Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018221	Care coordination outreach Next-best-action	Albert Ellis: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005701	Proposed	—
ACT-018222	Care coordination outreach Next-best-action	Vincent Larson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005719	Proposed	—
ACT-018223	Care coordination outreach Next-best-action	Anna Baker: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005724	Proposed	—
ACT-018224	Care coordination outreach Next-best-action	Timothy Rios: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005726	Proposed	—
ACT-018225	Care coordination outreach Next-best-action	Patricia Lawson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005740	Proposed	—
ACT-018226	Care coordination outreach Next-best-action	Stephen McCoy: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005747	Proposed	—
ACT-018227	Care coordination outreach Next-best-action	Kyle Burns: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005752	Proposed	—
ACT-018228	Care coordination outreach Next-best-action	Gloria Guzman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005756	Proposed	—
ACT-018229	Care coordination outreach Next-best-action	Marilyn West: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005757	Proposed	—
ACT-018230	Care coordination outreach Next-best-action	Evelyn Guzman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005772	Proposed	—
ACT-018231	Care coordination outreach Next-best-action	Gregory Smith: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005787	Proposed	—
ACT-018232	Care coordination outreach Next-best-action	Julia Cook: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005790	Proposed	—
ACT-018233	Care coordination outreach Next-best-action	Lawrence Carpenter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005795	Proposed	—
ACT-018234	Care coordination outreach Next-best-action	Donald Murray: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005798	Proposed	—
ACT-018235	Care coordination outreach Next-best-action	Priya Santos: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005816	Proposed	—
ACT-018236	Care coordination outreach Next-best-action	Jack Barnes: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-005830	Proposed	—
ACT-018237	Care coordination outreach Next-best-action	Carolyn Ward: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-005853	Proposed	—
ACT-018238	Care coordination outreach Next-best-action	George Patterson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005856	Proposed	—
ACT-018239	Care coordination outreach Next-best-action	Gabriel Roberts: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005900	Proposed	—
ACT-018240	Care coordination outreach Next-best-action	Gregory Perez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005912	Proposed	—
ACT-018241	Care coordination outreach Next-best-action	Walter Hunt: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005915	Proposed	—
ACT-018242	Care coordination outreach Next-best-action	Nicole Gonzales: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005921	Proposed	—
ACT-018243	Care coordination outreach Next-best-action	Emily Ramirez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005932	Proposed	—
ACT-018244	Care coordination outreach Next-best-action	Benjamin Gibson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005934	Proposed	—
ACT-018245	Care coordination outreach Next-best-action	Dylan Alexander: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005938	Proposed	—
ACT-018246	Care coordination outreach Next-best-action	Samantha Reid: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005939	Proposed	—
ACT-018247	Care coordination outreach Next-best-action	Bobby Chapman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005944	Proposed	—
ACT-018248	Care coordination outreach Next-best-action	Jacqueline Ryan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005979	Proposed	—
ACT-018249	Care coordination outreach Next-best-action	Scott Ward: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-005999	Proposed	—
ACT-018250	Care coordination outreach Next-best-action	Mary Jordan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006024	Proposed	—
ACT-018251	Care coordination outreach Next-best-action	Sharon Bell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006070	Proposed	—
ACT-018252	Care coordination outreach Next-best-action	Priya Spencer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006081	Proposed	—
ACT-018253	Care coordination outreach Next-best-action	Brittany Hudson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006099	Proposed	—
ACT-018254	Care coordination outreach Next-best-action	Ronald Herrera: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006108	Proposed	—
ACT-018255	Care coordination outreach Next-best-action	Jordan Duncan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006126	Proposed	—
ACT-018256	Care coordination outreach Next-best-action	Ana Mason: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006128	Proposed	—
ACT-018257	Care coordination outreach Next-best-action	Ryan Edwards: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006135	Proposed	—
ACT-018258	Care coordination outreach Next-best-action	Ralph Fuller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006145	Proposed	—
ACT-018259	Care coordination outreach Next-best-action	Tyler Gomez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006161	Proposed	—
ACT-018260	Care coordination outreach Next-best-action	Jessica Williamson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006182	Proposed	—
ACT-018261	Care coordination outreach Next-best-action	Ana Banks: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-006183	Proposed	—
ACT-018262	Care coordination outreach Next-best-action	Pamela Yang: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006193	Proposed	—
ACT-018263	Care coordination outreach Next-best-action	Scott Johnston: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006216	Proposed	—
ACT-018264	Care coordination outreach Next-best-action	Sam Miller: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-006240	Proposed	—
ACT-018265	Care coordination outreach Next-best-action	Debra Elliott: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006244	Proposed	—
ACT-018266	Care coordination outreach Next-best-action	Brandon Sandoval: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006250	Proposed	—
ACT-018267	Care coordination outreach Next-best-action	Gregory Delgado: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006263	Proposed	—
ACT-018268	Care coordination outreach Next-best-action	Jonathan Davis: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-006265	Proposed	—
ACT-018269	Care coordination outreach Next-best-action	Ruth Fisher: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006286	Proposed	—
ACT-018270	Care coordination outreach Next-best-action	Doris Nunez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006293	Proposed	—

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Derivation rules

Evaluated after every gold rebuild

1
Eligibility conflict resolved
The records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
2
Orphan claim re-pointed
A 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.
3
Outreach address corrected
The most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
4
Outreach suppressed pending steward
The record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
5
Care coordination outreach
Three or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
6
New member onboarding
A single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
7
Duplicate member record retired
Two or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.