Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018589	Care coordination outreach Next-best-action	Isabella Gomez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-010990	Proposed	—
ACT-018590	Care coordination outreach Next-best-action	Kevin Nelson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011002	Proposed	—
ACT-018591	Care coordination outreach Next-best-action	Nancy Marshall: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011003	Proposed	—
ACT-018592	Care coordination outreach Next-best-action	Janet Brown: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011031	Proposed	—
ACT-018593	Care coordination outreach Next-best-action	Marilyn Bradley: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011055	Proposed	—
ACT-018594	Care coordination outreach Next-best-action	Steven Price: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011065	Proposed	—
ACT-018595	Care coordination outreach Next-best-action	Brenda Stephens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011066	Proposed	—
ACT-018596	Care coordination outreach Next-best-action	Brenda Green: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011069	Proposed	—
ACT-018597	Care coordination outreach Next-best-action	Theresa Parker: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011124	Proposed	—
ACT-018598	Care coordination outreach Next-best-action	Abigail Armstrong: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011143	Proposed	—
ACT-018599	Care coordination outreach Next-best-action	Gloria Perez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011144	Proposed	—
ACT-018600	Care coordination outreach Next-best-action	Rachel Walker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011146	Proposed	—
ACT-018601	Care coordination outreach Next-best-action	Emily Montgomery: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011148	Proposed	—
ACT-018602	Care coordination outreach Next-best-action	Kyle Delgado: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011157	Proposed	—
ACT-018603	Care coordination outreach Next-best-action	Jennifer Riley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011198	Proposed	—
ACT-018604	Care coordination outreach Next-best-action	Roger Gordon: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011208	Proposed	—
ACT-018605	Care coordination outreach Next-best-action	Nancy Carr: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011214	Proposed	—
ACT-018606	Care coordination outreach Next-best-action	Abigail Hicks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011217	Proposed	—
ACT-018607	Care coordination outreach Next-best-action	Roger Lewis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011247	Proposed	—
ACT-018608	Care coordination outreach Next-best-action	Jacob Patterson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011261	Proposed	—
ACT-018609	Care coordination outreach Next-best-action	Brenda Tran: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011300	Proposed	—
ACT-018610	Care coordination outreach Next-best-action	Megan Castillo: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011315	Proposed	—
ACT-018611	Care coordination outreach Next-best-action	Tyler Moore: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011325	Proposed	—
ACT-018612	Care coordination outreach Next-best-action	Stephen Montgomery: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011326	Proposed	—
ACT-018613	Care coordination outreach Next-best-action	Christina Singh: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011333	Proposed	—
ACT-018614	Care coordination outreach Next-best-action	Jacqueline Williams: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-011346	Proposed	—
ACT-018615	Care coordination outreach Next-best-action	Cynthia Green: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011352	Proposed	—
ACT-018616	Care coordination outreach Next-best-action	Walter Reyes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011372	Proposed	—
ACT-018617	Care coordination outreach Next-best-action	Ralph Howell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011402	Proposed	—
ACT-018618	Care coordination outreach Next-best-action	Alice Robinson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011432	Proposed	—
ACT-018619	Care coordination outreach Next-best-action	Abby Vazquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011460	Proposed	—
ACT-018620	Care coordination outreach Next-best-action	Richard Hansen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011482	Proposed	—
ACT-018621	Care coordination outreach Next-best-action	Bruce Stephens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011551	Proposed	—
ACT-018622	Care coordination outreach Next-best-action	Mark Reyes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011567	Proposed	—
ACT-018623	Care coordination outreach Next-best-action	Joseph Carroll: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011577	Proposed	—
ACT-018624	Care coordination outreach Next-best-action	Lucia Vega: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-011580	Proposed	—
ACT-018625	Care coordination outreach Next-best-action	Hannah Silva: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011594	Proposed	—
ACT-018626	Care coordination outreach Next-best-action	Jacob Russell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011600	Proposed	—
ACT-018627	Care coordination outreach Next-best-action	Laura Murray: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011613	Proposed	—
ACT-018628	Care coordination outreach Next-best-action	Margaret Smith: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011620	Proposed	—
ACT-018629	Care coordination outreach Next-best-action	Kyle Vega: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011634	Proposed	—
ACT-018630	Care coordination outreach Next-best-action	Cynthia Gray: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011635	Proposed	—
ACT-018631	Care coordination outreach Next-best-action	Harold Pena: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011646	Proposed	—
ACT-018632	Care coordination outreach Next-best-action	Gary Jimenez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011649	Proposed	—
ACT-018633	Care coordination outreach Next-best-action	Brenda Garrett: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011683	Proposed	—
ACT-018634	Care coordination outreach Next-best-action	Lisa Hicks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011691	Proposed	—
ACT-018635	Care coordination outreach Next-best-action	Gerald Carpenter: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-011696	Proposed	—
ACT-018636	Care coordination outreach Next-best-action	Mark Valdez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011706	Proposed	—
ACT-018637	Care coordination outreach Next-best-action	Albert Salazar: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011721	Proposed	—
ACT-018638	Care coordination outreach Next-best-action	Vicky Cook: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-011740	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.