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
Outreach address corrected, Outreach, 2,993 proposed
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-010702 | Outreach address corrected Outreach | Dennis Patterson: 3295 Market St, Eden Prairie → 3295 Market St # 470, Eden Prairie |
| Proposed | — | ||
| ACT-010703 | Outreach address corrected Outreach | Angela Woods: 6025 Oak St, Minneapolis → 3904 Canyon Rd, Scottsdale |
| Proposed | — | ||
| ACT-010704 | Outreach address corrected Outreach | Mateo Thomas: 5508 Mountain View Dr Apt 38, Austin → 5508 Mountain View Dr, Austin |
| Proposed | — | ||
| ACT-010705 | Outreach address corrected Outreach | William Patterson: 5907 Ocean Ave, Los Angeles → 9035 Sunset Blvd, Miami |
| Proposed | — | ||
| ACT-010706 | Outreach address corrected Outreach | Matthew Sandoval: 7835 Cedar Ln Apt 18, Austin → 7835 Cedar Ln, Austin |
| Proposed | — | ||
| ACT-010707 | Outreach address corrected Outreach | Megan Herrera: 4453 Indian School Rd Apt 6, Denver → 4453 Indian School Rd, Denver |
| Proposed | — | ||
| ACT-010708 | Outreach address corrected Outreach | Laura Franklin: 9639 Cedar Ln, Las Vegas → 9718 Camelback Rd, Phoenix |
| Proposed | — | ||
| ACT-010709 | Outreach address corrected Outreach | Juan Powell: 1179 Bayshore Dr # 129, Los Angeles → 1179 Bayshore Dr, Los Angeles |
| Proposed | — | ||
| ACT-010710 | Outreach address corrected Outreach | Jacqueline Chen: 5143 Grand Ave # 239, Los Angeles → 5143 Grand Ave, Los Angeles |
| Proposed | — | ||
| ACT-010711 | Outreach address corrected Outreach | Christina Cruz: 4501 Jefferson Ave Apt 36, Eden Prairie → 4501 Jefferson Ave, Eden Prairie |
| Proposed | — | ||
| ACT-010712 | Outreach address corrected Outreach | Willie Jensen: 3180 Market St, San Antonio → 3180 Market St Apt 3, San Antonio |
| Proposed | — | ||
| ACT-010713 | Outreach address corrected Outreach | Dennis Warren: 3986 Mountain View Dr, Miami → 5204 Bayshore Dr, Dallas |
| Proposed | — | ||
| ACT-010714 | Outreach address corrected Outreach | Yuki Maldonado: 2304 Highland Ave, Las Vegas → 647 Church St, Orlando |
| Proposed | — | ||
| ACT-010715 | Outreach address corrected Outreach | Cynthia Weber: 37 Elm St, Tampa → 4461 Pine Dr Apt 35, Tampa |
| Proposed | — | ||
| ACT-010716 | Outreach address corrected Outreach | Theresa Torres: 4431 Highland Ave, San Antonio → 4431 Highland Ave # 930, San Antonio |
| Proposed | — | ||
| ACT-010717 | Outreach address corrected Outreach | Steven Black: 7645 Sage Ct, Scottsdale → 7645 Sage Ct # 969, Scottsdale |
| Proposed | — | ||
| ACT-010718 | Outreach address corrected Outreach | Judy Rose: 1226 Highland Ave # 942, Sacramento → 1226 Highland Ave, Sacramento |
| Proposed | — | ||
| ACT-010719 | Outreach address corrected Outreach | Mark Chen: 5207 Maple Ave, Dallas → 5207 Maple Ave Apt 12, Dallas |
| Proposed | — | ||
| ACT-010720 | Outreach address corrected Outreach | Michelle Carpenter: 8637 Ocean Ave Apt 21, Chandler → 8637 Ocean Ave # 264, Chandler |
| Proposed | — | ||
| ACT-010721 | Outreach address corrected Outreach | Margaret Roberts: 6363 Highland Ave Apt 30, Los Angeles → 6363 Highland Ave, Los Angeles |
| Proposed | — | ||
| ACT-010722 | Outreach address corrected Outreach | Julia George: 6168 Market St Apt 7, Tampa → 6168 Market St, Tampa |
| Proposed | — | ||
| ACT-010723 | Outreach address corrected Outreach | Elijah Matthews: 8875 Ridge Rd, Charlotte → 8875 Ridge Rd # 131, Charlotte |
| Proposed | — | ||
| ACT-010724 | Outreach address corrected Outreach | Joe Hicks: 3667 Meadow Ln Apt 22, Phoenix → 3667 Meadow Ln # 746, Phoenix |
| Proposed | — | ||
| ACT-010725 | Outreach address corrected Outreach | Lisa Griffin: 1440 Elm St, Jacksonville → 1629 Church St, Jacksonville |
| Proposed | — | ||
| ACT-010726 | Outreach address corrected Outreach | Alexander Vasquez: 4517 Ridge Rd, Seattle → 9766 Central Ave, Gilbert |
| Proposed | — | ||
| ACT-010727 | Outreach address corrected Outreach | Tyler Garza: 4587 Maple Ave, San Antonio → 2887 Maple Ave, Gilbert |
| Proposed | — | ||
| ACT-010728 | Outreach address corrected Outreach | Catherine Silva: 1651 Oak St, Austin → 1651 Oak St Apt 37, Austin |
| Proposed | — | ||
| ACT-010729 | Outreach address corrected Outreach | Marilyn Aguilar: 1454 Jefferson Ave # 544, Phoenix → 3638 Bayshore Dr, Dallas |
| Proposed | — | ||
| ACT-010730 | Outreach address corrected Outreach | Madison Ellis: 5893 Central Ave, Atlanta → 5893 Central Ave # 221, Atlanta |
| Proposed | — | ||
| ACT-010731 | Outreach address corrected Outreach | Maia Nichols: 1856 Willow Ct, Minneapolis → 1856 Willow Ct Apt 35, Minneapolis |
| Proposed | — | ||
| ACT-010732 | Outreach address corrected Outreach | Aaron Aguilar: 8520 Meadow Ln Apt 1, Austin → 8520 Meadow Ln, Austin |
| Proposed | — | ||
| ACT-010733 | Outreach address corrected Outreach | Nataliie Wells: 7507 Ridge Rd, Phoenix → 2363 Sage Ct, Dallas |
| Proposed | — | ||
| ACT-010734 | Outreach address corrected Outreach | Olivia Gonzales: 8846 Apache Blvd, Seattle → 8846 Apache Blvd # 256, Seattle |
| Proposed | — | ||
| ACT-010735 | Outreach address corrected Outreach | Christina Morales: 7231 Broadway Apt 7, Jacksonville → 7231 Broadway, Jacksonville |
| Proposed | — | ||
| ACT-010736 | Outreach address corrected Outreach | Russell Mendoza: 2400 Hillcrest Rd # 119, Tempe → 2400 Hillcrest Rd, Tempe |
| Proposed | — | ||
| ACT-010737 | Outreach address corrected Outreach | Ray McCoy: 6844 Harbor Blvd, Scottsdale → 8238 River Rd, Eden Prairie |
| Proposed | — | ||
| ACT-010738 | Outreach address corrected Outreach | Samuel Castro: 5853 Market St, Fresno → 216 Indian School Rd, Dallas |
| Proposed | — | ||
| ACT-010739 | Outreach address corrected Outreach | Alice James: 6915 Harbor Blvd, Jacksonville → 1005 Forest Ave # 764, Phoenix |
| Proposed | — | ||
| ACT-010740 | Outreach address corrected Outreach | Eugene Cox: 28 Spring St Apt 20, Miami → 28 Spring St, Miami |
| Proposed | — | ||
| ACT-010741 | Outreach address corrected Outreach | Janice Greene: 3408 Spring St, Sacramento → 3408 Spring St Apt 5, Sacramento |
| Proposed | — | ||
| ACT-010742 | Outreach address corrected Outreach | Keith Gonzales: 703 Camelback Rd, Tampa → 3073 Sage Ct, Scottsdale |
| Proposed | — | ||
| ACT-010743 | Outreach address corrected Outreach | Bradley Brery: 302 Canyon Rd, Tempe → 1406 Broadway, Orlando |
| Proposed | — | ||
| ACT-010744 | Outreach address corrected Outreach | Elijah Hudson: 4748 Apache Blvd # 434, Nashville → 4748 Apache Blvd, Nashville |
| Proposed | — | ||
| ACT-010745 | Outreach address corrected Outreach | Gary Herrera: 589 Mountain View Dr # 352, Plano → 589 Mountain View Dr, Plano |
| Proposed | — | ||
| ACT-010746 | Outreach address corrected Outreach | Diego Hanson: 3400 Broadway # 158, Mesa → 3400 Broadway # 333, Mesa |
| Proposed | — | ||
| ACT-010747 | Outreach address corrected Outreach | Bradley Burton: 2223 Valley View Dr Apt 4, Tucson → 2223 Valley View Dr, Tucson |
| Proposed | — | ||
| ACT-010748 | Outreach address corrected Outreach | Valentina Ortiz: 9809 Valley View Dr, Phoenix → 6321 Mesa Dr, Nashville |
| Proposed | — | ||
| ACT-010749 | Outreach address corrected Outreach | Jeremy Armstrong: 9463 Harbor Blvd # 406, Plano → 9463 Harbor Blvd, Plano |
| Proposed | — | ||
| ACT-010750 | Outreach address corrected Outreach | Bobby Banks: 6297 Elm St, Tempe → 5703 Valley View Dr Apt 18, Eden Prairie |
| Proposed | — | ||
| ACT-010751 | Outreach address corrected Outreach | Terry Stone: 7799 Park Pl, Los Angeles → 7619 Ridge Rd, 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.