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-012763 | Outreach address corrected Outreach | Angela George: 103 Maple Ave, Seattle → 9109 Valley View Dr, Columbus |
| Proposed | — | ||
| ACT-012764 | Outreach address corrected Outreach | Daniel Mejia: 7763 Ocean Ave, Columbus → 7763 Ocean Ave # 518, Columbus |
| Proposed | — | ||
| ACT-012765 | Outreach address corrected Outreach | Sophia Bell: 1968 Hillcrest Rd, Glendale → 381 Jefferson Ave, Scottsdale |
| Proposed | — | ||
| ACT-012766 | Outreach address corrected Outreach | Marcus Luna: 2817 Bayshore Dr, Las Vegas → 4042 Desert Sky Blvd, Scottsdale |
| Proposed | — | ||
| ACT-012767 | Outreach address corrected Outreach | Paul Crawford: 5404 Highland Ave Apt 4, Columbus → 5404 Highland Ave, Columbus |
| Proposed | — | ||
| ACT-012768 | Outreach address corrected Outreach | Jerry Washington: 9241 Church St, Charlotte → 4832 Market St, Charlotte |
| Proposed | — | ||
| ACT-012769 | Outreach address corrected Outreach | Timothy Long: 9529 Broadway, Miami → 518 Pine Dr # 585, Minneapolis |
| Proposed | — | ||
| ACT-012770 | Outreach address corrected Outreach | Debra Riley: 6684 Broadway Apt 18, Houston → 6684 Broadway, Houston |
| Proposed | — | ||
| ACT-012771 | Outreach address corrected Outreach | Judy Hawkins: 2248 Mountain View Dr, San Antonio → 1144 Washington St, Houston |
| Proposed | — | ||
| ACT-012772 | Outreach address corrected Outreach | Lauren Johnston: 7541 Mountain View Dr Apt 20, San Antonio → 7541 Mountain View Dr, San Antonio |
| Proposed | — | ||
| ACT-012773 | Outreach address corrected Outreach | Sofia Owens: 3376 Central Ave # 749, Denver → 3376 Central Ave, Denver |
| Proposed | — | ||
| ACT-012774 | Outreach address corrected Outreach | Lisa Vega: 8409 Broadway, Houston → 9673 Indian School Rd, Houston |
| Proposed | — | ||
| ACT-012775 | Outreach address corrected Outreach | Zachary Ray: 383 Sunset Blvd, Plano → 383 Sunset Blvd Apt 16, Plano |
| Proposed | — | ||
| ACT-012776 | Outreach address corrected Outreach | Deborah Baker: 2179 Highland Ave, San Diego → 3889 Canyon Rd, Plano |
| Proposed | — | ||
| ACT-012777 | Outreach address corrected Outreach | Samuel Wheeler: 5473 Bayshore Dr, San Antonio → 889 Cedar Ln, San Antonio |
| Proposed | — | ||
| ACT-012778 | Outreach address corrected Outreach | Logan Richardson: 2481 Apache Blvd, Las Vegas → 2481 Apache Blvd # 472, Las Vegas |
| Proposed | — | ||
| ACT-012779 | Outreach address corrected Outreach | Jerry Contreras: 1086 Lincoln Way, Houston → 7457 Canyon Rd, Nashville |
| Proposed | — | ||
| ACT-012780 | Outreach address corrected Outreach | Frank Wright: 9434 Ocean Ave Apt 4, Houston → 9434 Ocean Ave, Houston |
| Proposed | — | ||
| ACT-012781 | Outreach address corrected Outreach | Paul Marshall: 980 Central Ave Apt 9, Atlanta → 980 Central Ave, Atlanta |
| Proposed | — | ||
| ACT-012782 | Outreach address corrected Outreach | Michelle Nelson: 2704 Lincoln Way, Nashville → 2704 Lincoln Way Apt 15, Nashville |
| Proposed | — | ||
| ACT-012783 | Outreach address corrected Outreach | Lawrence Kelly: 7196 Oak St Apt 29, Columbus → 7196 Oak St, Columbus |
| Proposed | — | ||
| ACT-012784 | Outreach address corrected Outreach | Kayla Shaw: 9289 Central Ave, Fresno → 7949 Jefferson Ave, Houston |
| Proposed | — | ||
| ACT-012785 | Outreach address corrected Outreach | Joseph Wheeler: 3173 Willow Ct, Sacramento → 3173 Willow Ct # 168, Sacramento |
| Proposed | — | ||
| ACT-012786 | Outreach address corrected Outreach | Brian Cole: 8635 Market St, Miami → 8635 Market St Apt 13, Miami |
| Proposed | — | ||
| ACT-012787 | Outreach address corrected Outreach | Jordan Burton: 9072 Forest Ave Apt 8, Las Vegas → 9072 Forest Ave, Las Vegas |
| Proposed | — | ||
| ACT-012788 | Outreach address corrected Outreach | Juan Kelly: 1899 Maple Ave Apt 20, Dallas → 1899 Maple Ave, Dallas |
| Proposed | — | ||
| ACT-012789 | Outreach address corrected Outreach | Kayla Hart: 61 Washington St, Tempe → 6020 Ridge Rd, Columbus |
| Proposed | — | ||
| ACT-012790 | Outreach address corrected Outreach | Catherine Luna: 4991 Forest Ave Apt 4, Jacksonville → 4991 Forest Ave Apt 1, Jacksonville |
| Proposed | — | ||
| ACT-012791 | Outreach address corrected Outreach | Richard Hicks: 6440 River Rd, Eden Prairie → 6440 River Rd Apt 15, Eden Prairie |
| Proposed | — | ||
| ACT-012792 | Outreach address corrected Outreach | Laura Nguyen: 635 Willow Ct Apt 3, Plano → 635 Willow Ct, Plano |
| Proposed | — | ||
| ACT-012793 | Outreach address corrected Outreach | Sean Barnes: 4382 Indian School Rd, Denver → 8435 Mesa Dr, Las Vegas |
| Proposed | — | ||
| ACT-012794 | Outreach address corrected Outreach | Marilyn Walker: 721 River Rd Apt 10, Minneapolis → 721 River Rd, Minneapolis |
| Proposed | — | ||
| ACT-012795 | Outreach address corrected Outreach | Virginia Hill: 5020 Ridge Rd # 349, Tampa → 5020 Ridge Rd, Tampa |
| Proposed | — | ||
| ACT-012796 | Outreach address corrected Outreach | Katherine Carpenter: 6394 Oak St Apt 32, Austin → 2630 Harbor Blvd, Tampa |
| Proposed | — | ||
| ACT-012797 | Outreach address corrected Outreach | Bobby Sanders: 3447 Lincoln Way Apt 34, Orlando → 3447 Lincoln Way, Orlando |
| Proposed | — | ||
| ACT-012798 | Outreach address corrected Outreach | Amber Robinson: 7063 River Rd, Jacksonville → 3458 Highland Ave, Mesa |
| Proposed | — | ||
| ACT-012799 | Outreach address corrected Outreach | Isabella Shaw: 1072 Maple Ave Apt 3, Tampa → 1072 Maple Ave, Tampa |
| Proposed | — | ||
| ACT-012800 | Outreach address corrected Outreach | Ana Knight: 4791 Harbor Blvd # 439, Glendale → 4791 Harbor Blvd # 125, Glendale |
| Proposed | — | ||
| ACT-012801 | Outreach address corrected Outreach | Julia Chavez: 6840 Willow Ct Apt 8, Atlanta → 6840 Willow Ct, Atlanta |
| Proposed | — | ||
| ACT-012802 | Outreach address corrected Outreach | Samuel Berry: 9512 Indian School Rd, Tampa → 9512 Indian School Rd Apt 34, Tampa |
| Proposed | — | ||
| ACT-012803 | Outreach address corrected Outreach | Victoria Gray: 2615 Hillcrest Rd, Austin → 580 Sage Ct, Eden Prairie |
| Proposed | — | ||
| ACT-012804 | Outreach address corrected Outreach | Dylan Valdez: 2540 Maple Ave, Dallas → 2649 Park Pl, Dallas |
| Proposed | — | ||
| ACT-012805 | Outreach address corrected Outreach | Ralph Cox: 2393 Sage Ct, Charlotte → 2393 Sage Ct Apt 21, Charlotte |
| Proposed | — | ||
| ACT-012806 | Outreach address corrected Outreach | Tyler Tucker: 6236 Mesa Dr Apt 34, Scottsdale → 6236 Mesa Dr, Scottsdale |
| Proposed | — | ||
| ACT-012807 | Outreach address corrected Outreach | Ahmed Vazquez: 2802 Sunset Blvd, Tucson → 6035 Oak St, Fresno |
| Proposed | — | ||
| ACT-012808 | Outreach address corrected Outreach | Deborah Cooper: 5581 Central Ave, San Antonio → 742 River Rd, Tempe |
| Proposed | — | ||
| ACT-012809 | Outreach address corrected Outreach | Ana Ortiz: 1779 Central Ave Apt 15, Atlanta → 1779 Central Ave, Atlanta |
| Proposed | — | ||
| ACT-012810 | Outreach address corrected Outreach | Nicole Mitchell: 8002 Oak St, Houston → 712 Mesa Dr, Seattle |
| Proposed | — | ||
| ACT-012811 | Outreach address corrected Outreach | Richard Grant: 7735 Market St, Houston → 7735 Market St # 999, Houston |
| Proposed | — | ||
| ACT-012812 | Outreach address corrected Outreach | Austin Li: 3597 Spring St, Plano → 3597 Spring St # 140, Plano |
| 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.