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-012363 | Outreach address corrected Outreach | Laura Wagner: 7724 Lincoln Way # 851, Charlotte → 7724 Lincoln Way, Charlotte |
| Proposed | — | ||
| ACT-012364 | Outreach address corrected Outreach | Sarah Sullivan: 4140 Highland Ave # 395, San Diego → 4140 Highland Ave, San Diego |
| Proposed | — | ||
| ACT-012365 | Outreach address corrected Outreach | Gloria Johnson: 3218 Hillcrest Rd, Orlando → 3218 Hillcrest Rd # 876, Orlando |
| Proposed | — | ||
| ACT-012366 | Outreach address corrected Outreach | Jennifer Griffin: 9526 Washington St, Denver → 4234 Market St, Chandler |
| Proposed | — | ||
| ACT-012367 | Outreach address corrected Outreach | Raymond Day: 227 Elm St, Tucson → 8570 Main St, Miami |
| Proposed | — | ||
| ACT-012368 | Outreach address corrected Outreach | Brandon Porter: 7764 Pine Dr # 656, Miami → 7764 Pine Dr, Miami |
| Proposed | — | ||
| ACT-012369 | Outreach address corrected Outreach | Fatima Bryant: 5830 Willow Ct, Fresno → 5830 Willow Ct Apt 23, Fresno |
| Proposed | — | ||
| ACT-012370 | Outreach address corrected Outreach | Yuki Nguyen: 7942 Maple Ave Apt 23, Austin → 1631 Jefferson Ave Apt 28, Orlando |
| Proposed | — | ||
| ACT-012371 | Outreach address corrected Outreach | Kelly Larson: 3092 Washington St, Chandler → 3092 Washington St # 572, Chandler |
| Proposed | — | ||
| ACT-012372 | Outreach address corrected Outreach | Ronald Espinoza: 4348 River Rd # 419, Nashville → 4348 River Rd, Nashville |
| Proposed | — | ||
| ACT-012373 | Outreach address corrected Outreach | Gloria Grant: 6583 Ridge Rd, Las Vegas → 6583 Ridge Rd # 273, Las Vegas |
| Proposed | — | ||
| ACT-012374 | Outreach address corrected Outreach | Judy Alexander: 6007 Grand Ave Apt 2, Dallas → 6007 Grand Ave, Dallas |
| Proposed | — | ||
| ACT-012375 | Outreach address corrected Outreach | Kimberly White: 6560 Camelback Rd Apt 10, San Antonio → 6560 Camelback Rd, San Antonio |
| Proposed | — | ||
| ACT-012376 | Outreach address corrected Outreach | Margaret Butler: 4150 Ridge Rd, Eden Prairie → 741 Canyon Rd, Minneapolis |
| Proposed | — | ||
| ACT-012377 | Outreach address corrected Outreach | Karen Luna: 4710 Sage Ct # 101, Los Angeles → 4710 Sage Ct, Los Angeles |
| Proposed | — | ||
| ACT-012378 | Outreach address corrected Outreach | Abigail Reed: 8479 Spring St, Tampa → 8479 Spring St Apt 11, Tampa |
| Proposed | — | ||
| ACT-012379 | Outreach address corrected Outreach | Henry Pierce: 6795 Park Pl, Plano → 6795 Park Pl # 146, Plano |
| Proposed | — | ||
| ACT-012380 | Outreach address corrected Outreach | Teresa Bishop: 314 Church St Apt 20, Tampa → 314 Church St # 391, Tampa |
| Proposed | — | ||
| ACT-012381 | Outreach address corrected Outreach | Emma Clark: 1050 Sunset Blvd Apt 5, Fresno → 1050 Sunset Blvd, Fresno |
| Proposed | — | ||
| ACT-012382 | Outreach address corrected Outreach | Dorothy Richardson: 9509 Indian School Rd, Charlotte → 9509 Indian School Rd Apt 35, Charlotte |
| Proposed | — | ||
| ACT-012383 | Outreach address corrected Outreach | Becky Bryant: 861 Canyon Rd Apt 29, Seattle → 861 Canyon Rd, Seattle |
| Proposed | — | ||
| ACT-012384 | Outreach address corrected Outreach | Williaam Hudson: 5967 Church St # 326, Tempe → 5967 Church St, Tempe |
| Proposed | — | ||
| ACT-012385 | Outreach address corrected Outreach | Nathan Phillips: 3692 River Rd # 385, Jacksonville → 3692 River Rd, Jacksonville |
| Proposed | — | ||
| ACT-012386 | Outreach address corrected Outreach | Julia Patel: 531 Mountain View Dr Apt 14, Minneapolis → 531 Mountain View Dr, Minneapolis |
| Proposed | — | ||
| ACT-012387 | Outreach address corrected Outreach | Kayla Dominguez: 9187 Hillcrest Rd, Mesa → 3204 Bayshore Dr, Plano |
| Proposed | — | ||
| ACT-012388 | Outreach address corrected Outreach | Carolyn Wright: 3585 Jefferson Ave, Dallas → 242 Park Pl # 972, Orlando |
| Proposed | — | ||
| ACT-012389 | Outreach address corrected Outreach | Sharon Salazar: 6442 Market St Apt 29, Denver → 1694 Mesa Dr, Atlanta |
| Proposed | — | ||
| ACT-012390 | Outreach address corrected Outreach | Stephanie Oliver: 2679 Elm St, Jacksonville → 7079 Maple Ave, Denver |
| Proposed | — | ||
| ACT-012391 | Outreach address corrected Outreach | Arjun Marshall: 4070 Willow Ct, Tampa → 4070 Willow Ct # 774, Tampa |
| Proposed | — | ||
| ACT-012392 | Outreach address corrected Outreach | Lori Williams: 7301 Mountain View Dr, Tempe → 7541 Washington St, Fresno |
| Proposed | — | ||
| ACT-012393 | Outreach address corrected Outreach | Ahmed Adams: 3121 Union St Apt 1, Las Vegas → 3121 Union St, Las Vegas |
| Proposed | — | ||
| ACT-012394 | Outreach address corrected Outreach | Gerald Simpson: 4029 Forest Ave, Las Vegas → 3721 Jefferson Ave, Nashville |
| Proposed | — | ||
| ACT-012395 | Outreach address corrected Outreach | Camila Sandoval: 5221 Broadway, Seattle → 5221 Broadway Apt 16, Seattle |
| Proposed | — | ||
| ACT-012396 | Outreach address corrected Outreach | Julie Li: 5776 Willow Ct, Los Angeles → 5776 Willow Ct # 955, Los Angeles |
| Proposed | — | ||
| ACT-012397 | Outreach address corrected Outreach | Bradley Sims: 5562 Apache Blvd # 865, Mesa → 5562 Apache Blvd, Mesa |
| Proposed | — | ||
| ACT-012398 | Outreach address corrected Outreach | Karen Lucas: 7119 Palm Dr, Dallas → 7119 Palm Dr # 319, Dallas |
| Proposed | — | ||
| ACT-012399 | Outreach address corrected Outreach | Austin Herrera: 3503 Oak St, San Diego → 9279 Park Pl, Charlotte |
| Proposed | — | ||
| ACT-012400 | Outreach address corrected Outreach | Cheryl Murphy: 3441 Oak St, Nashville → 3441 Oak St Apt 11, Nashville |
| Proposed | — | ||
| ACT-012401 | Outreach address corrected Outreach | Gregory Kelley: 4795 Maple Ave, Houston → 4795 Maple Ave Apt 35, Houston |
| Proposed | — | ||
| ACT-012402 | Outreach address corrected Outreach | Karen Gibson: 6786 Grand Ave Apt 2, Denver → 6786 Grand Ave, Denver |
| Proposed | — | ||
| ACT-012403 | Outreach address corrected Outreach | Debra Wilson: 3651 Maple Ave, Denver → 5727 River Rd, Glendale |
| Proposed | — | ||
| ACT-012404 | Outreach address corrected Outreach | Andrew Garza: 2582 Meadow Ln, Seattle → 6156 Lincoln Way, Orlando |
| Proposed | — | ||
| ACT-012405 | Outreach address corrected Outreach | Mary Russell: 6848 Jefferson Ave, Las Vegas → 6848 Jefferson Ave # 582, Las Vegas |
| Proposed | — | ||
| ACT-012406 | Outreach address corrected Outreach | Ken Harvey: 7548 Ridge Rd Apt 2, Phoenix → 7548 Ridge Rd, Phoenix |
| Proposed | — | ||
| ACT-012407 | Outreach address corrected Outreach | Edward Jenkins: 7960 River Rd Apt 20, Minneapolis → 7960 River Rd, Minneapolis |
| Proposed | — | ||
| ACT-012408 | Outreach address corrected Outreach | Eugene Graham: 1088 Maple Ave Apt 7, Fresno → 1088 Maple Ave, Fresno |
| Proposed | — | ||
| ACT-012409 | Outreach address corrected Outreach | Willie Le: 3352 Forest Ave, Las Vegas → 3352 Forest Ave Apt 16, Las Vegas |
| Proposed | — | ||
| ACT-012410 | Outreach address corrected Outreach | Juan Carroll: 2194 Central Ave Apt 2, Tucson → 2194 Central Ave, Tucson |
| Proposed | — | ||
| ACT-012411 | Outreach address corrected Outreach | Evelyn Brooks: 9160 Forest Ave Apt 11, Scottsdale → 9160 Forest Ave, Scottsdale |
| Proposed | — | ||
| ACT-012412 | Outreach address corrected Outreach | Brenda Hart: 9078 Forest Ave Apt 24, Orlando → 3073 Bayshore Dr, Glendale |
| 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.