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
Outreach address corrected, Outreach, 2,993 proposed
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-010802 | Outreach address corrected Outreach | Carlos Alvarez: 2196 Harbor Blvd # 317, Houston → 2196 Harbor Blvd, Houston |
| Proposed | — | ||
| ACT-010803 | Outreach address corrected Outreach | John Bradley: 349 River Rd, Chandler → 5776 Elm St, Chandler |
| Proposed | — | ||
| ACT-010804 | Outreach address corrected Outreach | Scott Phillips: 4082 River Rd Apt 11, Sacramento → 4082 River Rd Apt 13, Sacramento |
| Proposed | — | ||
| ACT-010805 | Outreach address corrected Outreach | George Sims: 461 Jefferson Ave Apt 13, Plano → 461 Jefferson Ave, Plano |
| Proposed | — | ||
| ACT-010806 | Outreach address corrected Outreach | Hiroshi Greene: 1246 Union St, Houston → 4815 Ridge Rd, Los Angeles |
| Proposed | — | ||
| ACT-010807 | Outreach address corrected Outreach | Barbara Stephens: 857 Union St, Eden Prairie → 315 Grand Ave, Chandler |
| Proposed | — | ||
| ACT-010808 | Outreach address corrected Outreach | Aaron Rojas: 7749 Mesa Dr, Gilbert → 7749 Mesa Dr Apt 24, Gilbert |
| Proposed | — | ||
| ACT-010809 | Outreach address corrected Outreach | Michael Rios: 9120 Lake View Rd Apt 25, Los Angeles → 9120 Lake View Rd, Los Angeles |
| Proposed | — | ||
| ACT-010810 | Outreach address corrected Outreach | Peter Fowler: 646 Willow Ct Apt 3, Tampa → 646 Willow Ct, Tampa |
| Proposed | — | ||
| ACT-010811 | Outreach address corrected Outreach | Scott Shaw: 663 Market St, Dallas → 663 Market St Apt 17, Dallas |
| Proposed | — | ||
| ACT-010812 | Outreach address corrected Outreach | Lawrence Weaver: 3519 Church St Apt 22, Tempe → 3519 Church St, Tempe |
| Proposed | — | ||
| ACT-010813 | Outreach address corrected Outreach | Roger Fox: 5466 Maple Ave # 686, Tampa → 5466 Maple Ave, Tampa |
| Proposed | — | ||
| ACT-010814 | Outreach address corrected Outreach | James Richardson: 4127 Highland Ave Apt 35, Gilbert → 4127 Highland Ave, Gilbert |
| Proposed | — | ||
| ACT-010815 | Outreach address corrected Outreach | Larry Banks: 7288 Mesa Dr, Sacramento → 7288 Mesa Dr Apt 29, Sacramento |
| Proposed | — | ||
| ACT-010816 | Outreach address corrected Outreach | Bradely Carr: 2339 Jefferson Ave Apt 25, Phoenix → 2339 Jefferson Ave, Phoenix |
| Proposed | — | ||
| ACT-010817 | Outreach address corrected Outreach | Jean Schmidt: 944 Sage Ct Apt 33, Las Vegas → 944 Sage Ct, Las Vegas |
| Proposed | — | ||
| ACT-010818 | Outreach address corrected Outreach | Santiago Bennett: 5393 Palm Dr, San Diego → 5393 Palm Dr # 357, San Diego |
| Proposed | — | ||
| ACT-010819 | Outreach address corrected Outreach | Judy Henry: 1612 Forest Ave, Tempe → 1612 Forest Ave # 114, Tempe |
| Proposed | — | ||
| ACT-010820 | Outreach address corrected Outreach | Sofia Peters: 4433 Camelback Rd Apt 33, Glendale → 4433 Camelback Rd, Glendale |
| Proposed | — | ||
| ACT-010821 | Outreach address corrected Outreach | Timothy Arnold: 7089 Mesa Dr, Charlotte → 7089 Mesa Dr Apt 37, Charlotte |
| Proposed | — | ||
| ACT-010822 | Outreach address corrected Outreach | John Mendez: 4815 Pine Dr Apt 25, Chandler → 9735 Church St, Tempe |
| Proposed | — | ||
| ACT-010823 | Outreach address corrected Outreach | Angela Williams: 7312 Meadow Ln Apt 38, Jacksonville → 7312 Meadow Ln, Jacksonville |
| Proposed | — | ||
| ACT-010824 | Outreach address corrected Outreach | Donna Hicks: 2177 Highland Ave, Tempe → 2177 Highland Ave # 112, Tempe |
| Proposed | — | ||
| ACT-010825 | Outreach address corrected Outreach | Logan Sims: 539 Meadow Ln Apt 36, Houston → 539 Meadow Ln, Houston |
| Proposed | — | ||
| ACT-010826 | Outreach address corrected Outreach | Denise Bennett: 3143 Mountain View Dr, Denver → 3143 Mountain View Dr Apt 33, Denver |
| Proposed | — | ||
| ACT-010827 | Outreach address corrected Outreach | Arthur Gray: 4343 Spring St, Nashville → 4343 Spring St # 181, Nashville |
| Proposed | — | ||
| ACT-010828 | Outreach address corrected Outreach | Terry Gibson: 3151 Forest Ave, Seattle → 5213 Spring St, Seattle |
| Proposed | — | ||
| ACT-010829 | Outreach address corrected Outreach | Mark Gomez: 1934 Market St, Houston → 5174 Meadow Ln, Seattle |
| Proposed | — | ||
| ACT-010830 | Outreach address corrected Outreach | Virginia Harvey: 5319 Indian School Rd, Seattle → 5319 Indian School Rd # 324, Seattle |
| Proposed | — | ||
| ACT-010831 | Outreach address corrected Outreach | Rebecca Munoz: 8264 Hillcrest Rd, Charlotte → 8264 Hillcrest Rd # 969, Charlotte |
| Proposed | — | ||
| ACT-010832 | Outreach address corrected Outreach | Nancy Millls: 7380 Oak St # 505, Charlotte → 7380 Oak St, Charlotte |
| Proposed | — | ||
| ACT-010833 | Outreach address corrected Outreach | Lucia Gray: 8060 Harbor Blvd, Houston → 5550 Lincoln Way, Charlotte |
| Proposed | — | ||
| ACT-010834 | Outreach address corrected Outreach | Alexis Duncan: 7653 Park Pl, Scottsdale → 2572 Union St, San Diego |
| Proposed | — | ||
| ACT-010835 | Outreach address corrected Outreach | Eugene Evans: 6250 Mountain View Dr, Scottsdale → 6250 Mountain View Dr # 486, Scottsdale |
| Proposed | — | ||
| ACT-010836 | Outreach address corrected Outreach | Katherine Cox: 1424 Market St, Minneapolis → 4094 Washington St, Denver |
| Proposed | — | ||
| ACT-010837 | Outreach address corrected Outreach | Alexis Elliott: 1711 Canyon Rd, Tempe → 1711 Canyon Rd Apt 33, Tempe |
| Proposed | — | ||
| ACT-010838 | Outreach address corrected Outreach | Benjamin Cooper: 5419 Market St, Houston → 2277 Maple Ave, Sacramento |
| Proposed | — | ||
| ACT-010839 | Outreach address corrected Outreach | Christine Wells: 8006 Hillcrest Rd Apt 6, Miami → 8006 Hillcrest Rd, Miami |
| Proposed | — | ||
| ACT-010840 | Outreach address corrected Outreach | Charles Payne: 4594 Ocean Ave # 221, Atlanta → 4594 Ocean Ave Apt 3, Atlanta |
| Proposed | — | ||
| ACT-010841 | Outreach address corrected Outreach | Anna Scott: 2964 Central Ave, Columbus → 5407 Harbor Blvd, San Diego |
| Proposed | — | ||
| ACT-010842 | Outreach address corrected Outreach | Carlos Lane: 8291 Desert Sky Blvd # 828, Nashville → 8291 Desert Sky Blvd, Nashville |
| Proposed | — | ||
| ACT-010843 | Outreach address corrected Outreach | David Vezquez: 5456 Washington St # 974, Seattle → 5431 Mesa Dr, Atlanta |
| Proposed | — | ||
| ACT-010844 | Outreach address corrected Outreach | John Henry: 9524 Desert Sky Blvd Apt 10, Atlanta → 9524 Desert Sky Blvd, Atlanta |
| Proposed | — | ||
| ACT-010845 | Outreach address corrected Outreach | Andrea Reyes: 5494 Church St, Tampa → 4480 Sunset Blvd, Gilbert |
| Proposed | — | ||
| ACT-010846 | Outreach address corrected Outreach | Aisha Gilbert: 8619 Elm St, Houston → 7169 Mountain View Dr, Sacramento |
| Proposed | — | ||
| ACT-010847 | Outreach address corrected Outreach | Debra Rojas: 8068 Meadow Ln, Tampa → 2800 Sage Ct # 427, Las Vegas |
| Proposed | — | ||
| ACT-010848 | Outreach address corrected Outreach | Beverly Ross: 8373 Hillcrest Rd # 311, Eden Prairie → 8373 Hillcrest Rd, Eden Prairie |
| Proposed | — | ||
| ACT-010849 | Outreach address corrected Outreach | Jacqueline Lewis: 5522 Lake View Rd, Dallas → 9882 Sage Ct, San Diego |
| Proposed | — | ||
| ACT-010850 | Outreach address corrected Outreach | James Rivera: 1090 Spring St, Glendale → 1090 Spring St Apt 4, Glendale |
| Proposed | — | ||
| ACT-010851 | Outreach address corrected Outreach | Larry Freeman: 8114 Sage Ct Apt 15, Tampa → 8114 Sage Ct, Tampa |
| 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.