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-011563 | Outreach address corrected Outreach | Theresa Padilla: 5793 Hillcrest Rd Apt 3, Columbus → 5793 Hillcrest Rd, Columbus |
| Proposed | — | ||
| ACT-011564 | Outreach address corrected Outreach | Jessica Bennett: 41 Indian School Rd # 527, Mesa → 41 Indian School Rd, Mesa |
| Proposed | — | ||
| ACT-011565 | Outreach address corrected Outreach | Tyler Wagner: 2317 Camelback Rd, Chandler → 2137 Lake View Rd, Austin |
| Proposed | — | ||
| ACT-011566 | Outreach address corrected Outreach | Charles Bryant: 8292 Hillcrest Rd, Las Vegas → 8292 Hillcrest Rd Apt 38, Las Vegas |
| Proposed | — | ||
| ACT-011567 | Outreach address corrected Outreach | Vicky Cook: 2012 Ridge Rd Apt 22, San Antonio → 2012 Ridge Rd, San Antonio |
| Proposed | — | ||
| ACT-011568 | Outreach address corrected Outreach | Rachel Jacobs: 8448 Camelback Rd, Gilbert → 8448 Camelback Rd # 179, Gilbert |
| Proposed | — | ||
| ACT-011569 | Outreach address corrected Outreach | Luis Hernandez: 3548 River Rd, Denver → 3548 River Rd Apt 19, Denver |
| Proposed | — | ||
| ACT-011570 | Outreach address corrected Outreach | Sofia Robertson: 1515 Market St, Plano → 1630 Mesa Dr, Minneapolis |
| Proposed | — | ||
| ACT-011571 | Outreach address corrected Outreach | Ashley Perry: 3205 Ridge Rd, Atlanta → 3205 Ridge Rd Apt 17, Atlanta |
| Proposed | — | ||
| ACT-011572 | Outreach address corrected Outreach | Ahmed Ortiz: 210 Maple Ave # 307, San Antonio → 210 Maple Ave, San Antonio |
| Proposed | — | ||
| ACT-011573 | Outreach address corrected Outreach | Peter Banks: 7123 Ridge Rd # 128, Orlando → 7123 Ridge Rd # 814, Orlando |
| Proposed | — | ||
| ACT-011574 | Outreach address corrected Outreach | Isabella Harper: 6566 Cedar Ln, Las Vegas → 6566 Cedar Ln Apt 35, Las Vegas |
| Proposed | — | ||
| ACT-011575 | Outreach address corrected Outreach | Diana Bailey: 3860 Spring St, Miami → 7001 Central Ave, San Antonio |
| Proposed | — | ||
| ACT-011576 | Outreach address corrected Outreach | Martha Dixon: 1052 Ocean Ave, Chandler → 6794 Park Pl, Atlanta |
| Proposed | — | ||
| ACT-011577 | Outreach address corrected Outreach | Margaret Rice: 5498 Main St, Scottsdale → 1283 Church St, Eden Prairie |
| Proposed | — | ||
| ACT-011578 | Outreach address corrected Outreach | Jordan Thomas: 1659 Desert Sky Blvd, Tampa → 1659 Desert Sky Blvd Apt 24, Tampa |
| Proposed | — | ||
| ACT-011579 | Outreach address corrected Outreach | Hiroshi Dean: 4880 Mountain View Dr, Austin → 8478 Lincoln Way, Austin |
| Proposed | — | ||
| ACT-011580 | Outreach address corrected Outreach | Jose Espinoza: 8225 Market St # 129, Seattle → 8225 Market St, Seattle |
| Proposed | — | ||
| ACT-011581 | Outreach address corrected Outreach | Philip Gray: 9035 Willow Ct, Seattle → 9035 Willow Ct # 251, Seattle |
| Proposed | — | ||
| ACT-011582 | Outreach address corrected Outreach | Arthur Espinoza: 9292 Indian School Rd, Tampa → 9292 Indian School Rd # 446, Tampa |
| Proposed | — | ||
| ACT-011583 | Outreach address corrected Outreach | Larry Grant: 3030 Hillcrest Rd, Los Angeles → 7055 Mesa Dr, Los Angeles |
| Proposed | — | ||
| ACT-011584 | Outreach address corrected Outreach | Kimberly Bryant: 1902 Willow Ct, Dallas → 767 River Rd Apt 12, Scottsdale |
| Proposed | — | ||
| ACT-011585 | Outreach address corrected Outreach | Elijah Montgomery: 7134 Jefferson Ave Apt 24, Nashville → 7134 Jefferson Ave, Nashville |
| Proposed | — | ||
| ACT-011586 | Outreach address corrected Outreach | Bryan Valdez: 3633 Highland Ave, Minneapolis → 5624 Canyon Rd, Columbus |
| Proposed | — | ||
| ACT-011587 | Outreach address corrected Outreach | Gary Sullivan: 8505 Market St, Tempe → 4564 Baseline Rd, Atlanta |
| Proposed | — | ||
| ACT-011588 | Outreach address corrected Outreach | Victoria Bennett: 9161 Maple Ave # 210, Tempe → 9161 Maple Ave, Tempe |
| Proposed | — | ||
| ACT-011589 | Outreach address corrected Outreach | Julie Ross: 7517 Meadow Ln # 182, Chandler → 7517 Meadow Ln, Chandler |
| Proposed | — | ||
| ACT-011590 | Outreach address corrected Outreach | Michael Schmidt: 7258 Harbor Blvd # 156, Dallas → 7258 Harbor Blvd, Dallas |
| Proposed | — | ||
| ACT-011591 | Outreach address corrected Outreach | Joan Rivera: 5441 Ocean Ave, Gilbert → 7244 Oak St, Miami |
| Proposed | — | ||
| ACT-011592 | Outreach address corrected Outreach | Adaam Mendez: 2377 Ridge Rd, Orlando → 2377 Ridge Rd # 194, Orlando |
| Proposed | — | ||
| ACT-011593 | Outreach address corrected Outreach | Judith Gonzales: 144 Canyon Rd Apt 2, Seattle → 144 Canyon Rd, Seattle |
| Proposed | — | ||
| ACT-011594 | Outreach address corrected Outreach | Carol Kelly: 1796 Maple Ave, Seattle → 1796 Maple Ave # 529, Seattle |
| Proposed | — | ||
| ACT-011595 | Outreach address corrected Outreach | Olivia Hunter: 785 Cedar Ln Apt 40, Seattle → 9412 Harbor Blvd, Scottsdale |
| Proposed | — | ||
| ACT-011596 | Outreach address corrected Outreach | Gregory Jimenez: 8862 Sunset Blvd Apt 3, Plano → 8862 Sunset Blvd, Plano |
| Proposed | — | ||
| ACT-011597 | Outreach address corrected Outreach | Kimberly Hunter: 3181 Forest Ave, San Antonio → 3181 Forest Ave Apt 40, San Antonio |
| Proposed | — | ||
| ACT-011598 | Outreach address corrected Outreach | Samantha Adams: 6922 Sage Ct, Fresno → 6922 Sage Ct # 957, Fresno |
| Proposed | — | ||
| ACT-011599 | Outreach address corrected Outreach | Madison Hawkins: 3643 Forest Ave Apt 20, Gilbert → 3643 Forest Ave, Gilbert |
| Proposed | — | ||
| ACT-011600 | Outreach address corrected Outreach | William Weaver: 8974 Indian School Rd, Atlanta → 8974 Indian School Rd # 663, Atlanta |
| Proposed | — | ||
| ACT-011601 | Outreach address corrected Outreach | Alexis Harper: 1298 Central Ave, Sacramento → 1582 Sage Ct, Eden Prairie |
| Proposed | — | ||
| ACT-011602 | Outreach address corrected Outreach | Juan Armstrong: 4410 Forest Ave, Columbus → 4410 Forest Ave Apt 12, Columbus |
| Proposed | — | ||
| ACT-011603 | Outreach address corrected Outreach | Lawrence Ramirez: 1423 Cedar Ln Apt 23, Tucson → 1423 Cedar Ln, Tucson |
| Proposed | — | ||
| ACT-011604 | Outreach address corrected Outreach | Margaret Watson: 5608 Elm St # 807, Orlando → 5608 Elm St, Orlando |
| Proposed | — | ||
| ACT-011605 | Outreach address corrected Outreach | Michael Baker: 3497 Oak St, Eden Prairie → 3497 Oak St Apt 25, Eden Prairie |
| Proposed | — | ||
| ACT-011606 | Outreach address corrected Outreach | Lawrence Mitchell: 5724 Hillcrest Rd Apt 11, Columbus → 5724 Hillcrest Rd, Columbus |
| Proposed | — | ||
| ACT-011607 | Outreach address corrected Outreach | Nathan Burns: 9807 Mesa Dr, Austin → 9807 Mesa Dr # 200, Austin |
| Proposed | — | ||
| ACT-011608 | Outreach address corrected Outreach | Keith Griffin: 9173 Lake View Rd Apt 2, Tucson → 9173 Lake View Rd, Tucson |
| Proposed | — | ||
| ACT-011609 | Outreach address corrected Outreach | Theresa Carroll: 1156 Harbor Blvd, Seattle → 7403 Baseline Rd, Scottsdale |
| Proposed | — | ||
| ACT-011610 | Outreach address corrected Outreach | Thomas Soto: 3604 Spring St, Tempe → 3604 Spring St Apt 14, Tempe |
| Proposed | — | ||
| ACT-011611 | Outreach address corrected Outreach | Sean Nunez: 4431 Forest Ave, Fresno → 4431 Forest Ave # 376, Fresno |
| Proposed | — | ||
| ACT-011612 | Outreach address corrected Outreach | Jean Thomas: 7194 Ocean Ave, Scottsdale → 2362 Mesa Dr, Tempe |
| 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.