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-020771 | New member onboarding Next-best-action | Mason Thmas: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020772 | New member onboarding Next-best-action | Christina Olson: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020773 | New member onboarding Next-best-action | Richard Wheeler: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020774 | New member onboarding Next-best-action | Carlos Fields: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020775 | New member onboarding Next-best-action | Alexander Fields: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020776 | New member onboarding Next-best-action | Nathan Matthews: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020777 | New member onboarding Next-best-action | Martha Willis: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020778 | New member onboarding Next-best-action | Fatima Kim: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020779 | New member onboarding Next-best-action | Richard Crawford: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020780 | New member onboarding Next-best-action | Susan Johnston: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020781 | New member onboarding Next-best-action | Roger Montgomery: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020782 | New member onboarding Next-best-action | Stephanie Singh: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020783 | New member onboarding Next-best-action | Deborah Turner: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020784 | New member onboarding Next-best-action | Linda Nguyen: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020785 | New member onboarding Next-best-action | Heather Ray: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020786 | New member onboarding Next-best-action | Albert Barnes: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020787 | New member onboarding Next-best-action | Maria Williamson: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020788 | New member onboarding Next-best-action | Danielle Diaz: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020789 | New member onboarding Next-best-action | Ronald Hall: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020790 | New member onboarding Next-best-action | Carolyn Garrett: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020791 | New member onboarding Next-best-action | Samantha Jordan: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020792 | New member onboarding Next-best-action | Scott Snyder: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020793 | New member onboarding Next-best-action | Pamela Vega: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020794 | New member onboarding Next-best-action | Fatima Hill: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020795 | New member onboarding Next-best-action | Michelle Harvey: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020796 | New member onboarding Next-best-action | Nicole Hansen: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020797 | New member onboarding Next-best-action | Luis Price: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020798 | New member onboarding Next-best-action | Susan Jackson: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020799 | New member onboarding Next-best-action | Albert Chavez: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020800 | New member onboarding Next-best-action | Judith Hall: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020801 | New member onboarding Next-best-action | Elijah Wood: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020802 | New member onboarding Next-best-action | Marilyn Burton: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020803 | New member onboarding Next-best-action | Logan Singh: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020804 | New member onboarding Next-best-action | Theresa Torres: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020805 | New member onboarding Next-best-action | Arjun Griffin: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020806 | New member onboarding Next-best-action | Laura Jackson: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020807 | New member onboarding Next-best-action | Philip Cole: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020808 | New member onboarding Next-best-action | Paul Perez: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020809 | New member onboarding Next-best-action | Bryant Sandra: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020810 | New member onboarding Next-best-action | Rachel Fields: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020811 | New member onboarding Next-best-action | Daniel Larson: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020812 | New member onboarding Next-best-action | Jesse Phillips: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020813 | New member onboarding Next-best-action | Deborah Morales: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020814 | New member onboarding Next-best-action | Samantha Harrison: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020815 | New member onboarding Next-best-action | Hannah Bowman: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020816 | New member onboarding Next-best-action | Benjamin Johnston: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020817 | New member onboarding Next-best-action | Donald Nelson: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020818 | New member onboarding Next-best-action | Janet Rivera: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020819 | New member onboarding Next-best-action | Ronald Allen: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020820 | New member onboarding Next-best-action | Amber Hamilton: enrolled 2026-10-03, 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.