Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018739	Care coordination outreach Next-best-action	Mark Jimenez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-013341	Proposed	—
ACT-018740	Care coordination outreach Next-best-action	Sharon Davis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013373	Proposed	—
ACT-018741	Care coordination outreach Next-best-action	Stephen Harris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013380	Proposed	—
ACT-018742	Care coordination outreach Next-best-action	Joe Ford: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013387	Proposed	—
ACT-018743	Care coordination outreach Next-best-action	Mariana Reid: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-013418	Proposed	—
ACT-018744	Care coordination outreach Next-best-action	Nancy Miller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013439	Proposed	—
ACT-018745	Care coordination outreach Next-best-action	Cheryl Chen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013451	Proposed	—
ACT-018746	Care coordination outreach Next-best-action	Lauren Perez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013507	Proposed	—
ACT-018747	Care coordination outreach Next-best-action	Randy Edwards: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-013522	Proposed	—
ACT-018748	Care coordination outreach Next-best-action	Jason Meyer: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-013575	Proposed	—
ACT-018749	Care coordination outreach Next-best-action	Patricia Robertson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013608	Proposed	—
ACT-018750	Care coordination outreach Next-best-action	Kathleen Cruz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013631	Proposed	—
ACT-018751	Care coordination outreach Next-best-action	Benjamin Contreras: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013639	Proposed	—
ACT-018752	Care coordination outreach Next-best-action	Gary Fields: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013658	Proposed	—
ACT-018753	Care coordination outreach Next-best-action	Ronald Guzman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013674	Proposed	—
ACT-018754	Care coordination outreach Next-best-action	Victoria Knight: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013679	Proposed	—
ACT-018755	Care coordination outreach Next-best-action	Arthur Nichols: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013696	Proposed	—
ACT-018756	Care coordination outreach Next-best-action	Nathan Tran: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-013724	Proposed	—
ACT-018757	Care coordination outreach Next-best-action	Walter Harris: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-013732	Proposed	—
ACT-018758	Care coordination outreach Next-best-action	Judy Martin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013778	Proposed	—
ACT-018759	Care coordination outreach Next-best-action	Wei Miller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013785	Proposed	—
ACT-018760	Care coordination outreach Next-best-action	Luis Greene: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013801	Proposed	—
ACT-018761	Care coordination outreach Next-best-action	Terry Gomez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-013807	Proposed	—
ACT-018762	Care coordination outreach Next-best-action	Alan Gilbert: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013809	Proposed	—
ACT-018763	Care coordination outreach Next-best-action	Jerry Hughes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013821	Proposed	—
ACT-018764	Care coordination outreach Next-best-action	Sean Watkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013824	Proposed	—
ACT-018765	Care coordination outreach Next-best-action	Susan Morris: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-013825	Proposed	—
ACT-018766	Care coordination outreach Next-best-action	Bryan Scott: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013834	Proposed	—
ACT-018767	Care coordination outreach Next-best-action	Mason Santiago: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013868	Proposed	—
ACT-018768	Care coordination outreach Next-best-action	Willie Medina: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013919	Proposed	—
ACT-018769	Care coordination outreach Next-best-action	Kathleen Carter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013920	Proposed	—
ACT-018770	Care coordination outreach Next-best-action	Daniel Elliott: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013941	Proposed	—
ACT-018771	Care coordination outreach Next-best-action	Bradley Larson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013945	Proposed	—
ACT-018772	Care coordination outreach Next-best-action	Vincent Hart: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013949	Proposed	—
ACT-018773	Care coordination outreach Next-best-action	Walter Hudson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013972	Proposed	—
ACT-018774	Care coordination outreach Next-best-action	Michael Campbell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013984	Proposed	—
ACT-018775	Care coordination outreach Next-best-action	Benjamin Montgomery: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-013987	Proposed	—
ACT-018776	Care coordination outreach Next-best-action	Roy Howell: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-013990	Proposed	—
ACT-018777	Care coordination outreach Next-best-action	Grace Hayes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014001	Proposed	—
ACT-018778	Care coordination outreach Next-best-action	Willie Price: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-014007	Proposed	—
ACT-018779	Care coordination outreach Next-best-action	Willie Wang: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014012	Proposed	—
ACT-018780	Care coordination outreach Next-best-action	Dennis Hamilton: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014027	Proposed	—
ACT-018781	Care coordination outreach Next-best-action	Scott Henderson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014034	Proposed	—
ACT-018782	Care coordination outreach Next-best-action	Lori Hawkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014035	Proposed	—
ACT-018783	Care coordination outreach Next-best-action	Mary Fuller: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-014038	Proposed	—
ACT-018784	Care coordination outreach Next-best-action	Joyce Hanson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014039	Proposed	—
ACT-018785	Care coordination outreach Next-best-action	Samantha Palmer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014063	Proposed	—
ACT-018786	Care coordination outreach Next-best-action	Philip Black: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014096	Proposed	—
ACT-018787	Care coordination outreach Next-best-action	Nicholas Larson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014102	Proposed	—
ACT-018788	Care coordination outreach Next-best-action	Kelly Miller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014115	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.