Action	Type	Title	Detail	Linked to	Status	Executed
ACT-000501	Eligibility conflict resolved Eligibility engine	Roger Nguyen: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed NAVIGATE-HMO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-011378	Proposed	—
ACT-000502	Eligibility conflict resolved Eligibility engine	Roger Lewis: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed CORE-HMO, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-011394	Proposed	—
ACT-000503	Eligibility conflict resolved Eligibility engine	Jason Jacobs: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed NAVIGATE-HMO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-011413	Proposed	—
ACT-000504	Eligibility conflict resolved Eligibility engine	George Lawrence: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed OPTIONS-PPO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-011418	Proposed	—
ACT-000505	Eligibility conflict resolved Eligibility engine	Sean Allen: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed MEDICARE-ADV-A, CORE-HMO Rule survivorship: ENR plan wins	MBR-011433	Proposed	—
ACT-000506	Eligibility conflict resolved Eligibility engine	Shirley Hall: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CHOICE-PLUS-PPO, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-011471	Proposed	—
ACT-000507	Eligibility conflict resolved Eligibility engine	Samuel Medina: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed MEDICARE-ADV-A, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-011489	Proposed	—
ACT-000508	Eligibility conflict resolved Eligibility engine	David Ferguson: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed CORE-HMO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-011494	Proposed	—
ACT-000509	Eligibility conflict resolved Eligibility engine	Eugene Myers: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed CHOICE-PLUS-PPO, CORE-HMO Rule survivorship: ENR plan wins	MBR-011510	Proposed	—
ACT-000510	Eligibility conflict resolved Eligibility engine	David Simmons: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed NAVIGATE-HMO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-011518	Proposed	—
ACT-000511	Eligibility conflict resolved Eligibility engine	Diane Flores: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed NAVIGATE-HMO, SELECT-EPO Rule survivorship: ENR plan wins	MBR-011528	Proposed	—
ACT-000512	Eligibility conflict resolved Eligibility engine	Rebecca Jones: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed CORE-HMO, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-011536	Proposed	—
ACT-000513	Eligibility conflict resolved Eligibility engine	Ann Rose: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed CORE-HMO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-011561	Proposed	—
ACT-000514	Eligibility conflict resolved Eligibility engine	Lucia Vega: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed NAVIGATE-HMO, CORE-HMO Rule survivorship: ENR plan wins	MBR-011580	Proposed	—
ACT-000515	Eligibility conflict resolved Eligibility engine	Angela Sanchez: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed NAVIGATE-HMO, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-011597	Proposed	—
ACT-000516	Eligibility conflict resolved Eligibility engine	Roy Mills: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CORE-HMO, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-011608	Proposed	—
ACT-000517	Eligibility conflict resolved Eligibility engine	James Garrett: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CHOICE-PLUS-PPO, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-011631	Proposed	—
ACT-000518	Eligibility conflict resolved Eligibility engine	Dylan Ross: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed MEDICARE-ADV-B, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-011651	Proposed	—
ACT-000519	Eligibility conflict resolved Eligibility engine	Emma Simpson: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed SELECT-EPO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-011656	Proposed	—
ACT-000520	Eligibility conflict resolved Eligibility engine	Elizabeth Morris: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed MEDICARE-ADV-B, CORE-HMO Rule survivorship: ENR plan wins	MBR-011688	Proposed	—
ACT-000521	Eligibility conflict resolved Eligibility engine	Lisa Hicks: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed MEDICARE-ADV-B, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-011691	Proposed	—
ACT-000522	Eligibility conflict resolved Eligibility engine	Tyler Wagner: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed MEDICARE-ADV-A, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-011704	Proposed	—
ACT-000523	Eligibility conflict resolved Eligibility engine	Mark Valdez: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed CORE-HMO, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-011706	Proposed	—
ACT-000524	Eligibility conflict resolved Eligibility engine	Valentina Owens: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CHOICE-PLUS-PPO, CORE-HMO Rule survivorship: ENR plan wins	MBR-011713	Proposed	—
ACT-000525	Eligibility conflict resolved Eligibility engine	Vicky Cook: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed MEDICARE-ADV-B, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-011740	Proposed	—
ACT-000526	Eligibility conflict resolved Eligibility engine	Dylan Wagner: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed CHOICE-PLUS-PPO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-011748	Proposed	—
ACT-000527	Eligibility conflict resolved Eligibility engine	Frank Carter: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed CORE-HMO, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-011751	Proposed	—
ACT-000528	Eligibility conflict resolved Eligibility engine	Joan Hunt: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed SELECT-EPO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-011762	Proposed	—
ACT-000529	Eligibility conflict resolved Eligibility engine	Rebecca Pierce: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed CHOICE-PLUS-PPO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-011784	Proposed	—
ACT-000530	Eligibility conflict resolved Eligibility engine	Gregory Ward: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CHOICE-PLUS-PPO, CORE-HMO Rule survivorship: ENR plan wins	MBR-011787	Proposed	—
ACT-000531	Eligibility conflict resolved Eligibility engine	Sophia Lee: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed MEDICARE-ADV-B, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-011789	Proposed	—
ACT-000532	Eligibility conflict resolved Eligibility engine	Jerry Hoffman: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CORE-HMO, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-011790	Proposed	—
ACT-000533	Eligibility conflict resolved Eligibility engine	Jack Campbell: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed NAVIGATE-HMO, SELECT-EPO Rule survivorship: ENR plan wins	MBR-011804	Proposed	—
ACT-000534	Eligibility conflict resolved Eligibility engine	Sofia Matthews: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed MEDICARE-ADV-A, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-011816	Proposed	—
ACT-000535	Eligibility conflict resolved Eligibility engine	Hiroshi Dean: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed CORE-HMO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-011819	Proposed	—
ACT-000536	Eligibility conflict resolved Eligibility engine	Laura Fowler: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed OPTIONS-PPO, CORE-HMO Rule survivorship: ENR plan wins	MBR-011832	Proposed	—
ACT-000537	Eligibility conflict resolved Eligibility engine	Larry Grant: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed MEDICARE-ADV-B, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-011855	Proposed	—
ACT-000538	Eligibility conflict resolved Eligibility engine	Ethan Hill: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed SELECT-EPO, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-011888	Proposed	—
ACT-000539	Eligibility conflict resolved Eligibility engine	Kathryn Warren: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed MEDICARE-ADV-A, CORE-HMO Rule survivorship: ENR plan wins	MBR-011906	Proposed	—
ACT-000540	Eligibility conflict resolved Eligibility engine	Julie Ross: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed MEDICARE-ADV-A, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-011916	Proposed	—
ACT-000541	Eligibility conflict resolved Eligibility engine	Abigail Gutierez: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CHOICE-PLUS-PPO, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-011933	Proposed	—
ACT-000542	Eligibility conflict resolved Eligibility engine	Shirley Mitchell: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed SELECT-EPO, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-011949	Proposed	—
ACT-000543	Eligibility conflict resolved Eligibility engine	Philip Woods: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CHOICE-PLUS-PPO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-012019	Proposed	—
ACT-000544	Eligibility conflict resolved Eligibility engine	Katherine Turner: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CHOICE-PLUS-PPO, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-012037	Proposed	—
ACT-000545	Eligibility conflict resolved Eligibility engine	Carol Bishop: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed CORE-HMO, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-012052	Proposed	—
ACT-000546	Eligibility conflict resolved Eligibility engine	William Weaver: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CHOICE-PLUS-PPO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-012058	Proposed	—
ACT-000547	Eligibility conflict resolved Eligibility engine	Jesse Flores: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed MEDICARE-ADV-B, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-012090	Proposed	—
ACT-000548	Eligibility conflict resolved Eligibility engine	Diego Holmes: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CHOICE-PLUS-PPO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-012144	Proposed	—
ACT-000549	Eligibility conflict resolved Eligibility engine	Mary Fields: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed SELECT-EPO, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-012145	Proposed	—
ACT-000550	Eligibility conflict resolved Eligibility engine	Lawrence Mitchell: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed MEDICARE-ADV-A, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-012147	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.