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-013363 | Outreach address corrected Outreach | Carlos Perkins: 2484 Maple Ave # 305, Scottsdale → 2484 Maple Ave, Scottsdale |
| Proposed | — | ||
| ACT-013364 | Outreach address corrected Outreach | Diana Clark: 1561 Meadow Ln, Miami → 8490 Lincoln Way, Las Vegas |
| Proposed | — | ||
| ACT-013365 | Outreach address corrected Outreach | Ronald Lawrence: 3578 Central Ave, Scottsdale → 3578 Central Ave Apt 6, Scottsdale |
| Proposed | — | ||
| ACT-013366 | Outreach address corrected Outreach | Alice Hart: 5467 Grand Ave, Orlando → 3785 Mountain View Dr, Orlando |
| Proposed | — | ||
| ACT-013367 | Outreach address corrected Outreach | Jack Robinson: 1024 Forest Ave, Eden Prairie → 7370 Washington St, Tempe |
| Proposed | — | ||
| ACT-013368 | Outreach address corrected Outreach | Karn Carr: 8024 Union St, Jacksonville → 3110 Ocean Ave, Las Vegas |
| Proposed | — | ||
| ACT-013369 | Outreach address corrected Outreach | George Valdez: 3498 Church St # 539, Charlotte → 3498 Church St, Charlotte |
| Proposed | — | ||
| ACT-013370 | Outreach address corrected Outreach | Gregory Meyer: 2113 Baseline Rd, Chandler → 5926 Willow Ct, Tempe |
| Proposed | — | ||
| ACT-013371 | Outreach address corrected Outreach | Patricia Edwards: 1996 Elm St, Tampa → 1996 Elm St # 811, Tampa |
| Proposed | — | ||
| ACT-013372 | Outreach address corrected Outreach | Jerry Freeman: 2241 Canyon Rd, Las Vegas → 6752 Lincoln Way, Glendale |
| Proposed | — | ||
| ACT-013373 | Outreach address corrected Outreach | Julia Larson: 6838 Maple Ave # 718, Houston → 6838 Maple Ave, Houston |
| Proposed | — | ||
| ACT-013374 | Outreach address corrected Outreach | Randy Guzman: 5574 Elm St # 116, Houston → 5574 Elm St, Houston |
| Proposed | — | ||
| ACT-013375 | Outreach address corrected Outreach | Joe Hart: 3185 Pine Dr, Jacksonville → 3185 Pine Dr # 174, Jacksonville |
| Proposed | — | ||
| ACT-013376 | Outreach address corrected Outreach | Michelle Sullivan: 5469 Union St, Chandler → 5469 Union St Apt 2, Chandler |
| Proposed | — | ||
| ACT-013377 | Outreach address corrected Outreach | Carol Hughes: 2280 Bayshore Dr # 570, Seattle → 2280 Bayshore Dr, Seattle |
| Proposed | — | ||
| ACT-013378 | Outreach address corrected Outreach | Abigali Stewart: 3674 Harbor Blvd, Orlando → 4773 Ridge Rd, Austin |
| Proposed | — | ||
| ACT-013379 | Outreach address corrected Outreach | Jacqueline Brooks: 6927 Park Pl, Columbus → 6927 Park Pl Apt 39, Columbus |
| Proposed | — | ||
| ACT-013380 | Outreach address corrected Outreach | Priya Miller: 1886 Willow Ct, Plano → 9293 Valley View Dr, Las Vegas |
| Proposed | — | ||
| ACT-013381 | Outreach address corrected Outreach | Pamela Hicks: 406 Cedar Ln # 228, Jacksonville → 6514 Mountain View Dr, Plano |
| Proposed | — | ||
| ACT-013382 | Outreach address corrected Outreach | Joan Lynch: 1310 Mountain View Dr # 211, Tampa → 1310 Mountain View Dr, Tampa |
| Proposed | — | ||
| ACT-013383 | Outreach address corrected Outreach | Jerry Price: 7498 Forest Ave Apt 32, San Antonio → 7498 Forest Ave Apt 3, San Antonio |
| Proposed | — | ||
| ACT-013384 | Outreach address corrected Outreach | Jacqueline Willis: 5661 Sage Ct Apt 31, San Diego → 5661 Sage Ct, San Diego |
| Proposed | — | ||
| ACT-013385 | Outreach address corrected Outreach | Reed Dylan: 1234 Pine Dr, Jacksonville → 1234 Pine Dr Apt 13, Jacksonville |
| Proposed | — | ||
| ACT-013386 | Outreach address corrected Outreach | Catherine Carroll: 5270 Highland Ave # 824, Orlando → 5270 Highland Ave, Orlando |
| Proposed | — | ||
| ACT-013387 | Outreach address corrected Outreach | Priya Alvarado: 1111 Ridge Rd, Scottsdale → 5707 Mountain View Dr Apt 11, Miami |
| Proposed | — | ||
| ACT-013388 | Outreach address corrected Outreach | Sandra Guzman: 7954 Desert Sky Blvd Apt 10, Houston → 7954 Desert Sky Blvd, Houston |
| Proposed | — | ||
| ACT-013389 | Outreach address corrected Outreach | Joseph Barnes: 186 Broadway, San Antonio → 9650 Camelback Rd, Chandler |
| Proposed | — | ||
| ACT-013390 | Outreach address corrected Outreach | Brittany Kennedy: 7007 River Rd Apt 39, Nashville → 7007 River Rd, Nashville |
| Proposed | — | ||
| ACT-013391 | Outreach address corrected Outreach | Barbara Vazquez: 6376 Forest Ave # 172, Charlotte → 6376 Forest Ave, Charlotte |
| Proposed | — | ||
| ACT-013392 | Outreach address corrected Outreach | Lawrence Hansen: 2358 Meadow Ln, Miami → 2358 Meadow Ln Apt 21, Miami |
| Proposed | — | ||
| ACT-013393 | Outreach address corrected Outreach | Elijah Morales: 7332 Forest Ave, Columbus → 7332 Forest Ave # 968, Columbus |
| Proposed | — | ||
| ACT-013394 | Outreach address corrected Outreach | Jesse West: 7491 Union St, Eden Prairie → 7491 Union St Apt 28, Eden Prairie |
| Proposed | — | ||
| ACT-013395 | Outreach address corrected Outreach | Jennyfer Padilla: 8407 Highland Ave, Gilbert → 8407 Highland Ave Apt 26, Gilbert |
| Proposed | — | ||
| ACT-013396 | Outreach address corrected Outreach | Victoria Wallace: 2975 Cedar Ln Apt 26, Denver → 2975 Cedar Ln, Denver |
| Proposed | — | ||
| ACT-013397 | Outreach address corrected Outreach | Janice Rojes: 6773 Washington St Apt 33, Denver → 6773 Washington St, Denver |
| Proposed | — | ||
| ACT-013398 | Outreach address corrected Outreach | Valentina Coleman: 5143 Market St, Nashville → 5143 Market St Apt 28, Nashville |
| Proposed | — | ||
| ACT-013399 | Outreach address corrected Outreach | Janet Henderson: 7039 Mountain View Dr, Houston → 7039 Mountain View Dr Apt 28, Houston |
| Proposed | — | ||
| ACT-013400 | Outreach address corrected Outreach | Vincent Goerge: 2954 Lincoln Way # 206, Phoenix → 2954 Lincoln Way, Phoenix |
| Proposed | — | ||
| ACT-013401 | Outreach address corrected Outreach | Christine Wright: 5725 Ocean Ave, Orlando → 5140 Ridge Rd, Glendale |
| Proposed | — | ||
| ACT-013402 | Outreach address corrected Outreach | Brian Ramirez: 3731 Market St, Tempe → 3731 Market St Apt 29, Tempe |
| Proposed | — | ||
| ACT-013403 | Outreach address corrected Outreach | Billy Contreras: 556 Mountain View Dr Apt 19, Miami → 556 Mountain View Dr, Miami |
| Proposed | — | ||
| ACT-013404 | Outreach address corrected Outreach | Lucia Bryant: 7434 Market St # 638, Glendale → 7434 Market St, Glendale |
| Proposed | — | ||
| ACT-013405 | Outreach address corrected Outreach | Steven West: 16 Mesa Dr Apt 6, Gilbert → 16 Mesa Dr, Gilbert |
| Proposed | — | ||
| ACT-013406 | Outreach address corrected Outreach | Jonathan Sulllivan: 7212 Mesa Dr, Gilbert → 7212 Mesa Dr # 208, Gilbert |
| Proposed | — | ||
| ACT-013407 | Outreach address corrected Outreach | Gloriia Ramirez: 6554 Highland Ave # 803, Seattle → 6554 Highland Ave, Seattle |
| Proposed | — | ||
| ACT-013408 | Outreach address corrected Outreach | Sandra Wang: 4488 Cedar Ln Apt 2, Seattle → 4488 Cedar Ln, Seattle |
| Proposed | — | ||
| ACT-013409 | Outreach address corrected Outreach | Jeffrey Silva: 4836 Pine Dr, Glendale → 4836 Pine Dr Apt 11, Glendale |
| Proposed | — | ||
| ACT-013410 | Outreach address corrected Outreach | Shirley Harper: 9319 Church St, Scottsdale → 9319 Church St Apt 37, Scottsdale |
| Proposed | — | ||
| ACT-013411 | Outreach address corrected Outreach | Joohn Lee: 6819 Pine Dr, Mesa → 6819 Pine Dr Apt 16, Mesa |
| Proposed | — | ||
| ACT-013412 | Outreach address corrected Outreach | Kevin Gonzales: 2112 Hillcrest Rd, Chandler → 2112 Hillcrest Rd Apt 6, 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.