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-010652 | Outreach address corrected Outreach | Cynthia Allen: 9695 Sunset Blvd # 892, Eden Prairie → 9695 Sunset Blvd, Eden Prairie |
| Proposed | — | ||
| ACT-010653 | Outreach address corrected Outreach | Dorothy Vega: 1660 Ridge Rd # 263, Atlanta → 1660 Ridge Rd, Atlanta |
| Proposed | — | ||
| ACT-010654 | Outreach address corrected Outreach | Ana Rose: 21 Cedar Ln, Columbus → 21 Cedar Ln # 835, Columbus |
| Proposed | — | ||
| ACT-010655 | Outreach address corrected Outreach | Mariana Green: 9052 Grand Ave Apt 1, Denver → 9052 Grand Ave, Denver |
| Proposed | — | ||
| ACT-010656 | Outreach address corrected Outreach | Wayne Garza: 7840 Forest Ave # 508, Jacksonville → 7840 Forest Ave, Jacksonville |
| Proposed | — | ||
| ACT-010657 | Outreach address corrected Outreach | Camila Snyder: 5462 Union St, Austin → 8445 Lake View Rd, Minneapolis |
| Proposed | — | ||
| ACT-010658 | Outreach address corrected Outreach | Marcus Carlson: 4973 Spring St # 808, Orlando → 4973 Spring St, Orlando |
| Proposed | — | ||
| ACT-010659 | Outreach address corrected Outreach | Charles Watson: 2196 Spring St Apt 37, Tempe → 2196 Spring St # 310, Tempe |
| Proposed | — | ||
| ACT-010660 | Outreach address corrected Outreach | Carol Gonzalez: 6918 Desert Sky Blvd, Minneapolis → 6918 Desert Sky Blvd # 784, Minneapolis |
| Proposed | — | ||
| ACT-010661 | Outreach address corrected Outreach | Patrick Gilbert: 1600 Broadway, Phoenix → 9878 Indian School Rd Apt 12, Atlanta |
| Proposed | — | ||
| ACT-010662 | Outreach address corrected Outreach | Gerald Cunningham: 7237 Camelback Rd Apt 27, Nashville → 7237 Camelback Rd, Nashville |
| Proposed | — | ||
| ACT-010663 | Outreach address corrected Outreach | Becky Moore: 6114 Meadow Ln, Charlotte → 6114 Meadow Ln # 964, Charlotte |
| Proposed | — | ||
| ACT-010664 | Outreach address corrected Outreach | Martha Black: 4783 River Rd, Minneapolis → 9603 Baseline Rd, Seattle |
| Proposed | — | ||
| ACT-010665 | Outreach address corrected Outreach | Dorothy Nunez: 5049 Spring St Apt 28, Minneapolis → 5289 Hillcrest Rd, Atlanta |
| Proposed | — | ||
| ACT-010666 | Outreach address corrected Outreach | Pamela Harvey: 5210 River Rd Apt 20, San Antonio → 5210 River Rd, San Antonio |
| Proposed | — | ||
| ACT-010667 | Outreach address corrected Outreach | Anna Ellis: 4372 Lake View Rd # 783, Sacramento → 4372 Lake View Rd # 123, Sacramento |
| Proposed | — | ||
| ACT-010668 | Outreach address corrected Outreach | Jack Yang: 1847 Central Ave # 632, Gilbert → 1847 Central Ave, Gilbert |
| Proposed | — | ||
| ACT-010669 | Outreach address corrected Outreach | Patricia Ross: 52 Desert Sky Blvd, Glendale → 52 Desert Sky Blvd # 609, Glendale |
| Proposed | — | ||
| ACT-010670 | Outreach address corrected Outreach | Denise Roberts: 5846 Indian School Rd, Houston → 5505 Canyon Rd, Scottsdale |
| Proposed | — | ||
| ACT-010671 | Outreach address corrected Outreach | Rachel Marshall: 8677 Washington St, Gilbert → 8677 Washington St # 697, Gilbert |
| Proposed | — | ||
| ACT-010672 | Outreach address corrected Outreach | Noah Roberts: 5412 Main St, Mesa → 5412 Main St Apt 9, Mesa |
| Proposed | — | ||
| ACT-010673 | Outreach address corrected Outreach | Patricia Chavez: 3111 Desert Sky Blvd, Denver → 3111 Desert Sky Blvd Apt 39, Denver |
| Proposed | — | ||
| ACT-010674 | Outreach address corrected Outreach | Dylan Meyer: 6395 Park Pl Apt 2, Scottsdale → 6395 Park Pl, Scottsdale |
| Proposed | — | ||
| ACT-010675 | Outreach address corrected Outreach | Eugene Delgado: 4758 Main St, Tampa → 4758 Main St # 529, Tampa |
| Proposed | — | ||
| ACT-010676 | Outreach address corrected Outreach | Nicholas Stevens: 8181 Sunset Blvd, Glendale → 7772 Washington St, Tampa |
| Proposed | — | ||
| ACT-010677 | Outreach address corrected Outreach | Joyce Carter: 8256 Broadway, Houston → 8256 Broadway # 994, Houston |
| Proposed | — | ||
| ACT-010678 | Outreach address corrected Outreach | Russell Williamson: 1151 Maple Ave Apt 16, Miami → 1151 Maple Ave, Miami |
| Proposed | — | ||
| ACT-010679 | Outreach address corrected Outreach | Joan Gilbert: 6266 Valley View Dr, Austin → 6266 Valley View Dr # 715, Austin |
| Proposed | — | ||
| ACT-010680 | Outreach address corrected Outreach | Mary Miller: 7724 Mountain View Dr, Jacksonville → 9265 Sunset Blvd, Minneapolis |
| Proposed | — | ||
| ACT-010681 | Outreach address corrected Outreach | Gloria Snyder: 8929 Mountain View Dr, Fresno → 8929 Mountain View Dr Apt 13, Fresno |
| Proposed | — | ||
| ACT-010682 | Outreach address corrected Outreach | Billy Nunez: 4262 Washington St # 384, Eden Prairie → 4262 Washington St, Eden Prairie |
| Proposed | — | ||
| ACT-010683 | Outreach address corrected Outreach | Jonathan Rivera: 728 Central Ave # 520, Chandler → 728 Central Ave, Chandler |
| Proposed | — | ||
| ACT-010684 | Outreach address corrected Outreach | Christian Hudson: 5359 Meadow Ln, Columbus → 7305 Market St, Charlotte |
| Proposed | — | ||
| ACT-010685 | Outreach address corrected Outreach | Marilyn James: 4451 Forest Ave Apt 23, Scottsdale → 4451 Forest Ave, Scottsdale |
| Proposed | — | ||
| ACT-010686 | Outreach address corrected Outreach | Mei Bradley: 3322 Palm Dr Apt 27, Denver → 3322 Palm Dr, Denver |
| Proposed | — | ||
| ACT-010687 | Outreach address corrected Outreach | Hannah Simpson: 7540 Camelback Rd, Tucson → 7540 Camelback Rd # 733, Tucson |
| Proposed | — | ||
| ACT-010688 | Outreach address corrected Outreach | Brandon Bans: 9580 Mesa Dr, San Antonio → 41 Central Ave, Houston |
| Proposed | — | ||
| ACT-010689 | Outreach address corrected Outreach | Arthur Ray: 1716 Canyon Rd # 539, Tampa → 1716 Canyon Rd, Tampa |
| Proposed | — | ||
| ACT-010690 | Outreach address corrected Outreach | Austin Welch: 278 Palm Dr Apt 13, Gilbert → 278 Palm Dr, Gilbert |
| Proposed | — | ||
| ACT-010691 | Outreach address corrected Outreach | Mariana Roberts: 3588 Meadow Ln Apt 12, San Antonio → 3588 Meadow Ln, San Antonio |
| Proposed | — | ||
| ACT-010692 | Outreach address corrected Outreach | Theresa Larson: 5031 Church St, Dallas → 5031 Church St # 149, Dallas |
| Proposed | — | ||
| ACT-010693 | Outreach address corrected Outreach | Michael Nelson: 1008 Pine Dr, Sacramento → 1008 Pine Dr Apt 16, Sacramento |
| Proposed | — | ||
| ACT-010694 | Outreach address corrected Outreach | Amber Fields: 2847 Palm Dr, San Antonio → 2847 Palm Dr Apt 40, San Antonio |
| Proposed | — | ||
| ACT-010695 | Outreach address corrected Outreach | Aisha Gardner: 8538 Hillcrest Rd # 265, Sacramento → 8538 Hillcrest Rd, Sacramento |
| Proposed | — | ||
| ACT-010696 | Outreach address corrected Outreach | Evelyn Coleman: 7025 Spring St, Scottsdale → 7025 Spring St # 995, Scottsdale |
| Proposed | — | ||
| ACT-010697 | Outreach address corrected Outreach | Olivia Chapman: 6806 Bayshore Dr, Jacksonville → 8780 Broadway, Orlando |
| Proposed | — | ||
| ACT-010698 | Outreach address corrected Outreach | Patricia Wang: 4280 Lincoln Way, Austin → 8628 Maple Ave, Plano |
| Proposed | — | ||
| ACT-010699 | Outreach address corrected Outreach | Carl Bennett: 9430 Sage Ct, San Antonio → 9430 Sage Ct # 789, San Antonio |
| Proposed | — | ||
| ACT-010700 | Outreach address corrected Outreach | Lauren Nunez: 394 Harbor Blvd, Tampa → 8700 Oak St, Sacramento |
| Proposed | — | ||
| ACT-010701 | Outreach address corrected Outreach | George Medina: 8947 Spring St, Minneapolis → 2311 Sunset Blvd, Seattle |
| 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.