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-013113 | Outreach address corrected Outreach | David Rogers: 5317 Washington St Apt 22, Mesa → 5317 Washington St, Mesa |
| Proposed | — | ||
| ACT-013114 | Outreach address corrected Outreach | Cynthia Stephens: 8209 Bayshore Dr, Atlanta → 8209 Bayshore Dr Apt 25, Atlanta |
| Proposed | — | ||
| ACT-013115 | Outreach address corrected Outreach | Pamela Brown: 6660 Maple Ave Apt 23, Orlando → 6660 Maple Ave, Orlando |
| Proposed | — | ||
| ACT-013116 | Outreach address corrected Outreach | Joe Bishop: 69 Highland Ave, Tampa → 69 Highland Ave Apt 8, Tampa |
| Proposed | — | ||
| ACT-013117 | Outreach address corrected Outreach | Ryan Morgan: 4448 Church St Apt 21, Chandler → 4448 Church St, Chandler |
| Proposed | — | ||
| ACT-013118 | Outreach address corrected Outreach | Lucia White: 4563 Lincoln Way # 449, Sacramento → 4563 Lincoln Way, Sacramento |
| Proposed | — | ||
| ACT-013119 | Outreach address corrected Outreach | Martha Walker: 3756 Indian School Rd, Austin → 5060 Broadway, Los Angeles |
| Proposed | — | ||
| ACT-013120 | Outreach address corrected Outreach | Barbara Stevens: 720 Main St, Las Vegas → 720 Main St Apt 37, Las Vegas |
| Proposed | — | ||
| ACT-013121 | Outreach address corrected Outreach | Donald Lene: 4221 Cedar Ln, Denver → 4221 Cedar Ln # 242, Denver |
| Proposed | — | ||
| ACT-013122 | Outreach address corrected Outreach | Heather Graham: 7236 Elm St, Orlando → 7236 Elm St Apt 7, Orlando |
| Proposed | — | ||
| ACT-013123 | Outreach address corrected Outreach | Marcus Myers: 2919 Harbor Blvd, Scottsdale → 2919 Harbor Blvd # 295, Scottsdale |
| Proposed | — | ||
| ACT-013124 | Outreach address corrected Outreach | Gary Vega: 2281 Grand Ave, San Diego → 478 Park Pl, Seattle |
| Proposed | — | ||
| ACT-013125 | Outreach address corrected Outreach | Janet Reyes: 4791 Bayshore Dr, Tucson → 4791 Bayshore Dr # 323, Tucson |
| Proposed | — | ||
| ACT-013126 | Outreach address corrected Outreach | Carlos McDonald: 2060 Desert Sky Blvd, Tempe → 2056 Central Ave, Plano |
| Proposed | — | ||
| ACT-013127 | Outreach address corrected Outreach | Chhristian Carroll: 6134 Oak St, Nashville → 6134 Oak St # 279, Nashville |
| Proposed | — | ||
| ACT-013128 | Outreach address corrected Outreach | Martha Chapman: 6938 Lincoln Way, Seattle → 6938 Lincoln Way Apt 5, Seattle |
| Proposed | — | ||
| ACT-013129 | Outreach address corrected Outreach | Jordan Mitchell: 9584 Valley View Dr # 135, Scottsdale → 9584 Valley View Dr, Scottsdale |
| Proposed | — | ||
| ACT-013130 | Outreach address corrected Outreach | Sharon Sullivan: 6075 Elm St # 439, Nashville → 6075 Elm St, Nashville |
| Proposed | — | ||
| ACT-013131 | Outreach address corrected Outreach | Ronald Wheeler: 1587 Park Pl Apt 17, Plano → 1587 Park Pl, Plano |
| Proposed | — | ||
| ACT-013132 | Outreach address corrected Outreach | Mariana James: 5211 Maple Ave Apt 40, Austin → 5211 Maple Ave, Austin |
| Proposed | — | ||
| ACT-013133 | Outreach address corrected Outreach | Noah Allen: 2225 Market St, San Diego → 2225 Market St # 532, San Diego |
| Proposed | — | ||
| ACT-013134 | Outreach address corrected Outreach | Jack Contreras: 3703 Pine Dr Apt 28, Atlanta → 3703 Pine Dr, Atlanta |
| Proposed | — | ||
| ACT-013135 | Outreach address corrected Outreach | Joseph Delgado: 9091 Sage Ct, Scottsdale → 7648 Jefferson Ave, San Diego |
| Proposed | — | ||
| ACT-013136 | Outreach address corrected Outreach | Thompson Jerry: 3270 Ocean Ave # 634, Jacksonville → 3270 Ocean Ave, Jacksonville |
| Proposed | — | ||
| ACT-013137 | Outreach address corrected Outreach | Angela Carlson: 4333 Church St # 900, Seattle → 4333 Church St, Seattle |
| Proposed | — | ||
| ACT-013138 | Outreach address corrected Outreach | Jordan Jordan: 4162 Desert Sky Blvd, Columbus → 4162 Desert Sky Blvd # 622, Columbus |
| Proposed | — | ||
| ACT-013139 | Outreach address corrected Outreach | Scott Garrdner: 7640 Central Ave, Las Vegas → 7640 Central Ave Apt 36, Las Vegas |
| Proposed | — | ||
| ACT-013140 | Outreach address corrected Outreach | Teresa Greene: 3387 Mountain View Dr Apt 3, Los Angeles → 3387 Mountain View Dr, Los Angeles |
| Proposed | — | ||
| ACT-013141 | Outreach address corrected Outreach | Virginia Moore: 6835 Pine Dr, Miami → 6835 Pine Dr Apt 26, Miami |
| Proposed | — | ||
| ACT-013142 | Outreach address corrected Outreach | Stephen Miller: 8460 Baseline Rd, Jacksonville → 7418 Mountain View Dr, Tempe |
| Proposed | — | ||
| ACT-013143 | Outreach address corrected Outreach | Nicholas Holmes: 6938 Bayshore Dr # 941, Eden Prairie → 6938 Bayshore Dr, Eden Prairie |
| Proposed | — | ||
| ACT-013144 | Outreach address corrected Outreach | Joe Young: 6460 Grand Ave # 673, Sacramento → 6460 Grand Ave, Sacramento |
| Proposed | — | ||
| ACT-013145 | Outreach address corrected Outreach | Anna Hicks: 4474 Valley View Dr, Minneapolis → 4474 Valley View Dr Apt 24, Minneapolis |
| Proposed | — | ||
| ACT-013146 | Outreach address corrected Outreach | Bobby Kelly: 7032 Mesa Dr, Plano → 5505 Washington St, Columbus |
| Proposed | — | ||
| ACT-013147 | Outreach address corrected Outreach | Brittany Taylor: 5296 Sage Ct, Gilbert → 5296 Sage Ct # 765, Gilbert |
| Proposed | — | ||
| ACT-013148 | Outreach address corrected Outreach | Bradley Foster: 8231 Grand Ave, Tempe → 7079 Washington St Apt 1, Los Angeles |
| Proposed | — | ||
| ACT-013149 | Outreach address corrected Outreach | Camila Knight: 531 Baseline Rd, Charlotte → 531 Baseline Rd Apt 2, Charlotte |
| Proposed | — | ||
| ACT-013150 | Outreach address corrected Outreach | Henry Porter: 5986 Mountain View Dr, Jacksonville → 5566 Desert Sky Blvd, Columbus |
| Proposed | — | ||
| ACT-013151 | Outreach address corrected Outreach | Joran Greene: 7289 Palm Dr, Minneapolis → 3593 Central Ave, Dallas |
| Proposed | — | ||
| ACT-013152 | Outreach address corrected Outreach | Mary Shaw: 958 Palm Dr, Denver → 958 Palm Dr # 393, Denver |
| Proposed | — | ||
| ACT-013153 | Outreach address corrected Outreach | Jeremy Cruz: 6553 River Rd # 231, Orlando → 6553 River Rd, Orlando |
| Proposed | — | ||
| ACT-013154 | Outreach address corrected Outreach | Martha Turner: 4111 Lake View Rd, Minneapolis → 4111 Lake View Rd # 476, Minneapolis |
| Proposed | — | ||
| ACT-013155 | Outreach address corrected Outreach | Lori Lawson: 1146 Oak St, Houston → 1146 Oak St Apt 4, Houston |
| Proposed | — | ||
| ACT-013156 | Outreach address corrected Outreach | Judy Elliott: 3769 Sage Ct, Jacksonville → 3769 Sage Ct Apt 28, Jacksonville |
| Proposed | — | ||
| ACT-013157 | Outreach address corrected Outreach | Maria Gonzales: 8457 Cedar Ln, Tempe → 1366 Lincoln Way, Atlanta |
| Proposed | — | ||
| ACT-013158 | Outreach address corrected Outreach | Janet Harris: 1529 Highland Ave Apt 31, Tempe → 1529 Highland Ave, Tempe |
| Proposed | — | ||
| ACT-013159 | Outreach address corrected Outreach | Gloria Chapman: 4425 Mesa Dr Apt 8, Denver → 4425 Mesa Dr # 964, Denver |
| Proposed | — | ||
| ACT-013160 | Outreach address corrected Outreach | Julia Meyer: 5564 Central Ave # 415, Minneapolis → 5564 Central Ave Apt 35, Minneapolis |
| Proposed | — | ||
| ACT-013161 | Outreach address corrected Outreach | Mason Garrett: 2814 Desert Sky Blvd, Tucson → 287 Jefferson Ave, Glendale |
| Proposed | — | ||
| ACT-013162 | Outreach address corrected Outreach | Tim George: 397 Sage Ct Apt 38, Denver → 397 Sage Ct, Denver |
| 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.