Operate, actions
Actions
Downstream actions derived from the resolved identities. Proposed actions wait for an operator; suppressed actions wait for a steward decision.
Eligibility engine
1,339
Eligibility conflict resolved
1,339 proposed
Claims processor
9,112
Orphan claim re-pointed
9,112 executed
Outreach
7,319
Outreach address corrected, Outreach suppressed pending steward
2,993 proposed4,326 held
Next-best-action
3,896
Care coordination outreach, New member onboarding
3,896 proposed
Member services
4,974
Duplicate member record retired
4,974 executed
Actions
26,640 derived from the last resolution run
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-019621 | New member onboarding Next-best-action | Jacob Knight: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019622 | New member onboarding Next-best-action | Jerry Clark: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-019623 | New member onboarding Next-best-action | Kathleen Harriosn: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019624 | New member onboarding Next-best-action | Cheryl Patel: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-019625 | New member onboarding Next-best-action | Jacqueline Schultz: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-019626 | New member onboarding Next-best-action | Anthony Gutierrez: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-019627 | New member onboarding Next-best-action | Paul Garrett: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-019628 | New member onboarding Next-best-action | Andrea Reid: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-019629 | New member onboarding Next-best-action | Randy Thompon: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019630 | New member onboarding Next-best-action | Grace Webb: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019631 | New member onboarding Next-best-action | Ralph Rice: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-019632 | New member onboarding Next-best-action | Alexander Nichols: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-019633 | New member onboarding Next-best-action | Roy Willis: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-019634 | New member onboarding Next-best-action | Brenda Shaw: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-019635 | New member onboarding Next-best-action | Zachary Franklin: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-019636 | New member onboarding Next-best-action | Aaron Snigh: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-019637 | New member onboarding Next-best-action | Hamilton Doris: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-019638 | New member onboarding Next-best-action | Sofiia Pena: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-019639 | New member onboarding Next-best-action | Mason Ryan: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-019640 | New member onboarding Next-best-action | Shirley Miller: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-019641 | New member onboarding Next-best-action | Junathan James: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019642 | New member onboarding Next-best-action | Russell Coleman: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019643 | New member onboarding Next-best-action | Ran Diaz: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019644 | New member onboarding Next-best-action | Shirley Hanson: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-019645 | New member onboarding Next-best-action | Donald Harrison: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019646 | New member onboarding Next-best-action | Jimmy Guerrero: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-019647 | New member onboarding Next-best-action | Jennifer Murphy: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-019648 | New member onboarding Next-best-action | Angela Sanchez: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-019649 | New member onboarding Next-best-action | Peter Peterson: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-019650 | New member onboarding Next-best-action | Tyler Ortega: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-019651 | New member onboarding Next-best-action | Christine Wilson: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-019652 | New member onboarding Next-best-action | Patrick Perry: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-019653 | New member onboarding Next-best-action | Jacob Richards: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-019654 | New member onboarding Next-best-action | Mary Romero: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-019655 | New member onboarding Next-best-action | Christina Jensen: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-019656 | New member onboarding Next-best-action | Mdaison Padilla: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-019657 | New member onboarding Next-best-action | Willie Greene: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019658 | New member onboarding Next-best-action | Dylan Howard: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019659 | New member onboarding Next-best-action | Patrick Jones: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-019660 | New member onboarding Next-best-action | Anthony Patterson: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019661 | New member onboarding Next-best-action | Olivia Dunn: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019662 | New member onboarding Next-best-action | Grace Chavez: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-019663 | New member onboarding Next-best-action | Jacqueline Willis: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-019664 | New member onboarding Next-best-action | Helen Gordon: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019665 | New member onboarding Next-best-action | Billy Nunez: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019666 | New member onboarding Next-best-action | Ralph Nguyen: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019667 | New member onboarding Next-best-action | Hannah Vega: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019668 | New member onboarding Next-best-action | Edward Lawrence: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-019669 | New member onboarding Next-best-action | Amber Davis: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019670 | New member onboarding Next-best-action | Ortiz Stephanie: enrolled 2026-10-14, no activity yet |
| Proposed | — |
Derivation rules
Evaluated after every gold rebuild
- 1Eligibility conflict resolvedThe records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
- 2Orphan claim re-pointedA 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.
- 3Outreach address correctedThe most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
- 4Outreach suppressed pending stewardThe record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
- 5Care coordination outreachThree or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
- 6New member onboardingA single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
- 7Duplicate member record retiredTwo or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.