Action	Type	Title	Detail	Linked to	Status	Executed
ACT-019271	Care coordination outreach Next-best-action	Megan Mejia: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024441	Proposed	—
ACT-019272	Care coordination outreach Next-best-action	Camila Kennedy: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024486	Proposed	—
ACT-019273	Care coordination outreach Next-best-action	Alexander Smith: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024489	Proposed	—
ACT-019274	Care coordination outreach Next-best-action	Priya Reynolds: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024501	Proposed	—
ACT-019275	Care coordination outreach Next-best-action	Frances Hansen: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024524	Proposed	—
ACT-019276	Care coordination outreach Next-best-action	Jeremy Palmer: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024543	Proposed	—
ACT-019277	Care coordination outreach Next-best-action	Andrea Carroll: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024646	Proposed	—
ACT-019278	Care coordination outreach Next-best-action	Kevin Lewis: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024802	Proposed	—
ACT-019279	Care coordination outreach Next-best-action	Ryan Hunter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024937	Proposed	—
ACT-019280	Care coordination outreach Next-best-action	Rebecca Adams: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024952	Proposed	—
ACT-019281	Care coordination outreach Next-best-action	Christine Olson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025012	Proposed	—
ACT-019282	Care coordination outreach Next-best-action	Anthony Harris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025039	Proposed	—
ACT-019283	Care coordination outreach Next-best-action	Alexis Price: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-025040	Proposed	—
ACT-019284	Care coordination outreach Next-best-action	Victoria Salazar: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025057	Proposed	—
ACT-019285	Care coordination outreach Next-best-action	Kelly Herrera: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025064	Proposed	—
ACT-019286	Care coordination outreach Next-best-action	James Owens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025069	Proposed	—
ACT-019287	Care coordination outreach Next-best-action	Matthew Long: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025094	Proposed	—
ACT-019288	Care coordination outreach Next-best-action	Kevin Garcia: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025113	Proposed	—
ACT-019289	Care coordination outreach Next-best-action	Jacqueline Willis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025121	Proposed	—
ACT-019290	Care coordination outreach Next-best-action	Kenneth Hernandez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025167	Proposed	—
ACT-019291	Care coordination outreach Next-best-action	Sofia Weaver: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025171	Proposed	—
ACT-019292	Care coordination outreach Next-best-action	Linda Kelly: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025213	Proposed	—
ACT-019293	Care coordination outreach Next-best-action	Dylan Dominguez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025218	Proposed	—
ACT-019294	Care coordination outreach Next-best-action	Julie Pena: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025241	Proposed	—
ACT-019295	Care coordination outreach Next-best-action	Joseph Turner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025263	Proposed	—
ACT-019296	Care coordination outreach Next-best-action	Edward Edwards: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-025267	Proposed	—
ACT-019297	Care coordination outreach Next-best-action	Jean Graham: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025300	Proposed	—
ACT-019298	Care coordination outreach Next-best-action	Bruce Alexander: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025301	Proposed	—
ACT-019299	Care coordination outreach Next-best-action	Brenda Carpenter: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-025314	Proposed	—
ACT-019300	Care coordination outreach Next-best-action	Jennfier Carroll: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-025352	Proposed	—
ACT-019301	Care coordination outreach Next-best-action	Gary Bryant: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025363	Proposed	—
ACT-019302	Care coordination outreach Next-best-action	Denise Petesr: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025374	Proposed	—
ACT-019303	Care coordination outreach Next-best-action	Virginia Bennett: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025448	Proposed	—
ACT-019304	Care coordination outreach Next-best-action	Abigail McDonald: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025474	Proposed	—
ACT-019305	Care coordination outreach Next-best-action	Michelle Perkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025509	Proposed	—
ACT-019306	Care coordination outreach Next-best-action	Jack Sims: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025542	Proposed	—
ACT-019307	Care coordination outreach Next-best-action	Michael Diaz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025557	Proposed	—
ACT-019308	Care coordination outreach Next-best-action	Diane Burke: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025580	Proposed	—
ACT-019309	Care coordination outreach Next-best-action	Ethan Miller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025668	Proposed	—
ACT-019310	Care coordination outreach Next-best-action	Samuel Mendoza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025682	Proposed	—
ACT-019311	Care coordination outreach Next-best-action	Vincent Gomez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025742	Proposed	—
ACT-019312	Care coordination outreach Next-best-action	Robert Walker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025743	Proposed	—
ACT-019313	Care coordination outreach Next-best-action	Terry Williams: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025787	Proposed	—
ACT-019314	Care coordination outreach Next-best-action	Laura Alvarado: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025866	Proposed	—
ACT-019315	Care coordination outreach Next-best-action	William Vasquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025880	Proposed	—
ACT-019316	Care coordination outreach Next-best-action	Douglas Schultz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025881	Proposed	—
ACT-019317	Care coordination outreach Next-best-action	Dorothy Riley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025909	Proposed	—
ACT-019318	Care coordination outreach Next-best-action	Kenneth Kennedy: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-025934	Proposed	—
ACT-019319	Care coordination outreach Next-best-action	Gabriel Gray: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026037	Proposed	—
ACT-019320	Care coordination outreach Next-best-action	Priya Rodriguez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-026096	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.