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
Outreach address corrected, Outreach, 2,993 proposed
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-010852 | Outreach address corrected Outreach | Arjun Nunez: 4496 Willow Ct, Tampa → 1279 Bayshore Dr, Nashville |
| Proposed | — | ||
| ACT-010853 | Outreach address corrected Outreach | Christina Young: 1509 Maple Ave Apt 13, Denver → 1509 Maple Ave, Denver |
| Proposed | — | ||
| ACT-010854 | Outreach address corrected Outreach | Ann Martinez: 3769 Highland Ave Apt 39, Houston → 3769 Highland Ave, Houston |
| Proposed | — | ||
| ACT-010855 | Outreach address corrected Outreach | Joshua Campbell: 2377 Harbor Blvd, Fresno → 2377 Harbor Blvd # 561, Fresno |
| Proposed | — | ||
| ACT-010856 | Outreach address corrected Outreach | Marilyn West: 4394 Apache Blvd Apt 38, Glendale → 4394 Apache Blvd, Glendale |
| Proposed | — | ||
| ACT-010857 | Outreach address corrected Outreach | Digeo Wood: 333 Ridge Rd, Fresno → 3988 Grand Ave, Austin |
| Proposed | — | ||
| ACT-010858 | Outreach address corrected Outreach | Albert Brooks: 883 Ocean Ave, San Antonio → 3371 Elm St, Tempe |
| Proposed | — | ||
| ACT-010859 | Outreach address corrected Outreach | Olivia Morgan: 4590 Grand Ave, Las Vegas → 7840 Oak St, Jacksonville |
| Proposed | — | ||
| ACT-010860 | Outreach address corrected Outreach | Dorothy Jacobs: 5935 Mountain View Dr, Austin → 2626 River Rd, Fresno |
| Proposed | — | ||
| ACT-010861 | Outreach address corrected Outreach | Lori Nunez: 2267 Harbor Blvd, Glendale → 5216 Meadow Ln Apt 5, Plano |
| Proposed | — | ||
| ACT-010862 | Outreach address corrected Outreach | Barbara Johnston: 1870 Indian School Rd, Tampa → 5293 Washington St, Dallas |
| Proposed | — | ||
| ACT-010863 | Outreach address corrected Outreach | Gary Delgado: 1393 Mountain View Dr, San Diego → 8879 Valley View Dr, Fresno |
| Proposed | — | ||
| ACT-010864 | Outreach address corrected Outreach | Madison Armstrong: 466 Highland Ave, San Diego → 6205 Grand Ave, Plano |
| Proposed | — | ||
| ACT-010865 | Outreach address corrected Outreach | Amanda Aguilar: 4164 Broadway, Tampa → 4164 Broadway # 934, Tampa |
| Proposed | — | ||
| ACT-010866 | Outreach address corrected Outreach | Virginia Smith: 9017 Palm Dr, Atlanta → 9017 Palm Dr Apt 40, Atlanta |
| Proposed | — | ||
| ACT-010867 | Outreach address corrected Outreach | Olivia Cole: 6381 Harbor Blvd # 292, Eden Prairie → 6381 Harbor Blvd, Eden Prairie |
| Proposed | — | ||
| ACT-010868 | Outreach address corrected Outreach | Aaron Bell: 6456 Baseline Rd, Houston → 6456 Baseline Rd Apt 20, Houston |
| Proposed | — | ||
| ACT-010869 | Outreach address corrected Outreach | Brandon Rivera: 5041 Jefferson Ave # 450, Glendale → 5041 Jefferson Ave, Glendale |
| Proposed | — | ||
| ACT-010870 | Outreach address corrected Outreach | Sarah Nelson: 2553 Canyon Rd # 780, Eden Prairie → 2553 Canyon Rd Apt 19, Eden Prairie |
| Proposed | — | ||
| ACT-010871 | Outreach address corrected Outreach | George Murphy: 707 Apache Blvd, Sacramento → 2791 Elm St, Fresno |
| Proposed | — | ||
| ACT-010872 | Outreach address corrected Outreach | Santiago Morrison: 2233 Pine Dr, Atlanta → 9033 Baseline Rd, Columbus |
| Proposed | — | ||
| ACT-010873 | Outreach address corrected Outreach | Albert Park: 4568 Bayshore Dr, Mesa → 2447 Palm Dr, Tempe |
| Proposed | — | ||
| ACT-010874 | Outreach address corrected Outreach | Mason King: 3825 Highland Ave, San Diego → 3044 Ridge Rd, Eden Prairie |
| Proposed | — | ||
| ACT-010875 | Outreach address corrected Outreach | Danielle Mejia: 5814 Indian School Rd, Charlotte → 5814 Indian School Rd # 361, Charlotte |
| Proposed | — | ||
| ACT-010876 | Outreach address corrected Outreach | Theresa Garza: 877 Cedar Ln, Atlanta → 877 Cedar Ln # 244, Atlanta |
| Proposed | — | ||
| ACT-010877 | Outreach address corrected Outreach | Cheryl Welch: 6366 Hillcrest Rd Apt 27, Miami → 6366 Hillcrest Rd, Miami |
| Proposed | — | ||
| ACT-010878 | Outreach address corrected Outreach | Jose Ross: 477 Willow Ct Apt 3, Austin → 477 Willow Ct, Austin |
| Proposed | — | ||
| ACT-010879 | Outreach address corrected Outreach | Terry Howard: 4948 Washington St Apt 2, Jacksonville → 4948 Washington St, Jacksonville |
| Proposed | — | ||
| ACT-010880 | Outreach address corrected Outreach | Abigail Adams: 9028 Spring St # 617, Glendale → 9028 Spring St, Glendale |
| Proposed | — | ||
| ACT-010881 | Outreach address corrected Outreach | Helen Mills: 8254 Cedar Ln, San Diego → 8254 Cedar Ln Apt 27, San Diego |
| Proposed | — | ||
| ACT-010882 | Outreach address corrected Outreach | Mason Porter: 6442 Apache Blvd # 590, San Diego → 6442 Apache Blvd, San Diego |
| Proposed | — | ||
| ACT-010883 | Outreach address corrected Outreach | Julie Wilson: 6180 Canyon Rd, Orlando → 6180 Canyon Rd Apt 16, Orlando |
| Proposed | — | ||
| ACT-010884 | Outreach address corrected Outreach | Stephen Fields: 3886 Cedar Ln Apt 10, Charlotte → 3886 Cedar Ln, Charlotte |
| Proposed | — | ||
| ACT-010885 | Outreach address corrected Outreach | Logan Delgado: 5217 Indian School Rd, Atlanta → 1502 River Rd, Houston |
| Proposed | — | ||
| ACT-010886 | Outreach address corrected Outreach | Gloria Martin: 6216 Canyon Rd # 284, Miami → 6216 Canyon Rd, Miami |
| Proposed | — | ||
| ACT-010887 | Outreach address corrected Outreach | Ethan Rios: 4691 Harbor Blvd, Eden Prairie → 143 Lake View Rd, Orlando |
| Proposed | — | ||
| ACT-010888 | Outreach address corrected Outreach | Amy Warren: 8408 Palm Dr, Columbus → 8408 Palm Dr # 631, Columbus |
| Proposed | — | ||
| ACT-010889 | Outreach address corrected Outreach | Kimberly Jordan: 6477 Palm Dr, Charlotte → 8308 Camelback Rd, Tempe |
| Proposed | — | ||
| ACT-010890 | Outreach address corrected Outreach | Valentina Reid: 6406 Camelback Rd, Nashville → 4462 Lake View Rd, Phoenix |
| Proposed | — | ||
| ACT-010891 | Outreach address corrected Outreach | Evelyn Walsh: 472 Apache Blvd, San Antonio → 472 Apache Blvd Apt 35, San Antonio |
| Proposed | — | ||
| ACT-010892 | Outreach address corrected Outreach | Samantha Bell: 5505 Church St # 994, Tampa → 5505 Church St, Tampa |
| Proposed | — | ||
| ACT-010893 | Outreach address corrected Outreach | Madison Freeman: 9182 Willow Ct Apt 18, Seattle → 9182 Willow Ct, Seattle |
| Proposed | — | ||
| ACT-010894 | Outreach address corrected Outreach | Michael Wells: 7334 Highland Ave, Eden Prairie → 7334 Highland Ave Apt 2, Eden Prairie |
| Proposed | — | ||
| ACT-010895 | Outreach address corrected Outreach | William Nelson: 3672 Main St # 168, San Antonio → 3672 Main St, San Antonio |
| Proposed | — | ||
| ACT-010896 | Outreach address corrected Outreach | Grace Davis: 436 Spring St, Denver → 436 Spring St Apt 1, Denver |
| Proposed | — | ||
| ACT-010897 | Outreach address corrected Outreach | Zachary Green: 2413 Elm St, Tampa → 2091 Willow Ct, San Diego |
| Proposed | — | ||
| ACT-010898 | Outreach address corrected Outreach | Mason Vasquez: 3053 Central Ave # 496, Los Angeles → 3053 Central Ave, Los Angeles |
| Proposed | — | ||
| ACT-010899 | Outreach address corrected Outreach | Jose Peterson: 6822 Baseline Rd, Mesa → 6822 Baseline Rd Apt 27, Mesa |
| Proposed | — | ||
| ACT-010900 | Outreach address corrected Outreach | Alexander Reid: 5107 Lake View Rd, Plano → 5107 Lake View Rd # 452, Plano |
| Proposed | — | ||
| ACT-010901 | Outreach address corrected Outreach | Elijah Burke: 7099 Elm St, Glendale → 7099 Elm St Apt 9, Glendale |
| 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.