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-011913 | Outreach address corrected Outreach | Arjun Evans: 2479 Washington St, Nashville → 5961 Broadway, Scottsdale |
| Proposed | — | ||
| ACT-011914 | Outreach address corrected Outreach | Jason Ford: 8074 Maple Ave, Gilbert → 6576 Elm St, Minneapolis |
| Proposed | — | ||
| ACT-011915 | Outreach address corrected Outreach | Carolyn Snyder: 6684 Meadow Ln Apt 6, Scottsdale → 6684 Meadow Ln, Scottsdale |
| Proposed | — | ||
| ACT-011916 | Outreach address corrected Outreach | Ahmed Kelly: 4968 Willow Ct, Tucson → 4968 Willow Ct Apt 16, Tucson |
| Proposed | — | ||
| ACT-011917 | Outreach address corrected Outreach | Jerry Franklin: 2170 Main St, Los Angeles → 2202 Apache Blvd, Houston |
| Proposed | — | ||
| ACT-011918 | Outreach address corrected Outreach | Eugene Roemro: 4701 Oak St, Jacksonville → 4701 Oak St # 253, Jacksonville |
| Proposed | — | ||
| ACT-011919 | Outreach address corrected Outreach | Betty Willis: 2735 Cedar Ln Apt 31, Houston → 2735 Cedar Ln, Houston |
| Proposed | — | ||
| ACT-011920 | Outreach address corrected Outreach | Brittany Jenkins: 4783 Ocean Ave # 627, Charlotte → 4783 Ocean Ave, Charlotte |
| Proposed | — | ||
| ACT-011921 | Outreach address corrected Outreach | Margaret McCoy: 4305 Meadow Ln # 826, Denver → 4305 Meadow Ln, Denver |
| Proposed | — | ||
| ACT-011922 | Outreach address corrected Outreach | Laura Ellis: 145 River Rd Apt 33, Gilbert → 145 River Rd, Gilbert |
| Proposed | — | ||
| ACT-011923 | Outreach address corrected Outreach | Adam Mendoza: 925 Oak St, Chandler → 430 Market St, Tucson |
| Proposed | — | ||
| ACT-011924 | Outreach address corrected Outreach | Thomas Jimenez: 7889 Forest Ave, Gilbert → 7889 Forest Ave # 726, Gilbert |
| Proposed | — | ||
| ACT-011925 | Outreach address corrected Outreach | Donald Baker: 9253 Apache Blvd # 996, Seattle → 9253 Apache Blvd, Seattle |
| Proposed | — | ||
| ACT-011926 | Outreach address corrected Outreach | Michael Reyes: 6699 Spring St # 441, Las Vegas → 6699 Spring St, Las Vegas |
| Proposed | — | ||
| ACT-011927 | Outreach address corrected Outreach | Alan Mendez: 7393 Central Ave # 835, Eden Prairie → 7393 Central Ave, Eden Prairie |
| Proposed | — | ||
| ACT-011928 | Outreach address corrected Outreach | Roger Ortiz: 7876 Forest Ave, Orlando → 2298 Ocean Ave Apt 1, Tempe |
| Proposed | — | ||
| ACT-011929 | Outreach address corrected Outreach | Christopher Perkins: 8198 Baseline Rd, Scottsdale → 8198 Baseline Rd Apt 6, Scottsdale |
| Proposed | — | ||
| ACT-011930 | Outreach address corrected Outreach | Natalie Collins: 8209 River Rd, Las Vegas → 8209 River Rd Apt 13, Las Vegas |
| Proposed | — | ||
| ACT-011931 | Outreach address corrected Outreach | Grace Ramos: 8508 Maple Ave # 474, Minneapolis → 8508 Maple Ave, Minneapolis |
| Proposed | — | ||
| ACT-011932 | Outreach address corrected Outreach | Kathryn Bowman: 1310 Apache Blvd, Denver → 1310 Apache Blvd Apt 1, Denver |
| Proposed | — | ||
| ACT-011933 | Outreach address corrected Outreach | Ethan Peters: 4909 Meadow Ln # 261, Seattle → 4909 Meadow Ln, Seattle |
| Proposed | — | ||
| ACT-011934 | Outreach address corrected Outreach | Isabella Watkins: 1407 Ocean Ave, Mesa → 1407 Ocean Ave # 261, Mesa |
| Proposed | — | ||
| ACT-011935 | Outreach address corrected Outreach | Charlotte Wheeler: 8691 Spring St, Miami → 8961 Park Pl, Sacramento |
| Proposed | — | ||
| ACT-011936 | Outreach address corrected Outreach | Carollyn Shaw: 1489 Cedar Ln # 366, Tampa → 1489 Cedar Ln, Tampa |
| Proposed | — | ||
| ACT-011937 | Outreach address corrected Outreach | Helen Marshall: 6645 Washington St Apt 40, Austin → 6645 Washington St, Austin |
| Proposed | — | ||
| ACT-011938 | Outreach address corrected Outreach | Ralph Bailey: 9827 Elm St # 426, Houston → 9827 Elm St, Houston |
| Proposed | — | ||
| ACT-011939 | Outreach address corrected Outreach | Deborah Jackson: 8786 Jefferson Ave, Las Vegas → 8786 Jefferson Ave Apt 11, Las Vegas |
| Proposed | — | ||
| ACT-011940 | Outreach address corrected Outreach | Doris Carter: 3192 Cedar Ln Apt 35, Mesa → 3192 Cedar Ln, Mesa |
| Proposed | — | ||
| ACT-011941 | Outreach address corrected Outreach | Michael Vazquez: 9570 Broadway, Charlotte → 9570 Broadway Apt 23, Charlotte |
| Proposed | — | ||
| ACT-011942 | Outreach address corrected Outreach | Mark Holmes: 9633 River Rd Apt 23, Houston → 9633 River Rd, Houston |
| Proposed | — | ||
| ACT-011943 | Outreach address corrected Outreach | Melissa Burns: 5052 Willow Ct Apt 2, Gilbert → 5052 Willow Ct Apt 30, Gilbert |
| Proposed | — | ||
| ACT-011944 | Outreach address corrected Outreach | Brittany Torres: 6448 Sunset Blvd, Mesa → 716 Broadway, Plano |
| Proposed | — | ||
| ACT-011945 | Outreach address corrected Outreach | Timothy Carter: 405 Sage Ct # 285, Sacramento → 405 Sage Ct, Sacramento |
| Proposed | — | ||
| ACT-011946 | Outreach address corrected Outreach | Michael Alexander: 3873 Market St # 862, Dallas → 3873 Market St, Dallas |
| Proposed | — | ||
| ACT-011947 | Outreach address corrected Outreach | Jakc Hunt: 8639 Main St Apt 8, Miami → 8639 Main St, Miami |
| Proposed | — | ||
| ACT-011948 | Outreach address corrected Outreach | Carl Banks: 6504 Mountain View Dr, Minneapolis → 6504 Mountain View Dr Apt 25, Minneapolis |
| Proposed | — | ||
| ACT-011949 | Outreach address corrected Outreach | Laura Watkins: 8758 River Rd Apt 32, Las Vegas → 9483 Elm St, Tucson |
| Proposed | — | ||
| ACT-011950 | Outreach address corrected Outreach | Jdy Patel: 2365 Grand Ave, Tucson → 2365 Grand Ave # 289, Tucson |
| Proposed | — | ||
| ACT-011951 | Outreach address corrected Outreach | Jacob Webb: 6904 Broadway, Houston → 6904 Broadway # 970, Houston |
| Proposed | — | ||
| ACT-011952 | Outreach address corrected Outreach | Susan Boyd: 1420 Elm St, Orlando → 8404 Elm St, Gilbert |
| Proposed | — | ||
| ACT-011953 | Outreach address corrected Outreach | Alan Gilbert: 5697 Camelback Rd, Charlotte → 2678 Washington St, Jacksonville |
| Proposed | — | ||
| ACT-011954 | Outreach address corrected Outreach | Marcus Aguilar: 4924 Broadway, Phoenix → 4797 Cedar Ln, Sacramento |
| Proposed | — | ||
| ACT-011955 | Outreach address corrected Outreach | Lawrence Anderson: 5201 Valley View Dr, Denver → 5201 Valley View Dr # 920, Denver |
| Proposed | — | ||
| ACT-011956 | Outreach address corrected Outreach | Alice Yang: 3250 Forest Ave # 936, Sacramento → 3250 Forest Ave, Sacramento |
| Proposed | — | ||
| ACT-011957 | Outreach address corrected Outreach | Patrick Hayes: 2698 Forest Ave, Tampa → 5129 Grand Ave, Orlando |
| Proposed | — | ||
| ACT-011958 | Outreach address corrected Outreach | Edward Hunt: 2783 Bayshore Dr, Atlanta → 2783 Bayshore Dr # 610, Atlanta |
| Proposed | — | ||
| ACT-011959 | Outreach address corrected Outreach | Teresa Roberts: 7920 Main St, Glendale → 4591 Baseline Rd, Nashville |
| Proposed | — | ||
| ACT-011960 | Outreach address corrected Outreach | Valentina Roberts: 8848 Baseline Rd Apt 20, Charlotte → 8848 Baseline Rd, Charlotte |
| Proposed | — | ||
| ACT-011961 | Outreach address corrected Outreach | Donna Morris: 7992 Elm St Apt 3, Nashville → 7992 Elm St, Nashville |
| Proposed | — | ||
| ACT-011962 | Outreach address corrected Outreach | John Taylor: 8613 Washington St, Atlanta → 8613 Washington St # 791, Atlanta |
| 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.