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-021171 | New member onboarding Next-best-action | Mark Garrett: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021172 | New member onboarding Next-best-action | Santiago Johnson: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021173 | New member onboarding Next-best-action | Charlotte Dunn: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021174 | New member onboarding Next-best-action | Helen Smth: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021175 | New member onboarding Next-best-action | Carolyn Fullar: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021176 | New member onboarding Next-best-action | Bryan Rice: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021177 | New member onboarding Next-best-action | Nicole Duncan: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021178 | New member onboarding Next-best-action | Dot Morales: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021179 | New member onboarding Next-best-action | Steve Aguilar: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021180 | New member onboarding Next-best-action | Harold Gibson: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021181 | New member onboarding Next-best-action | Kayla Maldondao: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021182 | New member onboarding Next-best-action | Stephanie Munzo: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021183 | New member onboarding Next-best-action | Jack Marquez: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021184 | New member onboarding Next-best-action | Ronald Wright: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021185 | New member onboarding Next-best-action | Deborah Campbell: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021186 | New member onboarding Next-best-action | Omar Johnson: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021187 | New member onboarding Next-best-action | Mei Weber: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021188 | New member onboarding Next-best-action | Benjamin Smith: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021189 | New member onboarding Next-best-action | Marc Wagner: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021190 | New member onboarding Next-best-action | Terry Little: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021191 | New member onboarding Next-best-action | Arthur Wagner: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021192 | New member onboarding Next-best-action | Olivia Maldonado: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021193 | New member onboarding Next-best-action | Carolyn Clark: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021194 | New member onboarding Next-best-action | Raymond Guerrero: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021195 | New member onboarding Next-best-action | Logan Burns: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021196 | New member onboarding Next-best-action | Melissa West: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-021197 | New member onboarding Next-best-action | Denny Morgan: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021198 | New member onboarding Next-best-action | Robert Silva: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021199 | New member onboarding Next-best-action | Isabella Simmons: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021200 | New member onboarding Next-best-action | Danieelle Mendez: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021201 | New member onboarding Next-best-action | Gabriel Long: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021202 | New member onboarding Next-best-action | Gabriel Tran: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021203 | New member onboarding Next-best-action | Lucia Ramirez: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021204 | New member onboarding Next-best-action | Katherine King: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-021205 | New member onboarding Next-best-action | Michael Martinez: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021206 | New member onboarding Next-best-action | Zachary Martin: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021207 | New member onboarding Next-best-action | Christopher Palmer: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021208 | New member onboarding Next-best-action | Anna Sanchez: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021209 | New member onboarding Next-best-action | Terry Austin: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021210 | New member onboarding Next-best-action | Jacqueline Mills: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021211 | New member onboarding Next-best-action | Carol Morrison: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021212 | New member onboarding Next-best-action | Nicholas Daniels: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021213 | New member onboarding Next-best-action | Hart Emily: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021214 | New member onboarding Next-best-action | Josseph Nguyen: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021215 | New member onboarding Next-best-action | Juan Medina: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021216 | New member onboarding Next-best-action | Jacob Foster: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021217 | New member onboarding Next-best-action | Ryan Davis: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021218 | New member onboarding Next-best-action | Bruce Chavez: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021219 | New member onboarding Next-best-action | Emily Smith: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021220 | New member onboarding Next-best-action | Jessica Wagner: enrolled 2026-09-08, 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.