, Denver → 8357 Spring St, Charlotte |
| Proposed | — | ||
| ACT-011415 | Outreach address corrected Outreach | Judy Garza: 3068 Jefferson Ave Apt 18, Columbus → 3068 Jefferson Ave, Columbus |
| Proposed | — | ||
| ACT-011416 | Outreach address corrected Outreach | Logan Scott: 3265 Jefferson Ave Apt 1, Las Vegas → 3265 Jefferson Ave Apt 8, Las Vegas |
| Proposed | — | ||
| ACT-011417 | Outreach address corrected Outreach | Joshua Hayes: 3463 Mountain View Dr, San Diego → 3922 Hillcrest Rd, Eden Prairie |
| Proposed | — | ||
| ACT-011418 | Outreach address corrected Outreach | Linda Lawrence: 4617 Palm Dr Apt 39, Tucson → 4617 Palm Dr, Tucson |
| Proposed | — | ||
| ACT-011419 | Outreach address corrected Outreach | Jeremy West: 3262 Baseline Rd Apt 32, Scottsdale → 3262 Baseline Rd, Scottsdale |
| Proposed | — | ||
| ACT-011420 | Outreach address corrected Outreach | Camila Hart: 4858 Canyon Rd, Plano → 4743 Camelback Rd, Fresno |
| Proposed | — | ||
| ACT-011421 | Outreach address corrected Outreach | Eric Castillo: 8778 Ocean Ave, Minneapolis → 8778 Ocean Ave # 605, Minneapolis |
| Proposed | — | ||
| ACT-011422 | Outreach address corrected Outreach | Yuki Perkins: 5842 Jefferson Ave, Gilbert → 329 Park Pl, Dallas |
| Proposed | — | ||
| ACT-011423 | Outreach address corrected Outreach | Sharon Dominguez: 7026 Mountain View Dr, Plano → 2504 Camelback Rd, Glendale |
| Proposed | — | ||
| ACT-011424 | Outreach address corrected Outreach | Cynthia Lopez: 4377 Washington St Apt 1, Austin → 4377 Washington St, Austin |
| Proposed | — | ||
| ACT-011425 | Outreach address corrected Outreach | Jacqueline Campbell: 1998 Broadway # 806, Seattle → 1998 Broadway, Seattle |
| Proposed | — | ||
| ACT-011426 | Outreach address corrected Outreach | Harold Martinez: 8897 Broadway, Gilbert → 8897 Broadway # 479, Gilbert |
| Proposed | — | ||
| ACT-011427 | Outreach address corrected Outreach | Melissa Fox: 2330 Ridge Rd, Fresno → 4095 Valley View Dr, Houston |
| Proposed | — | ||
| ACT-011428 | Outreach address corrected Outreach | Kelly Diaz: 4716 Forest Ave, Tucson → 5998 Mesa Dr, Austin |
| Proposed | — | ||
| ACT-011429 | Outreach address corrected Outreach | George Moreno: 5556 Camelback Rd, San Diego → 5556 Camelback Rd Apt 23, San Diego |
| Proposed | — | ||
| ACT-011430 | Outreach address corrected Outreach | Michelle Riley: 3847 Highland Ave, Plano → 3847 Highland Ave # 897, Plano |
| Proposed | — | ||
| ACT-011431 | Outreach address corrected Outreach | Paaul Hernandez: 3778 Sage Ct Apt 14, Chandler → 3778 Sage Ct, Chandler |
| Proposed | — | ||
| ACT-011432 | Outreach address corrected Outreach | Bryan King: 3073 Canyon Rd, Fresno → 833 Desert Sky Blvd, Tampa |
| Proposed | — | ||
| ACT-011433 | Outreach address corrected Outreach | Luis Kelly: 7567 Highland Ave # 447, Glendale → 7567 Highland Ave, Glendale |
| Proposed | — | ||
| ACT-011434 | Outreach address corrected Outreach | Christopher Mendoza: 3250 Meadow Ln # 944, Seattle → 9673 Bayshore Dr, Gilbert |
| Proposed | — | ||
| ACT-011435 | Outreach address corrected Outreach | Joseph Webb: 838 Washington St # 194, Minneapolis → 838 Washington St, Minneapolis |
| Proposed | — | ||
| ACT-011436 | Outreach address corrected Outreach | Jesse Fowler: 4715 Sage Ct, Miami → 4715 Sage Ct # 627, Miami |
| Proposed | — | ||
| ACT-011437 | Outreach address corrected Outreach | Paul Fisher: 1977 Mountain View Dr Apt 2, Eden Prairie → 1977 Mountain View Dr, Eden Prairie |
| Proposed | — | ||
| ACT-011438 | Outreach address corrected Outreach | Michael Reynolds: 9598 Mesa Dr, Plano → 9598 Mesa Dr Apt 31, Plano |
| Proposed | — | ||
| ACT-011439 | Outreach address corrected Outreach | Elizabeth Lane: 9077 Hillcrest Rd, Columbus → 9077 Hillcrest Rd Apt 36, Columbus |
| Proposed | — | ||
| ACT-011440 | Outreach address corrected Outreach | Martha Boyd: 6625 Maple Ave, San Diego → 1811 Spring St, Las Vegas |
| Proposed | — | ||
| ACT-011441 | Outreach address corrected Outreach | Ann Morales: 3142 Park Pl Apt 9, Austin → 3142 Park Pl, Austin |
| Proposed | — | ||
| ACT-011442 | Outreach address corrected Outreach | Matthew Kelley: 3860 Ocean Ave, Houston → 3283 Camelback Rd, Gilbert |
| Proposed | — | ||
| ACT-011443 | Outreach address corrected Outreach | Arjun Jackson: 5869 Market St, Plano → 9393 Forest Ave, Jacksonville |
| Proposed | — | ||
| ACT-011444 | Outreach address corrected Outreach | Christine Banks: 1950 Valley View Dr Apt 16, Tempe → 1950 Valley View Dr, Tempe |
| Proposed | — | ||
| ACT-011445 | Outreach address corrected Outreach | Teresa Murphy: 4268 Broadway, Mesa → 4268 Broadway Apt 19, Mesa |
| Proposed | — | ||
| ACT-011446 | Outreach address corrected Outreach | Donald Owens: 4305 Ridge Rd Apt 1, Nashville → 4305 Ridge Rd, Nashville |
| Proposed | — | ||
| ACT-011447 | Outreach address corrected Outreach | Steven Wheeler: 7249 Harbor Blvd # 460, Houston → 7249 Harbor Blvd, Houston |
| Proposed | — | ||
| ACT-011448 | Outreach address corrected Outreach | Sarah Banks: 2393 Broadway, Scottsdale → 3771 Lincoln Way, Houston |
| Proposed | — | ||
| ACT-011449 | Outreach address corrected Outreach | Dennis Morris: 1592 Cedar Ln, Seattle → 1592 Cedar Ln # 237, Seattle |
| Proposed | — | ||
| ACT-011450 | Outreach address corrected Outreach | Danielle Rojas: 4114 Forest Ave, Tucson → 4114 Forest Ave Apt 28, Tucson |
| Proposed | — | ||
| ACT-011451 | Outreach address corrected Outreach | Noah Black: 1296 Willow Ct # 287, Chandler → 1296 Willow Ct, Chandler |
| Proposed | — | ||
| ACT-011452 | Outreach address corrected Outreach | Mateo Myers: 5802 Ridge Rd # 179, Glendale → 5802 Ridge Rd, Glendale |
| Proposed | — | ||
| ACT-011453 | Outreach address corrected Outreach | Andrea Bishop: 7664 Sunset Blvd # 515, Eden Prairie → 7664 Sunset Blvd, Eden Prairie |
| Proposed | — | ||
| ACT-011454 | Outreach address corrected Outreach | Willie Webb: 7251 Willow Ct, Miami → 2644 Grand Ave, Tempe |
| Proposed | — | ||
| ACT-011455 | Outreach address corrected Outreach | Nancy Morrison: 6308 Palm Dr, Seattle → 6308 Palm Dr # 174, Seattle |
| Proposed | — | ||
| ACT-011456 | Outreach address corrected Outreach | Donald Harris: 2294 Valley View Dr, Plano → 2294 Valley View Dr # 737, Plano |
| Proposed | — | ||
| ACT-011457 | Outreach address corrected Outreach | Frances Grant: 7335 Broadway, Los Angeles → 6376 Lake View Rd, Denver |
| Proposed | — | ||
| ACT-011458 | Outreach address corrected Outreach | Michael Castillo: 4631 Sage Ct, Denver → 3184 Bayshore Dr, Dallas |
| Proposed | — | ||
| ACT-011459 | Outreach address corrected Outreach | Terry Henderson: 4042 Desert Sky Blvd, Los Angeles → 6152 Meadow Ln, Minneapolis |
| Proposed | — | ||
| ACT-011460 | Outreach address corrected Outreach | Carol Shaw: 1968 Willow Ct # 833, Orlando → 1968 Willow Ct, Orlando |
| Proposed | — | ||
| ACT-011461 | Outreach address corrected Outreach | Austin Wong: 2723 Grand Ave Apt 35, Houston → 2723 Grand Ave, Houston |
| Proposed | — | ||
| ACT-011462 | Outreach address corrected Outreach | Priya Stewart: 6977 Hillcrest Rd # 880, Jacksonville → 6977 Hillcrest Rd, Jacksonville |
| 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.