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-013263 | Outreach address corrected Outreach | Jeffrey Cruz: 6155 Ocean Ave # 695, Nashville → 6155 Ocean Ave, Nashville |
| Proposed | — | ||
| ACT-013264 | Outreach address corrected Outreach | William Walsh: 8684 Spring St Apt 34, Mesa → 8684 Spring St, Mesa |
| Proposed | — | ||
| ACT-013265 | Outreach address corrected Outreach | Raymond Lee: 2487 River Rd, Las Vegas → 2487 River Rd # 708, Las Vegas |
| Proposed | — | ||
| ACT-013266 | Outreach address corrected Outreach | Jeremy Mendez: 9776 Harbor Blvd, Las Vegas → 9855 Sage Ct, Tampa |
| Proposed | — | ||
| ACT-013267 | Outreach address corrected Outreach | Walter Robinson: 9442 Jefferson Ave Apt 28, Tampa → 9442 Jefferson Ave, Tampa |
| Proposed | — | ||
| ACT-013268 | Outreach address corrected Outreach | Keith Gordon: 6363 Mesa Dr, Scottsdale → 6363 Mesa Dr Apt 20, Scottsdale |
| Proposed | — | ||
| ACT-013269 | Outreach address corrected Outreach | Rebecca Park: 3555 Oak St Apt 14, Tempe → 3555 Oak St, Tempe |
| Proposed | — | ||
| ACT-013270 | Outreach address corrected Outreach | Tyler Moreno: 8882 Maple Ave # 420, Orlando → 8882 Maple Ave, Orlando |
| Proposed | — | ||
| ACT-013271 | Outreach address corrected Outreach | Maria Perez: 4692 Grand Ave Apt 38, Denver → 4692 Grand Ave, Denver |
| Proposed | — | ||
| ACT-013272 | Outreach address corrected Outreach | Hiroshi Hamilton: 6891 Park Pl, San Diego → 4949 Lincoln Way, Orlando |
| Proposed | — | ||
| ACT-013273 | Outreach address corrected Outreach | Katherine Knight: 4472 Highland Ave, Las Vegas → 7895 Willow Ct, Plano |
| Proposed | — | ||
| ACT-013274 | Outreach address corrected Outreach | Joshua Stevens: 8776 Central Ave, Plano → 9610 Washington St # 268, Charlotte |
| Proposed | — | ||
| ACT-013275 | Outreach address corrected Outreach | Andrew Vega: 5060 Church St, Phoenix → 2350 Harbor Blvd, Eden Prairie |
| Proposed | — | ||
| ACT-013276 | Outreach address corrected Outreach | Charlotte Ross: 3803 Willow Ct, Houston → 3803 Willow Ct Apt 38, Houston |
| Proposed | — | ||
| ACT-013277 | Outreach address corrected Outreach | Jack Hart: 3096 Lake View Rd # 457, Tempe → 3096 Lake View Rd Apt 7, Tempe |
| Proposed | — | ||
| ACT-013278 | Outreach address corrected Outreach | Ronald Tran: 9300 Broadway Apt 22, Las Vegas → 9300 Broadway, Las Vegas |
| Proposed | — | ||
| ACT-013279 | Outreach address corrected Outreach | Mei James: 911 Oak St # 484, Orlando → 911 Oak St Apt 1, Orlando |
| Proposed | — | ||
| ACT-013280 | Outreach address corrected Outreach | Gabriel Andrews: 816 Mesa Dr, Mesa → 847 Church St, Nashville |
| Proposed | — | ||
| ACT-013281 | Outreach address corrected Outreach | Russell Torres: 4623 Lake View Rd, Nashville → 4623 Lake View Rd # 404, Nashville |
| Proposed | — | ||
| ACT-013282 | Outreach address corrected Outreach | Maria Vazquez: 891 Canyon Rd Apt 19, Los Angeles → 891 Canyon Rd, Los Angeles |
| Proposed | — | ||
| ACT-013283 | Outreach address corrected Outreach | Larry Bishop: 3231 Mountain View Dr, Mesa → 3231 Mountain View Dr # 403, Mesa |
| Proposed | — | ||
| ACT-013284 | Outreach address corrected Outreach | Randy Perkins: 1802 Mesa Dr # 601, Nashville → 1802 Mesa Dr, Nashville |
| Proposed | — | ||
| ACT-013285 | Outreach address corrected Outreach | Luis Simmons: 87 Bayshore Dr, Sacramento → 9389 Sunset Blvd, Scottsdale |
| Proposed | — | ||
| ACT-013286 | Outreach address corrected Outreach | Bobby Fisher: 1197 Ridge Rd Apt 14, Glendale → 1197 Ridge Rd, Glendale |
| Proposed | — | ||
| ACT-013287 | Outreach address corrected Outreach | Carol Warren: 1006 River Rd, Chandler → 7040 Hillcrest Rd, Gilbert |
| Proposed | — | ||
| ACT-013288 | Outreach address corrected Outreach | Ronald Patel: 795 Jefferson Ave Apt 20, Denver → 795 Jefferson Ave, Denver |
| Proposed | — | ||
| ACT-013289 | Outreach address corrected Outreach | Brian Thomas: 1654 Baseline Rd, Chandler → 7042 Mountain View Dr, Dallas |
| Proposed | — | ||
| ACT-013290 | Outreach address corrected Outreach | Bobby Bailey: 2275 Baseline Rd, Plano → 2275 Baseline Rd Apt 37, Plano |
| Proposed | — | ||
| ACT-013291 | Outreach address corrected Outreach | Amber Walker: 6562 Elm St, Orlando → 6562 Elm St Apt 12, Orlando |
| Proposed | — | ||
| ACT-013292 | Outreach address corrected Outreach | Luis Cox: 3779 Grand Ave, Tampa → 3779 Grand Ave Apt 39, Tampa |
| Proposed | — | ||
| ACT-013293 | Outreach address corrected Outreach | Natalie Guzman: 3513 Central Ave, Plano → 3513 Central Ave Apt 22, Plano |
| Proposed | — | ||
| ACT-013294 | Outreach address corrected Outreach | Christina Rose: 1652 Indian School Rd Apt 5, Scottsdale → 1652 Indian School Rd, Scottsdale |
| Proposed | — | ||
| ACT-013295 | Outreach address corrected Outreach | Joan Singh: 5676 Palm Dr # 496, Eden Prairie → 5676 Palm Dr, Eden Prairie |
| Proposed | — | ||
| ACT-013296 | Outreach address corrected Outreach | Joseph Reynolds: 6878 Grand Ave Apt 1, Fresno → 6878 Grand Ave, Fresno |
| Proposed | — | ||
| ACT-013297 | Outreach address corrected Outreach | Kathleen Cole: 7611 Central Ave, Fresno → 186 Ocean Ave, Mesa |
| Proposed | — | ||
| ACT-013298 | Outreach address corrected Outreach | Juan Jimenez: 2041 Forest Ave, Dallas → 2041 Forest Ave # 776, Dallas |
| Proposed | — | ||
| ACT-013299 | Outreach address corrected Outreach | Maggie Cruz: 9104 Jefferson Ave, Glendale → 9104 Jefferson Ave # 302, Glendale |
| Proposed | — | ||
| ACT-013300 | Outreach address corrected Outreach | Benjamin Castillo: 3785 Main St, Phoenix → 374 Canyon Rd, Los Angeles |
| Proposed | — | ||
| ACT-013301 | Outreach address corrected Outreach | Alexis Crawfford: 9305 Central Ave Apt 15, Miami → 9305 Central Ave, Miami |
| Proposed | — | ||
| ACT-013302 | Outreach address corrected Outreach | Mary Moore: 3555 Ridge Rd, Columbus → 3555 Ridge Rd # 463, Columbus |
| Proposed | — | ||
| ACT-013303 | Outreach address corrected Outreach | Richard Peters: 8617 Central Ave, Minneapolis → 8617 Central Ave Apt 11, Minneapolis |
| Proposed | — | ||
| ACT-013304 | Outreach address corrected Outreach | Bruce Watson: 8285 Ocean Ave Apt 2, Mesa → 8285 Ocean Ave, Mesa |
| Proposed | — | ||
| ACT-013305 | Outreach address corrected Outreach | Julia Ryan: 5279 Canyon Rd, Mesa → 5279 Canyon Rd Apt 19, Mesa |
| Proposed | — | ||
| ACT-013306 | Outreach address corrected Outreach | Jordan Porter: 6675 Park Pl, Tucson → 214 Washington St, Los Angeles |
| Proposed | — | ||
| ACT-013307 | Outreach address corrected Outreach | Mark Henry: 1685 Market St, Orlando → 8259 Sunset Blvd, Sacramento |
| Proposed | — | ||
| ACT-013308 | Outreach address corrected Outreach | Charles Medina: 8165 Sunset Blvd, Houston → 8165 Sunset Blvd # 325, Houston |
| Proposed | — | ||
| ACT-013309 | Outreach address corrected Outreach | Hunt Hunt: 3532 Highland Ave, Seattle → 3532 Highland Ave # 266, Seattle |
| Proposed | — | ||
| ACT-013310 | Outreach address corrected Outreach | Charlotte Delgado: 8620 Baseline Rd, Atlanta → 8620 Baseline Rd # 835, Atlanta |
| Proposed | — | ||
| ACT-013311 | Outreach address corrected Outreach | Katherine Silva: 7888 Valley View Dr # 573, Las Vegas → 1542 Market St # 102, Tampa |
| Proposed | — | ||
| ACT-013312 | Outreach address corrected Outreach | Daniel Rios: 7004 Palm Dr, Phoenix → 6945 Pine Dr, San Diego |
| 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.