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-021371 | New member onboarding Next-best-action | Natalie Rivera: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021372 | New member onboarding Next-best-action | Janet Johnson: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021373 | New member onboarding Next-best-action | Benjamin Delgado: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021374 | New member onboarding Next-best-action | Camila Taylor: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021375 | New member onboarding Next-best-action | Jason Mejia: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021376 | New member onboarding Next-best-action | Teresa Simpson: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021377 | New member onboarding Next-best-action | Dylan Davis: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021378 | New member onboarding Next-best-action | Lori Tucker: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021379 | New member onboarding Next-best-action | Tony Gilbert: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021380 | New member onboarding Next-best-action | Albert Sanders: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021381 | New member onboarding Next-best-action | Virginia Hall: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021382 | New member onboarding Next-best-action | Roger Wallace: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021383 | New member onboarding Next-best-action | Roger Castillo: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021384 | New member onboarding Next-best-action | Pamela Gordon: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021385 | New member onboarding Next-best-action | Valentina Green: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021386 | New member onboarding Next-best-action | Grace Robinson: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021387 | New member onboarding Next-best-action | Maria Reynolds: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021388 | New member onboarding Next-best-action | Elizabeth Mitchell: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021389 | New member onboarding Next-best-action | Karen Webb: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021390 | New member onboarding Next-best-action | Diego Willis: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021391 | New member onboarding Next-best-action | Matthew Banks: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021392 | New member onboarding Next-best-action | Katherine Burns: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021393 | New member onboarding Next-best-action | Roy Carroll: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021394 | New member onboarding Next-best-action | Kelly Dixon: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021395 | New member onboarding Next-best-action | Juan Collins: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021396 | New member onboarding Next-best-action | Teresa Jacobs: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021397 | New member onboarding Next-best-action | Jeremy Fisher: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021398 | New member onboarding Next-best-action | Anthony Martin: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021399 | New member onboarding Next-best-action | Sussan Ford: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021400 | New member onboarding Next-best-action | Joe Bowan: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021401 | New member onboarding Next-best-action | Madyson Jensen: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021402 | New member onboarding Next-best-action | Katherine McDonald: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021403 | New member onboarding Next-best-action | Michael Aguilar: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021404 | New member onboarding Next-best-action | Heather Alvarado: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021405 | New member onboarding Next-best-action | Kathleen Scott: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021406 | New member onboarding Next-best-action | Jacqueline Mejia: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021407 | New member onboarding Next-best-action | Dennis Woods: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021408 | New member onboarding Next-best-action | Catherine Knight: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021409 | New member onboarding Next-best-action | Vincent Roberts: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021410 | New member onboarding Next-best-action | Debra Burke: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021411 | New member onboarding Next-best-action | Linda Lawrence: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021412 | New member onboarding Next-best-action | Daniel Watkins: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021413 | New member onboarding Next-best-action | Andrew Den: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021414 | New member onboarding Next-best-action | Aisha Perkins: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021415 | New member onboarding Next-best-action | Nicole Rojas: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021416 | New member onboarding Next-best-action | Nicole Garrett: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021417 | New member onboarding Next-best-action | Dorothy Graham: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021418 | New member onboarding Next-best-action | Mason Thomas: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021419 | New member onboarding Next-best-action | Keith Boyd: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021420 | New member onboarding Next-best-action | Emma Hunt: enrolled 2026-09-16, 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.