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-020471 | New member onboarding Next-best-action | Mari Ortiz: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020472 | New member onboarding Next-best-action | Kyle Grant: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020473 | New member onboarding Next-best-action | Kayla Garrett: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020474 | New member onboarding Next-best-action | Heather Reid: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020475 | New member onboarding Next-best-action | James Wood: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020476 | New member onboarding Next-best-action | Danielle Harris: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020477 | New member onboarding Next-best-action | Sean Coleman: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020478 | New member onboarding Next-best-action | Theresa Webb: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020479 | New member onboarding Next-best-action | Paul Freeman: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020480 | New member onboarding Next-best-action | Amy Mendez: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020481 | New member onboarding Next-best-action | Joshua Cunningham: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020482 | New member onboarding Next-best-action | Kevin Edwards: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020483 | New member onboarding Next-best-action | Beverly Keelley: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020484 | New member onboarding Next-best-action | Shirley Hamilton: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020485 | New member onboarding Next-best-action | Ashley Lawson: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020486 | New member onboarding Next-best-action | Jack Guerrero: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020487 | New member onboarding Next-best-action | Marilyn Austin: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020488 | New member onboarding Next-best-action | Diane Thompson: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020489 | New member onboarding Next-best-action | Wayne Sullivan: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020490 | New member onboarding Next-best-action | Bobby Gray: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020491 | New member onboarding Next-best-action | Sam Martin: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020492 | New member onboarding Next-best-action | Daid Hawkins: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020493 | New member onboarding Next-best-action | Luis Hoffman: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020494 | New member onboarding Next-best-action | Michael Walkr: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020495 | New member onboarding Next-best-action | Marcus Edwards: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020496 | New member onboarding Next-best-action | Susan Lewis: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020497 | New member onboarding Next-best-action | Willie Alvarado: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020498 | New member onboarding Next-best-action | Wei Ramirez: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020499 | New member onboarding Next-best-action | Jacqueline Elliott: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020500 | New member onboarding Next-best-action | Carol Thompson: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020501 | New member onboarding Next-best-action | Walter Gardner: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020502 | New member onboarding Next-best-action | Janike Butler: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020503 | New member onboarding Next-best-action | Christine Hudson: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020504 | New member onboarding Next-best-action | Thomas Taylor: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020505 | New member onboarding Next-best-action | Judy Kennedy: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020506 | New member onboarding Next-best-action | Gabrel Delgado: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020507 | New member onboarding Next-best-action | Keith Johnston: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020508 | New member onboarding Next-best-action | Natlaie Moore: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020509 | New member onboarding Next-best-action | Jack Vazquez: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020510 | New member onboarding Next-best-action | Kayla Kelly: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020511 | New member onboarding Next-best-action | Mateo Robinson: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020512 | New member onboarding Next-best-action | Diego Murphy: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020513 | New member onboarding Next-best-action | Priya McDonald: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020514 | New member onboarding Next-best-action | Lucia Reid: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020515 | New member onboarding Next-best-action | Gabriel Estrada: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020516 | New member onboarding Next-best-action | Carol Arnold: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020517 | New member onboarding Next-best-action | Arjun Hernandez: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020518 | New member onboarding Next-best-action | Michelle Fowler: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020519 | New member onboarding Next-best-action | Mari Wilson: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020520 | New member onboarding Next-best-action | Gary Castro: 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.