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-013313 | Outreach address corrected Outreach | Jose Crawford: 2181 Willow Ct, Chandler → 2181 Willow Ct # 513, Chandler |
| Proposed | — | ||
| ACT-013314 | Outreach address corrected Outreach | Ana Wheeeler: 4863 Lake View Rd, Fresno → 697 Forest Ave, Seattle |
| Proposed | — | ||
| ACT-013315 | Outreach address corrected Outreach | Carolyn Butler: 116 Meadow Ln, Denver → 116 Meadow Ln Apt 3, Denver |
| Proposed | — | ||
| ACT-013316 | Outreach address corrected Outreach | Ethan Butler: 4299 Forest Ave # 322, Columbus → 4299 Forest Ave, Columbus |
| Proposed | — | ||
| ACT-013317 | Outreach address corrected Outreach | Anthony Morrison: 2796 Pine Dr, San Antonio → 2366 Lake View Rd Apt 23, Tucson |
| Proposed | — | ||
| ACT-013318 | Outreach address corrected Outreach | Isabella Murphy: 1338 Central Ave Apt 34, Columbus → 1338 Central Ave, Columbus |
| Proposed | — | ||
| ACT-013319 | Outreach address corrected Outreach | Elijah Medina: 7673 Ridge Rd # 905, Plano → 7269 Mesa Dr, Denver |
| Proposed | — | ||
| ACT-013320 | Outreach address corrected Outreach | Emma Gutierrez: 9308 Indian School Rd Apt 37, Tampa → 9308 Indian School Rd, Tampa |
| Proposed | — | ||
| ACT-013321 | Outreach address corrected Outreach | Amanda Rodriguez: 2060 Valley View Dr Apt 38, Tampa → 2060 Valley View Dr, Tampa |
| Proposed | — | ||
| ACT-013322 | Outreach address corrected Outreach | Aisha Burke: 6872 Palm Dr # 999, Nashville → 6872 Palm Dr, Nashville |
| Proposed | — | ||
| ACT-013323 | Outreach address corrected Outreach | Beverly Hughes: 4067 Mountain View Dr, Houston → 3148 Cedar Ln, Plano |
| Proposed | — | ||
| ACT-013324 | Outreach address corrected Outreach | Elijah Brooks: 2640 Baseline Rd Apt 25, Orlando → 2640 Baseline Rd, Orlando |
| Proposed | — | ||
| ACT-013325 | Outreach address corrected Outreach | Sofia Smith: 7046 Market St Apt 33, Las Vegas → 7046 Market St, Las Vegas |
| Proposed | — | ||
| ACT-013326 | Outreach address corrected Outreach | Samantha Espinoza: 8512 Valley View Dr Apt 22, Miami → 8512 Valley View Dr, Miami |
| Proposed | — | ||
| ACT-013327 | Outreach address corrected Outreach | Wei Medina: 4780 Lake View Rd, Plano → 4780 Lake View Rd Apt 4, Plano |
| Proposed | — | ||
| ACT-013328 | Outreach address corrected Outreach | Samuel Le: 8848 Cedar Ln # 856, Columbus → 8848 Cedar Ln, Columbus |
| Proposed | — | ||
| ACT-013329 | Outreach address corrected Outreach | Larry Kim: 3283 Church St, Atlanta → 780 Church St, Minneapolis |
| Proposed | — | ||
| ACT-013330 | Outreach address corrected Outreach | Donna Torres: 5372 Bayshore Dr, Los Angeles → 5372 Bayshore Dr Apt 18, Los Angeles |
| Proposed | — | ||
| ACT-013331 | Outreach address corrected Outreach | Julie Murphy: 2688 Desert Sky Blvd, Atlanta → 9070 Ocean Ave, Las Vegas |
| Proposed | — | ||
| ACT-013332 | Outreach address corrected Outreach | Jerry Edwards: 922 Union St # 854, Atlanta → 922 Union St Apt 11, Atlanta |
| Proposed | — | ||
| ACT-013333 | Outreach address corrected Outreach | Dylan Fernandez: 467 Indian School Rd # 103, Denver → 467 Indian School Rd, Denver |
| Proposed | — | ||
| ACT-013334 | Outreach address corrected Outreach | Tyler Woods: 7877 Ridge Rd Apt 31, Houston → 7877 Ridge Rd, Houston |
| Proposed | — | ||
| ACT-013335 | Outreach address corrected Outreach | Mateo Carroll: 3522 Oak St, Tampa → 8407 Ocean Ave, Columbus |
| Proposed | — | ||
| ACT-013336 | Outreach address corrected Outreach | Sophia White: 2873 Highland Ave, San Antonio → 2873 Highland Ave # 647, San Antonio |
| Proposed | — | ||
| ACT-013337 | Outreach address corrected Outreach | Jessica Dunn: 1328 Palm Dr, Los Angeles → 6359 Harbor Blvd, Austin |
| Proposed | — | ||
| ACT-013338 | Outreach address corrected Outreach | Mark Vazquez: 1094 Union St, Tampa → 2171 Hillcrest Rd # 959, Minneapolis |
| Proposed | — | ||
| ACT-013339 | Outreach address corrected Outreach | Linda Kelley: 6434 Washington St, Las Vegas → 6174 Willow Ct, Tempe |
| Proposed | — | ||
| ACT-013340 | Outreach address corrected Outreach | Donad Ruiz: 7520 Cedar Ln, Tempe → 7520 Cedar Ln Apt 1, Tempe |
| Proposed | — | ||
| ACT-013341 | Outreach address corrected Outreach | Jason Alexander: 615 Bayshore Dr, San Diego → 5105 Grand Ave, Glendale |
| Proposed | — | ||
| ACT-013342 | Outreach address corrected Outreach | Amber Schultz: 1979 Washington St Apt 25, Miami → 1979 Washington St Apt 2, Miami |
| Proposed | — | ||
| ACT-013343 | Outreach address corrected Outreach | Grace Johnston: 5768 Jefferson Ave # 562, Fresno → 5768 Jefferson Ave, Fresno |
| Proposed | — | ||
| ACT-013344 | Outreach address corrected Outreach | Carol Henderson: 5023 Central Ave, Minneapolis → 2661 Cedar Ln Apt 1, Los Angeles |
| Proposed | — | ||
| ACT-013345 | Outreach address corrected Outreach | Carl Gardner: 759 Cedar Ln, Plano → 3562 Hillcrest Rd, Glendale |
| Proposed | — | ||
| ACT-013346 | Outreach address corrected Outreach | Alice Spencer: 4684 Mountain View Dr # 932, Houston → 4684 Mountain View Dr, Houston |
| Proposed | — | ||
| ACT-013347 | Outreach address corrected Outreach | Mason Carter: 4253 Mountain View Dr, Houston → 5364 Elm St, Houston |
| Proposed | — | ||
| ACT-013348 | Outreach address corrected Outreach | Linda Nelson: 1516 Mountain View Dr, Los Angeles → 1156 Church St, Denver |
| Proposed | — | ||
| ACT-013349 | Outreach address corrected Outreach | Brenda Lopez: 7991 Park Pl Apt 25, Columbus → 7991 Park Pl, Columbus |
| Proposed | — | ||
| ACT-013350 | Outreach address corrected Outreach | Zachary Anderson: 650 Mountain View Dr Apt 30, Los Angeles → 650 Mountain View Dr, Los Angeles |
| Proposed | — | ||
| ACT-013351 | Outreach address corrected Outreach | Sam Burton: 363 Hillcrest Rd, Scottsdale → 363 Hillcrest Rd Apt 11, Scottsdale |
| Proposed | — | ||
| ACT-013352 | Outreach address corrected Outreach | Carlos Hughes: 5507 Valley View Dr, Gilbert → 516 Sunset Blvd Apt 37, Plano |
| Proposed | — | ||
| ACT-013353 | Outreach address corrected Outreach | Jose Jackson: 2459 Ridge Rd, Dallas → 2459 Ridge Rd # 269, Dallas |
| Proposed | — | ||
| ACT-013354 | Outreach address corrected Outreach | Doris Alvarez: 5997 Cedar Ln, Fresno → 2663 Cedar Ln, Fresno |
| Proposed | — | ||
| ACT-013355 | Outreach address corrected Outreach | Rachel Schmidt: 4772 Sage Ct # 163, San Antonio → 6353 Jefferson Ave, Atlanta |
| Proposed | — | ||
| ACT-013356 | Outreach address corrected Outreach | Cheryl Garcia: 1095 Palm Dr Apt 29, Scottsdale → 1095 Palm Dr, Scottsdale |
| Proposed | — | ||
| ACT-013357 | Outreach address corrected Outreach | Kenneth Fernandez: 4810 Ridge Rd # 491, Mesa → 4810 Ridge Rd, Mesa |
| Proposed | — | ||
| ACT-013358 | Outreach address corrected Outreach | Cheryl Rogers: 3543 Sage Ct Apt 6, Austin → 3543 Sage Ct, Austin |
| Proposed | — | ||
| ACT-013359 | Outreach address corrected Outreach | Judith Gomez: 7594 Pine Dr Apt 27, Denver → 7594 Pine Dr # 271, Denver |
| Proposed | — | ||
| ACT-013360 | Outreach address corrected Outreach | Melissa Delgado: 2360 Hillcrest Rd, Charlotte → 5380 Apache Blvd, Fresno |
| Proposed | — | ||
| ACT-013361 | Outreach address corrected Outreach | Natalie Singh: 1116 Market St, Chandler → 1116 Market St Apt 23, Chandler |
| Proposed | — | ||
| ACT-013362 | Outreach address corrected Outreach | Jaack Guerrero: 197 Sage Ct, Chandler → 197 Sage Ct Apt 25, Chandler |
| 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.