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-013063 | Outreach address corrected Outreach | Diego Schmidt: 6886 Forest Ave, Miami → 6886 Forest Ave Apt 36, Miami |
| Proposed | — | ||
| ACT-013064 | Outreach address corrected Outreach | Hiroshi Hamilton: 2346 Harbor Blvd, Atlanta → 2346 Harbor Blvd Apt 3, Atlanta |
| Proposed | — | ||
| ACT-013065 | Outreach address corrected Outreach | Carolyn Mills: 9218 Canyon Rd Apt 24, Glendale → 9218 Canyon Rd, Glendale |
| Proposed | — | ||
| ACT-013066 | Outreach address corrected Outreach | Billy Grant: 6053 Spring St, Columbus → 3323 Mountain View Dr # 467, Scottsdale |
| Proposed | — | ||
| ACT-013067 | Outreach address corrected Outreach | Kevin Willis: 8245 Valley View Dr # 827, San Diego → 8245 Valley View Dr, San Diego |
| Proposed | — | ||
| ACT-013068 | Outreach address corrected Outreach | Frank West: 9071 Cedar Ln, Tempe → 9071 Cedar Ln Apt 4, Tempe |
| Proposed | — | ||
| ACT-013069 | Outreach address corrected Outreach | Teresa James: 5550 Jefferson Ave Apt 40, Plano → 5550 Jefferson Ave, Plano |
| Proposed | — | ||
| ACT-013070 | Outreach address corrected Outreach | William Stewart: 3967 Central Ave, San Antonio → 8811 Sage Ct, Scottsdale |
| Proposed | — | ||
| ACT-013071 | Outreach address corrected Outreach | Hiroshi Cook: 2502 Spring St, Chandler → 895 Mountain View Dr, Chandler |
| Proposed | — | ||
| ACT-013072 | Outreach address corrected Outreach | Luis Dominguez: 5547 Baseline Rd, Plano → 5547 Baseline Rd # 215, Plano |
| Proposed | — | ||
| ACT-013073 | Outreach address corrected Outreach | Valentina Valdez: 1921 Broadway, Glendale → 1921 Broadway # 658, Glendale |
| Proposed | — | ||
| ACT-013074 | Outreach address corrected Outreach | Joshua Diaz: 5351 Lake View Rd, Chandler → 5119 Bayshore Dr, Phoenix |
| Proposed | — | ||
| ACT-013075 | Outreach address corrected Outreach | Carlos Richardson: 9280 Forest Ave, Minneapolis → 9280 Forest Ave Apt 4, Minneapolis |
| Proposed | — | ||
| ACT-013076 | Outreach address corrected Outreach | Ana Ray: 467 Harbor Blvd, Atlanta → 467 Harbor Blvd Apt 39, Atlanta |
| Proposed | — | ||
| ACT-013077 | Outreach address corrected Outreach | Billly Peterson: 5137 Harbor Blvd Apt 3, Atlanta → 5137 Harbor Blvd, Atlanta |
| Proposed | — | ||
| ACT-013078 | Outreach address corrected Outreach | Scott Singh: 2352 Oak St Apt 18, Nashville → 2352 Oak St, Nashville |
| Proposed | — | ||
| ACT-013079 | Outreach address corrected Outreach | Anthony Bryant: 5921 Valley View Dr, Charlotte → 5921 Valley View Dr # 783, Charlotte |
| Proposed | — | ||
| ACT-013080 | Outreach address corrected Outreach | Janice Reed: 3152 Harbor Blvd, Seattle → 319 Desert Sky Blvd # 762, San Diego |
| Proposed | — | ||
| ACT-013081 | Outreach address corrected Outreach | Jacqueline Young: 79 Mesa Dr, Orlando → 5905 Maple Ave, Glendale |
| Proposed | — | ||
| ACT-013082 | Outreach address corrected Outreach | Kathryn Watson: 5070 Mountain View Dr # 696, Seattle → 5070 Mountain View Dr, Seattle |
| Proposed | — | ||
| ACT-013083 | Outreach address corrected Outreach | Ann Singh: 1013 Camelback Rd # 671, Fresno → 9512 Main St, Miami |
| Proposed | — | ||
| ACT-013084 | Outreach address corrected Outreach | Elizabeth Reed: 4011 Maple Ave, Houston → 8057 Palm Dr, Tempe |
| Proposed | — | ||
| ACT-013085 | Outreach address corrected Outreach | Hiroshi Wright: 2169 Main St, Chandler → 2169 Main St Apt 32, Chandler |
| Proposed | — | ||
| ACT-013086 | Outreach address corrected Outreach | Ahmed Harper: 7978 Park Pl, Phoenix → 1661 Central Ave, Tampa |
| Proposed | — | ||
| ACT-013087 | Outreach address corrected Outreach | Mary Freeman: 2156 Highland Ave, Sacramento → 2156 Highland Ave Apt 8, Sacramento |
| Proposed | — | ||
| ACT-013088 | Outreach address corrected Outreach | Elijah Medina: 8286 Bayshore Dr, Columbus → 8286 Bayshore Dr # 532, Columbus |
| Proposed | — | ||
| ACT-013089 | Outreach address corrected Outreach | Sarah Freeman: 7830 Hillcrest Rd, Tempe → 4010 Meadow Ln, Seattle |
| Proposed | — | ||
| ACT-013090 | Outreach address corrected Outreach | Diane Weaver: 2791 Maple Ave Apt 3, Atlanta → 2791 Maple Ave Apt 21, Atlanta |
| Proposed | — | ||
| ACT-013091 | Outreach address corrected Outreach | Donald Meyer: 5980 Washington St # 386, Columbus → 5980 Washington St, Columbus |
| Proposed | — | ||
| ACT-013092 | Outreach address corrected Outreach | Peter Edwards: 6925 Pine Dr, Mesa → 6925 Pine Dr # 517, Mesa |
| Proposed | — | ||
| ACT-013093 | Outreach address corrected Outreach | Carolyn Jimenez: 7201 Meadow Ln # 227, Houston → 7201 Meadow Ln, Houston |
| Proposed | — | ||
| ACT-013094 | Outreach address corrected Outreach | Andrew Thomas: 3126 Indian School Rd, Tampa → 3126 Indian School Rd Apt 17, Tampa |
| Proposed | — | ||
| ACT-013095 | Outreach address corrected Outreach | Stephen Schmidt: 8679 Grand Ave, Tampa → 8679 Grand Ave # 319, Tampa |
| Proposed | — | ||
| ACT-013096 | Outreach address corrected Outreach | Karen Shaw: 9539 Camelback Rd, Austin → 9539 Camelback Rd Apt 26, Austin |
| Proposed | — | ||
| ACT-013097 | Outreach address corrected Outreach | Arthur Wagner: 9144 Desert Sky Blvd, Orlando → 7311 Baseline Rd, San Antonio |
| Proposed | — | ||
| ACT-013098 | Outreach address corrected Outreach | Christopher Ruiz: 7578 Ocean Ave, Sacramento → 7578 Ocean Ave Apt 25, Sacramento |
| Proposed | — | ||
| ACT-013099 | Outreach address corrected Outreach | Heather Lopez: 2352 Ridge Rd Apt 19, Seattle → 2352 Ridge Rd, Seattle |
| Proposed | — | ||
| ACT-013100 | Outreach address corrected Outreach | Douglas Lucas: 2791 Forest Ave Apt 37, Las Vegas → 2791 Forest Ave, Las Vegas |
| Proposed | — | ||
| ACT-013101 | Outreach address corrected Outreach | Luis Cooper: 3847 Maple Ave, San Diego → 3847 Maple Ave # 829, San Diego |
| Proposed | — | ||
| ACT-013102 | Outreach address corrected Outreach | Grace Fisher: 6276 River Rd # 470, Las Vegas → 6276 River Rd, Las Vegas |
| Proposed | — | ||
| ACT-013103 | Outreach address corrected Outreach | Linda Ryan: 3595 Elm St # 424, Scottsdale → 3595 Elm St, Scottsdale |
| Proposed | — | ||
| ACT-013104 | Outreach address corrected Outreach | Tyler Carter: 7468 Lake View Rd Apt 8, Los Angeles → 7468 Lake View Rd, Los Angeles |
| Proposed | — | ||
| ACT-013105 | Outreach address corrected Outreach | Brandon Wheeler: 3670 Sunset Blvd Apt 30, Los Angeles → 3670 Sunset Blvd, Los Angeles |
| Proposed | — | ||
| ACT-013106 | Outreach address corrected Outreach | Elizabeth Bishop: 5904 Harbor Blvd, Plano → 5904 Harbor Blvd Apt 12, Plano |
| Proposed | — | ||
| ACT-013107 | Outreach address corrected Outreach | Frank Lynch: 9249 Lincoln Way, Tucson → 6689 Cedar Ln, Nashville |
| Proposed | — | ||
| ACT-013108 | Outreach address corrected Outreach | Jack Alexander: 7505 Mesa Dr, Gilbert → 7505 Mesa Dr # 306, Gilbert |
| Proposed | — | ||
| ACT-013109 | Outreach address corrected Outreach | Jerry Young: 2539 Lincoln Way Apt 13, Chandler → 2539 Lincoln Way, Chandler |
| Proposed | — | ||
| ACT-013110 | Outreach address corrected Outreach | Wayne Jimenez: 6937 Grand Ave # 107, Las Vegas → 6937 Grand Ave, Las Vegas |
| Proposed | — | ||
| ACT-013111 | Outreach address corrected Outreach | Rebecca Schultz: 765 Sunset Blvd, Plano → 765 Sunset Blvd Apt 26, Plano |
| Proposed | — | ||
| ACT-013112 | Outreach address corrected Outreach | Terry Gardner: 1972 Pine Dr, Tempe → 1972 Pine Dr Apt 22, Tempe |
| 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.