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-012413 | Outreach address corrected Outreach | Marcus Burke: 4628 River Rd, San Antonio → 4628 River Rd Apt 26, San Antonio |
| Proposed | — | ||
| ACT-012414 | Outreach address corrected Outreach | Christina Jackson: 7008 Sunset Blvd Apt 28, Denver → 7008 Sunset Blvd, Denver |
| Proposed | — | ||
| ACT-012415 | Outreach address corrected Outreach | Kevin Gordon: 1100 Union St, Chandler → 1023 Ridge Rd, Gilbert |
| Proposed | — | ||
| ACT-012416 | Outreach address corrected Outreach | Michael Alvarado: 3038 Baseline Rd # 899, Houston → 3038 Baseline Rd, Houston |
| Proposed | — | ||
| ACT-012417 | Outreach address corrected Outreach | Sarah Long: 2128 Ocean Ave # 183, Nashville → 2128 Ocean Ave, Nashville |
| Proposed | — | ||
| ACT-012418 | Outreach address corrected Outreach | Barbara Mejia: 132 Canyon Rd, Glendale → 9067 Oak St, Columbus |
| Proposed | — | ||
| ACT-012419 | Outreach address corrected Outreach | Grrace Perkins: 9709 Willow Ct, Tempe → 9709 Willow Ct Apt 21, Tempe |
| Proposed | — | ||
| ACT-012420 | Outreach address corrected Outreach | Laura Ramos: 9515 Jefferson Ave, Tucson → 9515 Jefferson Ave # 156, Tucson |
| Proposed | — | ||
| ACT-012421 | Outreach address corrected Outreach | Omar Morales: 6303 Park Pl, Tempe → 5572 Maple Ave, Miami |
| Proposed | — | ||
| ACT-012422 | Outreach address corrected Outreach | Andrea Gonzles: 6530 Lake View Rd, San Diego → 6530 Lake View Rd Apt 32, San Diego |
| Proposed | — | ||
| ACT-012423 | Outreach address corrected Outreach | Natalie Stewart: 4853 Jefferson Ave, Mesa → 4853 Jefferson Ave Apt 4, Mesa |
| Proposed | — | ||
| ACT-012424 | Outreach address corrected Outreach | Vincent West: 8724 Central Ave Apt 7, Plano → 8724 Central Ave, Plano |
| Proposed | — | ||
| ACT-012425 | Outreach address corrected Outreach | Debra Hill: 8220 Forest Ave, Mesa → 8220 Forest Ave Apt 15, Mesa |
| Proposed | — | ||
| ACT-012426 | Outreach address corrected Outreach | Diego Castillo: 3312 Maple Ave Apt 35, Houston → 3312 Maple Ave, Houston |
| Proposed | — | ||
| ACT-012427 | Outreach address corrected Outreach | Brian Wells: 7743 Market St, Tampa → 7743 Market St # 695, Tampa |
| Proposed | — | ||
| ACT-012428 | Outreach address corrected Outreach | Sarah Mitchell: 8532 Oak St, Eden Prairie → 8532 Oak St # 782, Eden Prairie |
| Proposed | — | ||
| ACT-012429 | Outreach address corrected Outreach | Hiroshi Kelley: 2695 Indian School Rd, Phoenix → 2695 Indian School Rd Apt 9, Phoenix |
| Proposed | — | ||
| ACT-012430 | Outreach address corrected Outreach | Edward Ward: 3932 Canyon Rd, Sacramento → 3932 Canyon Rd Apt 14, Sacramento |
| Proposed | — | ||
| ACT-012431 | Outreach address corrected Outreach | Kayla Le: 2921 Market St # 179, Miami → 2921 Market St, Miami |
| Proposed | — | ||
| ACT-012432 | Outreach address corrected Outreach | Donna Kelley: 719 Highland Ave Apt 28, Fresno → 719 Highland Ave, Fresno |
| Proposed | — | ||
| ACT-012433 | Outreach address corrected Outreach | Bobby Harris: 6344 Cedar Ln Apt 1, Houston → 6344 Cedar Ln, Houston |
| Proposed | — | ||
| ACT-012434 | Outreach address corrected Outreach | Logan Ford: 1144 Meadow Ln Apt 9, Miami → 1144 Meadow Ln, Miami |
| Proposed | — | ||
| ACT-012435 | Outreach address corrected Outreach | Ana Burns: 5119 Willow Ct # 425, Dallas → 5119 Willow Ct, Dallas |
| Proposed | — | ||
| ACT-012436 | Outreach address corrected Outreach | Lisa Mendez: 105 Cedar Ln Apt 11, Tucson → 105 Cedar Ln # 365, Tucson |
| Proposed | — | ||
| ACT-012437 | Outreach address corrected Outreach | Alan Ryan: 5901 Grand Ave # 845, San Diego → 5901 Grand Ave, San Diego |
| Proposed | — | ||
| ACT-012438 | Outreach address corrected Outreach | Roger Ryan: 5731 Ridge Rd, Minneapolis → 5731 Ridge Rd # 723, Minneapolis |
| Proposed | — | ||
| ACT-012439 | Outreach address corrected Outreach | Alexis Ruiz: 3858 Harbor Blvd # 905, Sacramento → 3858 Harbor Blvd, Sacramento |
| Proposed | — | ||
| ACT-012440 | Outreach address corrected Outreach | Gloria Nichols: 328 Willow Ct # 370, Dallas → 328 Willow Ct, Dallas |
| Proposed | — | ||
| ACT-012441 | Outreach address corrected Outreach | Susan Miller: 4202 Elm St # 618, Orlando → 4202 Elm St # 267, Orlando |
| Proposed | — | ||
| ACT-012442 | Outreach address corrected Outreach | Brenda Wells: 3625 Willow Ct, Scottsdale → 3625 Willow Ct # 221, Scottsdale |
| Proposed | — | ||
| ACT-012443 | Outreach address corrected Outreach | Priya Ford: 6295 Indian School Rd, Denver → 6295 Indian School Rd Apt 11, Denver |
| Proposed | — | ||
| ACT-012444 | Outreach address corrected Outreach | Douglas Lewis: 560 Spring St # 509, Dallas → 560 Spring St Apt 6, Dallas |
| Proposed | — | ||
| ACT-012445 | Outreach address corrected Outreach | Joan Vega: 2744 Market St Apt 13, Glendale → 2744 Market St, Glendale |
| Proposed | — | ||
| ACT-012446 | Outreach address corrected Outreach | Stephen Gonzales: 789 Highland Ave Apt 30, Tucson → 789 Highland Ave, Tucson |
| Proposed | — | ||
| ACT-012447 | Outreach address corrected Outreach | Noah Lawrence: 169 Baseline Rd Apt 4, Minneapolis → 169 Baseline Rd, Minneapolis |
| Proposed | — | ||
| ACT-012448 | Outreach address corrected Outreach | Charles Jimenez: 5023 River Rd, Austin → 5023 River Rd # 250, Austin |
| Proposed | — | ||
| ACT-012449 | Outreach address corrected Outreach | Doris Huffman: 3017 Indian School Rd, Gilbert → 8947 Willow Ct, Eden Prairie |
| Proposed | — | ||
| ACT-012450 | Outreach address corrected Outreach | Timothy Myers: 4105 Mesa Dr # 653, Eden Prairie → 4105 Mesa Dr, Eden Prairie |
| Proposed | — | ||
| ACT-012451 | Outreach address corrected Outreach | Aisha Gibson: 3743 Church St, Atlanta → 3743 Church St Apt 19, Atlanta |
| Proposed | — | ||
| ACT-012452 | Outreach address corrected Outreach | Carol Howard: 8380 Central Ave # 270, Sacramento → 6429 Park Pl, Jacksonville |
| Proposed | — | ||
| ACT-012453 | Outreach address corrected Outreach | Laura Guzman: 3197 Ridge Rd, Plano → 3197 Ridge Rd Apt 3, Plano |
| Proposed | — | ||
| ACT-012454 | Outreach address corrected Outreach | Deborah Day: 6113 Camelback Rd, Houston → 5489 Market St, Plano |
| Proposed | — | ||
| ACT-012455 | Outreach address corrected Outreach | Nicole Gilbert: 8635 Central Ave, Tempe → 6879 Market St, Orlando |
| Proposed | — | ||
| ACT-012456 | Outreach address corrected Outreach | Dorothy Russell: 9373 Spring St, Mesa → 9373 Spring St Apt 20, Mesa |
| Proposed | — | ||
| ACT-012457 | Outreach address corrected Outreach | Kim Margaret: 4922 Lake View Rd Apt 4, Mesa → 4922 Lake View Rd, Mesa |
| Proposed | — | ||
| ACT-012458 | Outreach address corrected Outreach | Roy Williams: 3301 Willow Ct # 286, Columbus → 3301 Willow Ct, Columbus |
| Proposed | — | ||
| ACT-012459 | Outreach address corrected Outreach | Katherine Lucas: 1463 Cedar Ln, Gilbert → 1463 Cedar Ln # 249, Gilbert |
| Proposed | — | ||
| ACT-012460 | Outreach address corrected Outreach | Maria Snyder: 5805 Mountain View Dr, Denver → 5805 Mountain View Dr # 934, Denver |
| Proposed | — | ||
| ACT-012461 | Outreach address corrected Outreach | Joyce Tran: 3124 Grand Ave # 749, Miami → 3124 Grand Ave, Miami |
| Proposed | — | ||
| ACT-012462 | Outreach address corrected Outreach | Paul Jordan: 3424 Apache Blvd, Los Angeles → 3424 Apache Blvd Apt 26, Los Angeles |
| 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.