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-020121 | New member onboarding Next-best-action | George Chavez: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020122 | New member onboarding Next-best-action | Omar Reid: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020123 | New member onboarding Next-best-action | Debra Henry: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020124 | New member onboarding Next-best-action | Mary Simmons: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020125 | New member onboarding Next-best-action | Danielle Gray: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020126 | New member onboarding Next-best-action | Christopher Patterson: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020127 | New member onboarding Next-best-action | Larry Vazquez: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020128 | New member onboarding Next-best-action | Lauren Hanon: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020129 | New member onboarding Next-best-action | Juan Rodriguez: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020130 | New member onboarding Next-best-action | Justin West: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020131 | New member onboarding Next-best-action | Juan Cooper: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020132 | New member onboarding Next-best-action | Carol Chapman: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020133 | New member onboarding Next-best-action | Alan Payne: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020134 | New member onboarding Next-best-action | Keith White: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020135 | New member onboarding Next-best-action | Roger Contreras: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020136 | New member onboarding Next-best-action | Jacob Patel: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020137 | New member onboarding Next-best-action | Kathleen Santiago: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020138 | New member onboarding Next-best-action | Scott Lopez: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020139 | New member onboarding Next-best-action | Donald Ortega: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020140 | New member onboarding Next-best-action | Logaan Miller: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020141 | New member onboarding Next-best-action | Jacqueline Mejia: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020142 | New member onboarding Next-best-action | Judith Carter: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020143 | New member onboarding Next-best-action | Mariana Marquez: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020144 | New member onboarding Next-best-action | Hiroshi Warren: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020145 | New member onboarding Next-best-action | Eric Santos: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020146 | New member onboarding Next-best-action | Fatima Carroll: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020147 | New member onboarding Next-best-action | Jacob Rojas: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020148 | New member onboarding Next-best-action | Andrea Day: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020149 | New member onboarding Next-best-action | Billy Hayes: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020150 | New member onboarding Next-best-action | Ahmed Stephens: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020151 | New member onboarding Next-best-action | Hery Wright: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020152 | New member onboarding Next-best-action | Jesse Alexander: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020153 | New member onboarding Next-best-action | Joe Medina: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020154 | New member onboarding Next-best-action | Wane Washington: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020155 | New member onboarding Next-best-action | Priya Adams: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020156 | New member onboarding Next-best-action | Christopher Salazar: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020157 | New member onboarding Next-best-action | Medison Henry: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020158 | New member onboarding Next-best-action | Jeffrey Hill: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020159 | New member onboarding Next-best-action | Jeffrey Scott: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020160 | New member onboarding Next-best-action | Victoria Morales: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020161 | New member onboarding Next-best-action | Debra White: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020162 | New member onboarding Next-best-action | Samuel Walker: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020163 | New member onboarding Next-best-action | Ashley Edwards: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020164 | New member onboarding Next-best-action | Keelly Williamson: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020165 | New member onboarding Next-best-action | Henry Yang: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020166 | New member onboarding Next-best-action | Russell Dunn: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020167 | New member onboarding Next-best-action | Jose Flores: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020168 | New member onboarding Next-best-action | Tyler Perez: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020169 | New member onboarding Next-best-action | Betty Larson: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020170 | New member onboarding Next-best-action | David Schultz: enrolled 2026-09-10, 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.