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-019771 | New member onboarding Next-best-action | Michael White: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019772 | New member onboarding Next-best-action | Marilyn Aguilar: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-019773 | New member onboarding Next-best-action | Juan Owens: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-019774 | New member onboarding Next-best-action | Cheryl Oliver: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019775 | New member onboarding Next-best-action | Peter Sims: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-019776 | New member onboarding Next-best-action | David Murray: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-019777 | New member onboarding Next-best-action | Natlaie Dunn: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019778 | New member onboarding Next-best-action | Christine Richardson: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-019779 | New member onboarding Next-best-action | Sharon Williamson: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019780 | New member onboarding Next-best-action | Jeremy Carpenter: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-019781 | New member onboarding Next-best-action | Amber Moreno: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019782 | New member onboarding Next-best-action | Angela Chapmn: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-019783 | New member onboarding Next-best-action | Helen Ross: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-019784 | New member onboarding Next-best-action | Willie Holmes: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019785 | New member onboarding Next-best-action | Ruth Wheeler: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-019786 | New member onboarding Next-best-action | Megan Cook: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-019787 | New member onboarding Next-best-action | Arjnu Palmer: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019788 | New member onboarding Next-best-action | Patricia Bowman: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-019789 | New member onboarding Next-best-action | Emma Robertson: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019790 | New member onboarding Next-best-action | Emma Jackson: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019791 | New member onboarding Next-best-action | Logan Carr: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019792 | New member onboarding Next-best-action | Aisha Patel: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-019793 | New member onboarding Next-best-action | Nancy Sims: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-019794 | New member onboarding Next-best-action | Marcus Burns: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-019795 | New member onboarding Next-best-action | Jesse Matthews: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-019796 | New member onboarding Next-best-action | Maria Hughes: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019797 | New member onboarding Next-best-action | Gabriel Turner: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019798 | New member onboarding Next-best-action | Aaron Freeman: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019799 | New member onboarding Next-best-action | Stephen Rojas: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-019800 | New member onboarding Next-best-action | Samuel Watkins: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019801 | New member onboarding Next-best-action | Gary Oliver: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-019802 | New member onboarding Next-best-action | Abigail Jacobs: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019803 | New member onboarding Next-best-action | Victoria Harvey: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-019804 | New member onboarding Next-best-action | Eric Davis: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019805 | New member onboarding Next-best-action | Henry Sean: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019806 | New member onboarding Next-best-action | George Crewford: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-019807 | New member onboarding Next-best-action | Jacob Sotne: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019808 | New member onboarding Next-best-action | Christine Griffin: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-019809 | New member onboarding Next-best-action | Lawrence Le: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-019810 | New member onboarding Next-best-action | Katherine Robertson: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-019811 | New member onboarding Next-best-action | Philiip Ward: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019812 | New member onboarding Next-best-action | Ethan Watson: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019813 | New member onboarding Next-best-action | Jordan Jones: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-019814 | New member onboarding Next-best-action | Anthony Jackson: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019815 | New member onboarding Next-best-action | Patrick Fowler: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-019816 | New member onboarding Next-best-action | Dennis Marquez: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-019817 | New member onboarding Next-best-action | Kevin Patel: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-019818 | New member onboarding Next-best-action | Henry Green: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019819 | New member onboarding Next-best-action | Bradley Bowman: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-019820 | New member onboarding Next-best-action | Angela Walsh: enrolled 2026-09-29, 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.