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-012813 | Outreach address corrected Outreach | Ralph Little: 3843 Elm St, Tucson → 3843 Elm St # 201, Tucson |
| Proposed | — | ||
| ACT-012814 | Outreach address corrected Outreach | Andrew Nunez: 9834 Elm St, Austin → 9834 Elm St # 965, Austin |
| Proposed | — | ||
| ACT-012815 | Outreach address corrected Outreach | Mateo Simpson: 9683 Canyon Rd Apt 8, Minneapolis → 9683 Canyon Rd, Minneapolis |
| Proposed | — | ||
| ACT-012816 | Outreach address corrected Outreach | Elizabeth Brown: 30 Maple Ave, Austin → 2433 Lincoln Way, Orlando |
| Proposed | — | ||
| ACT-012817 | Outreach address corrected Outreach | Lucia Mendoza: 3079 Sunset Blvd, Tucson → 3079 Sunset Blvd Apt 13, Tucson |
| Proposed | — | ||
| ACT-012818 | Outreach address corrected Outreach | Noah Weaver: 3816 River Rd, Scottsdale → 3816 River Rd Apt 31, Scottsdale |
| Proposed | — | ||
| ACT-012819 | Outreach address corrected Outreach | Isabella Singh: 8764 Baseline Rd # 798, Columbus → 8764 Baseline Rd # 276, Columbus |
| Proposed | — | ||
| ACT-012820 | Outreach address corrected Outreach | Hannah Dixon: 2538 Union St Apt 29, Nashville → 2538 Union St, Nashville |
| Proposed | — | ||
| ACT-012821 | Outreach address corrected Outreach | Walter Moreno: 6699 Pine Dr, Tempe → 363 Willow Ct, Sacramento |
| Proposed | — | ||
| ACT-012822 | Outreach address corrected Outreach | Jesse Pierce: 4125 Canyon Rd, Tucson → 4125 Canyon Rd Apt 29, Tucson |
| Proposed | — | ||
| ACT-012823 | Outreach address corrected Outreach | Kelly Kelly: 8272 Oak St, Seattle → 8272 Oak St Apt 15, Seattle |
| Proposed | — | ||
| ACT-012824 | Outreach address corrected Outreach | Christina Williams: 9383 Ocean Ave Apt 17, Tucson → 9383 Ocean Ave, Tucson |
| Proposed | — | ||
| ACT-012825 | Outreach address corrected Outreach | Maria Woods: 1048 Forest Ave, Denver → 198 Church St, Los Angeles |
| Proposed | — | ||
| ACT-012826 | Outreach address corrected Outreach | Douglas Carlson: 3127 Washington St Apt 34, Austin → 3127 Washington St, Austin |
| Proposed | — | ||
| ACT-012827 | Outreach address corrected Outreach | Mary Morales: 2249 Broadway # 990, Eden Prairie → 738 Broadway, Sacramento |
| Proposed | — | ||
| ACT-012828 | Outreach address corrected Outreach | Sharon Herrera: 8230 Market St # 227, Jacksonville → 8230 Market St, Jacksonville |
| Proposed | — | ||
| ACT-012829 | Outreach address corrected Outreach | Jen Cooper: 8673 Elm St # 583, Denver → 8673 Elm St, Denver |
| Proposed | — | ||
| ACT-012830 | Outreach address corrected Outreach | Margaret Reyes: 2556 Lake View Rd Apt 12, Tampa → 2556 Lake View Rd, Tampa |
| Proposed | — | ||
| ACT-012831 | Outreach address corrected Outreach | Kathryn Wheeler: 1776 Baseline Rd # 456, Las Vegas → 1776 Baseline Rd, Las Vegas |
| Proposed | — | ||
| ACT-012832 | Outreach address corrected Outreach | Janice Rice: 8888 Palm Dr, Tucson → 8888 Palm Dr Apt 4, Tucson |
| Proposed | — | ||
| ACT-012833 | Outreach address corrected Outreach | Jonathan Le: 4386 Market St, Denver → 8427 Valley View Dr, Phoenix |
| Proposed | — | ||
| ACT-012834 | Outreach address corrected Outreach | Gary Morgan: 9136 Maple Ave, Fresno → 8136 Oak St, Jacksonville |
| Proposed | — | ||
| ACT-012835 | Outreach address corrected Outreach | Jennifer Bradley: 8203 Park Pl Apt 17, Houston → 8203 Park Pl, Houston |
| Proposed | — | ||
| ACT-012836 | Outreach address corrected Outreach | Jessica Andrews: 8940 Meadow Ln, Las Vegas → 8940 Meadow Ln Apt 11, Las Vegas |
| Proposed | — | ||
| ACT-012837 | Outreach address corrected Outreach | Jeffrey Gordon: 7623 Spring St # 970, Sacramento → 7623 Spring St, Sacramento |
| Proposed | — | ||
| ACT-012838 | Outreach address corrected Outreach | Victoria Hill: 7117 Pine Dr, Phoenix → 7117 Pine Dr Apt 11, Phoenix |
| Proposed | — | ||
| ACT-012839 | Outreach address corrected Outreach | Danielle Lee: 7026 Jefferson Ave, Atlanta → 7026 Jefferson Ave # 161, Atlanta |
| Proposed | — | ||
| ACT-012840 | Outreach address corrected Outreach | Lori Parker: 5635 Elm St, Chandler → 5635 Elm St Apt 2, Chandler |
| Proposed | — | ||
| ACT-012841 | Outreach address corrected Outreach | Andrea Le: 8785 Canyon Rd, Sacramento → 8785 Canyon Rd # 219, Sacramento |
| Proposed | — | ||
| ACT-012842 | Outreach address corrected Outreach | Sara Moore: 2308 Park Pl # 539, Phoenix → 2308 Park Pl, Phoenix |
| Proposed | — | ||
| ACT-012843 | Outreach address corrected Outreach | Valentina Guerrero: 7765 Grand Ave # 115, Columbus → 7765 Grand Ave, Columbus |
| Proposed | — | ||
| ACT-012844 | Outreach address corrected Outreach | Amandda McCoy: 428 Mesa Dr, Houston → 428 Mesa Dr # 176, Houston |
| Proposed | — | ||
| ACT-012845 | Outreach address corrected Outreach | Keith Cruz: 5885 Sunset Blvd, Plano → 5885 Sunset Blvd # 810, Plano |
| Proposed | — | ||
| ACT-012846 | Outreach address corrected Outreach | Valentina Payne: 4929 Church St, Jacksonville → 4929 Church St Apt 5, Jacksonville |
| Proposed | — | ||
| ACT-012847 | Outreach address corrected Outreach | Ronald Vargas: 4115 Meadow Ln # 959, Chandler → 4115 Meadow Ln, Chandler |
| Proposed | — | ||
| ACT-012848 | Outreach address corrected Outreach | Janet Hawkins: 2446 Indian School Rd Apt 5, Seattle → 2446 Indian School Rd, Seattle |
| Proposed | — | ||
| ACT-012849 | Outreach address corrected Outreach | Charles Ramos: 5609 Camelback Rd, Glendale → 5609 Camelback Rd Apt 23, Glendale |
| Proposed | — | ||
| ACT-012850 | Outreach address corrected Outreach | Eugene Hughes: 2894 Camelback Rd, Plano → 2894 Camelback Rd Apt 19, Plano |
| Proposed | — | ||
| ACT-012851 | Outreach address corrected Outreach | Mark Ford: 2379 Lake View Rd, Eden Prairie → 2379 Lake View Rd Apt 9, Eden Prairie |
| Proposed | — | ||
| ACT-012852 | Outreach address corrected Outreach | Maria Phillips: 4248 Sage Ct, San Diego → 3708 Spring St, Minneapolis |
| Proposed | — | ||
| ACT-012853 | Outreach address corrected Outreach | Cynthia King: 1946 Jefferson Ave, Austin → 1443 Valley View Dr, Charlotte |
| Proposed | — | ||
| ACT-012854 | Outreach address corrected Outreach | Jullia Simpson: 3069 Ocean Ave, Mesa → 4726 Mesa Dr, Nashville |
| Proposed | — | ||
| ACT-012855 | Outreach address corrected Outreach | Albert Santos: 2445 Church St, Jacksonville → 2445 Church St Apt 39, Jacksonville |
| Proposed | — | ||
| ACT-012856 | Outreach address corrected Outreach | Jonathan Sandoval: 2173 Mesa Dr Apt 33, Nashville → 5390 Maple Ave, San Diego |
| Proposed | — | ||
| ACT-012857 | Outreach address corrected Outreach | Abigail Daniels: 6875 Indian School Rd, Los Angeles → 6875 Indian School Rd # 625, Los Angeles |
| Proposed | — | ||
| ACT-012858 | Outreach address corrected Outreach | Jack Sims: 580 Lincoln Way, Gilbert → 580 Lincoln Way # 909, Gilbert |
| Proposed | — | ||
| ACT-012859 | Outreach address corrected Outreach | Heather Harvey: 3733 Union St # 506, Seattle → 3733 Union St, Seattle |
| Proposed | — | ||
| ACT-012860 | Outreach address corrected Outreach | Gabriel Perkins: 3375 Lake View Rd Apt 38, Orlando → 3375 Lake View Rd, Orlando |
| Proposed | — | ||
| ACT-012861 | Outreach address corrected Outreach | Ryan Reid: 1384 Apache Blvd, Orlando → 1384 Apache Blvd # 991, Orlando |
| Proposed | — | ||
| ACT-012862 | Outreach address corrected Outreach | Jesse Miller: 1014 Jefferson Ave # 795, Seattle → 1014 Jefferson Ave, Seattle |
| 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.