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-020921 | New member onboarding Next-best-action | Henry Walker: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020922 | New member onboarding Next-best-action | Eugene Contreras: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020923 | New member onboarding Next-best-action | Grace Freeman: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020924 | New member onboarding Next-best-action | Lucia Fowler: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020925 | New member onboarding Next-best-action | Judy Garza: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020926 | New member onboarding Next-best-action | Chris Weaver: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020927 | New member onboarding Next-best-action | Ralph Bowman: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020928 | New member onboarding Next-best-action | Gregory Haarvey: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020929 | New member onboarding Next-best-action | Terry Tran: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020930 | New member onboarding Next-best-action | Megan Gibson: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020931 | New member onboarding Next-best-action | Stephanie Cooper: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020932 | New member onboarding Next-best-action | Amber Lawrence: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020933 | New member onboarding Next-best-action | Paul Jones: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020934 | New member onboarding Next-best-action | Amber Owens: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020935 | New member onboarding Next-best-action | Fatima Yang: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020936 | New member onboarding Next-best-action | Barbara Griffin: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020937 | New member onboarding Next-best-action | Tim Ellis: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020938 | New member onboarding Next-best-action | Karen Brown: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020939 | New member onboarding Next-best-action | Anna Moore: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020940 | New member onboarding Next-best-action | Justin Crawford: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020941 | New member onboarding Next-best-action | Michelle Bell: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020942 | New member onboarding Next-best-action | Eric Clark: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020943 | New member onboarding Next-best-action | Patricia Lane: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020944 | New member onboarding Next-best-action | Donna Walker: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020945 | New member onboarding Next-best-action | Ronald Ortiz: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020946 | New member onboarding Next-best-action | Catherine Greene: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020947 | New member onboarding Next-best-action | Walter Estrada: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020948 | New member onboarding Next-best-action | Henry Johnston: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020949 | New member onboarding Next-best-action | Ryan Thompson: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020950 | New member onboarding Next-best-action | Joyce Vazquez: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020951 | New member onboarding Next-best-action | Amber Andrews: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020952 | New member onboarding Next-best-action | Rebecca Foster: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020953 | New member onboarding Next-best-action | Betty Rodriguez: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020954 | New member onboarding Next-best-action | Isabella Lynch: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020955 | New member onboarding Next-best-action | Deborah Carroll: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020956 | New member onboarding Next-best-action | Harold Medina: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020957 | New member onboarding Next-best-action | Kenneth Hunter: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020958 | New member onboarding Next-best-action | Cheryl Guerrero: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020959 | New member onboarding Next-best-action | Wei Burton: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020960 | New member onboarding Next-best-action | Christine Johnson: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020961 | New member onboarding Next-best-action | Sharoon Walker: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020962 | New member onboarding Next-best-action | Jordan Lucas: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020963 | New member onboarding Next-best-action | Teresa Adams: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020964 | New member onboarding Next-best-action | Ethan Palmer: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020965 | New member onboarding Next-best-action | Wei Brrooks: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020966 | New member onboarding Next-best-action | Ashley Burke: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020967 | New member onboarding Next-best-action | Ruth Miller: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020968 | New member onboarding Next-best-action | Patricia Bennet: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020969 | New member onboarding Next-best-action | Patrick McCoy: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020970 | New member onboarding Next-best-action | Willie Rogers: enrolled 2026-09-25, 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.