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-011763 | Outreach address corrected Outreach | Adam Taylor: 5074 Ocean Ave # 916, Scottsdale → 5074 Ocean Ave, Scottsdale |
| Proposed | — | ||
| ACT-011764 | Outreach address corrected Outreach | Tyler Kelley: 2984 Hillcrest Rd, Tucson → 636 Spring St, Austin |
| Proposed | — | ||
| ACT-011765 | Outreach address corrected Outreach | Willie Wang: 4970 Cedar Ln, San Antonio → 4236 Washington St, Eden Prairie |
| Proposed | — | ||
| ACT-011766 | Outreach address corrected Outreach | Nancy George: 436 Bayshore Dr, San Antonio → 436 Bayshore Dr # 320, San Antonio |
| Proposed | — | ||
| ACT-011767 | Outreach address corrected Outreach | Donald Santiago: 4272 Harbor Blvd Apt 30, Miami → 4272 Harbor Blvd, Miami |
| Proposed | — | ||
| ACT-011768 | Outreach address corrected Outreach | Dennis Hamilton: 7037 Highland Ave, Nashville → 3844 Forest Ave, Los Angeles |
| Proposed | — | ||
| ACT-011769 | Outreach address corrected Outreach | Scott Henderson: 3317 Forest Ave, Gilbert → 3317 Forest Ave Apt 39, Gilbert |
| Proposed | — | ||
| ACT-011770 | Outreach address corrected Outreach | Kenneth McDonald: 1501 River Rd # 192, Tampa → 1501 River Rd, Tampa |
| Proposed | — | ||
| ACT-011771 | Outreach address corrected Outreach | Natalie Green: 8006 Highland Ave, Austin → 4312 Apache Blvd, Glendale |
| Proposed | — | ||
| ACT-011772 | Outreach address corrected Outreach | Stephen Cook: 4900 Bayshore Dr, Tempe → 4900 Bayshore Dr Apt 33, Tempe |
| Proposed | — | ||
| ACT-011773 | Outreach address corrected Outreach | Christopher Peterson: 8720 Grand Ave, Phoenix → 8720 Grand Ave Apt 24, Phoenix |
| Proposed | — | ||
| ACT-011774 | Outreach address corrected Outreach | Linda Bishop: 1478 Maple Ave, Jacksonville → 1478 Maple Ave # 884, Jacksonville |
| Proposed | — | ||
| ACT-011775 | Outreach address corrected Outreach | Dylan Stone: 4962 Market St, Charlotte → 4962 Market St # 463, Charlotte |
| Proposed | — | ||
| ACT-011776 | Outreach address corrected Outreach | Jeffrey Payne: 8073 Lake View Rd, Tempe → 8073 Lake View Rd Apt 2, Tempe |
| Proposed | — | ||
| ACT-011777 | Outreach address corrected Outreach | Theresa Wagner: 3153 Lake View Rd, Tucson → 795 Central Ave, Fresno |
| Proposed | — | ||
| ACT-011778 | Outreach address corrected Outreach | Beth Kennedy: 2428 Valley View Dr Apt 36, Jacksonville → 2428 Valley View Dr, Jacksonville |
| Proposed | — | ||
| ACT-011779 | Outreach address corrected Outreach | Gerald Gomez: 8799 Harbor Blvd, Miami → 4632 Ocean Ave, Houston |
| Proposed | — | ||
| ACT-011780 | Outreach address corrected Outreach | Janet Ford: 4746 Spring St, Glendale → 4746 Spring St Apt 28, Glendale |
| Proposed | — | ||
| ACT-011781 | Outreach address corrected Outreach | Watson Amy: 9190 Apache Blvd, San Diego → 9190 Apache Blvd Apt 31, San Diego |
| Proposed | — | ||
| ACT-011782 | Outreach address corrected Outreach | Scott Hughes: 5069 Lincoln Way # 614, Orlando → 5069 Lincoln Way, Orlando |
| Proposed | — | ||
| ACT-011783 | Outreach address corrected Outreach | Logan Rivera: 8658 Elm St, Phoenix → 8658 Elm St Apt 11, Phoenix |
| Proposed | — | ||
| ACT-011784 | Outreach address corrected Outreach | Christina Hoffman: 3768 Highland Ave, Tucson → 5243 Apache Blvd, Mesa |
| Proposed | — | ||
| ACT-011785 | Outreach address corrected Outreach | Amanda McDonald: 2036 Indian School Rd Apt 28, Seattle → 2036 Indian School Rd, Seattle |
| Proposed | — | ||
| ACT-011786 | Outreach address corrected Outreach | Amaanda Evans: 3904 Ocean Ave Apt 28, San Diego → 3904 Ocean Ave, San Diego |
| Proposed | — | ||
| ACT-011787 | Outreach address corrected Outreach | Susan Salazar: 1616 Sunset Blvd Apt 30, Glendale → 1616 Sunset Blvd, Glendale |
| Proposed | — | ||
| ACT-011788 | Outreach address corrected Outreach | Ralph Campbell: 4022 Main St # 221, Atlanta → 3390 Oak St, Tempe |
| Proposed | — | ||
| ACT-011789 | Outreach address corrected Outreach | Ana Mendoza: 2702 Lake View Rd, Atlanta → 2702 Lake View Rd Apt 35, Atlanta |
| Proposed | — | ||
| ACT-011790 | Outreach address corrected Outreach | Sara Hanson: 2711 Sage Ct # 296, Charlotte → 2711 Sage Ct, Charlotte |
| Proposed | — | ||
| ACT-011791 | Outreach address corrected Outreach | Virginia Dominguez: 9376 Elm St, Orlando → 9376 Elm St Apt 25, Orlando |
| Proposed | — | ||
| ACT-011792 | Outreach address corrected Outreach | Nathan Harrison: 4637 Indian School Rd, Jacksonville → 452 Highland Ave, Chandler |
| Proposed | — | ||
| ACT-011793 | Outreach address corrected Outreach | Donna Warren: 5205 Valley View Dr, Jacksonville → 5205 Valley View Dr Apt 8, Jacksonville |
| Proposed | — | ||
| ACT-011794 | Outreach address corrected Outreach | Santiago Howell: 8827 Grand Ave # 461, Austin → 8827 Grand Ave # 355, Austin |
| Proposed | — | ||
| ACT-011795 | Outreach address corrected Outreach | Stephen Hansen: 3118 Sunset Blvd # 178, Nashville → 3118 Sunset Blvd, Nashville |
| Proposed | — | ||
| ACT-011796 | Outreach address corrected Outreach | Roy Coleman: 4485 Pine Dr # 624, Tampa → 4485 Pine Dr, Tampa |
| Proposed | — | ||
| ACT-011797 | Outreach address corrected Outreach | Eugene Yang: 1127 Palm Dr # 815, Denver → 1127 Palm Dr, Denver |
| Proposed | — | ||
| ACT-011798 | Outreach address corrected Outreach | Nathan Schultz: 4204 Highland Ave # 683, Miami → 4204 Highland Ave, Miami |
| Proposed | — | ||
| ACT-011799 | Outreach address corrected Outreach | Emily Taylor: 6234 Elm St Apt 35, Charlotte → 6234 Elm St, Charlotte |
| Proposed | — | ||
| ACT-011800 | Outreach address corrected Outreach | Cheryl Peterson: 3491 Grand Ave, Chandler → 8299 Ridge Rd Apt 38, Orlando |
| Proposed | — | ||
| ACT-011801 | Outreach address corrected Outreach | Shirley Marshall: 8918 Park Pl Apt 34, Denver → 8918 Park Pl, Denver |
| Proposed | — | ||
| ACT-011802 | Outreach address corrected Outreach | Emily Thompson: 7291 Mesa Dr, Charlotte → 7291 Mesa Dr Apt 35, Charlotte |
| Proposed | — | ||
| ACT-011803 | Outreach address corrected Outreach | Karen Romero: 6696 Spring St Apt 30, Denver → 6696 Spring St, Denver |
| Proposed | — | ||
| ACT-011804 | Outreach address corrected Outreach | Omar Stevens: 1230 Church St, Atlanta → 1230 Church St Apt 14, Atlanta |
| Proposed | — | ||
| ACT-011805 | Outreach address corrected Outreach | Katherine Lucas: 6883 Bayshore Dr Apt 6, Plano → 6883 Bayshore Dr, Plano |
| Proposed | — | ||
| ACT-011806 | Outreach address corrected Outreach | Sean Carter: 2976 Mountain View Dr, Glendale → 8727 Union St, Phoenix |
| Proposed | — | ||
| ACT-011807 | Outreach address corrected Outreach | Judith Jenkins: 253 Highland Ave Apt 9, Phoenix → 253 Highland Ave, Phoenix |
| Proposed | — | ||
| ACT-011808 | Outreach address corrected Outreach | Kimberly Lynch: 3986 Spring St, Chandler → 8359 Mountain View Dr, Jacksonville |
| Proposed | — | ||
| ACT-011809 | Outreach address corrected Outreach | Russell Delgado: 8347 Harbor Blvd, Atlanta → 8347 Harbor Blvd # 889, Atlanta |
| Proposed | — | ||
| ACT-011810 | Outreach address corrected Outreach | Nancy Carpenter: 7629 Ocean Ave, Dallas → 7629 Ocean Ave # 426, Dallas |
| Proposed | — | ||
| ACT-011811 | Outreach address corrected Outreach | Victoria Hawkins: 1995 Spring St, Las Vegas → 1995 Spring St # 774, Las Vegas |
| Proposed | — | ||
| ACT-011812 | Outreach address corrected Outreach | Catherine Sanchez: 9542 Mountain View Dr, Charlotte → 9542 Mountain View Dr Apt 29, Charlotte |
| 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.