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-012313 | Outreach address corrected Outreach | Olivia Hunt: 1027 Oak St Apt 29, Mesa → 1027 Oak St, Mesa |
| Proposed | — | ||
| ACT-012314 | Outreach address corrected Outreach | Jack Parker: 7658 Pine Dr, Las Vegas → 7658 Pine Dr Apt 4, Las Vegas |
| Proposed | — | ||
| ACT-012315 | Outreach address corrected Outreach | Jessica Sandoval: 5220 Highland Ave, Columbus → 8440 Hillcrest Rd, Minneapolis |
| Proposed | — | ||
| ACT-012316 | Outreach address corrected Outreach | Samuel Yang: 9388 Oak St, Los Angeles → 9388 Oak St Apt 2, Los Angeles |
| Proposed | — | ||
| ACT-012317 | Outreach address corrected Outreach | Julie Wilson: 6638 Park Pl, Tempe → 9127 Pine Dr, Columbus |
| Proposed | — | ||
| ACT-012318 | Outreach address corrected Outreach | Eric Harper: 8687 Ocean Ave, San Diego → 8687 Ocean Ave Apt 20, San Diego |
| Proposed | — | ||
| ACT-012319 | Outreach address corrected Outreach | Rachel Arnold: 8993 Pine Dr, Phoenix → 5388 Highland Ave, Austin |
| Proposed | — | ||
| ACT-012320 | Outreach address corrected Outreach | Jordan Jenkins: 1038 Park Pl # 424, Atlanta → 1038 Park Pl, Atlanta |
| Proposed | — | ||
| ACT-012321 | Outreach address corrected Outreach | Jacob Espinoza: 9827 Lake View Rd Apt 40, San Diego → 9827 Lake View Rd, San Diego |
| Proposed | — | ||
| ACT-012322 | Outreach address corrected Outreach | Willie Valdez: 4034 River Rd, Minneapolis → 4034 River Rd # 223, Minneapolis |
| Proposed | — | ||
| ACT-012323 | Outreach address corrected Outreach | Mason Chen: 9569 Canyon Rd, San Antonio → 9569 Canyon Rd Apt 30, San Antonio |
| Proposed | — | ||
| ACT-012324 | Outreach address corrected Outreach | Carolyn Barnes: 8801 Broadway, Plano → 8801 Broadway # 849, Plano |
| Proposed | — | ||
| ACT-012325 | Outreach address corrected Outreach | Kathleen Munoz: 699 River Rd # 316, Minneapolis → 699 River Rd, Minneapolis |
| Proposed | — | ||
| ACT-012326 | Outreach address corrected Outreach | Rebecca Rodriguez: 9840 Ridge Rd # 887, Plano → 5378 Harbor Blvd Apt 1, Seattle |
| Proposed | — | ||
| ACT-012327 | Outreach address corrected Outreach | Ana Gilbert: 5440 Valley View Dr # 433, Austin → 3101 Ridge Rd, Houston |
| Proposed | — | ||
| ACT-012328 | Outreach address corrected Outreach | Eugene Crawford: 2129 Indian School Rd, Scottsdale → 2129 Indian School Rd # 429, Scottsdale |
| Proposed | — | ||
| ACT-012329 | Outreach address corrected Outreach | Alice Duncan: 4992 Church St, Seattle → 4992 Church St # 454, Seattle |
| Proposed | — | ||
| ACT-012330 | Outreach address corrected Outreach | Susan Owens: 3394 Sunset Blvd, Plano → 82 Pine Dr, Fresno |
| Proposed | — | ||
| ACT-012331 | Outreach address corrected Outreach | Randy Lawrence: 8287 Highland Ave, Glendale → 8287 Highland Ave Apt 37, Glendale |
| Proposed | — | ||
| ACT-012332 | Outreach address corrected Outreach | Sophia Martinez: 9261 Lake View Rd # 553, Mesa → 9261 Lake View Rd, Mesa |
| Proposed | — | ||
| ACT-012333 | Outreach address corrected Outreach | Christian Chavez: 7834 Oak St, Seattle → 7834 Oak St # 623, Seattle |
| Proposed | — | ||
| ACT-012334 | Outreach address corrected Outreach | Abigail Allen: 2171 Oak St, Tampa → 2171 Oak St # 361, Tampa |
| Proposed | — | ||
| ACT-012335 | Outreach address corrected Outreach | Nancy James: 6858 Sage Ct, Denver → 8005 River Rd, Orlando |
| Proposed | — | ||
| ACT-012336 | Outreach address corrected Outreach | Nicole George: 5730 Sunset Blvd, Austin → 5730 Sunset Blvd # 529, Austin |
| Proposed | — | ||
| ACT-012337 | Outreach address corrected Outreach | Jack Bowman: 8293 Washington St, Gilbert → 8293 Washington St Apt 11, Gilbert |
| Proposed | — | ||
| ACT-012338 | Outreach address corrected Outreach | Christian Wheeler: 6628 Lincoln Way Apt 22, Tampa → 6628 Lincoln Way, Tampa |
| Proposed | — | ||
| ACT-012339 | Outreach address corrected Outreach | Gerald Pena: 9382 Bayshore Dr # 723, Phoenix → 9382 Bayshore Dr, Phoenix |
| Proposed | — | ||
| ACT-012340 | Outreach address corrected Outreach | Pamela Cooper: 5749 Hillcrest Rd, Minneapolis → 5263 Valley View Dr, Gilbert |
| Proposed | — | ||
| ACT-012341 | Outreach address corrected Outreach | Julie Carroll: 456 Pine Dr, Glendale → 456 Pine Dr # 471, Glendale |
| Proposed | — | ||
| ACT-012342 | Outreach address corrected Outreach | Lauren Barnes: 2367 Grand Ave, San Diego → 2367 Grand Ave # 928, San Diego |
| Proposed | — | ||
| ACT-012343 | Outreach address corrected Outreach | Ronald Reid: 3966 Mountain View Dr, Austin → 3053 Union St, Tampa |
| Proposed | — | ||
| ACT-012344 | Outreach address corrected Outreach | Santiago Garza: 4439 Highland Ave, Atlanta → 4439 Highland Ave Apt 19, Atlanta |
| Proposed | — | ||
| ACT-012345 | Outreach address corrected Outreach | Timothy Aguilar: 1629 River Rd, Las Vegas → 1629 River Rd Apt 10, Las Vegas |
| Proposed | — | ||
| ACT-012346 | Outreach address corrected Outreach | Lisa Clark: 9555 Ridge Rd # 789, Las Vegas → 5429 Sunset Blvd, Atlanta |
| Proposed | — | ||
| ACT-012347 | Outreach address corrected Outreach | Megan Young: 7069 Palm Dr # 716, Mesa → 7069 Palm Dr, Mesa |
| Proposed | — | ||
| ACT-012348 | Outreach address corrected Outreach | Elijah Cox: 5551 Main St # 267, Jacksonville → 5551 Main St, Jacksonville |
| Proposed | — | ||
| ACT-012349 | Outreach address corrected Outreach | Ryan Silva: 2304 Oak St, Tucson → 7846 Grand Ave, Nashville |
| Proposed | — | ||
| ACT-012350 | Outreach address corrected Outreach | Daniel Obrien: 3776 Main St, Denver → 3776 Main St # 342, Denver |
| Proposed | — | ||
| ACT-012351 | Outreach address corrected Outreach | Lucia Adams: 8103 Canyon Rd, Tampa → 9384 Broadway, Fresno |
| Proposed | — | ||
| ACT-012352 | Outreach address corrected Outreach | Sophia Evans: 9437 Sunset Blvd, Chandler → 9437 Sunset Blvd Apt 40, Chandler |
| Proposed | — | ||
| ACT-012353 | Outreach address corrected Outreach | Frannk Bailey: 7511 Ridge Rd, Tucson → 4978 Pine Dr, Dallas |
| Proposed | — | ||
| ACT-012354 | Outreach address corrected Outreach | Albert Marquez: 9035 Pine Dr # 233, Fresno → 9035 Pine Dr, Fresno |
| Proposed | — | ||
| ACT-012355 | Outreach address corrected Outreach | Ana Santos: 7064 Indian School Rd, Tucson → 7064 Indian School Rd # 292, Tucson |
| Proposed | — | ||
| ACT-012356 | Outreach address corrected Outreach | Bryan Williams: 3380 Park Pl # 671, Tempe → 3380 Park Pl, Tempe |
| Proposed | — | ||
| ACT-012357 | Outreach address corrected Outreach | Kathleen Fisher: 5400 Sunset Blvd Apt 8, Nashville → 5400 Sunset Blvd, Nashville |
| Proposed | — | ||
| ACT-012358 | Outreach address corrected Outreach | Lida Bshop: 2829 Pine Dr # 841, Tampa → 2829 Pine Dr, Tampa |
| Proposed | — | ||
| ACT-012359 | Outreach address corrected Outreach | Russell Wallace: 7077 Washington St, Fresno → 7077 Washington St Apt 1, Fresno |
| Proposed | — | ||
| ACT-012360 | Outreach address corrected Outreach | Justin Warren: 6843 Mountain View Dr Apt 30, Glendale → 6843 Mountain View Dr, Glendale |
| Proposed | — | ||
| ACT-012361 | Outreach address corrected Outreach | Kathryn Day: 6913 River Rd Apt 25, Charlotte → 6913 River Rd, Charlotte |
| Proposed | — | ||
| ACT-012362 | Outreach address corrected Outreach | Randy Sullyvan: 3015 Indian School Rd, Tempe → 841 Grand 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.