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-020721 | New member onboarding Next-best-action | Ronald Ferguson: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020722 | New member onboarding Next-best-action | Raymond Nguyen: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020723 | New member onboarding Next-best-action | Sara McOnald: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020724 | New member onboarding Next-best-action | Maria Woods: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020725 | New member onboarding Next-best-action | Natalie Day: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020726 | New member onboarding Next-best-action | Bruce Montgomery: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020727 | New member onboarding Next-best-action | Juhn Kim: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020728 | New member onboarding Next-best-action | Cheryl Washington: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020729 | New member onboarding Next-best-action | Donald Reyes: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020730 | New member onboarding Next-best-action | Joan Hudson: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020731 | New member onboarding Next-best-action | Brittany Wood: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020732 | New member onboarding Next-best-action | Wayne Johnston: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020733 | New member onboarding Next-best-action | Ronald Hunt: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020734 | New member onboarding Next-best-action | Christine Young: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020735 | New member onboarding Next-best-action | Scott Roberts: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020736 | New member onboarding Next-best-action | Martha Chen: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020737 | New member onboarding Next-best-action | David Georgge: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020738 | New member onboarding Next-best-action | Charles Holmes: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020739 | New member onboarding Next-best-action | Steven Tucker: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020740 | New member onboarding Next-best-action | Anthony Duncan: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020741 | New member onboarding Next-best-action | Jack Valdez: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020742 | New member onboarding Next-best-action | Suusan Li: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020743 | New member onboarding Next-best-action | Olivia Thomas: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020744 | New member onboarding Next-best-action | Bobby Alvarez: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020745 | New member onboarding Next-best-action | Hannah Perry: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020746 | New member onboarding Next-best-action | Philip Montgomery: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020747 | New member onboarding Next-best-action | Laura Green: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020748 | New member onboarding Next-best-action | Fatima Dean: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020749 | New member onboarding Next-best-action | Sofia Castillo: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020750 | New member onboarding Next-best-action | Laura Vasquez: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020751 | New member onboarding Next-best-action | Arrjun Ellis: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020752 | New member onboarding Next-best-action | Julie Mason: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020753 | New member onboarding Next-best-action | Wei Chavez: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020754 | New member onboarding Next-best-action | Joan Jimeenz: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020755 | New member onboarding Next-best-action | Keith Bennett: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020756 | New member onboarding Next-best-action | Pamela Hanson: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020757 | New member onboarding Next-best-action | Sara Hicks: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020758 | New member onboarding Next-best-action | Ruth Lewis: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020759 | New member onboarding Next-best-action | Lucia Lynch: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020760 | New member onboarding Next-best-action | Abigail Miller: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020761 | New member onboarding Next-best-action | Eugene Adams: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020762 | New member onboarding Next-best-action | Sopia Spencer: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020763 | New member onboarding Next-best-action | Sofia Evans: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020764 | New member onboarding Next-best-action | Billy Lynch: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020765 | New member onboarding Next-best-action | Carlos Garcia: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020766 | New member onboarding Next-best-action | Gloria Bell: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020767 | New member onboarding Next-best-action | Angela Wheeler: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020768 | New member onboarding Next-best-action | Sean Vasquez: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020769 | New member onboarding Next-best-action | Mary Baker: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020770 | New member onboarding Next-best-action | Donna Vasquez: enrolled 2026-10-09, 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.