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-021521 | New member onboarding Next-best-action | Sentiago Thompson: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021522 | New member onboarding Next-best-action | Kyle Allen: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021523 | New member onboarding Next-best-action | Eugene Stewart: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021524 | New member onboarding Next-best-action | Billy James: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021525 | New member onboarding Next-best-action | Diego Sanchez: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021526 | New member onboarding Next-best-action | Lucia Franklin: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021527 | New member onboarding Next-best-action | Grace Ortiz: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021528 | New member onboarding Next-best-action | Rachel Guerrero: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021529 | New member onboarding Next-best-action | Christine Ford: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021530 | New member onboarding Next-best-action | Kelly Chavez: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021531 | New member onboarding Next-best-action | Willie Austin: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021532 | New member onboarding Next-best-action | Joyce Lee: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021533 | New member onboarding Next-best-action | Keith Soto: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021534 | New member onboarding Next-best-action | Laura Bell: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021535 | New member onboarding Next-best-action | Anthony Sandoval: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021536 | New member onboarding Next-best-action | Alan Fox: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021537 | New member onboarding Next-best-action | Kevin Guerrero: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021538 | New member onboarding Next-best-action | Frank Richards: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021539 | New member onboarding Next-best-action | Mark Castillo: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021540 | New member onboarding Next-best-action | Kathleen Martinez: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021541 | New member onboarding Next-best-action | Alexander Olson: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021542 | New member onboarding Next-best-action | Shirley Trn: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021543 | New member onboarding Next-best-action | Eric Martin: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021544 | New member onboarding Next-best-action | Patricia Stephens: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021545 | New member onboarding Next-best-action | Jerry Gibson: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021546 | New member onboarding Next-best-action | Isabella Perkins: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021547 | New member onboarding Next-best-action | Naoh Moore: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021548 | New member onboarding Next-best-action | Kelly Allen: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021549 | New member onboarding Next-best-action | Richard Moreno: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021550 | New member onboarding Next-best-action | Hannah Vega: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021551 | New member onboarding Next-best-action | Carolyn Peters: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021552 | New member onboarding Next-best-action | Keith McDonald: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021553 | New member onboarding Next-best-action | Alice Fostr: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021554 | New member onboarding Next-best-action | Dorothy Vasquez: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021555 | New member onboarding Next-best-action | Linda Torres: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021556 | New member onboarding Next-best-action | Ruth Hudson: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021557 | New member onboarding Next-best-action | Sara Gonzzales: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021558 | New member onboarding Next-best-action | Stephanie Hunt: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021559 | New member onboarding Next-best-action | Isabella Kim: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021560 | New member onboarding Next-best-action | Billy Scott: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-021561 | New member onboarding Next-best-action | Brandon Walsh: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021562 | New member onboarding Next-best-action | Barbara Miller: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021563 | New member onboarding Next-best-action | Christian Grant: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021564 | New member onboarding Next-best-action | Helen Jimenez: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021565 | New member onboarding Next-best-action | Jean Nichols: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021566 | New member onboarding Next-best-action | Jeremy Castillo: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021567 | New member onboarding Next-best-action | Catherine Bennett: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021568 | New member onboarding Next-best-action | Wayne Woods: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-021569 | New member onboarding Next-best-action | Madison Myers: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021570 | New member onboarding Next-best-action | Jake Padilla: 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.