Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018439	Care coordination outreach Next-best-action	Carlos Campbell: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008494	Proposed	—
ACT-018440	Care coordination outreach Next-best-action	Ruth Owens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008515	Proposed	—
ACT-018441	Care coordination outreach Next-best-action	Keith Ortiz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008520	Proposed	—
ACT-018442	Care coordination outreach Next-best-action	Ann Ferguson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008555	Proposed	—
ACT-018443	Care coordination outreach Next-best-action	Brandon Bennett: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008565	Proposed	—
ACT-018444	Care coordination outreach Next-best-action	Zachary Carlson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008576	Proposed	—
ACT-018445	Care coordination outreach Next-best-action	Patrick Sanders: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008595	Proposed	—
ACT-018446	Care coordination outreach Next-best-action	Christian Henry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008611	Proposed	—
ACT-018447	Care coordination outreach Next-best-action	Susan Matthews: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008623	Proposed	—
ACT-018448	Care coordination outreach Next-best-action	Douglas Banks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008629	Proposed	—
ACT-018449	Care coordination outreach Next-best-action	Adam Henry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008669	Proposed	—
ACT-018450	Care coordination outreach Next-best-action	Hiroshi Lewis: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008672	Proposed	—
ACT-018451	Care coordination outreach Next-best-action	Donna Hoffman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008677	Proposed	—
ACT-018452	Care coordination outreach Next-best-action	Amy Morris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008683	Proposed	—
ACT-018453	Care coordination outreach Next-best-action	Arthur Little: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008687	Proposed	—
ACT-018454	Care coordination outreach Next-best-action	Kimberly Jordan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008692	Proposed	—
ACT-018455	Care coordination outreach Next-best-action	Patrick Patel: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008695	Proposed	—
ACT-018456	Care coordination outreach Next-best-action	Alan Sanchez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008705	Proposed	—
ACT-018457	Care coordination outreach Next-best-action	George Reynolds: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008731	Proposed	—
ACT-018458	Care coordination outreach Next-best-action	Anthony Weaver: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008744	Proposed	—
ACT-018459	Care coordination outreach Next-best-action	Ralph Lewis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008751	Proposed	—
ACT-018460	Care coordination outreach Next-best-action	Mason Hamilton: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008769	Proposed	—
ACT-018461	Care coordination outreach Next-best-action	Christian Meyer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008776	Proposed	—
ACT-018462	Care coordination outreach Next-best-action	Arjun White: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008780	Proposed	—
ACT-018463	Care coordination outreach Next-best-action	Kathryn Carlson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008784	Proposed	—
ACT-018464	Care coordination outreach Next-best-action	Mary Torres: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008793	Proposed	—
ACT-018465	Care coordination outreach Next-best-action	Frank Armstrong: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008805	Proposed	—
ACT-018466	Care coordination outreach Next-best-action	Joan Edwards: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-008807	Proposed	—
ACT-018467	Care coordination outreach Next-best-action	Alice Porter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008822	Proposed	—
ACT-018468	Care coordination outreach Next-best-action	Alice Singh: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008825	Proposed	—
ACT-018469	Care coordination outreach Next-best-action	Rachel Coleman: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008858	Proposed	—
ACT-018470	Care coordination outreach Next-best-action	Jeffrey Green: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008864	Proposed	—
ACT-018471	Care coordination outreach Next-best-action	Melissa Garratt: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008896	Proposed	—
ACT-018472	Care coordination outreach Next-best-action	Brandon Graham: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008948	Proposed	—
ACT-018473	Care coordination outreach Next-best-action	Willie Munoz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008950	Proposed	—
ACT-018474	Care coordination outreach Next-best-action	Marilyn King: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008952	Proposed	—
ACT-018475	Care coordination outreach Next-best-action	Henry Foster: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008956	Proposed	—
ACT-018476	Care coordination outreach Next-best-action	Keith Larson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008957	Proposed	—
ACT-018477	Care coordination outreach Next-best-action	Scott Gilbert: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008989	Proposed	—
ACT-018478	Care coordination outreach Next-best-action	Mason Yang: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009014	Proposed	—
ACT-018479	Care coordination outreach Next-best-action	Emily Ward: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009039	Proposed	—
ACT-018480	Care coordination outreach Next-best-action	Jessica Adams: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-009046	Proposed	—
ACT-018481	Care coordination outreach Next-best-action	Samuel Montgomery: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-009055	Proposed	—
ACT-018482	Care coordination outreach Next-best-action	Kyle Meyer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009060	Proposed	—
ACT-018483	Care coordination outreach Next-best-action	Daniel Jordan: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-009084	Proposed	—
ACT-018484	Care coordination outreach Next-best-action	Ronald Smith: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009137	Proposed	—
ACT-018485	Care coordination outreach Next-best-action	Donald Sullivan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009145	Proposed	—
ACT-018486	Care coordination outreach Next-best-action	Elizabeth Myers: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009176	Proposed	—
ACT-018487	Care coordination outreach Next-best-action	Danielle Peterson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009177	Proposed	—
ACT-018488	Care coordination outreach Next-best-action	Scott Boyd: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009180	Proposed	—

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Derivation rules

Evaluated after every gold rebuild

1
Eligibility conflict resolved
The records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
2
Orphan claim re-pointed
A 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.
3
Outreach address corrected
The most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
4
Outreach suppressed pending steward
The record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
5
Care coordination outreach
Three or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
6
New member onboarding
A single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
7
Duplicate member record retired
Two or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.