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-020571 | New member onboarding Next-best-action | Jerry Jensen: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020572 | New member onboarding Next-best-action | Sandra Burke: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020573 | New member onboarding Next-best-action | Ronald King: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020574 | New member onboarding Next-best-action | Gordon Natalie: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020575 | New member onboarding Next-best-action | Carl Wilson: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020576 | New member onboarding Next-best-action | Mason Diaaz: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020577 | New member onboarding Next-best-action | Carlos Riivera: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020578 | New member onboarding Next-best-action | Amy Kim: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020579 | New member onboarding Next-best-action | Jennifer Matthews: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020580 | New member onboarding Next-best-action | Joyyce Snyder: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020581 | New member onboarding Next-best-action | Justin Gray: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020582 | New member onboarding Next-best-action | John Green: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020583 | New member onboarding Next-best-action | Kelly Harvey: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020584 | New member onboarding Next-best-action | Aisha Roberts: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020585 | New member onboarding Next-best-action | Daniels Douglas: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020586 | New member onboarding Next-best-action | Masn Wang: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020587 | New member onboarding Next-best-action | Santiago Riso: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020588 | New member onboarding Next-best-action | Logan Gardner: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020589 | New member onboarding Next-best-action | Sarah Hicks: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020590 | New member onboarding Next-best-action | Laura Rilye: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020591 | New member onboarding Next-best-action | Mateo Johnston: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020592 | New member onboarding Next-best-action | Dyana Bishop: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020593 | New member onboarding Next-best-action | Diane Howell: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020594 | New member onboarding Next-best-action | Madison Hall: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020595 | New member onboarding Next-best-action | Russell Burke: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020596 | New member onboarding Next-best-action | Amber Hill: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020597 | New member onboarding Next-best-action | Lawrence Lynch: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020598 | New member onboarding Next-best-action | Melissa Freeman: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020599 | New member onboarding Next-best-action | Mason Young: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020600 | New member onboarding Next-best-action | Jack Perkins: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020601 | New member onboarding Next-best-action | Kelly King: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020602 | New member onboarding Next-best-action | Patrick Dixon: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020603 | New member onboarding Next-best-action | David Kelly: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020604 | New member onboarding Next-best-action | Christian Montgomery: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020605 | New member onboarding Next-best-action | Cerol Espinoza: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020606 | New member onboarding Next-best-action | Marilyn George: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020607 | New member onboarding Next-best-action | Angela Greene: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020608 | New member onboarding Next-best-action | Peter Wang: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020609 | New member onboarding Next-best-action | Terry Richardson: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020610 | New member onboarding Next-best-action | Sue Jimenez: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020611 | New member onboarding Next-best-action | Maria Guerrero: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020612 | New member onboarding Next-best-action | Sandra Porter: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020613 | New member onboarding Next-best-action | Ethan Davis: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020614 | New member onboarding Next-best-action | Carl Fields: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020615 | New member onboarding Next-best-action | Mason Hanson: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020616 | New member onboarding Next-best-action | Sean Dunn: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020617 | New member onboarding Next-best-action | Patricia Ross: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020618 | New member onboarding Next-best-action | Cheryl Hughes: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020619 | New member onboarding Next-best-action | Heather Bailey: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020620 | New member onboarding Next-best-action | Dorothy Dunn: enrolled 2026-09-26, 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.