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-013013 | Outreach address corrected Outreach | Shirley Harris: 8368 Ocean Ave, Fresno → 2404 Maple Ave, San Diego |
| Proposed | — | ||
| ACT-013014 | Outreach address corrected Outreach | Maria Peterson: 9048 Lake View Rd Apt 2, Tempe → 9048 Lake View Rd, Tempe |
| Proposed | — | ||
| ACT-013015 | Outreach address corrected Outreach | Thomas Myers: 4476 Desert Sky Blvd Apt 35, Atlanta → 4476 Desert Sky Blvd, Atlanta |
| Proposed | — | ||
| ACT-013016 | Outreach address corrected Outreach | Susan Obrien: 6292 Desert Sky Blvd, Tucson → 6292 Desert Sky Blvd # 240, Tucson |
| Proposed | — | ||
| ACT-013017 | Outreach address corrected Outreach | Lucia Vargas: 3420 Broadway Apt 9, Jacksonville → 3420 Broadway, Jacksonville |
| Proposed | — | ||
| ACT-013018 | Outreach address corrected Outreach | Mason Lawrence: 5884 Ridge Rd, Fresno → 8662 Forest Ave Apt 3, Glendale |
| Proposed | — | ||
| ACT-013019 | Outreach address corrected Outreach | Roger Patterson: 6366 Washington St, Atlanta → 6366 Washington St # 330, Atlanta |
| Proposed | — | ||
| ACT-013020 | Outreach address corrected Outreach | Lori Fowler: 194 Church St, Tampa → 194 Church St Apt 5, Tampa |
| Proposed | — | ||
| ACT-013021 | Outreach address corrected Outreach | Marilyn Carr: 3588 Jefferson Ave Apt 15, Tampa → 3588 Jefferson Ave, Tampa |
| Proposed | — | ||
| ACT-013022 | Outreach address corrected Outreach | Brittany Fuller: 7598 Grand Ave # 554, Orlando → 7598 Grand Ave, Orlando |
| Proposed | — | ||
| ACT-013023 | Outreach address corrected Outreach | Tyler Fields: 4231 Central Ave, Miami → 1101 Jefferson Ave, Houston |
| Proposed | — | ||
| ACT-013024 | Outreach address corrected Outreach | Stephanie Berry: 7425 Main St, Tucson → 7425 Main St Apt 3, Tucson |
| Proposed | — | ||
| ACT-013025 | Outreach address corrected Outreach | Madison Salazar: 1081 Pine Dr Apt 37, Tempe → 1081 Pine Dr, Tempe |
| Proposed | — | ||
| ACT-013026 | Outreach address corrected Outreach | Judith Olson: 4157 Hillcrest Rd # 811, Phoenix → 4157 Hillcrest Rd, Phoenix |
| Proposed | — | ||
| ACT-013027 | Outreach address corrected Outreach | Valentina Wheeler: 4300 Valley View Dr # 876, Nashville → 4300 Valley View Dr, Nashville |
| Proposed | — | ||
| ACT-013028 | Outreach address corrected Outreach | Helen Guerrero: 9053 Lincoln Way Apt 2, Columbus → 9053 Lincoln Way, Columbus |
| Proposed | — | ||
| ACT-013029 | Outreach address corrected Outreach | David Singh: 6257 Canyon Rd, Houston → 6257 Canyon Rd # 356, Houston |
| Proposed | — | ||
| ACT-013030 | Outreach address corrected Outreach | Ralph Arnold: 1334 Jefferson Ave, San Antonio → 1334 Jefferson Ave # 442, San Antonio |
| Proposed | — | ||
| ACT-013031 | Outreach address corrected Outreach | Ruth Ford: 3627 Desert Sky Blvd, Tempe → 3627 Desert Sky Blvd # 199, Tempe |
| Proposed | — | ||
| ACT-013032 | Outreach address corrected Outreach | Anna Sanchez: 879 Palm Dr Apt 5, Austin → 879 Palm Dr, Austin |
| Proposed | — | ||
| ACT-013033 | Outreach address corrected Outreach | Douglas Reynolds: 8095 Highland Ave, Minneapolis → 8095 Highland Ave Apt 3, Minneapolis |
| Proposed | — | ||
| ACT-013034 | Outreach address corrected Outreach | Patrick Spencer: 1958 Park Pl # 338, Nashville → 1958 Park Pl, Nashville |
| Proposed | — | ||
| ACT-013035 | Outreach address corrected Outreach | Amber Perez: 6547 Union St # 160, Nashville → 6547 Union St, Nashville |
| Proposed | — | ||
| ACT-013036 | Outreach address corrected Outreach | George Jordan: 9029 Mountain View Dr # 994, Mesa → 9029 Mountain View Dr, Mesa |
| Proposed | — | ||
| ACT-013037 | Outreach address corrected Outreach | Justin Robertson: 1356 River Rd, San Antonio → 2985 Market St, Sacramento |
| Proposed | — | ||
| ACT-013038 | Outreach address corrected Outreach | Elijah Ryan: 1873 Meadow Ln # 811, Austin → 1873 Meadow Ln, Austin |
| Proposed | — | ||
| ACT-013039 | Outreach address corrected Outreach | Amber Wells: 299 Meadow Ln, Houston → 4421 Ocean Ave, Tampa |
| Proposed | — | ||
| ACT-013040 | Outreach address corrected Outreach | Dennis Baker: 954 Sunset Blvd, Scottsdale → 954 Sunset Blvd Apt 19, Scottsdale |
| Proposed | — | ||
| ACT-013041 | Outreach address corrected Outreach | Laura Le: 7993 Forest Ave, Charlotte → 103 Harbor Blvd, Scottsdale |
| Proposed | — | ||
| ACT-013042 | Outreach address corrected Outreach | Grace Gilbert: 821 Cedar Ln Apt 8, Denver → 821 Cedar Ln, Denver |
| Proposed | — | ||
| ACT-013043 | Outreach address corrected Outreach | Ethan Vargas: 6425 Highland Ave, Phoenix → 6425 Highland Ave Apt 3, Phoenix |
| Proposed | — | ||
| ACT-013044 | Outreach address corrected Outreach | Lori Duncan: 7113 Harbor Blvd Apt 4, Eden Prairie → 8977 Mesa Dr, Seattle |
| Proposed | — | ||
| ACT-013045 | Outreach address corrected Outreach | Noah Ross: 7804 Maple Ave, Los Angeles → 7804 Maple Ave Apt 32, Los Angeles |
| Proposed | — | ||
| ACT-013046 | Outreach address corrected Outreach | Arjun Cruz: 2005 Indian School Rd Apt 22, Denver → 2005 Indian School Rd, Denver |
| Proposed | — | ||
| ACT-013047 | Outreach address corrected Outreach | Samuel Ray: 4664 Broadway, San Antonio → 1864 Indian School Rd, Gilbert |
| Proposed | — | ||
| ACT-013048 | Outreach address corrected Outreach | Jacob Reed: 9349 Meadow Ln, Columbus → 9349 Meadow Ln # 132, Columbus |
| Proposed | — | ||
| ACT-013049 | Outreach address corrected Outreach | Marcus Barnes: 5166 Indian School Rd, Gilbert → 100 Willow Ct, Atlanta |
| Proposed | — | ||
| ACT-013050 | Outreach address corrected Outreach | Kyle Wong: 1353 Lake View Rd # 157, Mesa → 1353 Lake View Rd, Mesa |
| Proposed | — | ||
| ACT-013051 | Outreach address corrected Outreach | Marcus Stephens: 3957 Sage Ct, Eden Prairie → 3957 Sage Ct Apt 22, Eden Prairie |
| Proposed | — | ||
| ACT-013052 | Outreach address corrected Outreach | Lisa Gray: 4142 Washington St, Phoenix → 1231 Hillcrest Rd, Chandler |
| Proposed | — | ||
| ACT-013053 | Outreach address corrected Outreach | George Washington: 3555 Grand Ave, Miami → 3555 Grand Ave Apt 12, Miami |
| Proposed | — | ||
| ACT-013054 | Outreach address corrected Outreach | Linda Martinez: 6116 Pine Dr, Seattle → 6116 Pine Dr Apt 30, Seattle |
| Proposed | — | ||
| ACT-013055 | Outreach address corrected Outreach | Philip Day: 5260 Lincoln Way, Eden Prairie → 6435 Sage Ct, Plano |
| Proposed | — | ||
| ACT-013056 | Outreach address corrected Outreach | Joseph Bradley: 5348 Apache Blvd, Denver → 7644 Park Pl, Charlotte |
| Proposed | — | ||
| ACT-013057 | Outreach address corrected Outreach | Andrew Freeman: 4715 Palm Dr # 408, Tucson → 4715 Palm Dr, Tucson |
| Proposed | — | ||
| ACT-013058 | Outreach address corrected Outreach | Patricia Rice: 8745 Mesa Dr # 267, Los Angeles → 8745 Mesa Dr, Los Angeles |
| Proposed | — | ||
| ACT-013059 | Outreach address corrected Outreach | Wayne Castillo: 9495 Indian School Rd, Las Vegas → 8324 Desert Sky Blvd, San Antonio |
| Proposed | — | ||
| ACT-013060 | Outreach address corrected Outreach | Mary Knight: 6718 Valley View Dr Apt 13, Atlanta → 6718 Valley View Dr, Atlanta |
| Proposed | — | ||
| ACT-013061 | Outreach address corrected Outreach | Sean Torres: 1225 Park Pl # 724, Las Vegas → 1225 Park Pl, Las Vegas |
| Proposed | — | ||
| ACT-013062 | Outreach address corrected Outreach | Willie Delgado: 2592 Sunset Blvd Apt 32, Charlotte → 2592 Sunset Blvd, Charlotte |
| 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.