Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018539	Care coordination outreach Next-best-action	Austin Franklin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010017	Proposed	—
ACT-018540	Care coordination outreach Next-best-action	Eugene Perkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010018	Proposed	—
ACT-018541	Care coordination outreach Next-best-action	Jacob Riley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010027	Proposed	—
ACT-018542	Care coordination outreach Next-best-action	Tyler Weber: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010039	Proposed	—
ACT-018543	Care coordination outreach Next-best-action	Christopher Young: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010046	Proposed	—
ACT-018544	Care coordination outreach Next-best-action	Peter Walker: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-010051	Proposed	—
ACT-018545	Care coordination outreach Next-best-action	Eric Williamson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010073	Proposed	—
ACT-018546	Care coordination outreach Next-best-action	Barbara Cox: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010121	Proposed	—
ACT-018547	Care coordination outreach Next-best-action	Camila Hart: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010163	Proposed	—
ACT-018548	Care coordination outreach Next-best-action	Yuki Perkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010173	Proposed	—
ACT-018549	Care coordination outreach Next-best-action	Joan Bennett: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010174	Proposed	—
ACT-018550	Care coordination outreach Next-best-action	Emma Park: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010195	Proposed	—
ACT-018551	Care coordination outreach Next-best-action	Jonathan Brooks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010243	Proposed	—
ACT-018552	Care coordination outreach Next-best-action	Nancy Peters: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010257	Proposed	—
ACT-018553	Care coordination outreach Next-best-action	Omar Ferguson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010293	Proposed	—
ACT-018554	Care coordination outreach Next-best-action	Margaret Stone: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010299	Proposed	—
ACT-018555	Care coordination outreach Next-best-action	Ronald Alvarado: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010367	Proposed	—
ACT-018556	Care coordination outreach Next-best-action	Jonathan Carlson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010370	Proposed	—
ACT-018557	Care coordination outreach Next-best-action	John Hughes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010389	Proposed	—
ACT-018558	Care coordination outreach Next-best-action	Dylan Dean: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010417	Proposed	—
ACT-018559	Care coordination outreach Next-best-action	Samuel Russell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010424	Proposed	—
ACT-018560	Care coordination outreach Next-best-action	Victoria Schmidt: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-010443	Proposed	—
ACT-018561	Care coordination outreach Next-best-action	Deborah Henderson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010482	Proposed	—
ACT-018562	Care coordination outreach Next-best-action	Arthur Myers: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-010504	Proposed	—
ACT-018563	Care coordination outreach Next-best-action	Evelyn Williams: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-010533	Proposed	—
ACT-018564	Care coordination outreach Next-best-action	Donald Harris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010540	Proposed	—
ACT-018565	Care coordination outreach Next-best-action	Nancy Munoz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010544	Proposed	—
ACT-018566	Care coordination outreach Next-best-action	Frances Grant: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010555	Proposed	—
ACT-018567	Care coordination outreach Next-best-action	Douglas Nunez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010558	Proposed	—
ACT-018568	Care coordination outreach Next-best-action	Michael Castillo: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010559	Proposed	—
ACT-018569	Care coordination outreach Next-best-action	Maria Carlson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010571	Proposed	—
ACT-018570	Care coordination outreach Next-best-action	Susan Alvarez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010579	Proposed	—
ACT-018571	Care coordination outreach Next-best-action	Jonathan Kelly: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010588	Proposed	—
ACT-018572	Care coordination outreach Next-best-action	Donald Fowler: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010634	Proposed	—
ACT-018573	Care coordination outreach Next-best-action	Theresa Ruiz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010658	Proposed	—
ACT-018574	Care coordination outreach Next-best-action	Elizabeth Baker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010660	Proposed	—
ACT-018575	Care coordination outreach Next-best-action	Julia Lucas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010678	Proposed	—
ACT-018576	Care coordination outreach Next-best-action	Billy Anderson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010692	Proposed	—
ACT-018577	Care coordination outreach Next-best-action	Janice Henry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010709	Proposed	—
ACT-018578	Care coordination outreach Next-best-action	James Rodriguez: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-010720	Proposed	—
ACT-018579	Care coordination outreach Next-best-action	Victoria Peterson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-010781	Proposed	—
ACT-018580	Care coordination outreach Next-best-action	Joshua Jenkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010789	Proposed	—
ACT-018581	Care coordination outreach Next-best-action	Philip Watson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010799	Proposed	—
ACT-018582	Care coordination outreach Next-best-action	Lisa Castro: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-010821	Proposed	—
ACT-018583	Care coordination outreach Next-best-action	Vincent Jordan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010833	Proposed	—
ACT-018584	Care coordination outreach Next-best-action	Andrew Foster: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010862	Proposed	—
ACT-018585	Care coordination outreach Next-best-action	Eric Sullivan: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-010955	Proposed	—
ACT-018586	Care coordination outreach Next-best-action	Betty Rojas: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-010963	Proposed	—
ACT-018587	Care coordination outreach Next-best-action	Randy Austin: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-010979	Proposed	—
ACT-018588	Care coordination outreach Next-best-action	Sara Willis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-010981	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.