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-012063 | Outreach address corrected Outreach | Billy Weaver: 1760 Pine Dr, Sacramento → 1760 Pine Dr Apt 6, Sacramento |
| Proposed | — | ||
| ACT-012064 | Outreach address corrected Outreach | Austin Burton: 4520 Church St, Denver → 2738 Hillcrest Rd, Las Vegas |
| Proposed | — | ||
| ACT-012065 | Outreach address corrected Outreach | Brittany Fowler: 4303 Lake View Rd, San Antonio → 4303 Lake View Rd Apt 28, San Antonio |
| Proposed | — | ||
| ACT-012066 | Outreach address corrected Outreach | Mason McDunald: 2651 Mountain View Dr Apt 14, Glendale → 2651 Mountain View Dr, Glendale |
| Proposed | — | ||
| ACT-012067 | Outreach address corrected Outreach | Keith Hernandez: 1394 Apache Blvd, Scottsdale → 1394 Apache Blvd # 931, Scottsdale |
| Proposed | — | ||
| ACT-012068 | Outreach address corrected Outreach | Arjun Ward: 535 Willow Ct Apt 26, Denver → 535 Willow Ct, Denver |
| Proposed | — | ||
| ACT-012069 | Outreach address corrected Outreach | Jose Warren: 876 Indian School Rd, Plano → 876 Indian School Rd # 866, Plano |
| Proposed | — | ||
| ACT-012070 | Outreach address corrected Outreach | Patrick Castro: 6189 Camelback Rd, San Antonio → 6815 Canyon Rd, Dallas |
| Proposed | — | ||
| ACT-012071 | Outreach address corrected Outreach | Anna Lawrence: 5430 River Rd, Austin → 9750 Sage Ct, Las Vegas |
| Proposed | — | ||
| ACT-012072 | Outreach address corrected Outreach | Ana Hunter: 6740 Hillcrest Rd, Las Vegas → 6740 Hillcrest Rd # 540, Las Vegas |
| Proposed | — | ||
| ACT-012073 | Outreach address corrected Outreach | Eugene Nguyen: 6870 Camelback Rd Apt 37, Dallas → 6870 Camelback Rd, Dallas |
| Proposed | — | ||
| ACT-012074 | Outreach address corrected Outreach | Brittany Elliott: 9358 Pine Dr # 711, Miami → 9358 Pine Dr, Miami |
| Proposed | — | ||
| ACT-012075 | Outreach address corrected Outreach | Elizabeth Miller: 5736 Broadway Apt 13, Las Vegas → 5736 Broadway, Las Vegas |
| Proposed | — | ||
| ACT-012076 | Outreach address corrected Outreach | Jesse Hernandez: 2786 Spring St, Fresno → 2786 Spring St # 613, Fresno |
| Proposed | — | ||
| ACT-012077 | Outreach address corrected Outreach | Ryan Wong: 6303 River Rd, Atlanta → 6303 River Rd # 514, Atlanta |
| Proposed | — | ||
| ACT-012078 | Outreach address corrected Outreach | Kelly Andrews: 6786 Washington St, Scottsdale → 6786 Washington St Apt 8, Scottsdale |
| Proposed | — | ||
| ACT-012079 | Outreach address corrected Outreach | Charlotte Hanson: 1822 Mountain View Dr, Charlotte → 2618 Ridge Rd, Denver |
| Proposed | — | ||
| ACT-012080 | Outreach address corrected Outreach | Thomas Jensen: 2508 Maple Ave Apt 6, Mesa → 2508 Maple Ave, Mesa |
| Proposed | — | ||
| ACT-012081 | Outreach address corrected Outreach | Dot Howard: 7140 Ridge Rd # 140, Atlanta → 8082 Willow Ct, Eden Prairie |
| Proposed | — | ||
| ACT-012082 | Outreach address corrected Outreach | Russell Smith: 8088 Ridge Rd, Eden Prairie → 1830 Jefferson Ave, Tempe |
| Proposed | — | ||
| ACT-012083 | Outreach address corrected Outreach | Peter Gray: 876 Spring St Apt 31, Los Angeles → 876 Spring St, Los Angeles |
| Proposed | — | ||
| ACT-012084 | Outreach address corrected Outreach | Sullivan Carolyn: 695 Indian School Rd, Tempe → 695 Indian School Rd Apt 18, Tempe |
| Proposed | — | ||
| ACT-012085 | Outreach address corrected Outreach | Frank Roberts: 7429 Washington St # 551, Phoenix → 7429 Washington St, Phoenix |
| Proposed | — | ||
| ACT-012086 | Outreach address corrected Outreach | Sharon Masson: 6653 Park Pl, Chandler → 6653 Park Pl # 118, Chandler |
| Proposed | — | ||
| ACT-012087 | Outreach address corrected Outreach | Jeremy Fernandez: 842 Church St # 661, Charlotte → 842 Church St, Charlotte |
| Proposed | — | ||
| ACT-012088 | Outreach address corrected Outreach | Charles Aguilar: 4747 Church St, Miami → 4747 Church St # 907, Miami |
| Proposed | — | ||
| ACT-012089 | Outreach address corrected Outreach | Brenda Bennett: 2887 Ridge Rd # 404, San Antonio → 2887 Ridge Rd, San Antonio |
| Proposed | — | ||
| ACT-012090 | Outreach address corrected Outreach | Aaron Payne: 8273 Maple Ave, Glendale → 8093 Pine Dr, Tucson |
| Proposed | — | ||
| ACT-012091 | Outreach address corrected Outreach | Richard Matthews: 276 Ridge Rd Apt 23, Orlando → 276 Ridge Rd, Orlando |
| Proposed | — | ||
| ACT-012092 | Outreach address corrected Outreach | Ralph Cunningham: 3821 Spring St # 522, Orlando → 6758 Highland Ave, Orlando |
| Proposed | — | ||
| ACT-012093 | Outreach address corrected Outreach | Carolyn Munoz: 9026 Maple Ave # 138, San Antonio → 9026 Maple Ave, San Antonio |
| Proposed | — | ||
| ACT-012094 | Outreach address corrected Outreach | Larry Reed: 4127 Camelback Rd Apt 2, Miami → 4127 Camelback Rd, Miami |
| Proposed | — | ||
| ACT-012095 | Outreach address corrected Outreach | Emily Schultz: 8124 Park Pl # 190, Denver → 8124 Park Pl, Denver |
| Proposed | — | ||
| ACT-012096 | Outreach address corrected Outreach | Alexander Crawford: 1954 Ocean Ave # 791, Los Angeles → 1954 Ocean Ave, Los Angeles |
| Proposed | — | ||
| ACT-012097 | Outreach address corrected Outreach | Jordan Brooks: 6544 Mesa Dr Apt 7, Chandler → 6544 Mesa Dr, Chandler |
| Proposed | — | ||
| ACT-012098 | Outreach address corrected Outreach | Frank Parker: 8240 Lincoln Way, Chandler → 4822 Indian School Rd, Sacramento |
| Proposed | — | ||
| ACT-012099 | Outreach address corrected Outreach | Debra Marshall: 5514 Canyon Rd, Seattle → 4090 Sunset Blvd, Las Vegas |
| Proposed | — | ||
| ACT-012100 | Outreach address corrected Outreach | Denise Young: 3958 Sunset Blvd, Tampa → 6686 River Rd, Minneapolis |
| Proposed | — | ||
| ACT-012101 | Outreach address corrected Outreach | Frances Simpson: 4657 Forest Ave, Plano → 4657 Forest Ave Apt 35, Plano |
| Proposed | — | ||
| ACT-012102 | Outreach address corrected Outreach | Abigail Fowler: 6693 Sage Ct, Miami → 3019 Highland Ave, Plano |
| Proposed | — | ||
| ACT-012103 | Outreach address corrected Outreach | Robert Maldonado: 8660 Valley View Dr, Orlando → 8660 Valley View Dr # 804, Orlando |
| Proposed | — | ||
| ACT-012104 | Outreach address corrected Outreach | Josehp Salazar: 7886 Forest Ave, Seattle → 8192 Sage Ct, Tucson |
| Proposed | — | ||
| ACT-012105 | Outreach address corrected Outreach | Ralph Burns: 1506 Maple Ave, Jacksonville → 679 Palm Dr, Jacksonville |
| Proposed | — | ||
| ACT-012106 | Outreach address corrected Outreach | Henry Palmer: 6770 Sage Ct, Tucson → 6770 Sage Ct Apt 28, Tucson |
| Proposed | — | ||
| ACT-012107 | Outreach address corrected Outreach | Mason Lawson: 2497 Cedar Ln, Fresno → 2497 Cedar Ln # 616, Fresno |
| Proposed | — | ||
| ACT-012108 | Outreach address corrected Outreach | Andrew Cooper: 4864 Church St, San Antonio → 7383 Bayshore Dr, Columbus |
| Proposed | — | ||
| ACT-012109 | Outreach address corrected Outreach | Omar Stewart: 767 Park Pl, Miami → 7497 Washington St, Gilbert |
| Proposed | — | ||
| ACT-012110 | Outreach address corrected Outreach | Dylan Foster: 7867 Bayshore Dr, Gilbert → 2855 Washington St, Minneapolis |
| Proposed | — | ||
| ACT-012111 | Outreach address corrected Outreach | Benjamin Peters: 8029 Mesa Dr, Houston → 8029 Mesa Dr Apt 28, Houston |
| Proposed | — | ||
| ACT-012112 | Outreach address corrected Outreach | Mateo Mason: 9525 Apache Blvd, San Antonio → 8867 Forest Ave, Miami |
| 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.