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-020671 | New member onboarding Next-best-action | Emma Delgado: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020672 | New member onboarding Next-best-action | Melissa Gilbert: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020673 | New member onboarding Next-best-action | Larry Ortiz: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020674 | New member onboarding Next-best-action | Karen Fields: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020675 | New member onboarding Next-best-action | Natalie Carr: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020676 | New member onboarding Next-best-action | Judy Alvarez: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020677 | New member onboarding Next-best-action | Timothy Jackson: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020678 | New member onboarding Next-best-action | Teresa Richardson: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020679 | New member onboarding Next-best-action | Sarah Flores: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020680 | New member onboarding Next-best-action | Bradley Burns: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020681 | New member onboarding Next-best-action | Emma Cooper: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020682 | New member onboarding Next-best-action | Bryan Guzman: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020683 | New member onboarding Next-best-action | Stephen Turner: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020684 | New member onboarding Next-best-action | Dylan Alvarez: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020685 | New member onboarding Next-best-action | Christina Wallace: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020686 | New member onboarding Next-best-action | Janet Miller: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020687 | New member onboarding Next-best-action | Jose Russsell: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020688 | New member onboarding Next-best-action | Sandra Sims: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020689 | New member onboarding Next-best-action | Johny Weber: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020690 | New member onboarding Next-best-action | Jeremy Burns: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020691 | New member onboarding Next-best-action | Kathleen Riley: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020692 | New member onboarding Next-best-action | Douglas Cook: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020693 | New member onboarding Next-best-action | Jerry Brooks: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020694 | New member onboarding Next-best-action | Sarah Crawford: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020695 | New member onboarding Next-best-action | Stephen Mason: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020696 | New member onboarding Next-best-action | Mei Reynolds: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020697 | New member onboarding Next-best-action | Timothy McDonald: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020698 | New member onboarding Next-best-action | Henry Banks: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020699 | New member onboarding Next-best-action | Alan Daniels: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020700 | New member onboarding Next-best-action | Adam Fields: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020701 | New member onboarding Next-best-action | Roger Santiago: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020702 | New member onboarding Next-best-action | Janet Phillips: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020703 | New member onboarding Next-best-action | Scot Daniels: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020704 | New member onboarding Next-best-action | Fatima Stewart: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020705 | New member onboarding Next-best-action | Nancy Miller: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020706 | New member onboarding Next-best-action | Jennifer Chavez: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020707 | New member onboarding Next-best-action | Steven Franklin: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020708 | New member onboarding Next-best-action | Joan Price: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020709 | New member onboarding Next-best-action | Scott Collins: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020710 | New member onboarding Next-best-action | Larry Patel: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020711 | New member onboarding Next-best-action | Michelle Gray: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020712 | New member onboarding Next-best-action | Debra Garrett: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020713 | New member onboarding Next-best-action | Joshua Snyder: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020714 | New member onboarding Next-best-action | Peter Hudson: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020715 | New member onboarding Next-best-action | Yuki Soto: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020716 | New member onboarding Next-best-action | Anna Griffin: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020717 | New member onboarding Next-best-action | Kathryn Salazar: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020718 | New member onboarding Next-best-action | Daniel Spencer: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020719 | New member onboarding Next-best-action | Brandon Vgea: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020720 | New member onboarding Next-best-action | Carlos Singh: enrolled 2026-10-08, 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.