Action	Type	Title	Detail	Linked to	Status	Executed
ACT-019221	Care coordination outreach Next-best-action	Kayla Greene: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023135	Proposed	—
ACT-019222	Care coordination outreach Next-best-action	Priya Ortega: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023139	Proposed	—
ACT-019223	Care coordination outreach Next-best-action	Walter Duncan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023178	Proposed	—
ACT-019224	Care coordination outreach Next-best-action	Stephen Mills: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023184	Proposed	—
ACT-019225	Care coordination outreach Next-best-action	Marcus Carpenter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023186	Proposed	—
ACT-019226	Care coordination outreach Next-best-action	Joseph Obrien: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-023190	Proposed	—
ACT-019227	Care coordination outreach Next-best-action	Debra Mendez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023191	Proposed	—
ACT-019228	Care coordination outreach Next-best-action	Lauren Graham: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023222	Proposed	—
ACT-019229	Care coordination outreach Next-best-action	Peter Cunningham: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023260	Proposed	—
ACT-019230	Care coordination outreach Next-best-action	Samuel Ray: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-023321	Proposed	—
ACT-019231	Care coordination outreach Next-best-action	Jack Kennedy: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023350	Proposed	—
ACT-019232	Care coordination outreach Next-best-action	Luis Park: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-023361	Proposed	—
ACT-019233	Care coordination outreach Next-best-action	Arjun Ward: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023372	Proposed	—
ACT-019234	Care coordination outreach Next-best-action	Jordan Gardner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023374	Proposed	—
ACT-019235	Care coordination outreach Next-best-action	James Gardner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023409	Proposed	—
ACT-019236	Care coordination outreach Next-best-action	Albert Marshall: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-023427	Proposed	—
ACT-019237	Care coordination outreach Next-best-action	Samuel Rodriguez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023428	Proposed	—
ACT-019238	Care coordination outreach Next-best-action	Brittany Griffin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023459	Proposed	—
ACT-019239	Care coordination outreach Next-best-action	Bryan Ferguson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023502	Proposed	—
ACT-019240	Care coordination outreach Next-best-action	Madison Guzman: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-023513	Proposed	—
ACT-019241	Care coordination outreach Next-best-action	Bruce Reynolds: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023552	Proposed	—
ACT-019242	Care coordination outreach Next-best-action	Lucia Washington: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023555	Proposed	—
ACT-019243	Care coordination outreach Next-best-action	Nathan Sanchez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023560	Proposed	—
ACT-019244	Care coordination outreach Next-best-action	Brittany Kim: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-023566	Proposed	—
ACT-019245	Care coordination outreach Next-best-action	Joe Olson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023637	Proposed	—
ACT-019246	Care coordination outreach Next-best-action	David Henry: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-023674	Proposed	—
ACT-019247	Care coordination outreach Next-best-action	Kevin Andrews: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023694	Proposed	—
ACT-019248	Care coordination outreach Next-best-action	Zachary Greene: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023741	Proposed	—
ACT-019249	Care coordination outreach Next-best-action	Andrea Ortiz: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-023759	Proposed	—
ACT-019250	Care coordination outreach Next-best-action	Kathryn Collins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023813	Proposed	—
ACT-019251	Care coordination outreach Next-best-action	Gary Matthews: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023884	Proposed	—
ACT-019252	Care coordination outreach Next-best-action	Julia Dean: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023940	Proposed	—
ACT-019253	Care coordination outreach Next-best-action	Ann Gonzalez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-023972	Proposed	—
ACT-019254	Care coordination outreach Next-best-action	Joyce Griffin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023997	Proposed	—
ACT-019255	Care coordination outreach Next-best-action	Karen Roberts: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024032	Proposed	—
ACT-019256	Care coordination outreach Next-best-action	Samantha Obrien: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024042	Proposed	—
ACT-019257	Care coordination outreach Next-best-action	Judith Simpson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024063	Proposed	—
ACT-019258	Care coordination outreach Next-best-action	Brittany Nichols: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024096	Proposed	—
ACT-019259	Care coordination outreach Next-best-action	Edward Henry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024101	Proposed	—
ACT-019260	Care coordination outreach Next-best-action	Bobby Carroll: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024104	Proposed	—
ACT-019261	Care coordination outreach Next-best-action	Julie Singh: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024136	Proposed	—
ACT-019262	Care coordination outreach Next-best-action	Karen Wong: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024188	Proposed	—
ACT-019263	Care coordination outreach Next-best-action	Jesse Fields: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024212	Proposed	—
ACT-019264	Care coordination outreach Next-best-action	Bryan Simmons: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024248	Proposed	—
ACT-019265	Care coordination outreach Next-best-action	Russell Stewart: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024260	Proposed	—
ACT-019266	Care coordination outreach Next-best-action	Joseph King: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024267	Proposed	—
ACT-019267	Care coordination outreach Next-best-action	Aisha Larson: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-024306	Proposed	—
ACT-019268	Care coordination outreach Next-best-action	James Burke: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024328	Proposed	—
ACT-019269	Care coordination outreach Next-best-action	Virginia Fernandez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024348	Proposed	—
ACT-019270	Care coordination outreach Next-best-action	Julie Fields: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024360	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.