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-021421 | New member onboarding Next-best-action | Amy Matthews: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021422 | New member onboarding Next-best-action | Jason Banks: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021423 | New member onboarding Next-best-action | Christina Garza: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021424 | New member onboarding Next-best-action | Mateo Chen: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021425 | New member onboarding Next-best-action | Mei Garza: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021426 | New member onboarding Next-best-action | Charles Watson: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021427 | New member onboarding Next-best-action | Carlos Pierce: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021428 | New member onboarding Next-best-action | Dennis Lopez: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021429 | New member onboarding Next-best-action | Richard Carpenter: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021430 | New member onboarding Next-best-action | Matthew Franklin: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021431 | New member onboarding Next-best-action | Terry Tucker: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021432 | New member onboarding Next-best-action | Kathy Duncan: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021433 | New member onboarding Next-best-action | Bobby Nunez: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-021434 | New member onboarding Next-best-action | Natalie Mason: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-021435 | New member onboarding Next-best-action | Grace Burns: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021436 | New member onboarding Next-best-action | Nancy Wheeler: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021437 | New member onboarding Next-best-action | Timothy Vasquez: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021438 | New member onboarding Next-best-action | Mary Park: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021439 | New member onboarding Next-best-action | Gloria Jimenez: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021440 | New member onboarding Next-best-action | Patrick Padilla: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021441 | New member onboarding Next-best-action | Dylan Warren: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-021442 | New member onboarding Next-best-action | Danielle Ross: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021443 | New member onboarding Next-best-action | Albert Wong: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021444 | New member onboarding Next-best-action | Bobby Harris: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021445 | New member onboarding Next-best-action | Paatrick Harrison: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021446 | New member onboarding Next-best-action | Sarah Cruz: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021447 | New member onboarding Next-best-action | Emily King: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021448 | New member onboarding Next-best-action | Bryan Holmes: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021449 | New member onboarding Next-best-action | Donald Welch: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021450 | New member onboarding Next-best-action | Maria Rivera: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021451 | New member onboarding Next-best-action | Cook Judith: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021452 | New member onboarding Next-best-action | Christina Armsstrong: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021453 | New member onboarding Next-best-action | Chirstina Fisher: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021454 | New member onboarding Next-best-action | Susan Watson: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021455 | New member onboarding Next-best-action | Patrick Wang: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021456 | New member onboarding Next-best-action | Kelly Howard: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021457 | New member onboarding Next-best-action | Gerald Obrien: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021458 | New member onboarding Next-best-action | Aisha Aguilar: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021459 | New member onboarding Next-best-action | Vincent Stevens: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021460 | New member onboarding Next-best-action | Harold Daniels: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021461 | New member onboarding Next-best-action | Jason Scott: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021462 | New member onboarding Next-best-action | Billy Obrien: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021463 | New member onboarding Next-best-action | Justin Adams: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021464 | New member onboarding Next-best-action | Gerald Davis: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021465 | New member onboarding Next-best-action | Jennifer Dixon: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021466 | New member onboarding Next-best-action | Samantha Warren: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021467 | New member onboarding Next-best-action | Janice Arnold: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021468 | New member onboarding Next-best-action | Walter Schultz: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021469 | New member onboarding Next-best-action | Terry Ellis: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021470 | New member onboarding Next-best-action | Anna Henry: enrolled 2026-10-07, 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.