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-012113 | Outreach address corrected Outreach | Anna Obrien: 1628 Park Pl, Scottsdale → 8933 Washington St, Houston |
| Proposed | — | ||
| ACT-012114 | Outreach address corrected Outreach | Abigail Ruiz: 5194 Lake View Rd, Miami → 5194 Lake View Rd # 322, Miami |
| Proposed | — | ||
| ACT-012115 | Outreach address corrected Outreach | Angela Cunningham: 6228 Mountain View Dr, Gilbert → 4347 Lincoln Way, Columbus |
| Proposed | — | ||
| ACT-012116 | Outreach address corrected Outreach | Benjamin Taylor: 8247 Lake View Rd Apt 27, Gilbert → 8247 Lake View Rd, Gilbert |
| Proposed | — | ||
| ACT-012117 | Outreach address corrected Outreach | Douglas Phillips: 4302 Sage Ct, Glendale → 4676 Broadway, San Antonio |
| Proposed | — | ||
| ACT-012118 | Outreach address corrected Outreach | Donna Young: 9562 Grand Ave, Tampa → 9562 Grand Ave # 393, Tampa |
| Proposed | — | ||
| ACT-012119 | Outreach address corrected Outreach | Nancy Campbell: 3517 Baseline Rd # 391, Jacksonville → 3517 Baseline Rd, Jacksonville |
| Proposed | — | ||
| ACT-012120 | Outreach address corrected Outreach | Beth Jimenez: 8362 Hillcrest Rd, Columbus → 8362 Hillcrest Rd # 155, Columbus |
| Proposed | — | ||
| ACT-012121 | Outreach address corrected Outreach | Gerald Ellis: 589 Mountain View Dr, Tempe → 589 Mountain View Dr # 525, Tempe |
| Proposed | — | ||
| ACT-012122 | Outreach address corrected Outreach | Roy Rios: 7323 Indian School Rd # 701, Nashville → 7323 Indian School Rd, Nashville |
| Proposed | — | ||
| ACT-012123 | Outreach address corrected Outreach | Jerry Patel: 8468 Lake View Rd, Minneapolis → 3705 Washington St, Miami |
| Proposed | — | ||
| ACT-012124 | Outreach address corrected Outreach | Ruth Vazquez: 3458 Oak St Apt 38, San Antonio → 1207 Lincoln Way, Charlotte |
| Proposed | — | ||
| ACT-012125 | Outreach address corrected Outreach | Cheryl Yang: 3370 Bayshore Dr # 978, Jacksonville → 3370 Bayshore Dr Apt 21, Jacksonville |
| Proposed | — | ||
| ACT-012126 | Outreach address corrected Outreach | Emma Smith: 7591 Highland Ave # 424, Orlando → 7591 Highland Ave, Orlando |
| Proposed | — | ||
| ACT-012127 | Outreach address corrected Outreach | Michelle Clark: 4196 Union St # 234, Miami → 4196 Union St, Miami |
| Proposed | — | ||
| ACT-012128 | Outreach address corrected Outreach | Kelly Murphy: 7420 Maple Ave, Las Vegas → 7420 Maple Ave Apt 8, Las Vegas |
| Proposed | — | ||
| ACT-012129 | Outreach address corrected Outreach | Willie Matthews: 3649 Mountain View Dr Apt 10, Jacksonville → 3649 Mountain View Dr, Jacksonville |
| Proposed | — | ||
| ACT-012130 | Outreach address corrected Outreach | Nicole Robertson: 7606 Maple Ave, Eden Prairie → 3505 Sage Ct, Los Angeles |
| Proposed | — | ||
| ACT-012131 | Outreach address corrected Outreach | Mariana Fields: 4850 Apache Blvd, Mesa → 3511 Main St, Phoenix |
| Proposed | — | ||
| ACT-012132 | Outreach address corrected Outreach | Elizabeth Larson: 1128 Indian School Rd, Columbus → 1128 Indian School Rd # 351, Columbus |
| Proposed | — | ||
| ACT-012133 | Outreach address corrected Outreach | Mei Simmons: 3325 River Rd, Minneapolis → 6098 Elm St Apt 28, Los Angeles |
| Proposed | — | ||
| ACT-012134 | Outreach address corrected Outreach | Timothy George: 9318 Oak St Apt 9, San Diego → 4259 Valley View Dr, San Diego |
| Proposed | — | ||
| ACT-012135 | Outreach address corrected Outreach | Ruth Jordan: 6914 Sage Ct Apt 30, Sacramento → 6914 Sage Ct, Sacramento |
| Proposed | — | ||
| ACT-012136 | Outreach address corrected Outreach | Yuki Robinson: 5021 River Rd # 716, Fresno → 5021 River Rd, Fresno |
| Proposed | — | ||
| ACT-012137 | Outreach address corrected Outreach | Zachary Ellis: 9868 Forest Ave, Plano → 2174 Cedar Ln, Glendale |
| Proposed | — | ||
| ACT-012138 | Outreach address corrected Outreach | Wayne Howard: 3649 Ridge Rd, Fresno → 3649 Ridge Rd Apt 22, Fresno |
| Proposed | — | ||
| ACT-012139 | Outreach address corrected Outreach | Cynthia Kelley: 2490 Meadow Ln, Sacramento → 2490 Meadow Ln Apt 28, Sacramento |
| Proposed | — | ||
| ACT-012140 | Outreach address corrected Outreach | Rogger Stewart: 6205 Sage Ct Apt 22, Scottsdale → 6205 Sage Ct, Scottsdale |
| Proposed | — | ||
| ACT-012141 | Outreach address corrected Outreach | Logan Greene: 7931 Canyon Rd, Minneapolis → 7931 Canyon Rd Apt 36, Minneapolis |
| Proposed | — | ||
| ACT-012142 | Outreach address corrected Outreach | Priya Burton: 5714 Park Pl Apt 24, Columbus → 5714 Park Pl, Columbus |
| Proposed | — | ||
| ACT-012143 | Outreach address corrected Outreach | Keith Hicks: 3052 Canyon Rd, Minneapolis → 6882 Oak St # 524, Eden Prairie |
| Proposed | — | ||
| ACT-012144 | Outreach address corrected Outreach | Dylan Larson: 2961 Palm Dr # 826, Atlanta → 2961 Palm Dr, Atlanta |
| Proposed | — | ||
| ACT-012145 | Outreach address corrected Outreach | Santiago White: 9371 Canyon Rd Apt 16, Orlando → 9371 Canyon Rd, Orlando |
| Proposed | — | ||
| ACT-012146 | Outreach address corrected Outreach | Steven Ray: 4497 Forest Ave, Gilbert → 4497 Forest Ave Apt 28, Gilbert |
| Proposed | — | ||
| ACT-012147 | Outreach address corrected Outreach | Wayne Torres: 7254 Oak St, Austin → 4078 Highland Ave, Scottsdale |
| Proposed | — | ||
| ACT-012148 | Outreach address corrected Outreach | Heather Moarles: 6122 Baseline Rd Apt 26, Austin → 6122 Baseline Rd, Austin |
| Proposed | — | ||
| ACT-012149 | Outreach address corrected Outreach | Mary Castro: 7608 Ocean Ave # 894, Seattle → 7608 Ocean Ave, Seattle |
| Proposed | — | ||
| ACT-012150 | Outreach address corrected Outreach | Helen Webb: 8349 Broadway, Los Angeles → 8349 Broadway # 599, Los Angeles |
| Proposed | — | ||
| ACT-012151 | Outreach address corrected Outreach | Lori Duncan: 2740 Oak St Apt 15, Plano → 2740 Oak St, Plano |
| Proposed | — | ||
| ACT-012152 | Outreach address corrected Outreach | Daniel Marshall: 8009 Lincoln Way, Phoenix → 7389 Hillcrest Rd, Scottsdale |
| Proposed | — | ||
| ACT-012153 | Outreach address corrected Outreach | Shirley Thomas: 4157 Jefferson Ave # 452, San Diego → 4157 Jefferson Ave, San Diego |
| Proposed | — | ||
| ACT-012154 | Outreach address corrected Outreach | Bruce Mejia: 8027 Lake View Rd, Jacksonville → 3879 Highland Ave, Phoenix |
| Proposed | — | ||
| ACT-012155 | Outreach address corrected Outreach | Ana Barnes: 4649 Pine Dr Apt 10, Columbus → 4649 Pine Dr, Columbus |
| Proposed | — | ||
| ACT-012156 | Outreach address corrected Outreach | Bobby Carroll: 5749 Mountain View Dr, Charlotte → 5749 Mountain View Dr Apt 37, Charlotte |
| Proposed | — | ||
| ACT-012157 | Outreach address corrected Outreach | Mei Munoz: 8580 Lake View Rd Apt 2, Tucson → 8580 Lake View Rd, Tucson |
| Proposed | — | ||
| ACT-012158 | Outreach address corrected Outreach | Joseph Day: 6135 Apache Blvd # 459, Miami → 6135 Apache Blvd, Miami |
| Proposed | — | ||
| ACT-012159 | Outreach address corrected Outreach | Michelle Carroll: 4702 Park Pl, Las Vegas → 927 Indian School Rd, San Antonio |
| Proposed | — | ||
| ACT-012160 | Outreach address corrected Outreach | Maria Reid: 9497 Lincoln Way, Mesa → 8664 Mountain View Dr, Las Vegas |
| Proposed | — | ||
| ACT-012161 | Outreach address corrected Outreach | Jacob Maldonado: 4546 Ridge Rd, San Diego → 4546 Ridge Rd Apt 30, San Diego |
| Proposed | — | ||
| ACT-012162 | Outreach address corrected Outreach | Ann Fields: 5259 Valley View Dr Apt 22, Tempe → 5259 Valley View Dr, 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.