Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018489	Care coordination outreach Next-best-action	Juan Guerrero: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009187	Proposed	—
ACT-018490	Care coordination outreach Next-best-action	Hannah Ramos: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009209	Proposed	—
ACT-018491	Care coordination outreach Next-best-action	Noah Burns: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009217	Proposed	—
ACT-018492	Care coordination outreach Next-best-action	Kayla Thompson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009235	Proposed	—
ACT-018493	Care coordination outreach Next-best-action	Madison Graham: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009268	Proposed	—
ACT-018494	Care coordination outreach Next-best-action	Tyler Adams: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009269	Proposed	—
ACT-018495	Care coordination outreach Next-best-action	Raymond Wood: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009283	Proposed	—
ACT-018496	Care coordination outreach Next-best-action	Natalie Wagner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009288	Proposed	—
ACT-018497	Care coordination outreach Next-best-action	Charles Hoffman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009339	Proposed	—
ACT-018498	Care coordination outreach Next-best-action	Jacob Schmidt: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009351	Proposed	—
ACT-018499	Care coordination outreach Next-best-action	Yuki Dominguez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009376	Proposed	—
ACT-018500	Care coordination outreach Next-best-action	Kathleen Butler: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009402	Proposed	—
ACT-018501	Care coordination outreach Next-best-action	Evelyn Knight: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009404	Proposed	—
ACT-018502	Care coordination outreach Next-best-action	Carolyn Guzman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009457	Proposed	—
ACT-018503	Care coordination outreach Next-best-action	Natalie Wallace: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009462	Proposed	—
ACT-018504	Care coordination outreach Next-best-action	Samantha Olson: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-009467	Proposed	—
ACT-018505	Care coordination outreach Next-best-action	Elizabeth Freeman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009475	Proposed	—
ACT-018506	Care coordination outreach Next-best-action	Jordan Welch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009510	Proposed	—
ACT-018507	Care coordination outreach Next-best-action	Peter Mendoza: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-009520	Proposed	—
ACT-018508	Care coordination outreach Next-best-action	Mary Miller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009555	Proposed	—
ACT-018509	Care coordination outreach Next-best-action	Harold Patterson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-009556	Proposed	—
ACT-018510	Care coordination outreach Next-best-action	Larry Singh: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009560	Proposed	—
ACT-018511	Care coordination outreach Next-best-action	Jerry Rojas: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-009572	Proposed	—
ACT-018512	Care coordination outreach Next-best-action	Teresa Fisher: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-009576	Proposed	—
ACT-018513	Care coordination outreach Next-best-action	Theresa Gray: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009591	Proposed	—
ACT-018514	Care coordination outreach Next-best-action	Arjun Robertson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009602	Proposed	—
ACT-018515	Care coordination outreach Next-best-action	Charlotte Turner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009611	Proposed	—
ACT-018516	Care coordination outreach Next-best-action	Barbara Hanson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009642	Proposed	—
ACT-018517	Care coordination outreach Next-best-action	Susan Padilla: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009656	Proposed	—
ACT-018518	Care coordination outreach Next-best-action	Omar Richardson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009660	Proposed	—
ACT-018519	Care coordination outreach Next-best-action	Terry Butler: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009678	Proposed	—
ACT-018520	Care coordination outreach Next-best-action	Jordan Carr: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009693	Proposed	—
ACT-018521	Care coordination outreach Next-best-action	Raymond Lewis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009723	Proposed	—
ACT-018522	Care coordination outreach Next-best-action	Diane Collins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009736	Proposed	—
ACT-018523	Care coordination outreach Next-best-action	Donna Perez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-009739	Proposed	—
ACT-018524	Care coordination outreach Next-best-action	Daniel Parker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009768	Proposed	—
ACT-018525	Care coordination outreach Next-best-action	Brandon Torres: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009781	Proposed	—
ACT-018526	Care coordination outreach Next-best-action	Larry Arnold: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009807	Proposed	—
ACT-018527	Care coordination outreach Next-best-action	Sandra Hansen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009840	Proposed	—
ACT-018528	Care coordination outreach Next-best-action	Keneth Schultz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009846	Proposed	—
ACT-018529	Care coordination outreach Next-best-action	Kayla Lee: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009866	Proposed	—
ACT-018530	Care coordination outreach Next-best-action	Danielle Martinez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009888	Proposed	—
ACT-018531	Care coordination outreach Next-best-action	Sofia Kelley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009889	Proposed	—
ACT-018532	Care coordination outreach Next-best-action	Julia Jackson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009925	Proposed	—
ACT-018533	Care coordination outreach Next-best-action	Rachel Munoz: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-009939	Proposed	—
ACT-018534	Care coordination outreach Next-best-action	Charles Hunter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009945	Proposed	—
ACT-018535	Care coordination outreach Next-best-action	Rebecca Mitchell: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-009971	Proposed	—
ACT-018536	Care coordination outreach Next-best-action	Michael Carpenter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-009991	Proposed	—
ACT-018537	Care coordination outreach Next-best-action	Linda Wood: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-010000	Proposed	—
ACT-018538	Care coordination outreach Next-best-action	Raymond Kim: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-010006	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.