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-012563 | Outreach address corrected Outreach | Isabella Wallace: 2483 Bayshore Dr, Dallas → 8907 Broadway, Nashville |
| Proposed | — | ||
| ACT-012564 | Outreach address corrected Outreach | Sophia Soto: 8505 Ridge Rd # 709, Jacksonville → 8505 Ridge Rd, Jacksonville |
| Proposed | — | ||
| ACT-012565 | Outreach address corrected Outreach | Hannah Larson: 9558 Maple Ave Apt 30, Gilbert → 9558 Maple Ave, Gilbert |
| Proposed | — | ||
| ACT-012566 | Outreach address corrected Outreach | Amanda Walsh: 9882 Cedar Ln Apt 13, Orlando → 9882 Cedar Ln, Orlando |
| Proposed | — | ||
| ACT-012567 | Outreach address corrected Outreach | David Harvey: 9718 Harbor Blvd, Denver → 9718 Harbor Blvd # 891, Denver |
| Proposed | — | ||
| ACT-012568 | Outreach address corrected Outreach | Shirley Burton: 9840 Ocean Ave, San Antonio → 8514 Forest Ave, San Antonio |
| Proposed | — | ||
| ACT-012569 | Outreach address corrected Outreach | Sarah Singh: 6395 Bayshore Dr, Nashville → 6395 Bayshore Dr Apt 39, Nashville |
| Proposed | — | ||
| ACT-012570 | Outreach address corrected Outreach | Judith Mills: 6622 Oak St # 375, Jacksonville → 6622 Oak St, Jacksonville |
| Proposed | — | ||
| ACT-012571 | Outreach address corrected Outreach | Marc Murray: 2029 Mountain View Dr, Columbus → 2029 Mountain View Dr # 686, Columbus |
| Proposed | — | ||
| ACT-012572 | Outreach address corrected Outreach | Patrick Carter: 9383 Washington St Apt 4, San Diego → 9383 Washington St, San Diego |
| Proposed | — | ||
| ACT-012573 | Outreach address corrected Outreach | Larry Moreno: 6676 Oak St, Tempe → 6676 Oak St Apt 5, Tempe |
| Proposed | — | ||
| ACT-012574 | Outreach address corrected Outreach | Omar James: 902 Highland Ave, Sacramento → 902 Highland Ave # 810, Sacramento |
| Proposed | — | ||
| ACT-012575 | Outreach address corrected Outreach | Danielle Vazquez: 8681 Grand Ave, Atlanta → 8681 Grand Ave Apt 37, Atlanta |
| Proposed | — | ||
| ACT-012576 | Outreach address corrected Outreach | Christopher Nguyen: 8876 Desert Sky Blvd, Dallas → 1738 Meadow Ln, Tempe |
| Proposed | — | ||
| ACT-012577 | Outreach address corrected Outreach | Abigail George: 5368 Lincoln Way, Mesa → 6504 Camelback Rd, Tempe |
| Proposed | — | ||
| ACT-012578 | Outreach address corrected Outreach | Samantha Watkins: 935 Cedar Ln, Columbus → 935 Cedar Ln Apt 39, Columbus |
| Proposed | — | ||
| ACT-012579 | Outreach address corrected Outreach | Laura Simpson: 7788 Sunset Blvd Apt 16, Chandler → 7788 Sunset Blvd, Chandler |
| Proposed | — | ||
| ACT-012580 | Outreach address corrected Outreach | Frances Hansen: 8848 Lincoln Way, San Diego → 1316 Ocean Ave, Houston |
| Proposed | — | ||
| ACT-012581 | Outreach address corrected Outreach | Martha Medina: 7446 Central Ave, Atlanta → 2912 River Rd, Denver |
| Proposed | — | ||
| ACT-012582 | Outreach address corrected Outreach | Crlos Tucker: 344 Elm St Apt 16, Columbus → 344 Elm St, Columbus |
| Proposed | — | ||
| ACT-012583 | Outreach address corrected Outreach | Thomas Holmes: 9118 Elm St # 591, Nashville → 9118 Elm St, Nashville |
| Proposed | — | ||
| ACT-012584 | Outreach address corrected Outreach | Barbara Gibson: 6723 Forest Ave, Los Angeles → 6723 Forest Ave # 649, Los Angeles |
| Proposed | — | ||
| ACT-012585 | Outreach address corrected Outreach | Ahmed Patel: 7258 Apache Blvd, Austin → 7258 Apache Blvd Apt 7, Austin |
| Proposed | — | ||
| ACT-012586 | Outreach address corrected Outreach | Martha Jimenez: 6213 Oak St, Fresno → 6213 Oak St # 872, Fresno |
| Proposed | — | ||
| ACT-012587 | Outreach address corrected Outreach | Susan Harper: 4040 Spring St Apt 17, San Antonio → 4040 Spring St, San Antonio |
| Proposed | — | ||
| ACT-012588 | Outreach address corrected Outreach | Jeffrey Obrien: 2023 Washington St, Miami → 353 Park Pl, Tempe |
| Proposed | — | ||
| ACT-012589 | Outreach address corrected Outreach | Heather Arnold: 6480 Lincoln Way, San Diego → 6480 Lincoln Way # 698, San Diego |
| Proposed | — | ||
| ACT-012590 | Outreach address corrected Outreach | Fatima Reyes: 3893 Meadow Ln # 874, Charlotte → 3893 Meadow Ln, Charlotte |
| Proposed | — | ||
| ACT-012591 | Outreach address corrected Outreach | Jean Davis: 4831 Highland Ave, Nashville → 4831 Highland Ave # 411, Nashville |
| Proposed | — | ||
| ACT-012592 | Outreach address corrected Outreach | Sophia Anderson: 2387 Sage Ct Apt 3, Houston → 2387 Sage Ct, Houston |
| Proposed | — | ||
| ACT-012593 | Outreach address corrected Outreach | Carol Webb: 2396 Washington St # 929, Chandler → 2396 Washington St, Chandler |
| Proposed | — | ||
| ACT-012594 | Outreach address corrected Outreach | Carl Sandoval: 7537 Park Pl, Dallas → 1075 Elm St Apt 20, Plano |
| Proposed | — | ||
| ACT-012595 | Outreach address corrected Outreach | Christine Diaz: 1045 Ridge Rd, Chandler → 5277 Mountain View Dr # 572, Los Angeles |
| Proposed | — | ||
| ACT-012596 | Outreach address corrected Outreach | Nathan Howell: 5739 Main St # 263, Miami → 5739 Main St, Miami |
| Proposed | — | ||
| ACT-012597 | Outreach address corrected Outreach | Evelyn Johnston: 5408 Willow Ct, Plano → 5408 Willow Ct # 165, Plano |
| Proposed | — | ||
| ACT-012598 | Outreach address corrected Outreach | Michelle Gutierrez: 118 River Rd # 526, Mesa → 118 River Rd, Mesa |
| Proposed | — | ||
| ACT-012599 | Outreach address corrected Outreach | Kevin Harper: 6084 Church St, Chandler → 8224 Ocean Ave, Charlotte |
| Proposed | — | ||
| ACT-012600 | Outreach address corrected Outreach | Kevin Lewis: 772 Willow Ct, Los Angeles → 8730 Sage Ct, San Diego |
| Proposed | — | ||
| ACT-012601 | Outreach address corrected Outreach | Ralph Martin: 6955 Harbor Blvd, Glendale → 3214 Valley View Dr, Los Angeles |
| Proposed | — | ||
| ACT-012602 | Outreach address corrected Outreach | Doris Guerrero: 1029 Spring St # 887, Las Vegas → 1029 Spring St, Las Vegas |
| Proposed | — | ||
| ACT-012603 | Outreach address corrected Outreach | Patricia Porter: 8080 Forest Ave Apt 9, Denver → 8080 Forest Ave, Denver |
| Proposed | — | ||
| ACT-012604 | Outreach address corrected Outreach | Carl Mendez: 5168 Palm Dr, Seattle → 1007 Valley View Dr, Tempe |
| Proposed | — | ||
| ACT-012605 | Outreach address corrected Outreach | Jonathan Peterson: 9875 Canyon Rd, Chandler → 3469 Spring St, Plano |
| Proposed | — | ||
| ACT-012606 | Outreach address corrected Outreach | Pamela Lopez: 1080 River Rd # 294, Sacramento → 1080 River Rd, Sacramento |
| Proposed | — | ||
| ACT-012607 | Outreach address corrected Outreach | Abigail Gomez: 9733 Apache Blvd, Tempe → 9733 Apache Blvd Apt 37, Tempe |
| Proposed | — | ||
| ACT-012608 | Outreach address corrected Outreach | Mari Ortiz: 5555 Harbor Blvd # 443, Jacksonville → 5555 Harbor Blvd, Jacksonville |
| Proposed | — | ||
| ACT-012609 | Outreach address corrected Outreach | Mateo Ortiz: 9079 Grand Ave Apt 1, Austin → 9079 Grand Ave # 589, Austin |
| Proposed | — | ||
| ACT-012610 | Outreach address corrected Outreach | Brenda Diaz: 6985 Broadway, Denver → 6985 Broadway Apt 5, Denver |
| Proposed | — | ||
| ACT-012611 | Outreach address corrected Outreach | Joseph Flores: 6339 Lincoln Way, Phoenix → 6339 Lincoln Way # 897, Phoenix |
| Proposed | — | ||
| ACT-012612 | Outreach address corrected Outreach | Denise Wilson: 2878 Palm Dr, Atlanta → 420 Hillcrest Rd, San Diego |
| 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.