Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018789	Care coordination outreach Next-best-action	Carolyn Smith: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-014196	Proposed	—
ACT-018790	Care coordination outreach Next-best-action	Terry Snyder: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014209	Proposed	—
ACT-018791	Care coordination outreach Next-best-action	Anna Knight: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-014216	Proposed	—
ACT-018792	Care coordination outreach Next-best-action	Philip Garrett: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014246	Proposed	—
ACT-018793	Care coordination outreach Next-best-action	Beverly Schultz: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-014261	Proposed	—
ACT-018794	Care coordination outreach Next-best-action	James Kim: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014268	Proposed	—
ACT-018795	Care coordination outreach Next-best-action	Keith Collins: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-014270	Proposed	—
ACT-018796	Care coordination outreach Next-best-action	Ralph Campbell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014273	Proposed	—
ACT-018797	Care coordination outreach Next-best-action	Nicole Kelley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014299	Proposed	—
ACT-018798	Care coordination outreach Next-best-action	Teresa Washington: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014328	Proposed	—
ACT-018799	Care coordination outreach Next-best-action	Christian King: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014342	Proposed	—
ACT-018800	Care coordination outreach Next-best-action	Emily Thompson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014372	Proposed	—
ACT-018801	Care coordination outreach Next-best-action	Lauren Freeman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014412	Proposed	—
ACT-018802	Care coordination outreach Next-best-action	Aaron Larson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014413	Proposed	—
ACT-018803	Care coordination outreach Next-best-action	John Estrada: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014478	Proposed	—
ACT-018804	Care coordination outreach Next-best-action	Jose Jordan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014484	Proposed	—
ACT-018805	Care coordination outreach Next-best-action	Wei Harrison: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014493	Proposed	—
ACT-018806	Care coordination outreach Next-best-action	Mary Howard: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014500	Proposed	—
ACT-018807	Care coordination outreach Next-best-action	Catherine Chen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014537	Proposed	—
ACT-018808	Care coordination outreach Next-best-action	Betty Williamson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-014606	Proposed	—
ACT-018809	Care coordination outreach Next-best-action	Michael Kim: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014632	Proposed	—
ACT-018810	Care coordination outreach Next-best-action	Eugene Sanchez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014657	Proposed	—
ACT-018811	Care coordination outreach Next-best-action	Thomas Walker: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-014659	Proposed	—
ACT-018812	Care coordination outreach Next-best-action	Mei Tran: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-014722	Proposed	—
ACT-018813	Care coordination outreach Next-best-action	Grace James: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014730	Proposed	—
ACT-018814	Care coordination outreach Next-best-action	Bruce Jensen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014734	Proposed	—
ACT-018815	Care coordination outreach Next-best-action	Amber Mills: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-014763	Proposed	—
ACT-018816	Care coordination outreach Next-best-action	Ralph Williamson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014765	Proposed	—
ACT-018817	Care coordination outreach Next-best-action	Emily Young: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014774	Proposed	—
ACT-018818	Care coordination outreach Next-best-action	Patrick Schmidt: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014777	Proposed	—
ACT-018819	Care coordination outreach Next-best-action	Michael Vargas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014790	Proposed	—
ACT-018820	Care coordination outreach Next-best-action	Alan Lane: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014824	Proposed	—
ACT-018821	Care coordination outreach Next-best-action	Andrea Howell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014886	Proposed	—
ACT-018822	Care coordination outreach Next-best-action	Pamela Black: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014917	Proposed	—
ACT-018823	Care coordination outreach Next-best-action	Helen Snyder: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014927	Proposed	—
ACT-018824	Care coordination outreach Next-best-action	Kyle Ward: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-014934	Proposed	—
ACT-018825	Care coordination outreach Next-best-action	Ryan Diaz: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-014971	Proposed	—
ACT-018826	Care coordination outreach Next-best-action	Fatima Butler: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-014985	Proposed	—
ACT-018827	Care coordination outreach Next-best-action	Raymond Wood: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-014993	Proposed	—
ACT-018828	Care coordination outreach Next-best-action	Lucia Welch: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-015037	Proposed	—
ACT-018829	Care coordination outreach Next-best-action	David Hernandez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015043	Proposed	—
ACT-018830	Care coordination outreach Next-best-action	Marcus Alexander: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015044	Proposed	—
ACT-018831	Care coordination outreach Next-best-action	Donald Fernandez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015075	Proposed	—
ACT-018832	Care coordination outreach Next-best-action	Ruth Webb: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015080	Proposed	—
ACT-018833	Care coordination outreach Next-best-action	Alexis Fox: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015084	Proposed	—
ACT-018834	Care coordination outreach Next-best-action	Wayne Anderson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015088	Proposed	—
ACT-018835	Care coordination outreach Next-best-action	Amanda Guerrero: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015203	Proposed	—
ACT-018836	Care coordination outreach Next-best-action	Alice Hayes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015229	Proposed	—
ACT-018837	Care coordination outreach Next-best-action	Mateo Castro: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015230	Proposed	—
ACT-018838	Care coordination outreach Next-best-action	Lawrence Flores: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015236	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.