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-012263 | Outreach address corrected Outreach | Alex Munoz: 626 Maple Ave, Austin → 626 Maple Ave # 308, Austin |
| Proposed | — | ||
| ACT-012264 | Outreach address corrected Outreach | Rachel Burns: 47 Union St, Columbus → 9765 Sunset Blvd, Mesa |
| Proposed | — | ||
| ACT-012265 | Outreach address corrected Outreach | Deborah Gordon: 5176 Mesa Dr Apt 20, San Diego → 5176 Mesa Dr, San Diego |
| Proposed | — | ||
| ACT-012266 | Outreach address corrected Outreach | Cynthia Baker: 2238 Grand Ave, Nashville → 2238 Grand Ave # 807, Nashville |
| Proposed | — | ||
| ACT-012267 | Outreach address corrected Outreach | Kimberly Jacobs: 184 Jefferson Ave Apt 26, Tempe → 184 Jefferson Ave, Tempe |
| Proposed | — | ||
| ACT-012268 | Outreach address corrected Outreach | Jeremy Pierce: 959 Lincoln Way, Jacksonville → 959 Lincoln Way Apt 13, Jacksonville |
| Proposed | — | ||
| ACT-012269 | Outreach address corrected Outreach | Stephanie Perez: 3980 Market St, Plano → 2743 Elm St, Eden Prairie |
| Proposed | — | ||
| ACT-012270 | Outreach address corrected Outreach | Logan Turner: 890 Desert Sky Blvd, Seattle → 3235 Central Ave, San Antonio |
| Proposed | — | ||
| ACT-012271 | Outreach address corrected Outreach | Zachary George: 4326 Sage Ct, Austin → 4326 Sage Ct Apt 16, Austin |
| Proposed | — | ||
| ACT-012272 | Outreach address corrected Outreach | Roger Burton: 9068 Hillcrest Rd # 141, Scottsdale → 9068 Hillcrest Rd, Scottsdale |
| Proposed | — | ||
| ACT-012273 | Outreach address corrected Outreach | Jesse Kelly: 419 Lake View Rd, San Antonio → 419 Lake View Rd # 575, San Antonio |
| Proposed | — | ||
| ACT-012274 | Outreach address corrected Outreach | Grace Guzman: 3690 Central Ave, San Diego → 3690 Central Ave Apt 11, San Diego |
| Proposed | — | ||
| ACT-012275 | Outreach address corrected Outreach | Nancy Graham: 9784 Sunset Blvd Apt 36, Jacksonville → 4350 Apache Blvd # 543, Seattle |
| Proposed | — | ||
| ACT-012276 | Outreach address corrected Outreach | Samantha Howard: 9210 Park Pl, Phoenix → 7572 Cedar Ln, Gilbert |
| Proposed | — | ||
| ACT-012277 | Outreach address corrected Outreach | Jason Grant: 7783 Indian School Rd # 964, Denver → 7783 Indian School Rd, Denver |
| Proposed | — | ||
| ACT-012278 | Outreach address corrected Outreach | Harold Nelson: 918 Elm St # 112, Austin → 918 Elm St, Austin |
| Proposed | — | ||
| ACT-012279 | Outreach address corrected Outreach | Terry Watson: 9625 Market St, San Antonio → 4954 Palm Dr, Phoenix |
| Proposed | — | ||
| ACT-012280 | Outreach address corrected Outreach | Ralph Fisher: 4339 Elm St, Charlotte → 4339 Elm St # 241, Charlotte |
| Proposed | — | ||
| ACT-012281 | Outreach address corrected Outreach | Rachel Richardson: 2199 Hillcrest Rd Apt 6, Denver → 2199 Hillcrest Rd, Denver |
| Proposed | — | ||
| ACT-012282 | Outreach address corrected Outreach | Stephanie Moore: 4646 Ridge Rd Apt 26, San Antonio → 4646 Ridge Rd, San Antonio |
| Proposed | — | ||
| ACT-012283 | Outreach address corrected Outreach | Kenneth Marshall: 7655 Camelback Rd # 370, Las Vegas → 7655 Camelback Rd, Las Vegas |
| Proposed | — | ||
| ACT-012284 | Outreach address corrected Outreach | Isabella Munoz: 4246 Main St # 400, Nashville → 4246 Main St # 707, Nashville |
| Proposed | — | ||
| ACT-012285 | Outreach address corrected Outreach | Joyce Sanders: 566 Union St, Las Vegas → 566 Union St # 641, Las Vegas |
| Proposed | — | ||
| ACT-012286 | Outreach address corrected Outreach | Stephen Lawson: 5405 Valley View Dr, Denver → 5405 Valley View Dr # 813, Denver |
| Proposed | — | ||
| ACT-012287 | Outreach address corrected Outreach | Kayla Simmons: 5269 Ridge Rd, Gilbert → 5269 Ridge Rd # 318, Gilbert |
| Proposed | — | ||
| ACT-012288 | Outreach address corrected Outreach | Elijah Hunter: 9432 Broadway Apt 16, Minneapolis → 9432 Broadway, Minneapolis |
| Proposed | — | ||
| ACT-012289 | Outreach address corrected Outreach | Raymond Baker: 3551 Ridge Rd, Scottsdale → 3551 Ridge Rd # 236, Scottsdale |
| Proposed | — | ||
| ACT-012290 | Outreach address corrected Outreach | Helen Holmes: 2124 Willow Ct, Houston → 2988 Elm St, Austin |
| Proposed | — | ||
| ACT-012291 | Outreach address corrected Outreach | Christopher Hawkins: 3342 Harbor Blvd, Sacramento → 3342 Harbor Blvd Apt 35, Sacramento |
| Proposed | — | ||
| ACT-012292 | Outreach address corrected Outreach | Douglas Perry: 1326 Apache Blvd Apt 37, Austin → 1326 Apache Blvd, Austin |
| Proposed | — | ||
| ACT-012293 | Outreach address corrected Outreach | Andrea Fuller: 8857 Camelback Rd, Tucson → 8857 Camelback Rd # 513, Tucson |
| Proposed | — | ||
| ACT-012294 | Outreach address corrected Outreach | Christine Martinez: 4871 Mountain View Dr, Tampa → 4871 Mountain View Dr # 113, Tampa |
| Proposed | — | ||
| ACT-012295 | Outreach address corrected Outreach | Diana Ramos: 4025 Elm St, Plano → 4025 Elm St Apt 27, Plano |
| Proposed | — | ||
| ACT-012296 | Outreach address corrected Outreach | Robert Tucker: 2143 Baseline Rd, Tempe → 7017 Baseline Rd, San Diego |
| Proposed | — | ||
| ACT-012297 | Outreach address corrected Outreach | Donna Jacobs: 1474 Hillcrest Rd Apt 37, Gilbert → 1474 Hillcrest Rd, Gilbert |
| Proposed | — | ||
| ACT-012298 | Outreach address corrected Outreach | Charlotte Le: 928 Hillcrest Rd, Plano → 1065 Park Pl, Las Vegas |
| Proposed | — | ||
| ACT-012299 | Outreach address corrected Outreach | Amy Romero: 5444 Union St, Phoenix → 5444 Union St Apt 7, Phoenix |
| Proposed | — | ||
| ACT-012300 | Outreach address corrected Outreach | Christian Vargas: 827 Sage Ct # 513, Columbus → 827 Sage Ct, Columbus |
| Proposed | — | ||
| ACT-012301 | Outreach address corrected Outreach | Thomas Marshall: 1318 Desert Sky Blvd, Houston → 5207 Central Ave, Houston |
| Proposed | — | ||
| ACT-012302 | Outreach address corrected Outreach | Patrick Alexander: 1326 River Rd # 463, Austin → 1326 River Rd # 958, Austin |
| Proposed | — | ||
| ACT-012303 | Outreach address corrected Outreach | Sandra Spencer: 2833 Willow Ct, Chandler → 2833 Willow Ct Apt 16, Chandler |
| Proposed | — | ||
| ACT-012304 | Outreach address corrected Outreach | Valentina James: 384 Market St, Mesa → 384 Market St # 914, Mesa |
| Proposed | — | ||
| ACT-012305 | Outreach address corrected Outreach | Kayla Soto: 5011 Harbor Blvd, Fresno → 5011 Harbor Blvd Apt 25, Fresno |
| Proposed | — | ||
| ACT-012306 | Outreach address corrected Outreach | Linda Walsh: 7152 Forest Ave, Houston → 3155 Valley View Dr, Tucson |
| Proposed | — | ||
| ACT-012307 | Outreach address corrected Outreach | Santiago Ford: 7019 Camelback Rd, Tempe → 7019 Camelback Rd # 887, Tempe |
| Proposed | — | ||
| ACT-012308 | Outreach address corrected Outreach | Mason Ellis: 5237 Indian School Rd Apt 33, Glendale → 5237 Indian School Rd, Glendale |
| Proposed | — | ||
| ACT-012309 | Outreach address corrected Outreach | Judith Bradley: 6045 Lake View Rd, Las Vegas → 6045 Lake View Rd # 177, Las Vegas |
| Proposed | — | ||
| ACT-012310 | Outreach address corrected Outreach | Priya Lynch: 3494 Baseline Rd # 635, Minneapolis → 3494 Baseline Rd, Minneapolis |
| Proposed | — | ||
| ACT-012311 | Outreach address corrected Outreach | Bradley Vazquez: 1527 Cedar Ln Apt 15, Plano → 1527 Cedar Ln Apt 37, Plano |
| Proposed | — | ||
| ACT-012312 | Outreach address corrected Outreach | Gloria Chapman: 9217 Elm St Apt 25, Phoenix → 9217 Elm St, Phoenix |
| 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.