Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018839	Care coordination outreach Next-best-action	Virginia Berry: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015241	Proposed	—
ACT-018840	Care coordination outreach Next-best-action	Donald Carr: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015250	Proposed	—
ACT-018841	Care coordination outreach Next-best-action	Joyce Gibson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015264	Proposed	—
ACT-018842	Care coordination outreach Next-best-action	Billy Ramirez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015271	Proposed	—
ACT-018843	Care coordination outreach Next-best-action	Kelly Wallace: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015279	Proposed	—
ACT-018844	Care coordination outreach Next-best-action	Anna Dunn: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015284	Proposed	—
ACT-018845	Care coordination outreach Next-best-action	Teresa Ford: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015307	Proposed	—
ACT-018846	Care coordination outreach Next-best-action	Natalie Thompson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015325	Proposed	—
ACT-018847	Care coordination outreach Next-best-action	Nancy Martin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015331	Proposed	—
ACT-018848	Care coordination outreach Next-best-action	Abigail Rios: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-015346	Proposed	—
ACT-018849	Care coordination outreach Next-best-action	Judith Romero: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015363	Proposed	—
ACT-018850	Care coordination outreach Next-best-action	Michael Hanson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015366	Proposed	—
ACT-018851	Care coordination outreach Next-best-action	Ruth Schultz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015420	Proposed	—
ACT-018852	Care coordination outreach Next-best-action	Kyle Smith: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-015444	Proposed	—
ACT-018853	Care coordination outreach Next-best-action	Judy Oliver: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015475	Proposed	—
ACT-018854	Care coordination outreach Next-best-action	Anna Carr: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015478	Proposed	—
ACT-018855	Care coordination outreach Next-best-action	Amy Sanchez: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-015480	Proposed	—
ACT-018856	Care coordination outreach Next-best-action	Lauren Wagner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015498	Proposed	—
ACT-018857	Care coordination outreach Next-best-action	Ronald Sanders: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015519	Proposed	—
ACT-018858	Care coordination outreach Next-best-action	Carolyn George: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015520	Proposed	—
ACT-018859	Care coordination outreach Next-best-action	Kayla Mejia: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015524	Proposed	—
ACT-018860	Care coordination outreach Next-best-action	Roger Carroll: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015528	Proposed	—
ACT-018861	Care coordination outreach Next-best-action	Bobby Gutierrez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015564	Proposed	—
ACT-018862	Care coordination outreach Next-best-action	Yuki Stone: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015578	Proposed	—
ACT-018863	Care coordination outreach Next-best-action	John Vasquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015579	Proposed	—
ACT-018864	Care coordination outreach Next-best-action	Betty Richards: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015609	Proposed	—
ACT-018865	Care coordination outreach Next-best-action	Deborah Harper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015621	Proposed	—
ACT-018866	Care coordination outreach Next-best-action	Jason Rogers: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015622	Proposed	—
ACT-018867	Care coordination outreach Next-best-action	Eugene Fisher: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015643	Proposed	—
ACT-018868	Care coordination outreach Next-best-action	Beverly Cunningham: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015646	Proposed	—
ACT-018869	Care coordination outreach Next-best-action	Nathan Cole: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015651	Proposed	—
ACT-018870	Care coordination outreach Next-best-action	Albert Lucas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015661	Proposed	—
ACT-018871	Care coordination outreach Next-best-action	Betty Daniels: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015672	Proposed	—
ACT-018872	Care coordination outreach Next-best-action	Elizabeth Reyes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015705	Proposed	—
ACT-018873	Care coordination outreach Next-best-action	Samantha Romero: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015724	Proposed	—
ACT-018874	Care coordination outreach Next-best-action	Julia McDonald: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015735	Proposed	—
ACT-018875	Care coordination outreach Next-best-action	Bruce Graham: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015752	Proposed	—
ACT-018876	Care coordination outreach Next-best-action	Christian Woods: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015795	Proposed	—
ACT-018877	Care coordination outreach Next-best-action	Jordan Evans: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015832	Proposed	—
ACT-018878	Care coordination outreach Next-best-action	Gregory Roberts: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015834	Proposed	—
ACT-018879	Care coordination outreach Next-best-action	Ethan Peters: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015837	Proposed	—
ACT-018880	Care coordination outreach Next-best-action	Charlotte Wheeler: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015851	Proposed	—
ACT-018881	Care coordination outreach Next-best-action	Jeffrey Singh: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015868	Proposed	—
ACT-018882	Care coordination outreach Next-best-action	Sharon Stone: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015888	Proposed	—
ACT-018883	Care coordination outreach Next-best-action	Ryan Howard: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015916	Proposed	—
ACT-018884	Care coordination outreach Next-best-action	Judith Peters: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015921	Proposed	—
ACT-018885	Care coordination outreach Next-best-action	Dylan King: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-015929	Proposed	—
ACT-018886	Care coordination outreach Next-best-action	Maria Fields: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-015942	Proposed	—
ACT-018887	Care coordination outreach Next-best-action	Nathan Olson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-015953	Proposed	—
ACT-018888	Care coordination outreach Next-best-action	Bradley Jones: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-015973	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.