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-012513 | Outreach address corrected Outreach | Daniel Elliott: 4953 Washington St # 595, Eden Prairie → 4953 Washington St, Eden Prairie |
| Proposed | — | ||
| ACT-012514 | Outreach address corrected Outreach | Joan Estrada: 5173 Highland Ave # 435, Nashville → 5173 Highland Ave, Nashville |
| Proposed | — | ||
| ACT-012515 | Outreach address corrected Outreach | Bradley Morales: 4309 Canyon Rd, Scottsdale → 4309 Canyon Rd Apt 30, Scottsdale |
| Proposed | — | ||
| ACT-012516 | Outreach address corrected Outreach | Janet Wood: 230 Ocean Ave # 800, Phoenix → 230 Ocean Ave, Phoenix |
| Proposed | — | ||
| ACT-012517 | Outreach address corrected Outreach | Diana Oliver: 7663 Maple Ave, Columbus → 7663 Maple Ave # 921, Columbus |
| Proposed | — | ||
| ACT-012518 | Outreach address corrected Outreach | Kevin Andrews: 7867 Ocean Ave, San Diego → 7867 Ocean Ave # 777, San Diego |
| Proposed | — | ||
| ACT-012519 | Outreach address corrected Outreach | Sharon Rose: 99 Lake View Rd Apt 16, Orlando → 99 Lake View Rd, Orlando |
| Proposed | — | ||
| ACT-012520 | Outreach address corrected Outreach | Brandon Bennett: 1280 Camelback Rd, Tucson → 1280 Camelback Rd # 719, Tucson |
| Proposed | — | ||
| ACT-012521 | Outreach address corrected Outreach | Santiago Jiimenez: 6514 Central Ave Apt 28, Chandler → 6514 Central Ave, Chandler |
| Proposed | — | ||
| ACT-012522 | Outreach address corrected Outreach | Jesse Wood: 6327 Indian School Rd, Miami → 6327 Indian School Rd # 870, Miami |
| Proposed | — | ||
| ACT-012523 | Outreach address corrected Outreach | Sean Davis: 1123 Indian School Rd # 277, Dallas → 1123 Indian School Rd Apt 7, Dallas |
| Proposed | — | ||
| ACT-012524 | Outreach address corrected Outreach | Peter Brooks: 2138 Union St Apt 6, Seattle → 2138 Union St, Seattle |
| Proposed | — | ||
| ACT-012525 | Outreach address corrected Outreach | Judy Knight: 1771 Ridge Rd, Scottsdale → 1771 Ridge Rd Apt 24, Scottsdale |
| Proposed | — | ||
| ACT-012526 | Outreach address corrected Outreach | Sofia Ramirez: 8190 Camelback Rd Apt 37, Jacksonville → 8190 Camelback Rd, Jacksonville |
| Proposed | — | ||
| ACT-012527 | Outreach address corrected Outreach | Ashley Ryan: 5777 Grand Ave, Fresno → 5777 Grand Ave Apt 34, Fresno |
| Proposed | — | ||
| ACT-012528 | Outreach address corrected Outreach | Ahmed Kim: 4911 Forest Ave, Nashville → 4911 Forest Ave # 468, Nashville |
| Proposed | — | ||
| ACT-012529 | Outreach address corrected Outreach | Randy Hlil: 9664 Washington St, Fresno → 2962 Washington St, Columbus |
| Proposed | — | ||
| ACT-012530 | Outreach address corrected Outreach | Will Moore: 2025 Bayshore Dr, Austin → 2025 Bayshore Dr # 961, Austin |
| Proposed | — | ||
| ACT-012531 | Outreach address corrected Outreach | Keith Ross: 7356 Maple Ave, Houston → 7356 Maple Ave # 587, Houston |
| Proposed | — | ||
| ACT-012532 | Outreach address corrected Outreach | Peter Hernandez: 7574 Baseline Rd, Gilbert → 7574 Baseline Rd # 842, Gilbert |
| Proposed | — | ||
| ACT-012533 | Outreach address corrected Outreach | Laura Ray: 6445 Lake View Rd, Denver → 5902 Lake View Rd, Tempe |
| Proposed | — | ||
| ACT-012534 | Outreach address corrected Outreach | Brenda Lewis: 4062 Market St, Columbus → 5805 Valley View Dr Apt 38, Charlotte |
| Proposed | — | ||
| ACT-012535 | Outreach address corrected Outreach | Carol Ruiz: 1381 Sunset Blvd # 734, Seattle → 1381 Sunset Blvd, Seattle |
| Proposed | — | ||
| ACT-012536 | Outreach address corrected Outreach | Julie Maldonado: 2499 Cedar Ln, Tampa → 2499 Cedar Ln # 572, Tampa |
| Proposed | — | ||
| ACT-012537 | Outreach address corrected Outreach | Charles Edwards: 7460 Bayshore Dr, San Antonio → 7460 Bayshore Dr Apt 26, San Antonio |
| Proposed | — | ||
| ACT-012538 | Outreach address corrected Outreach | Diane Little: 9056 Washington St, Orlando → 9056 Washington St # 639, Orlando |
| Proposed | — | ||
| ACT-012539 | Outreach address corrected Outreach | Kathryn Porter: 1943 Broadway # 930, Tucson → 1943 Broadway, Tucson |
| Proposed | — | ||
| ACT-012540 | Outreach address corrected Outreach | Stephanie Bell: 8348 Elm St Apt 35, Minneapolis → 8348 Elm St, Minneapolis |
| Proposed | — | ||
| ACT-012541 | Outreach address corrected Outreach | Grace Carr: 9265 Palm Dr # 815, Minneapolis → 9265 Palm Dr, Minneapolis |
| Proposed | — | ||
| ACT-012542 | Outreach address corrected Outreach | Noah Burton: 6852 Meadow Ln, Jacksonville → 6852 Meadow Ln # 186, Jacksonville |
| Proposed | — | ||
| ACT-012543 | Outreach address corrected Outreach | Dylan Reed: 4465 Desert Sky Blvd # 550, Austin → 4465 Desert Sky Blvd, Austin |
| Proposed | — | ||
| ACT-012544 | Outreach address corrected Outreach | Keith Tran: 2672 Washington St, Dallas → 8577 Highland Ave, Fresno |
| Proposed | — | ||
| ACT-012545 | Outreach address corrected Outreach | Lucia Smith: 980 Ridge Rd, Austin → 866 Broadway Apt 26, Tempe |
| Proposed | — | ||
| ACT-012546 | Outreach address corrected Outreach | Gregory Hunt: 6266 Ocean Ave, Seattle → 4621 Sage Ct, Scottsdale |
| Proposed | — | ||
| ACT-012547 | Outreach address corrected Outreach | Teresa Burton: 5876 Indian School Rd # 546, Minneapolis → 5876 Indian School Rd, Minneapolis |
| Proposed | — | ||
| ACT-012548 | Outreach address corrected Outreach | Philip Lawson: 9078 Sage Ct, Fresno → 5458 Ocean Ave, Charlotte |
| Proposed | — | ||
| ACT-012549 | Outreach address corrected Outreach | Judith Simpson: 2933 Pine Dr, Tempe → 2933 Pine Dr Apt 20, Tempe |
| Proposed | — | ||
| ACT-012550 | Outreach address corrected Outreach | Deborah Carlson: 3493 Mountain View Dr, Sacramento → 3493 Mountain View Dr Apt 14, Sacramento |
| Proposed | — | ||
| ACT-012551 | Outreach address corrected Outreach | Gloria Stone: 6617 Camelback Rd, Tucson → 2107 Park Pl, Charlotte |
| Proposed | — | ||
| ACT-012552 | Outreach address corrected Outreach | Julie Hudson: 3395 Ocean Ave, Tampa → 3203 Oak St, Jacksonville |
| Proposed | — | ||
| ACT-012553 | Outreach address corrected Outreach | Karen Wong: 6744 Union St, Tempe → 672 Hillcrest Rd # 206, Minneapolis |
| Proposed | — | ||
| ACT-012554 | Outreach address corrected Outreach | Jesse Armstrong: 7599 Elm St, Glendale → 2532 Oak St # 979, Scottsdale |
| Proposed | — | ||
| ACT-012555 | Outreach address corrected Outreach | Joseph King: 9130 Broadway Apt 37, Jacksonville → 9130 Broadway, Jacksonville |
| Proposed | — | ||
| ACT-012556 | Outreach address corrected Outreach | Michelle Gutierrez: 1033 Lake View Rd, Sacramento → 7289 Lincoln Way, Jacksonville |
| Proposed | — | ||
| ACT-012557 | Outreach address corrected Outreach | Dennis Salazar: 1001 Mesa Dr, Nashville → 5544 Apache Blvd, Plano |
| Proposed | — | ||
| ACT-012558 | Outreach address corrected Outreach | Theresa Alvarado: 4091 Ridge Rd Apt 19, Atlanta → 4091 Ridge Rd, Atlanta |
| Proposed | — | ||
| ACT-012559 | Outreach address corrected Outreach | Dennis Elliott: 8507 Apache Blvd # 489, Los Angeles → 8507 Apache Blvd, Los Angeles |
| Proposed | — | ||
| ACT-012560 | Outreach address corrected Outreach | Cynthia Gardner: 3740 Desert Sky Blvd, Orlando → 3740 Desert Sky Blvd # 671, Orlando |
| Proposed | — | ||
| ACT-012561 | Outreach address corrected Outreach | Ryan Hill: 2145 Ocean Ave, Scottsdale → 196 Highland Ave, Tucson |
| Proposed | — | ||
| ACT-012562 | Outreach address corrected Outreach | Jesse Brooks: 7865 Meadow Ln, Eden Prairie → 7865 Meadow Ln Apt 17, Eden Prairie |
| 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.