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-011813 | Outreach address corrected Outreach | Ryan Hunt: 6165 Ridge Rd Apt 8, Tempe → 6165 Ridge Rd, Tempe |
| Proposed | — | ||
| ACT-011814 | Outreach address corrected Outreach | John Estrada: 7030 Baseline Rd, San Antonio → 3522 Market St, Miami |
| Proposed | — | ||
| ACT-011815 | Outreach address corrected Outreach | Patricia Rivera: 9792 Ridge Rd, Gilbert → 5972 Grand Ave, Plano |
| Proposed | — | ||
| ACT-011816 | Outreach address corrected Outreach | Randy Ross: 728 Spring St, Orlando → 728 Spring St Apt 28, Orlando |
| Proposed | — | ||
| ACT-011817 | Outreach address corrected Outreach | Kathryn Henderson: 3638 Pine Dr # 972, Sacramento → 3638 Pine Dr, Sacramento |
| Proposed | — | ||
| ACT-011818 | Outreach address corrected Outreach | Laura Watkins: 2762 Willow Ct Apt 17, Mesa → 2762 Willow Ct, Mesa |
| Proposed | — | ||
| ACT-011819 | Outreach address corrected Outreach | Rachel Flores: 3695 Maple Ave Apt 33, Houston → 3695 Maple Ave, Houston |
| Proposed | — | ||
| ACT-011820 | Outreach address corrected Outreach | Juan Gonzales: 6894 Ocean Ave, San Diego → 6894 Ocean Ave Apt 10, San Diego |
| Proposed | — | ||
| ACT-011821 | Outreach address corrected Outreach | Steve Sims: 757 Spring St # 451, Columbus → 757 Spring St, Columbus |
| Proposed | — | ||
| ACT-011822 | Outreach address corrected Outreach | Steve Alvarez: 6594 Spring St # 199, San Antonio → 6594 Spring St, San Antonio |
| Proposed | — | ||
| ACT-011823 | Outreach address corrected Outreach | Bobby Henderson: 9539 Mesa Dr, Los Angeles → 9539 Mesa Dr Apt 2, Los Angeles |
| Proposed | — | ||
| ACT-011824 | Outreach address corrected Outreach | Keith George: 167 Elm St, Atlanta → 9710 Baseline Rd, Los Angeles |
| Proposed | — | ||
| ACT-011825 | Outreach address corrected Outreach | Hiroshi Dominguez: 9789 Central Ave # 962, Orlando → 9789 Central Ave, Orlando |
| Proposed | — | ||
| ACT-011826 | Outreach address corrected Outreach | Jose Padilla: 2576 Elm St, Seattle → 8571 Highland Ave, Chandler |
| Proposed | — | ||
| ACT-011827 | Outreach address corrected Outreach | Kathryn Moreno: 9188 Grand Ave Apt 13, Columbus → 9188 Grand Ave, Columbus |
| Proposed | — | ||
| ACT-011828 | Outreach address corrected Outreach | Nicole Valdez: 2416 Highland Ave # 635, San Diego → 2416 Highland Ave, San Diego |
| Proposed | — | ||
| ACT-011829 | Outreach address corrected Outreach | Yuki Boyd: 8451 Oak St, Scottsdale → 8451 Oak St # 297, Scottsdale |
| Proposed | — | ||
| ACT-011830 | Outreach address corrected Outreach | Juia Walsh: 3114 Palm Dr, Phoenix → 4421 Park Pl, Fresno |
| Proposed | — | ||
| ACT-011831 | Outreach address corrected Outreach | Janet Sullivan: 1756 Lake View Rd, Phoenix → 9446 Sunset Blvd, Phoenix |
| Proposed | — | ||
| ACT-011832 | Outreach address corrected Outreach | Lucia Alvarado: 5529 Camelback Rd, Charlotte → 1364 Palm Dr, Jacksonville |
| Proposed | — | ||
| ACT-011833 | Outreach address corrected Outreach | Bruce Jensen: 1824 Park Pl, Scottsdale → 9140 Oak St, San Diego |
| Proposed | — | ||
| ACT-011834 | Outreach address corrected Outreach | Emily Ford: 1597 Meadow Ln Apt 18, Chandler → 1597 Meadow Ln, Chandler |
| Proposed | — | ||
| ACT-011835 | Outreach address corrected Outreach | Russell Fowler: 8038 Elm St, Sacramento → 8038 Elm St # 484, Sacramento |
| Proposed | — | ||
| ACT-011836 | Outreach address corrected Outreach | George Ramos: 2114 Willow Ct Apt 7, Seattle → 2114 Willow Ct, Seattle |
| Proposed | — | ||
| ACT-011837 | Outreach address corrected Outreach | Roger Howard: 8865 Bayshore Dr Apt 36, Tampa → 8865 Bayshore Dr, Tampa |
| Proposed | — | ||
| ACT-011838 | Outreach address corrected Outreach | Steven Park: 9470 Pine Dr, Austin → 9470 Pine Dr Apt 18, Austin |
| Proposed | — | ||
| ACT-011839 | Outreach address corrected Outreach | Ralph Williamson: 1667 Palm Dr # 816, Scottsdale → 1667 Palm Dr, Scottsdale |
| Proposed | — | ||
| ACT-011840 | Outreach address corrected Outreach | Roger Russell: 1461 River Rd # 310, San Diego → 1461 River Rd, San Diego |
| Proposed | — | ||
| ACT-011841 | Outreach address corrected Outreach | Ahmed Lane: 8041 Forest Ave # 437, Denver → 8041 Forest Ave, Denver |
| Proposed | — | ||
| ACT-011842 | Outreach address corrected Outreach | Danielle Tucker: 5004 Church St, San Antonio → 3682 Central Ave, Gilbert |
| Proposed | — | ||
| ACT-011843 | Outreach address corrected Outreach | Sandra Sanders: 189 Lincoln Way Apt 2, San Antonio → 2015 Pine Dr, Houston |
| Proposed | — | ||
| ACT-011844 | Outreach address corrected Outreach | Heather Le: 5299 Desert Sky Blvd # 844, Austin → 5299 Desert Sky Blvd, Austin |
| Proposed | — | ||
| ACT-011845 | Outreach address corrected Outreach | Mariana McDonald: 6528 Sunset Blvd Apt 24, Minneapolis → 6528 Sunset Blvd, Minneapolis |
| Proposed | — | ||
| ACT-011846 | Outreach address corrected Outreach | Daniel Thomas: 6672 Meadow Ln, Scottsdale → 6862 Apache Blvd, Nashville |
| Proposed | — | ||
| ACT-011847 | Outreach address corrected Outreach | Christina Hughes: 9781 Park Pl, Minneapolis → 9781 Park Pl # 904, Minneapolis |
| Proposed | — | ||
| ACT-011848 | Outreach address corrected Outreach | Sandra Singh: 1491 Jefferson Ave Apt 32, Gilbert → 1491 Jefferson Ave, Gilbert |
| Proposed | — | ||
| ACT-011849 | Outreach address corrected Outreach | Kevin Rumero: 6858 Lake View Rd, Fresno → 6858 Lake View Rd # 310, Fresno |
| Proposed | — | ||
| ACT-011850 | Outreach address corrected Outreach | Ann Ford: 3659 Ridge Rd Apt 14, Houston → 3659 Ridge Rd, Houston |
| Proposed | — | ||
| ACT-011851 | Outreach address corrected Outreach | Philip Martin: 2138 Sage Ct, Eden Prairie → 1083 Sage Ct, Miami |
| Proposed | — | ||
| ACT-011852 | Outreach address corrected Outreach | Ana Cunningham: 1845 Desert Sky Blvd Apt 30, Scottsdale → 1845 Desert Sky Blvd, Scottsdale |
| Proposed | — | ||
| ACT-011853 | Outreach address corrected Outreach | Adam Freeman: 2392 Oak St, San Antonio → 3183 Bayshore Dr, Charlotte |
| Proposed | — | ||
| ACT-011854 | Outreach address corrected Outreach | Robert Patel: 7450 Lake View Rd, Seattle → 7450 Lake View Rd Apt 31, Seattle |
| Proposed | — | ||
| ACT-011855 | Outreach address corrected Outreach | Donald Daniels: 40 Ridge Rd # 377, Sacramento → 40 Ridge Rd, Sacramento |
| Proposed | — | ||
| ACT-011856 | Outreach address corrected Outreach | Teresa Myers: 3439 Pine Dr, Tucson → 3439 Pine Dr # 322, Tucson |
| Proposed | — | ||
| ACT-011857 | Outreach address corrected Outreach | Donald Armstrong: 3391 Lincoln Way Apt 31, Glendale → 3391 Lincoln Way, Glendale |
| Proposed | — | ||
| ACT-011858 | Outreach address corrected Outreach | Donald Fernandez: 1413 Meadow Ln, Tucson → 1413 Meadow Ln Apt 36, Tucson |
| Proposed | — | ||
| ACT-011859 | Outreach address corrected Outreach | Julia Jiimenez: 1012 Canyon Rd, Gilbert → 1012 Canyon Rd # 752, Gilbert |
| Proposed | — | ||
| ACT-011860 | Outreach address corrected Outreach | Charles Cook: 7590 Harbor Blvd, San Diego → 7590 Harbor Blvd # 368, San Diego |
| Proposed | — | ||
| ACT-011861 | Outreach address corrected Outreach | Wayne Collins: 4627 Camelback Rd, Phoenix → 73 Union St, Seattle |
| Proposed | — | ||
| ACT-011862 | Outreach address corrected Outreach | Olivia Carroll: 3195 Harbor Blvd, Nashville → 8986 River Rd, San Diego |
| 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.