Action	Type	Title	Detail	Linked to	Status	Executed
ACT-017821	Care coordination outreach Next-best-action	Shirley Soto: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-000721	Proposed	—
ACT-017822	Care coordination outreach Next-best-action	Kyle Romero: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-000730	Proposed	—
ACT-017823	Care coordination outreach Next-best-action	Jack Clark: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-000732	Proposed	—
ACT-017824	Care coordination outreach Next-best-action	Karen Foster: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000741	Proposed	—
ACT-017825	Care coordination outreach Next-best-action	Yuki Herrera: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-000768	Proposed	—
ACT-017826	Care coordination outreach Next-best-action	Diego Contreras: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-000781	Proposed	—
ACT-017827	Care coordination outreach Next-best-action	Billy Robinson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000801	Proposed	—
ACT-017828	Care coordination outreach Next-best-action	Willie Sanchez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-000807	Proposed	—
ACT-017829	Care coordination outreach Next-best-action	Amanda Watkins: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-000813	Proposed	—
ACT-017830	Care coordination outreach Next-best-action	Ralph Graham: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000817	Proposed	—
ACT-017831	Care coordination outreach Next-best-action	Ann Sullivan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000819	Proposed	—
ACT-017832	Care coordination outreach Next-best-action	Valentina Harris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000825	Proposed	—
ACT-017833	Care coordination outreach Next-best-action	Mary George: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000829	Proposed	—
ACT-017834	Care coordination outreach Next-best-action	Zachary Watkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000842	Proposed	—
ACT-017835	Care coordination outreach Next-best-action	Diego Richardson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000866	Proposed	—
ACT-017836	Care coordination outreach Next-best-action	Andrea Cook: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000876	Proposed	—
ACT-017837	Care coordination outreach Next-best-action	Carlos Henderson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000885	Proposed	—
ACT-017838	Care coordination outreach Next-best-action	Marilyn Castillo: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000896	Proposed	—
ACT-017839	Care coordination outreach Next-best-action	Amanda Shaw: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-000905	Proposed	—
ACT-017840	Care coordination outreach Next-best-action	Jon Parker: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-000908	Proposed	—
ACT-017841	Care coordination outreach Next-best-action	Kevin Johnston: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000942	Proposed	—
ACT-017842	Care coordination outreach Next-best-action	Kenneth Austin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000945	Proposed	—
ACT-017843	Care coordination outreach Next-best-action	Christian Butler: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000949	Proposed	—
ACT-017844	Care coordination outreach Next-best-action	Donald Gonzales: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000951	Proposed	—
ACT-017845	Care coordination outreach Next-best-action	Lucia Vargas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000952	Proposed	—
ACT-017846	Care coordination outreach Next-best-action	Abigail Hunt: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000962	Proposed	—
ACT-017847	Care coordination outreach Next-best-action	Ryan Lee: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-000971	Proposed	—
ACT-017848	Care coordination outreach Next-best-action	Sophia Walker: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001014	Proposed	—
ACT-017849	Care coordination outreach Next-best-action	Roger Hamilton: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001016	Proposed	—
ACT-017850	Care coordination outreach Next-best-action	Emily White: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001035	Proposed	—
ACT-017851	Care coordination outreach Next-best-action	Donald Russell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001037	Proposed	—
ACT-017852	Care coordination outreach Next-best-action	Carl Montgomery: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001048	Proposed	—
ACT-017853	Care coordination outreach Next-best-action	Julia Rice: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001055	Proposed	—
ACT-017854	Care coordination outreach Next-best-action	Emily Henderson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001073	Proposed	—
ACT-017855	Care coordination outreach Next-best-action	Jacob King: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001075	Proposed	—
ACT-017856	Care coordination outreach Next-best-action	Jesse Morrison: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001092	Proposed	—
ACT-017857	Care coordination outreach Next-best-action	Austin Santos: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001096	Proposed	—
ACT-017858	Care coordination outreach Next-best-action	Frances Jacobs: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001116	Proposed	—
ACT-017859	Care coordination outreach Next-best-action	Rebecca Chavez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001141	Proposed	—
ACT-017860	Care coordination outreach Next-best-action	Gerald Miller: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001149	Proposed	—
ACT-017861	Care coordination outreach Next-best-action	Natalie Ramos: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001151	Proposed	—
ACT-017862	Care coordination outreach Next-best-action	Timothy Welch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001160	Proposed	—
ACT-017863	Care coordination outreach Next-best-action	Roy Tucker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001167	Proposed	—
ACT-017864	Care coordination outreach Next-best-action	Jack Espinoza: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001204	Proposed	—
ACT-017865	Care coordination outreach Next-best-action	Natalie Tran: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001211	Proposed	—
ACT-017866	Care coordination outreach Next-best-action	Jose Mejia: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001214	Proposed	—
ACT-017867	Care coordination outreach Next-best-action	Sara Franklin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001223	Proposed	—
ACT-017868	Care coordination outreach Next-best-action	Samuel Guerrero: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001242	Proposed	—
ACT-017869	Care coordination outreach Next-best-action	Brian Fox: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-001264	Proposed	—
ACT-017870	Care coordination outreach Next-best-action	Joseph Flores: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001278	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.