Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018021	Care coordination outreach Next-best-action	Dennis Park: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003350	Proposed	—
ACT-018022	Care coordination outreach Next-best-action	Shirley Shaw: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003369	Proposed	—
ACT-018023	Care coordination outreach Next-best-action	Shirley Obrien: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-003413	Proposed	—
ACT-018024	Care coordination outreach Next-best-action	Nathan Hernandez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003414	Proposed	—
ACT-018025	Care coordination outreach Next-best-action	Jennifer Turner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003430	Proposed	—
ACT-018026	Care coordination outreach Next-best-action	Joyce Palmer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003453	Proposed	—
ACT-018027	Care coordination outreach Next-best-action	Bryan Black: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-003456	Proposed	—
ACT-018028	Care coordination outreach Next-best-action	Joan Gonzales: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003469	Proposed	—
ACT-018029	Care coordination outreach Next-best-action	John Sims: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003473	Proposed	—
ACT-018030	Care coordination outreach Next-best-action	Jeremy Garrett: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003477	Proposed	—
ACT-018031	Care coordination outreach Next-best-action	Carol Lewis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003483	Proposed	—
ACT-018032	Care coordination outreach Next-best-action	Kathryn Robinson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-003509	Proposed	—
ACT-018033	Care coordination outreach Next-best-action	Thomas Baker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003513	Proposed	—
ACT-018034	Care coordination outreach Next-best-action	Theresa West: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003519	Proposed	—
ACT-018035	Care coordination outreach Next-best-action	Hiroshi Freeman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003533	Proposed	—
ACT-018036	Care coordination outreach Next-best-action	Denise Berry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003534	Proposed	—
ACT-018037	Care coordination outreach Next-best-action	Wayne Bailey: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-003535	Proposed	—
ACT-018038	Care coordination outreach Next-best-action	William Moreno: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003544	Proposed	—
ACT-018039	Care coordination outreach Next-best-action	Kelly Parker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003555	Proposed	—
ACT-018040	Care coordination outreach Next-best-action	Cynthia Sandoval: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-003561	Proposed	—
ACT-018041	Care coordination outreach Next-best-action	Sophia Roberts: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003586	Proposed	—
ACT-018042	Care coordination outreach Next-best-action	Bruce Phillips: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003594	Proposed	—
ACT-018043	Care coordination outreach Next-best-action	Jose Jensen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003614	Proposed	—
ACT-018044	Care coordination outreach Next-best-action	Katherine West: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003616	Proposed	—
ACT-018045	Care coordination outreach Next-best-action	Robert Chen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003658	Proposed	—
ACT-018046	Care coordination outreach Next-best-action	Gregory Palmer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003660	Proposed	—
ACT-018047	Care coordination outreach Next-best-action	Nancy Delgado: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003675	Proposed	—
ACT-018048	Care coordination outreach Next-best-action	Isabella Wilson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-003684	Proposed	—
ACT-018049	Care coordination outreach Next-best-action	Larry Mendoza: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-003690	Proposed	—
ACT-018050	Care coordination outreach Next-best-action	Frank Allen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003698	Proposed	—
ACT-018051	Care coordination outreach Next-best-action	Jesse Peterson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003718	Proposed	—
ACT-018052	Care coordination outreach Next-best-action	Amy Flores: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003727	Proposed	—
ACT-018053	Care coordination outreach Next-best-action	Hiroshi Tran: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003751	Proposed	—
ACT-018054	Care coordination outreach Next-best-action	Bradley Weber: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-003760	Proposed	—
ACT-018055	Care coordination outreach Next-best-action	Kimberly Boyd: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-003776	Proposed	—
ACT-018056	Care coordination outreach Next-best-action	Angela Foster: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003791	Proposed	—
ACT-018057	Care coordination outreach Next-best-action	Jason Mills: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003793	Proposed	—
ACT-018058	Care coordination outreach Next-best-action	Dylan Arnold: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003796	Proposed	—
ACT-018059	Care coordination outreach Next-best-action	Shirley Reyes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003799	Proposed	—
ACT-018060	Care coordination outreach Next-best-action	Douglas Cole: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003818	Proposed	—
ACT-018061	Care coordination outreach Next-best-action	Jordan Fowler: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003834	Proposed	—
ACT-018062	Care coordination outreach Next-best-action	George Sims: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003838	Proposed	—
ACT-018063	Care coordination outreach Next-best-action	Denise Ramos: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003840	Proposed	—
ACT-018064	Care coordination outreach Next-best-action	Edward Reyes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003841	Proposed	—
ACT-018065	Care coordination outreach Next-best-action	Henry Reynolds: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003843	Proposed	—
ACT-018066	Care coordination outreach Next-best-action	Samantha Ray: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-003854	Proposed	—
ACT-018067	Care coordination outreach Next-best-action	Maria Carter: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-003864	Proposed	—
ACT-018068	Care coordination outreach Next-best-action	Michelle Elliott: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003892	Proposed	—
ACT-018069	Care coordination outreach Next-best-action	Mary Taylor: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-003894	Proposed	—
ACT-018070	Care coordination outreach Next-best-action	Benjamin Moreno: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-003895	Proposed	—

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Derivation rules

Evaluated after every gold rebuild

1
Eligibility conflict resolved
The records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
2
Orphan claim re-pointed
A 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.
3
Outreach address corrected
The most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
4
Outreach suppressed pending steward
The record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
5
Care coordination outreach
Three or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
6
New member onboarding
A single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
7
Duplicate member record retired
Two or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.