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-012752 | Outreach address corrected Outreach | John Maldonado: 5787 Apache Blvd, Seattle → 5787 Apache Blvd # 608, Seattle |
| Proposed | — | ||
| ACT-012753 | Outreach address corrected Outreach | Nicole Rice: 8696 Canyon Rd Apt 39, Fresno → 8696 Canyon Rd, Fresno |
| Proposed | — | ||
| ACT-012754 | Outreach address corrected Outreach | Helen Mendez: 8923 River Rd, Chandler → 8102 Market St # 888, Glendale |
| Proposed | — | ||
| ACT-012755 | Outreach address corrected Outreach | Judith Morgan: 112 Meadow Ln, Chandler → 112 Meadow Ln # 869, Chandler |
| Proposed | — | ||
| ACT-012756 | Outreach address corrected Outreach | Raymond Woods: 2178 Washington St, Minneapolis → 2178 Washington St Apt 38, Minneapolis |
| Proposed | — | ||
| ACT-012757 | Outreach address corrected Outreach | Pauul Bradley: 3539 Ocean Ave, San Antonio → 3539 Ocean Ave # 665, San Antonio |
| Proposed | — | ||
| ACT-012758 | Outreach address corrected Outreach | Mateo Burton: 3588 Main St, Plano → 2201 Oak St, Tampa |
| Proposed | — | ||
| ACT-012759 | Outreach address corrected Outreach | Dylan Padila: 8669 Meadow Ln Apt 38, Plano → 8669 Meadow Ln, Plano |
| Proposed | — | ||
| ACT-012760 | Outreach address corrected Outreach | Ahmed Harper: 8851 Valley View Dr Apt 9, Dallas → 8851 Valley View Dr, Dallas |
| Proposed | — | ||
| ACT-012761 | Outreach address corrected Outreach | Shirley Hunt: 1390 Indian School Rd # 987, Fresno → 1390 Indian School Rd, Fresno |
| Proposed | — | ||
| ACT-012762 | Outreach address corrected Outreach | Luis Richardson: 7253 Elm St # 531, Los Angeles → 7253 Elm St # 117, Los Angeles |
| Proposed | — | ||
| ACT-012763 | Outreach address corrected Outreach | Angela George: 103 Maple Ave, Seattle → 9109 Valley View Dr, Columbus |
| Proposed | — | ||
| ACT-012764 | Outreach address corrected Outreach | Daniel Mejia: 7763 Ocean Ave, Columbus → 7763 Ocean Ave # 518, Columbus |
| Proposed | — | ||
| ACT-012765 | Outreach address corrected Outreach | Sophia Bell: 1968 Hillcrest Rd, Glendale → 381 Jefferson Ave, Scottsdale |
| Proposed | — | ||
| ACT-012766 | Outreach address corrected Outreach | Marcus Luna: 2817 Bayshore Dr, Las Vegas → 4042 Desert Sky Blvd, Scottsdale |
| Proposed | — | ||
| ACT-012767 | Outreach address corrected Outreach | Paul Crawford: 5404 Highland Ave Apt 4, Columbus → 5404 Highland Ave, Columbus |
| Proposed | — | ||
| ACT-012768 | Outreach address corrected Outreach | Jerry Washington: 9241 Church St, Charlotte → 4832 Market St, Charlotte |
| Proposed | — | ||
| ACT-012769 | Outreach address corrected Outreach | Timothy Long: 9529 Broadway, Miami → 518 Pine Dr # 585, Minneapolis |
| Proposed | — | ||
| ACT-012770 | Outreach address corrected Outreach | Debra Riley: 6684 Broadway Apt 18, Houston → 6684 Broadway, Houston |
| Proposed | — | ||
| ACT-012771 | Outreach address corrected Outreach | Judy Hawkins: 2248 Mountain View Dr, San Antonio → 1144 Washington St, Houston |
| Proposed | — | ||
| ACT-012772 | Outreach address corrected Outreach | Lauren Johnston: 7541 Mountain View Dr Apt 20, San Antonio → 7541 Mountain View Dr, San Antonio |
| Proposed | — | ||
| ACT-012773 | Outreach address corrected Outreach | Sofia Owens: 3376 Central Ave # 749, Denver → 3376 Central Ave, Denver |
| Proposed | — | ||
| ACT-012774 | Outreach address corrected Outreach | Lisa Vega: 8409 Broadway, Houston → 9673 Indian School Rd, Houston |
| Proposed | — | ||
| ACT-012775 | Outreach address corrected Outreach | Zachary Ray: 383 Sunset Blvd, Plano → 383 Sunset Blvd Apt 16, Plano |
| Proposed | — | ||
| ACT-012776 | Outreach address corrected Outreach | Deborah Baker: 2179 Highland Ave, San Diego → 3889 Canyon Rd, Plano |
| Proposed | — | ||
| ACT-012777 | Outreach address corrected Outreach | Samuel Wheeler: 5473 Bayshore Dr, San Antonio → 889 Cedar Ln, San Antonio |
| Proposed | — | ||
| ACT-012778 | Outreach address corrected Outreach | Logan Richardson: 2481 Apache Blvd, Las Vegas → 2481 Apache Blvd # 472, Las Vegas |
| Proposed | — | ||
| ACT-012779 | Outreach address corrected Outreach | Jerry Contreras: 1086 Lincoln Way, Houston → 7457 Canyon Rd, Nashville |
| Proposed | — | ||
| ACT-012780 | Outreach address corrected Outreach | Frank Wright: 9434 Ocean Ave Apt 4, Houston → 9434 Ocean Ave, Houston |
| Proposed | — | ||
| ACT-012781 | Outreach address corrected Outreach | Paul Marshall: 980 Central Ave Apt 9, Atlanta → 980 Central Ave, Atlanta |
| Proposed | — | ||
| ACT-012782 | Outreach address corrected Outreach | Michelle Nelson: 2704 Lincoln Way, Nashville → 2704 Lincoln Way Apt 15, Nashville |
| Proposed | — | ||
| ACT-012783 | Outreach address corrected Outreach | Lawrence Kelly: 7196 Oak St Apt 29, Columbus → 7196 Oak St, Columbus |
| Proposed | — | ||
| ACT-012784 | Outreach address corrected Outreach | Kayla Shaw: 9289 Central Ave, Fresno → 7949 Jefferson Ave, Houston |
| Proposed | — | ||
| ACT-012785 | Outreach address corrected Outreach | Joseph Wheeler: 3173 Willow Ct, Sacramento → 3173 Willow Ct # 168, Sacramento |
| Proposed | — | ||
| ACT-012786 | Outreach address corrected Outreach | Brian Cole: 8635 Market St, Miami → 8635 Market St Apt 13, Miami |
| Proposed | — | ||
| ACT-012787 | Outreach address corrected Outreach | Jordan Burton: 9072 Forest Ave Apt 8, Las Vegas → 9072 Forest Ave, Las Vegas |
| Proposed | — | ||
| ACT-012788 | Outreach address corrected Outreach | Juan Kelly: 1899 Maple Ave Apt 20, Dallas → 1899 Maple Ave, Dallas |
| Proposed | — | ||
| ACT-012789 | Outreach address corrected Outreach | Kayla Hart: 61 Washington St, Tempe → 6020 Ridge Rd, Columbus |
| Proposed | — | ||
| ACT-012790 | Outreach address corrected Outreach | Catherine Luna: 4991 Forest Ave Apt 4, Jacksonville → 4991 Forest Ave Apt 1, Jacksonville |
| Proposed | — | ||
| ACT-012791 | Outreach address corrected Outreach | Richard Hicks: 6440 River Rd, Eden Prairie → 6440 River Rd Apt 15, Eden Prairie |
| Proposed | — | ||
| ACT-012792 | Outreach address corrected Outreach | Laura Nguyen: 635 Willow Ct Apt 3, Plano → 635 Willow Ct, Plano |
| Proposed | — | ||
| ACT-012793 | Outreach address corrected Outreach | Sean Barnes: 4382 Indian School Rd, Denver → 8435 Mesa Dr, Las Vegas |
| Proposed | — | ||
| ACT-012794 | Outreach address corrected Outreach | Marilyn Walker: 721 River Rd Apt 10, Minneapolis → 721 River Rd, Minneapolis |
| Proposed | — | ||
| ACT-012795 | Outreach address corrected Outreach | Virginia Hill: 5020 Ridge Rd # 349, Tampa → 5020 Ridge Rd, Tampa |
| Proposed | — | ||
| ACT-012796 | Outreach address corrected Outreach | Katherine Carpenter: 6394 Oak St Apt 32, Austin → 2630 Harbor Blvd, Tampa |
| Proposed | — | ||
| ACT-012797 | Outreach address corrected Outreach | Bobby Sanders: 3447 Lincoln Way Apt 34, Orlando → 3447 Lincoln Way, Orlando |
| Proposed | — | ||
| ACT-012798 | Outreach address corrected Outreach | Amber Robinson: 7063 River Rd, Jacksonville → 3458 Highland Ave, Mesa |
| Proposed | — | ||
| ACT-012799 | Outreach address corrected Outreach | Isabella Shaw: 1072 Maple Ave Apt 3, Tampa → 1072 Maple Ave, Tampa |
| Proposed | — | ||
| ACT-012800 | Outreach address corrected Outreach | Ana Knight: 4791 Harbor Blvd # 439, Glendale → 4791 Harbor Blvd # 125, Glendale |
| Proposed | — | ||
| ACT-012801 | Outreach address corrected Outreach | Julia Chavez: 6840 Willow Ct Apt 8, Atlanta → 6840 Willow Ct, Atlanta |
| 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.