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-011963 | Outreach address corrected Outreach | Maria Jordan: 4541 Spring St, Seattle → 9605 Cedar Ln, Austin |
| Proposed | — | ||
| ACT-011964 | Outreach address corrected Outreach | Priya Collins: 6339 Baseline Rd Apt 24, Mesa → 6339 Baseline Rd, Mesa |
| Proposed | — | ||
| ACT-011965 | Outreach address corrected Outreach | Alexis Lane: 5964 Maple Ave, Miami → 7368 Desert Sky Blvd, San Antonio |
| Proposed | — | ||
| ACT-011966 | Outreach address corrected Outreach | Lori Warren: 4758 Highland Ave Apt 7, Los Angeles → 4758 Highland Ave, Los Angeles |
| Proposed | — | ||
| ACT-011967 | Outreach address corrected Outreach | Marcus Nelson: 4225 Washington St, Tempe → 4225 Washington St Apt 11, Tempe |
| Proposed | — | ||
| ACT-011968 | Outreach address corrected Outreach | Joan Elliott: 8888 Central Ave, Miami → 8888 Central Ave Apt 27, Miami |
| Proposed | — | ||
| ACT-011969 | Outreach address corrected Outreach | Sarah Guzman: 1172 Sage Ct, Denver → 2359 Canyon Rd, Minneapolis |
| Proposed | — | ||
| ACT-011970 | Outreach address corrected Outreach | Ann White: 159 Hillcrest Rd Apt 19, Nashville → 159 Hillcrest Rd, Nashville |
| Proposed | — | ||
| ACT-011971 | Outreach address corrected Outreach | Gary Greene: 1733 River Rd # 757, Houston → 1733 River Rd, Houston |
| Proposed | — | ||
| ACT-011972 | Outreach address corrected Outreach | Melissa Simmons: 3474 Sage Ct Apt 23, Atlanta → 3474 Sage Ct, Atlanta |
| Proposed | — | ||
| ACT-011973 | Outreach address corrected Outreach | Betty Lewis: 3459 River Rd Apt 22, San Antonio → 3459 River Rd, San Antonio |
| Proposed | — | ||
| ACT-011974 | Outreach address corrected Outreach | Edward Russell: 7133 Meadow Ln # 302, Tucson → 7133 Meadow Ln # 832, Tucson |
| Proposed | — | ||
| ACT-011975 | Outreach address corrected Outreach | Pamela Phillips: 9186 Willow Ct Apt 35, Denver → 9186 Willow Ct, Denver |
| Proposed | — | ||
| ACT-011976 | Outreach address corrected Outreach | Omar Thomas: 3899 Union St # 135, Eden Prairie → 3899 Union St Apt 32, Eden Prairie |
| Proposed | — | ||
| ACT-011977 | Outreach address corrected Outreach | Alice Gonzalez: 8376 Ridge Rd, Seattle → 8283 Mesa Dr, Sacramento |
| Proposed | — | ||
| ACT-011978 | Outreach address corrected Outreach | Gerald Alvarez: 3604 Mountain View Dr, Miami → 3604 Mountain View Dr Apt 27, Miami |
| Proposed | — | ||
| ACT-011979 | Outreach address corrected Outreach | Billy Hansen: 8826 Grand Ave, San Diego → 8826 Grand Ave Apt 5, San Diego |
| Proposed | — | ||
| ACT-011980 | Outreach address corrected Outreach | Helen Nguyen: 9835 Meadow Ln # 392, Nashville → 9835 Meadow Ln, Nashville |
| Proposed | — | ||
| ACT-011981 | Outreach address corrected Outreach | Mateo Warren: 9718 Elm St, Sacramento → 9718 Elm St Apt 32, Sacramento |
| Proposed | — | ||
| ACT-011982 | Outreach address corrected Outreach | Amy Mejia: 4656 Union St, Atlanta → 1011 Canyon Rd, Houston |
| Proposed | — | ||
| ACT-011983 | Outreach address corrected Outreach | Keith Singh: 7307 Apache Blvd # 368, Columbus → 7307 Apache Blvd, Columbus |
| Proposed | — | ||
| ACT-011984 | Outreach address corrected Outreach | Brittany Patel: 7747 Apache Blvd, Mesa → 7747 Apache Blvd Apt 10, Mesa |
| Proposed | — | ||
| ACT-011985 | Outreach address corrected Outreach | Padilla Ann: 6081 Lake View Rd, Minneapolis → 6081 Lake View Rd Apt 17, Minneapolis |
| Proposed | — | ||
| ACT-011986 | Outreach address corrected Outreach | Carolyn Andrews: 3145 Ridge Rd, Austin → 5721 Ocean Ave, Tucson |
| Proposed | — | ||
| ACT-011987 | Outreach address corrected Outreach | Wayne Brown: 4147 Market St, Sacramento → 7841 River Rd, Columbus |
| Proposed | — | ||
| ACT-011988 | Outreach address corrected Outreach | Logan Andrews: 1919 Union St, Eden Prairie → 1378 Park Pl, Tempe |
| Proposed | — | ||
| ACT-011989 | Outreach address corrected Outreach | Natalie Ferguson: 8350 Hillcrest Rd, Tempe → 8350 Hillcrest Rd Apt 20, Tempe |
| Proposed | — | ||
| ACT-011990 | Outreach address corrected Outreach | Adam Collins: 4869 Willow Ct, Columbus → 4869 Willow Ct # 683, Columbus |
| Proposed | — | ||
| ACT-011991 | Outreach address corrected Outreach | Harold Fernandez: 6390 Lake View Rd, Sacramento → 6390 Lake View Rd Apt 24, Sacramento |
| Proposed | — | ||
| ACT-011992 | Outreach address corrected Outreach | Kenneth Hill: 9118 Spring St Apt 14, Las Vegas → 9118 Spring St, Las Vegas |
| Proposed | — | ||
| ACT-011993 | Outreach address corrected Outreach | Angela Brown: 5531 Grand Ave, Glendale → 7762 Mesa Dr, San Antonio |
| Proposed | — | ||
| ACT-011994 | Outreach address corrected Outreach | Dennis Morris: 1163 Willow Ct, Minneapolis → 1163 Willow Ct Apt 1, Minneapolis |
| Proposed | — | ||
| ACT-011995 | Outreach address corrected Outreach | Megan Maqruez: 4790 Washington St # 163, Mesa → 4790 Washington St, Mesa |
| Proposed | — | ||
| ACT-011996 | Outreach address corrected Outreach | Teresa Ortega: 7314 Oak St, Jacksonville → 2558 Broadway, Jacksonville |
| Proposed | — | ||
| ACT-011997 | Outreach address corrected Outreach | Gabriel Castillo: 1163 Church St Apt 2, Plano → 1163 Church St, Plano |
| Proposed | — | ||
| ACT-011998 | Outreach address corrected Outreach | Bryan Grant: 2840 Grand Ave, Charlotte → 7460 Mountain View Dr, Chandler |
| Proposed | — | ||
| ACT-011999 | Outreach address corrected Outreach | Andrew Bennett: 7139 Grand Ave, Denver → 7099 Cedar Ln, Las Vegas |
| Proposed | — | ||
| ACT-012000 | Outreach address corrected Outreach | Keith Bell: 2197 Oak St, Eden Prairie → 2197 Oak St Apt 8, Eden Prairie |
| Proposed | — | ||
| ACT-012001 | Outreach address corrected Outreach | Raymond Armstrong: 2275 Forest Ave Apt 36, Sacramento → 2275 Forest Ave, Sacramento |
| Proposed | — | ||
| ACT-012002 | Outreach address corrected Outreach | Jake Harvey: 9345 Main St, San Diego → 9345 Main St Apt 38, San Diego |
| Proposed | — | ||
| ACT-012003 | Outreach address corrected Outreach | Nancy Castillo: 8927 Pine Dr # 413, Tucson → 8927 Pine Dr Apt 40, Tucson |
| Proposed | — | ||
| ACT-012004 | Outreach address corrected Outreach | Mark Kelly: 9319 Main St Apt 40, San Diego → 9319 Main St, San Diego |
| Proposed | — | ||
| ACT-012005 | Outreach address corrected Outreach | Jacqueline Nunez: 2269 Sage Ct Apt 35, Glendale → 2269 Sage Ct, Glendale |
| Proposed | — | ||
| ACT-012006 | Outreach address corrected Outreach | Sam Brown: 5214 Park Pl, Houston → 9729 Lake View Rd, Mesa |
| Proposed | — | ||
| ACT-012007 | Outreach address corrected Outreach | Kathryn Hart: 1306 Pine Dr Apt 24, Atlanta → 1306 Pine Dr, Atlanta |
| Proposed | — | ||
| ACT-012008 | Outreach address corrected Outreach | Marcus Richards: 8720 Market St Apt 18, Atlanta → 8720 Market St Apt 34, Atlanta |
| Proposed | — | ||
| ACT-012009 | Outreach address corrected Outreach | Lisa Wood: 9058 Ocean Ave, Houston → 7709 Meadow Ln, Glendale |
| Proposed | — | ||
| ACT-012010 | Outreach address corrected Outreach | Eric James: 6336 Hillcrest Rd, San Diego → 6336 Hillcrest Rd # 398, San Diego |
| Proposed | — | ||
| ACT-012011 | Outreach address corrected Outreach | Jack Marshall: 4285 Main St, Mesa → 4285 Main St Apt 15, Mesa |
| Proposed | — | ||
| ACT-012012 | Outreach address corrected Outreach | Michael Lynch: 4883 Park Pl # 848, Tempe → 4883 Park Pl, 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.