Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018921	Care coordination outreach Next-best-action	Brittany Banks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016720	Proposed	—
ACT-018922	Care coordination outreach Next-best-action	Helen Ellis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016740	Proposed	—
ACT-018923	Care coordination outreach Next-best-action	Carlos Lawrence: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016751	Proposed	—
ACT-018924	Care coordination outreach Next-best-action	Janice Kelley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016765	Proposed	—
ACT-018925	Care coordination outreach Next-best-action	Jack Marshall: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-016796	Proposed	—
ACT-018926	Care coordination outreach Next-best-action	Juan Murphy: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016812	Proposed	—
ACT-018927	Care coordination outreach Next-best-action	Ann Hudson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016813	Proposed	—
ACT-018928	Care coordination outreach Next-best-action	Michelle Jensen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016856	Proposed	—
ACT-018929	Care coordination outreach Next-best-action	Lisa Foster: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-016880	Proposed	—
ACT-018930	Care coordination outreach Next-best-action	Dennis Brown: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-016906	Proposed	—
ACT-018931	Care coordination outreach Next-best-action	Keith Brooks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016921	Proposed	—
ACT-018932	Care coordination outreach Next-best-action	Sean Alvarado: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016927	Proposed	—
ACT-018933	Care coordination outreach Next-best-action	Jackie Watson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016930	Proposed	—
ACT-018934	Care coordination outreach Next-best-action	Bradley Carroll: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016939	Proposed	—
ACT-018935	Care coordination outreach Next-best-action	Brandon Armstrong: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016950	Proposed	—
ACT-018936	Care coordination outreach Next-best-action	Sofia Andrews: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-016983	Proposed	—
ACT-018937	Care coordination outreach Next-best-action	Sean Reynolds: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017009	Proposed	—
ACT-018938	Care coordination outreach Next-best-action	Ruth White: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017050	Proposed	—
ACT-018939	Care coordination outreach Next-best-action	Victoria Herrera: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017068	Proposed	—
ACT-018940	Care coordination outreach Next-best-action	Logan Salazar: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017096	Proposed	—
ACT-018941	Care coordination outreach Next-best-action	Ralph Cole: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017110	Proposed	—
ACT-018942	Care coordination outreach Next-best-action	Alexis Hunt: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017115	Proposed	—
ACT-018943	Care coordination outreach Next-best-action	Hiroshi Montgomery: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017120	Proposed	—
ACT-018944	Care coordination outreach Next-best-action	Diana Thomas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017133	Proposed	—
ACT-018945	Care coordination outreach Next-best-action	Logan Jacobs: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017146	Proposed	—
ACT-018946	Care coordination outreach Next-best-action	Joe Peters: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017152	Proposed	—
ACT-018947	Care coordination outreach Next-best-action	Evelyn Fisher: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017187	Proposed	—
ACT-018948	Care coordination outreach Next-best-action	Luis Butler: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017198	Proposed	—
ACT-018949	Care coordination outreach Next-best-action	Ruth Harper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017245	Proposed	—
ACT-018950	Care coordination outreach Next-best-action	Brandon Gilbert: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017273	Proposed	—
ACT-018951	Care coordination outreach Next-best-action	Karen Stewart: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017304	Proposed	—
ACT-018952	Care coordination outreach Next-best-action	Judith Larson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017317	Proposed	—
ACT-018953	Care coordination outreach Next-best-action	Yuki Boyd: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017319	Proposed	—
ACT-018954	Care coordination outreach Next-best-action	Melissa Cruz: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017340	Proposed	—
ACT-018955	Care coordination outreach Next-best-action	Julia Castro: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017347	Proposed	—
ACT-018956	Care coordination outreach Next-best-action	Margaret Bryant: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017395	Proposed	—
ACT-018957	Care coordination outreach Next-best-action	Ashley Cox: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017400	Proposed	—
ACT-018958	Care coordination outreach Next-best-action	Billy Weaver: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017422	Proposed	—
ACT-018959	Care coordination outreach Next-best-action	Alexis Parker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017429	Proposed	—
ACT-018960	Care coordination outreach Next-best-action	Shirley Simpson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017444	Proposed	—
ACT-018961	Care coordination outreach Next-best-action	Sharon Mendoza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017506	Proposed	—
ACT-018962	Care coordination outreach Next-best-action	Terry Russell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017538	Proposed	—
ACT-018963	Care coordination outreach Next-best-action	Sarah Sanchez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017544	Proposed	—
ACT-018964	Care coordination outreach Next-best-action	Keith Hernandez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017550	Proposed	—
ACT-018965	Care coordination outreach Next-best-action	Angela Garrett: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017557	Proposed	—
ACT-018966	Care coordination outreach Next-best-action	Cheryl Simmons: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017566	Proposed	—
ACT-018967	Care coordination outreach Next-best-action	Christian Ferguson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017571	Proposed	—
ACT-018968	Care coordination outreach Next-best-action	Hannah Mendoza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017574	Proposed	—
ACT-018969	Care coordination outreach Next-best-action	Catherine Smith: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017579	Proposed	—
ACT-018970	Care coordination outreach Next-best-action	Kathryn Chapman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017598	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.