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-012863 | Outreach address corrected Outreach | George Salazar: 1928 Palm Dr Apt 9, San Antonio → 1928 Palm Dr, San Antonio |
| Proposed | — | ||
| ACT-012864 | Outreach address corrected Outreach | Diane Evans: 3144 Church St Apt 16, Austin → 3144 Church St, Austin |
| Proposed | — | ||
| ACT-012865 | Outreach address corrected Outreach | Gloria Yang: 4313 Main St, Phoenix → 7271 Broadway, Glendale |
| Proposed | — | ||
| ACT-012866 | Outreach address corrected Outreach | Gregory Contrersa: 5978 Mesa Dr # 754, Tampa → 5978 Mesa Dr # 834, Tampa |
| Proposed | — | ||
| ACT-012867 | Outreach address corrected Outreach | Cheryl Nunez: 3118 Elm St, Scottsdale → 3118 Elm St # 727, Scottsdale |
| Proposed | — | ||
| ACT-012868 | Outreach address corrected Outreach | Billy Hill: 7097 Ridge Rd # 814, Houston → 7097 Ridge Rd, Houston |
| Proposed | — | ||
| ACT-012869 | Outreach address corrected Outreach | Patricia Cooper: 2892 Pine Dr, Jacksonville → 2892 Pine Dr Apt 22, Jacksonville |
| Proposed | — | ||
| ACT-012870 | Outreach address corrected Outreach | Austin Gordon: 9313 Highland Ave # 115, Jacksonville → 2936 Grand Ave # 570, Tempe |
| Proposed | — | ||
| ACT-012871 | Outreach address corrected Outreach | Julia Daniels: 507 Forest Ave # 375, Jacksonville → 507 Forest Ave, Jacksonville |
| Proposed | — | ||
| ACT-012872 | Outreach address corrected Outreach | Brenda Allen: 2354 Apache Blvd Apt 22, Atlanta → 2354 Apache Blvd, Atlanta |
| Proposed | — | ||
| ACT-012873 | Outreach address corrected Outreach | Kimberly Vargas: 5236 Cedar Ln Apt 20, Los Angeles → 5236 Cedar Ln, Los Angeles |
| Proposed | — | ||
| ACT-012874 | Outreach address corrected Outreach | Sean Moreno: 8250 Elm St, San Diego → 8250 Elm St Apt 4, San Diego |
| Proposed | — | ||
| ACT-012875 | Outreach address corrected Outreach | Gary Vega: 6269 Canyon Rd, Denver → 6269 Canyon Rd # 245, Denver |
| Proposed | — | ||
| ACT-012876 | Outreach address corrected Outreach | Adam Snigh: 5610 Camelback Rd # 457, Nashville → 5610 Camelback Rd, Nashville |
| Proposed | — | ||
| ACT-012877 | Outreach address corrected Outreach | Kathryn Wallace: 8278 Canyon Rd # 197, Jacksonville → 8278 Canyon Rd, Jacksonville |
| Proposed | — | ||
| ACT-012878 | Outreach address corrected Outreach | Carolyn Porter: 5268 Church St # 501, Seattle → 5268 Church St, Seattle |
| Proposed | — | ||
| ACT-012879 | Outreach address corrected Outreach | Deborah Nguyen: 9717 Willow Ct, Glendale → 8504 Oak St Apt 34, Denver |
| Proposed | — | ||
| ACT-012880 | Outreach address corrected Outreach | Eric Jones: 5772 Valley View Dr, Sacramento → 8255 Apache Blvd Apt 6, Minneapolis |
| Proposed | — | ||
| ACT-012881 | Outreach address corrected Outreach | Elizabeth Edwards: 2881 Bayshore Dr, Phoenix → 2881 Bayshore Dr Apt 6, Phoenix |
| Proposed | — | ||
| ACT-012882 | Outreach address corrected Outreach | Deborah Berry: 2880 Pine Dr, Gilbert → 5487 Maple Ave, Houston |
| Proposed | — | ||
| ACT-012883 | Outreach address corrected Outreach | Elijah Payne: 7432 Oak St, Miami → 7432 Oak St Apt 11, Miami |
| Proposed | — | ||
| ACT-012884 | Outreach address corrected Outreach | Juan Silva: 5111 Mountain View Dr, Las Vegas → 5111 Mountain View Dr Apt 2, Las Vegas |
| Proposed | — | ||
| ACT-012885 | Outreach address corrected Outreach | Mei White: 3997 Central Ave Apt 39, Eden Prairie → 3997 Central Ave, Eden Prairie |
| Proposed | — | ||
| ACT-012886 | Outreach address corrected Outreach | Diane Morales: 6994 Jefferson Ave # 475, Seattle → 6994 Jefferson Ave, Seattle |
| Proposed | — | ||
| ACT-012887 | Outreach address corrected Outreach | Martha Parker: 9366 Maple Ave Apt 24, Eden Prairie → 9366 Maple Ave, Eden Prairie |
| Proposed | — | ||
| ACT-012888 | Outreach address corrected Outreach | Randy Singh: 9754 Central Ave, Phoenix → 9754 Central Ave # 436, Phoenix |
| Proposed | — | ||
| ACT-012889 | Outreach address corrected Outreach | Douglas Russell: 3018 Harbor Blvd, Sacramento → 3018 Harbor Blvd Apt 3, Sacramento |
| Proposed | — | ||
| ACT-012890 | Outreach address corrected Outreach | Amanda Hansen: 9414 Sunset Blvd, Glendale → 1518 Canyon Rd, Minneapolis |
| Proposed | — | ||
| ACT-012891 | Outreach address corrected Outreach | Austin Garcia: 8689 Meadow Ln, Sacramento → 8689 Meadow Ln Apt 33, Sacramento |
| Proposed | — | ||
| ACT-012892 | Outreach address corrected Outreach | Randy Webb: 2472 Spring St, Houston → 2472 Spring St # 532, Houston |
| Proposed | — | ||
| ACT-012893 | Outreach address corrected Outreach | Carol Snyder: 6064 Jefferson Ave, Eden Prairie → 6212 Baseline Rd, Las Vegas |
| Proposed | — | ||
| ACT-012894 | Outreach address corrected Outreach | Ronald Sims: 6616 Jefferson Ave Apt 24, Eden Prairie → 6616 Jefferson Ave, Eden Prairie |
| Proposed | — | ||
| ACT-012895 | Outreach address corrected Outreach | Elijah Day: 6639 Union St, San Antonio → 6639 Union St # 625, San Antonio |
| Proposed | — | ||
| ACT-012896 | Outreach address corrected Outreach | Jason Cooper: 7903 Main St, Phoenix → 7903 Main St # 205, Phoenix |
| Proposed | — | ||
| ACT-012897 | Outreach address corrected Outreach | Dorothy Walker: 3726 Canyon Rd # 984, Chandler → 3726 Canyon Rd, Chandler |
| Proposed | — | ||
| ACT-012898 | Outreach address corrected Outreach | Heather Howard: 784 Forest Ave # 867, Houston → 784 Forest Ave, Houston |
| Proposed | — | ||
| ACT-012899 | Outreach address corrected Outreach | Joan Mills: 1972 Hillcrest Rd, Scottsdale → 1972 Hillcrest Rd Apt 14, Scottsdale |
| Proposed | — | ||
| ACT-012900 | Outreach address corrected Outreach | Larry Watson: 6529 Baseline Rd, Orlando → 6529 Baseline Rd Apt 18, Orlando |
| Proposed | — | ||
| ACT-012901 | Outreach address corrected Outreach | Martha Garrett: 7161 Union St, Jacksonville → 7161 Union St Apt 17, Jacksonville |
| Proposed | — | ||
| ACT-012902 | Outreach address corrected Outreach | Frank Garcia: 9059 Market St, Denver → 9059 Market St # 371, Denver |
| Proposed | — | ||
| ACT-012903 | Outreach address corrected Outreach | Donna Diaz: 1140 Elm St Apt 38, Miami → 1140 Elm St, Miami |
| Proposed | — | ||
| ACT-012904 | Outreach address corrected Outreach | Jonathan Reed: 1324 Camelback Rd Apt 1, Tucson → 6034 Jefferson Ave, Tucson |
| Proposed | — | ||
| ACT-012905 | Outreach address corrected Outreach | Jeen Edwards: 4057 Sage Ct, Sacramento → 4057 Sage Ct Apt 4, Sacramento |
| Proposed | — | ||
| ACT-012906 | Outreach address corrected Outreach | Amy Wright: 295 Meadow Ln, Tucson → 295 Meadow Ln # 518, Tucson |
| Proposed | — | ||
| ACT-012907 | Outreach address corrected Outreach | Jean Gonzales: 6416 Canyon Rd, San Antonio → 6416 Canyon Rd Apt 9, San Antonio |
| Proposed | — | ||
| ACT-012908 | Outreach address corrected Outreach | Ronald Ford: 137 Hillcrest Rd, Atlanta → 2253 Lake View Rd, Columbus |
| Proposed | — | ||
| ACT-012909 | Outreach address corrected Outreach | Mary Torres: 9232 Bayshore Dr, Scottsdale → 2322 Maple Ave, Phoenix |
| Proposed | — | ||
| ACT-012910 | Outreach address corrected Outreach | Sara Campbell: 5159 Desert Sky Blvd Apt 24, Gilbert → 5159 Desert Sky Blvd, Gilbert |
| Proposed | — | ||
| ACT-012911 | Outreach address corrected Outreach | Hannah Riley: 2847 Sage Ct, Houston → 2847 Sage Ct Apt 7, Houston |
| Proposed | — | ||
| ACT-012912 | Outreach address corrected Outreach | Ashley Davis: 1452 Church St, Orlando → 1452 Church St Apt 23, Orlando |
| 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.