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-012213 | Outreach address corrected Outreach | Aisha Stewart: 4407 Baseline Rd, Eden Prairie → 4407 Baseline Rd # 262, Eden Prairie |
| Proposed | — | ||
| ACT-012214 | Outreach address corrected Outreach | Sophia Ferguson: 5698 Baseline Rd # 435, San Antonio → 5698 Baseline Rd, San Antonio |
| Proposed | — | ||
| ACT-012215 | Outreach address corrected Outreach | Wei Gomez: 3593 Ocean Ave Apt 16, Austin → 3593 Ocean Ave, Austin |
| Proposed | — | ||
| ACT-012216 | Outreach address corrected Outreach | Russell Meyer: 9097 Elm St Apt 3, Austin → 9097 Elm St, Austin |
| Proposed | — | ||
| ACT-012217 | Outreach address corrected Outreach | Megan Garcia: 9530 Forest Ave, Austin → 9530 Forest Ave # 859, Austin |
| Proposed | — | ||
| ACT-012218 | Outreach address corrected Outreach | Mary Foster: 4855 Mesa Dr, San Diego → 4855 Mesa Dr # 101, San Diego |
| Proposed | — | ||
| ACT-012219 | Outreach address corrected Outreach | Walter Mejia: 2777 Indian School Rd Apt 31, Houston → 2777 Indian School Rd, Houston |
| Proposed | — | ||
| ACT-012220 | Outreach address corrected Outreach | Sophia Howell: 2468 Oak St # 913, Gilbert → 2468 Oak St, Gilbert |
| Proposed | — | ||
| ACT-012221 | Outreach address corrected Outreach | Mateeo Moreno: 2119 Jefferson Ave Apt 27, Orlando → 2119 Jefferson Ave # 617, Orlando |
| Proposed | — | ||
| ACT-012222 | Outreach address corrected Outreach | Theresa Roberts: 432 Ocean Ave Apt 29, Gilbert → 432 Ocean Ave, Gilbert |
| Proposed | — | ||
| ACT-012223 | Outreach address corrected Outreach | Theresa Tucker: 6849 Grand Ave, Glendale → 884 Maple Ave # 571, San Diego |
| Proposed | — | ||
| ACT-012224 | Outreach address corrected Outreach | Frances Hanson: 6548 Willow Ct # 109, Phoenix → 6548 Willow Ct, Phoenix |
| Proposed | — | ||
| ACT-012225 | Outreach address corrected Outreach | Judith Cunningham: 2252 Mesa Dr, Minneapolis → 2252 Mesa Dr # 158, Minneapolis |
| Proposed | — | ||
| ACT-012226 | Outreach address corrected Outreach | Beverly Green: 1874 Canyon Rd, Las Vegas → 7344 Maple Ave, Phoenix |
| Proposed | — | ||
| ACT-012227 | Outreach address corrected Outreach | Joan Mason: 9406 Central Ave # 927, Columbus → 9406 Central Ave, Columbus |
| Proposed | — | ||
| ACT-012228 | Outreach address corrected Outreach | Scott Duncan: 71 Bayshore Dr Apt 3, Los Angeles → 71 Bayshore Dr, Los Angeles |
| Proposed | — | ||
| ACT-012229 | Outreach address corrected Outreach | Grace Ortega: 6367 Elm St # 900, Los Angeles → 6367 Elm St, Los Angeles |
| Proposed | — | ||
| ACT-012230 | Outreach address corrected Outreach | Nathan Sanchez: 4029 Pine Dr, Houston → 4029 Pine Dr Apt 11, Houston |
| Proposed | — | ||
| ACT-012231 | Outreach address corrected Outreach | Jeremy Reed: 8795 Valley View Dr, Nashville → 8795 Valley View Dr # 754, Nashville |
| Proposed | — | ||
| ACT-012232 | Outreach address corrected Outreach | Danielle Porter: 6211 Grand Ave, Nashville → 1761 Indian School Rd, Gilbert |
| Proposed | — | ||
| ACT-012233 | Outreach address corrected Outreach | Gloria Romero: 6990 Sunset Blvd Apt 29, Dallas → 6990 Sunset Blvd, Dallas |
| Proposed | — | ||
| ACT-012234 | Outreach address corrected Outreach | Terry Kelly: 2627 Highland Ave # 743, Phoenix → 2627 Highland Ave, Phoenix |
| Proposed | — | ||
| ACT-012235 | Outreach address corrected Outreach | Willie Hoffman: 5145 Mesa Dr, Denver → 5145 Mesa Dr # 515, Denver |
| Proposed | — | ||
| ACT-012236 | Outreach address corrected Outreach | Andrew Young: 2283 Indian School Rd, Gilbert → 6236 Sage Ct, Tampa |
| Proposed | — | ||
| ACT-012237 | Outreach address corrected Outreach | Ethan Kennedy: 2663 Hillcrest Rd # 756, Mesa → 2663 Hillcrest Rd, Mesa |
| Proposed | — | ||
| ACT-012238 | Outreach address corrected Outreach | Joshua Ferguson: 352 Park Pl Apt 18, Fresno → 3919 Ocean Ave, Los Angeles |
| Proposed | — | ||
| ACT-012239 | Outreach address corrected Outreach | Joyce Williams: 7046 Oak St, Dallas → 7046 Oak St Apt 36, Dallas |
| Proposed | — | ||
| ACT-012240 | Outreach address corrected Outreach | Steven Park: 8298 Main St # 622, Sacramento → 8298 Main St, Sacramento |
| Proposed | — | ||
| ACT-012241 | Outreach address corrected Outreach | Juan Kelly: 2386 Central Ave, Phoenix → 2386 Central Ave Apt 30, Phoenix |
| Proposed | — | ||
| ACT-012242 | Outreach address corrected Outreach | Ed Weber: 8099 Elm St # 474, San Antonio → 8099 Elm St, San Antonio |
| Proposed | — | ||
| ACT-012243 | Outreach address corrected Outreach | Matthew Lawson: 4892 Pine Dr, Mesa → 4892 Pine Dr # 147, Mesa |
| Proposed | — | ||
| ACT-012244 | Outreach address corrected Outreach | Jan Hill: 8614 Ocean Ave Apt 30, Las Vegas → 8614 Ocean Ave, Las Vegas |
| Proposed | — | ||
| ACT-012245 | Outreach address corrected Outreach | Richard Phillips: 1443 Washington St, Gilbert → 4322 Palm Dr, Chandler |
| Proposed | — | ||
| ACT-012246 | Outreach address corrected Outreach | Wayne Bishop: 4665 Palm Dr, Denver → 8020 Spring St, Scottsdale |
| Proposed | — | ||
| ACT-012247 | Outreach address corrected Outreach | Tyler Myres: 7937 River Rd, Atlanta → 7937 River Rd # 960, Atlanta |
| Proposed | — | ||
| ACT-012248 | Outreach address corrected Outreach | Garry Lawrence: 549 Union St, Columbus → 7916 Maple Ave, Dallas |
| Proposed | — | ||
| ACT-012249 | Outreach address corrected Outreach | Melissa Gardner: 778 Apache Blvd, Austin → 778 Apache Blvd Apt 17, Austin |
| Proposed | — | ||
| ACT-012250 | Outreach address corrected Outreach | Lauren Scott: 4131 Central Ave Apt 12, San Antonio → 4131 Central Ave, San Antonio |
| Proposed | — | ||
| ACT-012251 | Outreach address corrected Outreach | Kyle Brown: 901 Lincoln Way, Seattle → 901 Lincoln Way Apt 11, Seattle |
| Proposed | — | ||
| ACT-012252 | Outreach address corrected Outreach | Stephanie Chapman: 7839 Main St, Gilbert → 7839 Main St # 781, Gilbert |
| Proposed | — | ||
| ACT-012253 | Outreach address corrected Outreach | Lawrence Morales: 5156 Forest Ave, Gilbert → 5156 Forest Ave Apt 19, Gilbert |
| Proposed | — | ||
| ACT-012254 | Outreach address corrected Outreach | Jessica Alexander: 3491 Pine Dr # 232, Atlanta → 3491 Pine Dr, Atlanta |
| Proposed | — | ||
| ACT-012255 | Outreach address corrected Outreach | Gary Hunt: 9561 Lincoln Way, Miami → 9561 Lincoln Way # 196, Miami |
| Proposed | — | ||
| ACT-012256 | Outreach address corrected Outreach | Roy Miller: 1753 Pine Dr, Houston → 5616 Ridge Rd, Chandler |
| Proposed | — | ||
| ACT-012257 | Outreach address corrected Outreach | Anthony Rios: 5354 Camelback Rd, Gilbert → 5354 Camelback Rd # 268, Gilbert |
| Proposed | — | ||
| ACT-012258 | Outreach address corrected Outreach | Stephen Webb: 3827 Camelback Rd # 983, Mesa → 3827 Camelback Rd, Mesa |
| Proposed | — | ||
| ACT-012259 | Outreach address corrected Outreach | Carlos Boyd: 2441 Spring St, Seattle → 7880 Apache Blvd, Denver |
| Proposed | — | ||
| ACT-012260 | Outreach address corrected Outreach | Alexis Ross: 2335 Baseline Rd Apt 19, Atlanta → 2335 Baseline Rd, Atlanta |
| Proposed | — | ||
| ACT-012261 | Outreach address corrected Outreach | James Cox: 5562 Indian School Rd, Denver → 5562 Indian School Rd # 204, Denver |
| Proposed | — | ||
| ACT-012262 | Outreach address corrected Outreach | Natalie Fernandez: 7790 Sage Ct # 322, Mesa → 7790 Sage Ct, Mesa |
| 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.