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-019971 | New member onboarding Next-best-action | Lori Carr: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019972 | New member onboarding Next-best-action | Sharon Black: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019973 | New member onboarding Next-best-action | Cheryl Rodriguez: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-019974 | New member onboarding Next-best-action | George Porter: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019975 | New member onboarding Next-best-action | Logan Morris: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-019976 | New member onboarding Next-best-action | Joesph Simmons: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019977 | New member onboarding Next-best-action | Kathleen Gutierrez: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019978 | New member onboarding Next-best-action | Zachary Hernandez: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019979 | New member onboarding Next-best-action | Brian Jones: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019980 | New member onboarding Next-best-action | Grace Ryan: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019981 | New member onboarding Next-best-action | Daniel Simpson: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019982 | New member onboarding Next-best-action | Jeremy Romero: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019983 | New member onboarding Next-best-action | Ruth Knight: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019984 | New member onboarding Next-best-action | Gabriel Long: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019985 | New member onboarding Next-best-action | Kayla Peters: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-019986 | New member onboarding Next-best-action | Judy Young: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-019987 | New member onboarding Next-best-action | Barbara Augilar: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019988 | New member onboarding Next-best-action | Marcus Estrada: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019989 | New member onboarding Next-best-action | Nicole Payne: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019990 | New member onboarding Next-best-action | Bruce Hill: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019991 | New member onboarding Next-best-action | Judith Rojas: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019992 | New member onboarding Next-best-action | Amber Woud: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019993 | New member onboarding Next-best-action | Janet Delgado: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-019994 | New member onboarding Next-best-action | Radny Hernandez: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-019995 | New member onboarding Next-best-action | Alan Murphy: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-019996 | New member onboarding Next-best-action | Joseph Washington: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-019997 | New member onboarding Next-best-action | Elizabeth Diaz: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019998 | New member onboarding Next-best-action | Joan Carroll: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019999 | New member onboarding Next-best-action | Charles Howard: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020000 | New member onboarding Next-best-action | Jesse Nuunez: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020001 | New member onboarding Next-best-action | Barbara Morrison: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020002 | New member onboarding Next-best-action | Ashley Lucas: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020003 | New member onboarding Next-best-action | Abigail Brooks: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020004 | New member onboarding Next-best-action | Gloria Banks: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020005 | New member onboarding Next-best-action | Martha Guerrero: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020006 | New member onboarding Next-best-action | Morrison Lucia: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020007 | New member onboarding Next-best-action | Sandra Ellis: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020008 | New member onboarding Next-best-action | Danielle Robertson: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020009 | New member onboarding Next-best-action | Jean Castro: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020010 | New member onboarding Next-best-action | Diane Stephens: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020011 | New member onboarding Next-best-action | Raymond Marshall: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020012 | New member onboarding Next-best-action | Melissa Gutierrez: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020013 | New member onboarding Next-best-action | Zachary Crawford: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020014 | New member onboarding Next-best-action | Amy Parker: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020015 | New member onboarding Next-best-action | Alexis Hunter: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020016 | New member onboarding Next-best-action | Juan Weaver: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020017 | New member onboarding Next-best-action | Maria Wang: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020018 | New member onboarding Next-best-action | Lucia Reyes: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020019 | New member onboarding Next-best-action | Anna Knight: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020020 | New member onboarding Next-best-action | Rachel Morrison: enrolled 2026-09-27, 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.