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-012963 | Outreach address corrected Outreach | Priya Weber: 7071 Forest Ave, Glendale → 7071 Forest Ave Apt 21, Glendale |
| Proposed | — | ||
| ACT-012964 | Outreach address corrected Outreach | Priya Weest: 1090 Broadway # 683, Eden Prairie → 1090 Broadway, Eden Prairie |
| Proposed | — | ||
| ACT-012965 | Outreach address corrected Outreach | Albert Murphy: 3133 Lincoln Way, Miami → 3133 Lincoln Way Apt 27, Miami |
| Proposed | — | ||
| ACT-012966 | Outreach address corrected Outreach | Matthew Carpenter: 6282 Desert Sky Blvd, Orlando → 8003 Cedar Ln, Minneapolis |
| Proposed | — | ||
| ACT-012967 | Outreach address corrected Outreach | Jesse Hudson: 7065 Lincoln Way Apt 15, Los Angeles → 7065 Lincoln Way, Los Angeles |
| Proposed | — | ||
| ACT-012968 | Outreach address corrected Outreach | Paul Harper: 7744 Ridge Rd # 529, Scottsdale → 7744 Ridge Rd, Scottsdale |
| Proposed | — | ||
| ACT-012969 | Outreach address corrected Outreach | Doris Diaz: 9094 Desert Sky Blvd, Austin → 9094 Desert Sky Blvd # 290, Austin |
| Proposed | — | ||
| ACT-012970 | Outreach address corrected Outreach | Cheryl Guzman: 9620 Main St # 128, Minneapolis → 9620 Main St, Minneapolis |
| Proposed | — | ||
| ACT-012971 | Outreach address corrected Outreach | Brian Price: 2834 Broadway, Las Vegas → 2834 Broadway # 231, Las Vegas |
| Proposed | — | ||
| ACT-012972 | Outreach address corrected Outreach | Jeffrey Delgado: 1110 Washington St, Denver → 3273 Spring St, Scottsdale |
| Proposed | — | ||
| ACT-012973 | Outreach address corrected Outreach | Ashley Mason: 8239 Mesa Dr Apt 7, Los Angeles → 8239 Mesa Dr, Los Angeles |
| Proposed | — | ||
| ACT-012974 | Outreach address corrected Outreach | Ana Jackson: 347 Lincoln Way, Dallas → 347 Lincoln Way Apt 13, Dallas |
| Proposed | — | ||
| ACT-012975 | Outreach address corrected Outreach | Virginia Cox: 6875 Camelback Rd, Houston → 6875 Camelback Rd # 275, Houston |
| Proposed | — | ||
| ACT-012976 | Outreach address corrected Outreach | Jessica Montgomery: 4165 Jefferson Ave Apt 16, Fresno → 4165 Jefferson Ave, Fresno |
| Proposed | — | ||
| ACT-012977 | Outreach address corrected Outreach | Yuki Lynch: 1153 Canyon Rd Apt 20, Gilbert → 1153 Canyon Rd, Gilbert |
| Proposed | — | ||
| ACT-012978 | Outreach address corrected Outreach | Jean Hunt: 3757 Central Ave # 557, Seattle → 3757 Central Ave, Seattle |
| Proposed | — | ||
| ACT-012979 | Outreach address corrected Outreach | Ann Simmons: 3060 Market St, Glendale → 3913 Park Pl, Eden Prairie |
| Proposed | — | ||
| ACT-012980 | Outreach address corrected Outreach | Maria Nunez: 2337 Palm Dr # 540, Austin → 2337 Palm Dr, Austin |
| Proposed | — | ||
| ACT-012981 | Outreach address corrected Outreach | Sandra Jackson: 3183 Union St, Fresno → 3183 Union St # 539, Fresno |
| Proposed | — | ||
| ACT-012982 | Outreach address corrected Outreach | Michael Evans: 8354 Maple Ave, Orlando → 8354 Maple Ave Apt 7, Orlando |
| Proposed | — | ||
| ACT-012983 | Outreach address corrected Outreach | Omar Cruz: 4576 Jefferson Ave, Phoenix → 4576 Jefferson Ave # 141, Phoenix |
| Proposed | — | ||
| ACT-012984 | Outreach address corrected Outreach | Mark Palmer: 6191 Oak St, Gilbert → 6191 Oak St Apt 3, Gilbert |
| Proposed | — | ||
| ACT-012985 | Outreach address corrected Outreach | Amy Pena: 9258 Hillcrest Rd, Houston → 9258 Hillcrest Rd # 611, Houston |
| Proposed | — | ||
| ACT-012986 | Outreach address corrected Outreach | Christian Morrison: 556 Apache Blvd Apt 34, Fresno → 7318 Mesa Dr, Tempe |
| Proposed | — | ||
| ACT-012987 | Outreach address corrected Outreach | Betty Stevens: 9098 Desert Sky Blvd Apt 22, Nashville → 9098 Desert Sky Blvd, Nashville |
| Proposed | — | ||
| ACT-012988 | Outreach address corrected Outreach | Kathryn Lawson: 6143 Washington St Apt 3, San Antonio → 6143 Washington St, San Antonio |
| Proposed | — | ||
| ACT-012989 | Outreach address corrected Outreach | Stephen Peterson: 6606 Jefferson Ave Apt 1, San Antonio → 6606 Jefferson Ave, San Antonio |
| Proposed | — | ||
| ACT-012990 | Outreach address corrected Outreach | Gloria Hamilton: 4463 Lake View Rd, Tampa → 4463 Lake View Rd Apt 18, Tampa |
| Proposed | — | ||
| ACT-012991 | Outreach address corrected Outreach | Nicholas Sanders: 7213 Pine Dr, Houston → 7213 Pine Dr Apt 24, Houston |
| Proposed | — | ||
| ACT-012992 | Outreach address corrected Outreach | Pamela Thompson: 4065 Valley View Dr, Glendale → 5987 Forest Ave, Denver |
| Proposed | — | ||
| ACT-012993 | Outreach address corrected Outreach | Benjamin Henry: 6289 Desert Sky Blvd # 957, Plano → 6289 Desert Sky Blvd, Plano |
| Proposed | — | ||
| ACT-012994 | Outreach address corrected Outreach | Mary Cox: 6931 Canyon Rd # 358, Glendale → 6931 Canyon Rd, Glendale |
| Proposed | — | ||
| ACT-012995 | Outreach address corrected Outreach | Danielle Elliott: 5017 Indian School Rd # 665, Miami → 5017 Indian School Rd, Miami |
| Proposed | — | ||
| ACT-012996 | Outreach address corrected Outreach | Sarah Schmidt: 8051 Willow Ct # 958, San Diego → 8051 Willow Ct, San Diego |
| Proposed | — | ||
| ACT-012997 | Outreach address corrected Outreach | Sofia Patel: 5736 Ocean Ave, Chandler → 5736 Ocean Ave # 100, Chandler |
| Proposed | — | ||
| ACT-012998 | Outreach address corrected Outreach | Bradley Armstrong: 6289 Market St Apt 1, Chandler → 7778 Willow Ct, Eden Prairie |
| Proposed | — | ||
| ACT-012999 | Outreach address corrected Outreach | Gary Brown: 5247 Jefferson Ave # 952, Tucson → 5247 Jefferson Ave, Tucson |
| Proposed | — | ||
| ACT-013000 | Outreach address corrected Outreach | Roger Marquez: 5303 Elm St, Minneapolis → 5303 Elm St Apt 14, Minneapolis |
| Proposed | — | ||
| ACT-013001 | Outreach address corrected Outreach | Alexis Edwards: 561 Indian School Rd Apt 29, San Antonio → 561 Indian School Rd, San Antonio |
| Proposed | — | ||
| ACT-013002 | Outreach address corrected Outreach | James Yang: 1173 Canyon Rd Apt 37, Scottsdale → 1173 Canyon Rd, Scottsdale |
| Proposed | — | ||
| ACT-013003 | Outreach address corrected Outreach | Maria Nunez: 5440 Camelback Rd, Atlanta → 5440 Camelback Rd # 743, Atlanta |
| Proposed | — | ||
| ACT-013004 | Outreach address corrected Outreach | Jessica Lane: 7112 Grand Ave, Phoenix → 7112 Grand Ave # 411, Phoenix |
| Proposed | — | ||
| ACT-013005 | Outreach address corrected Outreach | Laura Dunn: 8838 Park Pl, Mesa → 8838 Park Pl # 999, Mesa |
| Proposed | — | ||
| ACT-013006 | Outreach address corrected Outreach | Catherine Bennett: 939 Ocean Ave Apt 32, Austin → 939 Ocean Ave, Austin |
| Proposed | — | ||
| ACT-013007 | Outreach address corrected Outreach | Diego Willis: 7121 Elm St Apt 3, Tucson → 7121 Elm St, Tucson |
| Proposed | — | ||
| ACT-013008 | Outreach address corrected Outreach | Larry Mejia: 3854 Desert Sky Blvd, Jacksonville → 3854 Desert Sky Blvd Apt 20, Jacksonville |
| Proposed | — | ||
| ACT-013009 | Outreach address corrected Outreach | Carpenter Kyle: 2745 Valley View Dr, Seattle → 9410 Camelback Rd # 813, Las Vegas |
| Proposed | — | ||
| ACT-013010 | Outreach address corrected Outreach | Christine Silva: 6004 Mesa Dr # 184, Orlando → 6004 Mesa Dr, Orlando |
| Proposed | — | ||
| ACT-013011 | Outreach address corrected Outreach | Anna Morris: 3498 Willow Ct # 779, Columbus → 3498 Willow Ct, Columbus |
| Proposed | — | ||
| ACT-013012 | Outreach address corrected Outreach | Lawrence Wallace: 9318 Elm St # 726, Nashville → 9318 Elm St, Nashville |
| 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.