Action	Type	Title	Detail	Linked to	Status	Executed
ACT-017921	Care coordination outreach Next-best-action	Frank Lawrence: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001924	Proposed	—
ACT-017922	Care coordination outreach Next-best-action	Nicholas Santos: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001937	Proposed	—
ACT-017923	Care coordination outreach Next-best-action	Mason Ramirez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001938	Proposed	—
ACT-017924	Care coordination outreach Next-best-action	Jesse Price: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001970	Proposed	—
ACT-017925	Care coordination outreach Next-best-action	Julie Vasquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-001982	Proposed	—
ACT-017926	Care coordination outreach Next-best-action	William Allen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002029	Proposed	—
ACT-017927	Care coordination outreach Next-best-action	Catherine Collins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002036	Proposed	—
ACT-017928	Care coordination outreach Next-best-action	Katherine James: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002058	Proposed	—
ACT-017929	Care coordination outreach Next-best-action	Hannah Nguyen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002060	Proposed	—
ACT-017930	Care coordination outreach Next-best-action	Gerald Cunningham: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002081	Proposed	—
ACT-017931	Care coordination outreach Next-best-action	Heather Fuller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002082	Proposed	—
ACT-017932	Care coordination outreach Next-best-action	Ahmed Wallace: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002083	Proposed	—
ACT-017933	Care coordination outreach Next-best-action	Albert Cruz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002084	Proposed	—
ACT-017934	Care coordination outreach Next-best-action	Hannah Nelson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002099	Proposed	—
ACT-017935	Care coordination outreach Next-best-action	Billy Barnes: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-002113	Proposed	—
ACT-017936	Care coordination outreach Next-best-action	Austin Henry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002118	Proposed	—
ACT-017937	Care coordination outreach Next-best-action	Mason Vasquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002129	Proposed	—
ACT-017938	Care coordination outreach Next-best-action	Emma Harrison: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002130	Proposed	—
ACT-017939	Care coordination outreach Next-best-action	Hiroshi Meyer: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002191	Proposed	—
ACT-017940	Care coordination outreach Next-best-action	Dylan Meyer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002221	Proposed	—
ACT-017941	Care coordination outreach Next-best-action	Ethan Vasquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002222	Proposed	—
ACT-017942	Care coordination outreach Next-best-action	Peter Kelly: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002230	Proposed	—
ACT-017943	Care coordination outreach Next-best-action	Kyle Myers: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002238	Proposed	—
ACT-017944	Care coordination outreach Next-best-action	Henry Lane: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002264	Proposed	—
ACT-017945	Care coordination outreach Next-best-action	Andrea Kennedy: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002267	Proposed	—
ACT-017946	Care coordination outreach Next-best-action	Samantha Dean: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002281	Proposed	—
ACT-017947	Care coordination outreach Next-best-action	Fatima Perkins: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002285	Proposed	—
ACT-017948	Care coordination outreach Next-best-action	Isabella Robertson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002310	Proposed	—
ACT-017949	Care coordination outreach Next-best-action	Barbara Park: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002318	Proposed	—
ACT-017950	Care coordination outreach Next-best-action	Brandon Bryant: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002365	Proposed	—
ACT-017951	Care coordination outreach Next-best-action	Ruth Stephens: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002384	Proposed	—
ACT-017952	Care coordination outreach Next-best-action	Chris Meyer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002421	Proposed	—
ACT-017953	Care coordination outreach Next-best-action	Camila Green: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002424	Proposed	—
ACT-017954	Care coordination outreach Next-best-action	Marilyn James: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002431	Proposed	—
ACT-017955	Care coordination outreach Next-best-action	Joyce Evans: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002437	Proposed	—
ACT-017956	Care coordination outreach Next-best-action	Larry Martin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002466	Proposed	—
ACT-017957	Care coordination outreach Next-best-action	Andrea Gray: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002472	Proposed	—
ACT-017958	Care coordination outreach Next-best-action	Gloria Yang: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002474	Proposed	—
ACT-017959	Care coordination outreach Next-best-action	Gerald Cox: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002479	Proposed	—
ACT-017960	Care coordination outreach Next-best-action	Patricia Le: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002487	Proposed	—
ACT-017961	Care coordination outreach Next-best-action	Deborah Ramos: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002504	Proposed	—
ACT-017962	Care coordination outreach Next-best-action	Hiroshi Harris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002509	Proposed	—
ACT-017963	Care coordination outreach Next-best-action	Grace Stephens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002522	Proposed	—
ACT-017964	Care coordination outreach Next-best-action	Eugene Nichols: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002529	Proposed	—
ACT-017965	Care coordination outreach Next-best-action	Sharon Jordan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002563	Proposed	—
ACT-017966	Care coordination outreach Next-best-action	Linda Watson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002578	Proposed	—
ACT-017967	Care coordination outreach Next-best-action	Scott Thomas: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002585	Proposed	—
ACT-017968	Care coordination outreach Next-best-action	Karen Fowler: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-002592	Proposed	—
ACT-017969	Care coordination outreach Next-best-action	Aaron Johnson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002612	Proposed	—
ACT-017970	Care coordination outreach Next-best-action	Jose Gordon: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-002618	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.