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-013163 | Outreach address corrected Outreach | Daniel Flores: 4711 Mesa Dr # 570, Mesa → 4711 Mesa Dr, Mesa |
| Proposed | — | ||
| ACT-013164 | Outreach address corrected Outreach | Robert Washington: 8721 Apache Blvd, Miami → 5496 Spring St, Atlanta |
| Proposed | — | ||
| ACT-013165 | Outreach address corrected Outreach | Amy Gilbert: 4705 Mountain View Dr, San Antonio → 4705 Mountain View Dr Apt 18, San Antonio |
| Proposed | — | ||
| ACT-013166 | Outreach address corrected Outreach | Marilyn Rice: 1406 Ocean Ave # 138, Nashville → 1406 Ocean Ave, Nashville |
| Proposed | — | ||
| ACT-013167 | Outreach address corrected Outreach | John Le: 6398 Church St, Los Angeles → 6398 Church St # 867, Los Angeles |
| Proposed | — | ||
| ACT-013168 | Outreach address corrected Outreach | Susan Estrada: 1971 Highland Ave, Seattle → 4482 Union St, Tempe |
| Proposed | — | ||
| ACT-013169 | Outreach address corrected Outreach | Ethan Thompson: 1975 Desert Sky Blvd, Glendale → 1975 Desert Sky Blvd Apt 39, Glendale |
| Proposed | — | ||
| ACT-013170 | Outreach address corrected Outreach | Marilyn Richads: 2627 Church St, Denver → 2627 Church St Apt 15, Denver |
| Proposed | — | ||
| ACT-013171 | Outreach address corrected Outreach | Marilyn Stephens: 7632 Camelback Rd Apt 37, Eden Prairie → 7632 Camelback Rd, Eden Prairie |
| Proposed | — | ||
| ACT-013172 | Outreach address corrected Outreach | Janice Hicks: 5392 Ocean Ave, Austin → 5392 Ocean Ave # 630, Austin |
| Proposed | — | ||
| ACT-013173 | Outreach address corrected Outreach | Emma Maldonado: 2613 Central Ave # 489, San Diego → 2613 Central Ave, San Diego |
| Proposed | — | ||
| ACT-013174 | Outreach address corrected Outreach | Joe Turner: 5634 Valley View Dr, Fresno → 3679 Lincoln Way, Denver |
| Proposed | — | ||
| ACT-013175 | Outreach address corrected Outreach | Jennifer Santiago: 9526 Meadow Ln, Houston → 4521 Valley View Dr, Eden Prairie |
| Proposed | — | ||
| ACT-013176 | Outreach address corrected Outreach | Justin Evans: 4255 Apache Blvd # 504, Denver → 4255 Apache Blvd, Denver |
| Proposed | — | ||
| ACT-013177 | Outreach address corrected Outreach | Henry Obrien: 1614 Camelback Rd, Atlanta → 1614 Camelback Rd # 839, Atlanta |
| Proposed | — | ||
| ACT-013178 | Outreach address corrected Outreach | Marcus Reed: 9817 Oak St Apt 6, Chandler → 9817 Oak St, Chandler |
| Proposed | — | ||
| ACT-013179 | Outreach address corrected Outreach | Denie Miller: 7211 Park Pl, Fresno → 4710 Oak St, Nashville |
| Proposed | — | ||
| ACT-013180 | Outreach address corrected Outreach | Camila Williams: 9110 Mesa Dr, Sacramento → 9110 Mesa Dr Apt 3, Sacramento |
| Proposed | — | ||
| ACT-013181 | Outreach address corrected Outreach | Kathryn Burke: 5009 Grand Ave, Glendale → 5009 Grand Ave # 402, Glendale |
| Proposed | — | ||
| ACT-013182 | Outreach address corrected Outreach | Carol James: 34 Sage Ct Apt 39, Scottsdale → 7188 Market St, Chandler |
| Proposed | — | ||
| ACT-013183 | Outreach address corrected Outreach | Brenda Price: 8415 Spring St, Charlotte → 553 Forest Ave, Atlanta |
| Proposed | — | ||
| ACT-013184 | Outreach address corrected Outreach | Katherine Bryant: 7987 Apache Blvd Apt 18, Phoenix → 7987 Apache Blvd, Phoenix |
| Proposed | — | ||
| ACT-013185 | Outreach address corrected Outreach | Gloria Dean: 7637 Bayshore Dr Apt 12, Glendale → 7637 Bayshore Dr, Glendale |
| Proposed | — | ||
| ACT-013186 | Outreach address corrected Outreach | Maria Cruz: 2124 Ridge Rd, San Diego → 2274 Baseline Rd, Atlanta |
| Proposed | — | ||
| ACT-013187 | Outreach address corrected Outreach | Logan Bradley: 4382 Jefferson Ave, Plano → 5006 Church St, Nashville |
| Proposed | — | ||
| ACT-013188 | Outreach address corrected Outreach | George Martinez: 3067 Sage Ct, Houston → 3998 Lake View Rd, Atlanta |
| Proposed | — | ||
| ACT-013189 | Outreach address corrected Outreach | Sofia Silva: 7071 Maple Ave # 364, Mesa → 7071 Maple Ave, Mesa |
| Proposed | — | ||
| ACT-013190 | Outreach address corrected Outreach | Joe Hunter: 1811 Canyon Rd, Los Angeles → 1811 Canyon Rd Apt 11, Los Angeles |
| Proposed | — | ||
| ACT-013191 | Outreach address corrected Outreach | Sarah Hall: 7399 Park Pl, Gilbert → 7399 Park Pl # 381, Gilbert |
| Proposed | — | ||
| ACT-013192 | Outreach address corrected Outreach | Jeremy Fernandez: 7181 Mesa Dr, Denver → 3364 Valley View Dr, San Diego |
| Proposed | — | ||
| ACT-013193 | Outreach address corrected Outreach | David Lawernce: 4488 Meadow Ln, San Diego → 9104 Washington St, Fresno |
| Proposed | — | ||
| ACT-013194 | Outreach address corrected Outreach | Sean Stephens: 4224 Elm St, Tempe → 8270 Desert Sky Blvd, Mesa |
| Proposed | — | ||
| ACT-013195 | Outreach address corrected Outreach | Brian Bailey: 4358 Indian School Rd # 401, Los Angeles → 4358 Indian School Rd, Los Angeles |
| Proposed | — | ||
| ACT-013196 | Outreach address corrected Outreach | Helen Estrada: 5639 Spring St Apt 5, Las Vegas → 5639 Spring St, Las Vegas |
| Proposed | — | ||
| ACT-013197 | Outreach address corrected Outreach | Donald Torres: 8591 Central Ave # 822, San Diego → 8591 Central Ave, San Diego |
| Proposed | — | ||
| ACT-013198 | Outreach address corrected Outreach | Justin Murphy: 8829 Pine Dr, Dallas → 3207 Union St, Tucson |
| Proposed | — | ||
| ACT-013199 | Outreach address corrected Outreach | Hannah Owens: 6773 Willow Ct Apt 38, Orlando → 6773 Willow Ct, Orlando |
| Proposed | — | ||
| ACT-013200 | Outreach address corrected Outreach | Danielle Jordan: 5513 Market St, Phoenix → 5513 Market St Apt 18, Phoenix |
| Proposed | — | ||
| ACT-013201 | Outreach address corrected Outreach | Arjun Ray: 5602 Camelback Rd Apt 8, Atlanta → 5602 Camelback Rd, Atlanta |
| Proposed | — | ||
| ACT-013202 | Outreach address corrected Outreach | Jose Harvey: 579 Apache Blvd, Tempe → 579 Apache Blvd # 340, Tempe |
| Proposed | — | ||
| ACT-013203 | Outreach address corrected Outreach | Kimberly Hernandez: 1697 Desert Sky Blvd Apt 3, Chandler → 1697 Desert Sky Blvd, Chandler |
| Proposed | — | ||
| ACT-013204 | Outreach address corrected Outreach | Timothy Bennett: 1538 Harbor Blvd # 855, Tempe → 1538 Harbor Blvd, Tempe |
| Proposed | — | ||
| ACT-013205 | Outreach address corrected Outreach | Diane Fisher: 4157 Church St Apt 9, Columbus → 4157 Church St, Columbus |
| Proposed | — | ||
| ACT-013206 | Outreach address corrected Outreach | Michelle Walker: 1165 Lincoln Way, Tucson → 8094 Desert Sky Blvd, Glendale |
| Proposed | — | ||
| ACT-013207 | Outreach address corrected Outreach | Denise Rogers: 6840 Ocean Ave, San Diego → 2232 Forest Ave, Las Vegas |
| Proposed | — | ||
| ACT-013208 | Outreach address corrected Outreach | Ashley Wallace: 2406 Church St # 727, Tucson → 2406 Church St, Tucson |
| Proposed | — | ||
| ACT-013209 | Outreach address corrected Outreach | Nicholas Perry: 3968 Sunset Blvd, San Antonio → 3968 Sunset Blvd Apt 30, San Antonio |
| Proposed | — | ||
| ACT-013210 | Outreach address corrected Outreach | Fatima Vargas: 1022 Meadow Ln Apt 36, Los Angeles → 1022 Meadow Ln, Los Angeles |
| Proposed | — | ||
| ACT-013211 | Outreach address corrected Outreach | Judith Foster: 8648 Lake View Rd, Fresno → 8648 Lake View Rd Apt 9, Fresno |
| Proposed | — | ||
| ACT-013212 | Outreach address corrected Outreach | Jonathan Edwards: 2491 Palm Dr, Denver → 2491 Palm Dr Apt 15, 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.