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-012013 | Outreach address corrected Outreach | Kathleen Williamson: 7680 Indian School Rd, Charlotte → 2938 Indian School Rd, Dallas |
| Proposed | — | ||
| ACT-012014 | Outreach address corrected Outreach | Ashley Rios: 4034 Ridge Rd, San Diego → 4034 Ridge Rd # 268, San Diego |
| Proposed | — | ||
| ACT-012015 | Outreach address corrected Outreach | Lauren Moreno: 7155 Ocean Ave # 545, Plano → 5356 Ridge Rd, Chandler |
| Proposed | — | ||
| ACT-012016 | Outreach address corrected Outreach | Brenda Stewart: 2741 Hillcrest Rd # 366, Miami → 2741 Hillcrest Rd, Miami |
| Proposed | — | ||
| ACT-012017 | Outreach address corrected Outreach | Jose Roberts: 1301 Elm St # 711, Jacksonville → 1301 Elm St, Jacksonville |
| Proposed | — | ||
| ACT-012018 | Outreach address corrected Outreach | Brandon Armstrong: 2641 Apache Blvd # 334, Denver → 2641 Apache Blvd, Denver |
| Proposed | — | ||
| ACT-012019 | Outreach address corrected Outreach | Jeremy Roberts: 9863 Sage Ct # 235, Columbus → 9863 Sage Ct, Columbus |
| Proposed | — | ||
| ACT-012020 | Outreach address corrected Outreach | Justin Anderson: 3886 Church St, Glendale → 3886 Church St # 737, Glendale |
| Proposed | — | ||
| ACT-012021 | Outreach address corrected Outreach | Nicholas Grant: 7769 Lake View Rd, Fresno → 4316 Desert Sky Blvd, Las Vegas |
| Proposed | — | ||
| ACT-012022 | Outreach address corrected Outreach | Hiroshi Harvey: 2083 Park Pl Apt 7, Jacksonville → 2083 Park Pl, Jacksonville |
| Proposed | — | ||
| ACT-012023 | Outreach address corrected Outreach | Catherine Peters: 387 Park Pl, Tucson → 387 Park Pl # 939, Tucson |
| Proposed | — | ||
| ACT-012024 | Outreach address corrected Outreach | Julie Romero: 5486 Central Ave, Nashville → 5486 Central Ave # 442, Nashville |
| Proposed | — | ||
| ACT-012025 | Outreach address corrected Outreach | Kathryn Holmes: 2668 Willow Ct, Mesa → 7594 Lincoln Way, Los Angeles |
| Proposed | — | ||
| ACT-012026 | Outreach address corrected Outreach | Ken Duncan: 6472 Indian School Rd, Orlando → 6472 Indian School Rd # 106, Orlando |
| Proposed | — | ||
| ACT-012027 | Outreach address corrected Outreach | Yuki Murphy: 9111 Jefferson Ave, Fresno → 3311 Ocean Ave, Sacramento |
| Proposed | — | ||
| ACT-012028 | Outreach address corrected Outreach | Emma Meyer: 4208 Palm Dr # 288, Eden Prairie → 5206 Sunset Blvd, Columbus |
| Proposed | — | ||
| ACT-012029 | Outreach address corrected Outreach | Charles Taylor: 3261 Jefferson Ave, Austin → 3261 Jefferson Ave # 513, Austin |
| Proposed | — | ||
| ACT-012030 | Outreach address corrected Outreach | Diana Dean: 9896 Sage Ct, Dallas → 9896 Sage Ct # 654, Dallas |
| Proposed | — | ||
| ACT-012031 | Outreach address corrected Outreach | Jacob Larson: 4106 Palm Dr Apt 32, Tampa → 4106 Palm Dr, Tampa |
| Proposed | — | ||
| ACT-012032 | Outreach address corrected Outreach | Douglas Mendez: 630 Apache Blvd, Plano → 3502 Willow Ct, Glendale |
| Proposed | — | ||
| ACT-012033 | Outreach address corrected Outreach | Laura Powell: 3187 Harbor Blvd, Eden Prairie → 3187 Harbor Blvd Apt 27, Eden Prairie |
| Proposed | — | ||
| ACT-012034 | Outreach address corrected Outreach | Patricia Banks: 4827 Willow Ct # 283, San Antonio → 4827 Willow Ct, San Antonio |
| Proposed | — | ||
| ACT-012035 | Outreach address corrected Outreach | Sophia Butler: 8857 Washington St Apt 18, Orlando → 8857 Washington St, Orlando |
| Proposed | — | ||
| ACT-012036 | Outreach address corrected Outreach | Ruth Hanson: 3317 Church St # 997, Tempe → 3317 Church St, Tempe |
| Proposed | — | ||
| ACT-012037 | Outreach address corrected Outreach | Joe Peters: 4227 Market St, Miami → 6645 Palm Dr, Los Angeles |
| Proposed | — | ||
| ACT-012038 | Outreach address corrected Outreach | Carl Morales: 5098 Market St # 847, Orlando → 5098 Market St, Orlando |
| Proposed | — | ||
| ACT-012039 | Outreach address corrected Outreach | Cheryl Barnes: 9897 Grand Ave, Scottsdale → 6986 Mountain View Dr, Tempe |
| Proposed | — | ||
| ACT-012040 | Outreach address corrected Outreach | Shirley Carr: 281 Meadow Ln, Fresno → 281 Meadow Ln # 541, Fresno |
| Proposed | — | ||
| ACT-012041 | Outreach address corrected Outreach | Ahmed Silva: 9183 Elm St # 922, Scottsdale → 9183 Elm St, Scottsdale |
| Proposed | — | ||
| ACT-012042 | Outreach address corrected Outreach | Benjamin Rose: 1339 Willow Ct, Phoenix → 3350 Maple Ave, Scottsdale |
| Proposed | — | ||
| ACT-012043 | Outreach address corrected Outreach | Frank Scott: 2437 Highland Ave, Dallas → 2437 Highland Ave Apt 36, Dallas |
| Proposed | — | ||
| ACT-012044 | Outreach address corrected Outreach | Gary King: 6406 Camelback Rd Apt 27, Columbus → 6406 Camelback Rd, Columbus |
| Proposed | — | ||
| ACT-012045 | Outreach address corrected Outreach | Gloria Burton: 9844 Desert Sky Blvd, Glendale → 9844 Desert Sky Blvd Apt 18, Glendale |
| Proposed | — | ||
| ACT-012046 | Outreach address corrected Outreach | Christopher Webb: 3164 Union St Apt 16, Houston → 3164 Union St, Houston |
| Proposed | — | ||
| ACT-012047 | Outreach address corrected Outreach | Arthur Hall: 6568 Cedar Ln, Chandler → 686 Church St, Glendale |
| Proposed | — | ||
| ACT-012048 | Outreach address corrected Outreach | Christine Duncan: 6340 Market St, Las Vegas → 5366 Canyon Rd, Minneapolis |
| Proposed | — | ||
| ACT-012049 | Outreach address corrected Outreach | Helen Jacobs: 2811 Desert Sky Blvd, Las Vegas → 2811 Desert Sky Blvd # 709, Las Vegas |
| Proposed | — | ||
| ACT-012050 | Outreach address corrected Outreach | Michelle Phillips: 4100 Lake View Rd Apt 37, Miami → 4100 Lake View Rd, Miami |
| Proposed | — | ||
| ACT-012051 | Outreach address corrected Outreach | Gregory Gordon: 8156 Mountain View Dr, Tempe → 8156 Mountain View Dr # 815, Tempe |
| Proposed | — | ||
| ACT-012052 | Outreach address corrected Outreach | Gerald Roberts: 4789 Baseline Rd # 864, Seattle → 4789 Baseline Rd, Seattle |
| Proposed | — | ||
| ACT-012053 | Outreach address corrected Outreach | Marilyn Foster: 8187 Harbor Blvd Apt 35, Los Angeles → 8187 Harbor Blvd, Los Angeles |
| Proposed | — | ||
| ACT-012054 | Outreach address corrected Outreach | Diana Webb: 5776 Oak St Apt 25, Scottsdale → 5776 Oak St, Scottsdale |
| Proposed | — | ||
| ACT-012055 | Outreach address corrected Outreach | Jeremy Young: 1049 Palm Dr, Fresno → 6020 Jefferson Ave # 274, Columbus |
| Proposed | — | ||
| ACT-012056 | Outreach address corrected Outreach | Kimberly Jones: 1800 Broadway, Plano → 6153 Central Ave, Columbus |
| Proposed | — | ||
| ACT-012057 | Outreach address corrected Outreach | Arthur Rice: 4090 Market St, Los Angeles → 4090 Market St Apt 15, Los Angeles |
| Proposed | — | ||
| ACT-012058 | Outreach address corrected Outreach | Michelle Alvarez: 1030 Oak St, Austin → 9370 Hillcrest Rd, Tempe |
| Proposed | — | ||
| ACT-012059 | Outreach address corrected Outreach | Joe Mills: 2003 Mountain View Dr, Miami → 8341 Market St, Seattle |
| Proposed | — | ||
| ACT-012060 | Outreach address corrected Outreach | Laura Alvarado: 4347 Church St, Plano → 4347 Church St Apt 36, Plano |
| Proposed | — | ||
| ACT-012061 | Outreach address corrected Outreach | Frances Herrera: 2259 Union St, Austin → 4797 Market St, Las Vegas |
| Proposed | — | ||
| ACT-012062 | Outreach address corrected Outreach | Jennifer Watkins: 2746 Lincoln Way, Sacramento → 1753 Baseline Rd, Glendale |
| 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.