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-012902 | Outreach address corrected Outreach | Frank Garcia: 9059 Market St, Denver → 9059 Market St # 371, Denver |
| Proposed | — | ||
| ACT-012903 | Outreach address corrected Outreach | Donna Diaz: 1140 Elm St Apt 38, Miami → 1140 Elm St, Miami |
| Proposed | — | ||
| ACT-012904 | Outreach address corrected Outreach | Jonathan Reed: 1324 Camelback Rd Apt 1, Tucson → 6034 Jefferson Ave, Tucson |
| Proposed | — | ||
| ACT-012905 | Outreach address corrected Outreach | Jeen Edwards: 4057 Sage Ct, Sacramento → 4057 Sage Ct Apt 4, Sacramento |
| Proposed | — | ||
| ACT-012906 | Outreach address corrected Outreach | Amy Wright: 295 Meadow Ln, Tucson → 295 Meadow Ln # 518, Tucson |
| Proposed | — | ||
| ACT-012907 | Outreach address corrected Outreach | Jean Gonzales: 6416 Canyon Rd, San Antonio → 6416 Canyon Rd Apt 9, San Antonio |
| Proposed | — | ||
| ACT-012908 | Outreach address corrected Outreach | Ronald Ford: 137 Hillcrest Rd, Atlanta → 2253 Lake View Rd, Columbus |
| Proposed | — | ||
| ACT-012909 | Outreach address corrected Outreach | Mary Torres: 9232 Bayshore Dr, Scottsdale → 2322 Maple Ave, Phoenix |
| Proposed | — | ||
| ACT-012910 | Outreach address corrected Outreach | Sara Campbell: 5159 Desert Sky Blvd Apt 24, Gilbert → 5159 Desert Sky Blvd, Gilbert |
| Proposed | — | ||
| ACT-012911 | Outreach address corrected Outreach | Hannah Riley: 2847 Sage Ct, Houston → 2847 Sage Ct Apt 7, Houston |
| Proposed | — | ||
| ACT-012912 | Outreach address corrected Outreach | Ashley Davis: 1452 Church St, Orlando → 1452 Church St Apt 23, Orlando |
| Proposed | — | ||
| ACT-012913 | Outreach address corrected Outreach | Arthur Thompson: 9081 Canyon Rd, Chandler → 4865 Elm St, Atlanta |
| Proposed | — | ||
| ACT-012914 | Outreach address corrected Outreach | Jason Robinson: 3577 Lake View Rd Apt 37, Atlanta → 3577 Lake View Rd, Atlanta |
| Proposed | — | ||
| ACT-012915 | Outreach address corrected Outreach | Richard Kim: 9847 Oak St Apt 20, Dallas → 9847 Oak St, Dallas |
| Proposed | — | ||
| ACT-012916 | Outreach address corrected Outreach | Marilyn Ferguson: 5755 Pine Dr, Mesa → 8625 Camelback Rd, Charlotte |
| Proposed | — | ||
| ACT-012917 | Outreach address corrected Outreach | Judyth Lawrence: 8822 Maple Ave, Gilbert → 8384 Mountain View Dr, San Antonio |
| Proposed | — | ||
| ACT-012918 | Outreach address corrected Outreach | Diane Scott: 5172 Meadow Ln, Sacramento → 6799 Main St, Los Angeles |
| Proposed | — | ||
| ACT-012919 | Outreach address corrected Outreach | Olivia Espinoza: 1329 Meadow Ln Apt 31, San Diego → 1329 Meadow Ln, San Diego |
| Proposed | — | ||
| ACT-012920 | Outreach address corrected Outreach | Deborah Johnson: 1475 Ridge Rd Apt 7, Phoenix → 1475 Ridge Rd, Phoenix |
| Proposed | — | ||
| ACT-012921 | Outreach address corrected Outreach | Sophia Hill: 4128 Spring St # 237, Denver → 4128 Spring St, Denver |
| Proposed | — | ||
| ACT-012922 | Outreach address corrected Outreach | Wei Carroll: 1945 Ocean Ave, Nashville → 1945 Ocean Ave # 936, Nashville |
| Proposed | — | ||
| ACT-012923 | Outreach address corrected Outreach | Jacqueline West: 4293 Cedar Ln, Orlando → 6379 Cedar Ln, Orlando |
| Proposed | — | ||
| ACT-012924 | Outreach address corrected Outreach | Ronald Richardson: 7869 Grand Ave, Sacramento → 7869 Grand Ave # 299, Sacramento |
| Proposed | — | ||
| ACT-012925 | Outreach address corrected Outreach | Anna Bowman: 3232 Spring St Apt 23, Orlando → 3232 Spring St, Orlando |
| Proposed | — | ||
| ACT-012926 | Outreach address corrected Outreach | Russell Hudson: 2756 Washington St # 769, San Antonio → 2756 Washington St, San Antonio |
| Proposed | — | ||
| ACT-012927 | Outreach address corrected Outreach | Lisa Campbell: 1629 Pine Dr # 601, Denver → 1629 Pine Dr, Denver |
| Proposed | — | ||
| ACT-012928 | Outreach address corrected Outreach | Nicholas Kennedy: 1637 Indian School Rd, Phoenix → 4906 Main St, Phoenix |
| Proposed | — | ||
| ACT-012929 | Outreach address corrected Outreach | Heather Burton: 1164 Oak St, Tempe → 9594 Maple Ave, Orlando |
| Proposed | — | ||
| ACT-012930 | Outreach address corrected Outreach | Austin Henderson: 4944 Indian School Rd, San Diego → 4944 Indian School Rd Apt 2, San Diego |
| Proposed | — | ||
| ACT-012931 | Outreach address corrected Outreach | Ryan Daniels: 2759 Bayshore Dr, Glendale → 2759 Bayshore Dr Apt 13, Glendale |
| Proposed | — | ||
| ACT-012932 | Outreach address corrected Outreach | Ashley Hunt: 9010 Grand Ave, Miami → 9010 Grand Ave # 407, Miami |
| Proposed | — | ||
| ACT-012933 | Outreach address corrected Outreach | Martha Simmons: 1191 Park Pl, Atlanta → 1191 Park Pl # 792, Atlanta |
| Proposed | — | ||
| ACT-012934 | Outreach address corrected Outreach | Aisha Cole: 4922 Cedar Ln Apt 39, Minneapolis → 4922 Cedar Ln, Minneapolis |
| Proposed | — | ||
| ACT-012935 | Outreach address corrected Outreach | Marcus Bryant: 7423 Spring St, Fresno → 7423 Spring St # 682, Fresno |
| Proposed | — | ||
| ACT-012936 | Outreach address corrected Outreach | Isabella Reed: 8519 Main St, Gilbert → 8519 Main St # 450, Gilbert |
| Proposed | — | ||
| ACT-012937 | Outreach address corrected Outreach | Sofia Cooper: 4007 Washington St, Sacramento → 4007 Washington St # 866, Sacramento |
| Proposed | — | ||
| ACT-012938 | Outreach address corrected Outreach | Marilyn Perkins: 5018 Ridge Rd # 381, Minneapolis → 5018 Ridge Rd, Minneapolis |
| Proposed | — | ||
| ACT-012939 | Outreach address corrected Outreach | Maria Simpson: 2468 Union St, Houston → 6926 Union St, Tempe |
| Proposed | — | ||
| ACT-012940 | Outreach address corrected Outreach | Maria Wheeler: 6718 Broadway Apt 10, Austin → 6718 Broadway, Austin |
| Proposed | — | ||
| ACT-012941 | Outreach address corrected Outreach | Michael Garrett: 63 Harbor Blvd, Scottsdale → 2144 Apache Blvd, Scottsdale |
| Proposed | — | ||
| ACT-012942 | Outreach address corrected Outreach | Kelly Pierce: 7028 Mesa Dr # 887, Plano → 7028 Mesa Dr, Plano |
| Proposed | — | ||
| ACT-012943 | Outreach address corrected Outreach | Wayne Duncan: 7593 Market St, Mesa → 7593 Market St Apt 32, Mesa |
| Proposed | — | ||
| ACT-012944 | Outreach address corrected Outreach | Aaron Soto: 505 Washington St Apt 29, Fresno → 505 Washington St, Fresno |
| Proposed | — | ||
| ACT-012945 | Outreach address corrected Outreach | Joseph Fowler: 7897 Elm St Apt 34, Miami → 7897 Elm St, Miami |
| Proposed | — | ||
| ACT-012946 | Outreach address corrected Outreach | Linda Luna: 5602 Baseline Rd, Denver → 5602 Baseline Rd # 329, Denver |
| Proposed | — | ||
| ACT-012947 | Outreach address corrected Outreach | Alexis Burton: 6768 Oak St # 694, Dallas → 6768 Oak St, Dallas |
| Proposed | — | ||
| ACT-012948 | Outreach address corrected Outreach | Jack Robertson: 883 Ocean Ave, Tucson → 883 Ocean Ave # 406, Tucson |
| Proposed | — | ||
| ACT-012949 | Outreach address corrected Outreach | Isabella Burton: 3009 Apache Blvd # 188, Tempe → 3009 Apache Blvd, Tempe |
| Proposed | — | ||
| ACT-012950 | Outreach address corrected Outreach | Jason Flores: 2046 Oak St, Atlanta → 8992 Central Ave Apt 12, Orlando |
| Proposed | — | ||
| ACT-012951 | Outreach address corrected Outreach | Hiroshi Lynch: 581 Cedar Ln # 365, Tampa → 581 Cedar Ln, 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.