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
New member onboarding, Next-best-action, 2,081 proposed
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-020036 | New member onboarding Next-best-action | Denise Reed: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020037 | New member onboarding Next-best-action | Jennifer Carr: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020038 | New member onboarding Next-best-action | Robert Carpenter: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020039 | New member onboarding Next-best-action | Andrea Lopez: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020040 | New member onboarding Next-best-action | Stephen Le: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020041 | New member onboarding Next-best-action | Brenda Willis: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020042 | New member onboarding Next-best-action | Matthew Richardson: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020043 | New member onboarding Next-best-action | Mattthew Robinson: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020044 | New member onboarding Next-best-action | Christina Allen: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020045 | New member onboarding Next-best-action | Joan Gray: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020046 | New member onboarding Next-best-action | Kelly Little: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020047 | New member onboarding Next-best-action | Susan Prry: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020048 | New member onboarding Next-best-action | Danielle Estada: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020049 | New member onboarding Next-best-action | Frances Morales: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020050 | New member onboarding Next-best-action | Matthew Owens: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020051 | New member onboarding Next-best-action | Joshua Perry: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020052 | New member onboarding Next-best-action | Sophia Nguen: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020053 | New member onboarding Next-best-action | Mason Bryant: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020054 | New member onboarding Next-best-action | Edward Long: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020055 | New member onboarding Next-best-action | William Howell: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020056 | New member onboarding Next-best-action | Scott Silva: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020057 | New member onboarding Next-best-action | James Ellis: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020058 | New member onboarding Next-best-action | Betty Sims: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020059 | New member onboarding Next-best-action | Joran Robinson: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020060 | New member onboarding Next-best-action | Jordan Obrien: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020061 | New member onboarding Next-best-action | Stephen Reyes: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020062 | New member onboarding Next-best-action | Elizabeth Cook: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020063 | New member onboarding Next-best-action | Kevin Murphy: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020064 | New member onboarding Next-best-action | Helen Green: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020065 | New member onboarding Next-best-action | Jonathan King: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020066 | New member onboarding Next-best-action | Maria Crawford: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020067 | New member onboarding Next-best-action | Vincent Valdez: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020068 | New member onboarding Next-best-action | Omar George: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020069 | New member onboarding Next-best-action | Adam Alexander: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020070 | New member onboarding Next-best-action | Jose Shaw: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020071 | New member onboarding Next-best-action | Bobby Watson: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020072 | New member onboarding Next-best-action | Thomas Hicks: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020073 | New member onboarding Next-best-action | Alexander Aguilar: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020074 | New member onboarding Next-best-action | Ruth Alvarez: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020075 | New member onboarding Next-best-action | Teresa Jacobs: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020076 | New member onboarding Next-best-action | Lawrence Hansen: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020077 | New member onboarding Next-best-action | Kelly Richardson: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020078 | New member onboarding Next-best-action | Steven Cooper: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020079 | New member onboarding Next-best-action | Noah Lee: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020080 | New member onboarding Next-best-action | Camila Garrett: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020081 | New member onboarding Next-best-action | Mariana Hoffman: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020082 | New member onboarding Next-best-action | Bradley Adams: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020083 | New member onboarding Next-best-action | Brittany Fernandez: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020084 | New member onboarding Next-best-action | Michael Rivera: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020085 | New member onboarding Next-best-action | Angela Johnston: enrolled 2026-10-05, 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.