Operate, actions
Actions
Downstream actions derived from the resolved identities. Proposed actions wait for an operator; suppressed actions wait for a steward decision.
Eligibility engine
1,339
Eligibility conflict resolved
1,339 proposed
Claims processor
9,112
Orphan claim re-pointed
9,112 executed
Outreach
7,319
Outreach address corrected, Outreach suppressed pending steward
2,993 proposed4,326 held
Next-best-action
3,896
Care coordination outreach, New member onboarding
3,896 proposed
Member services
4,974
Duplicate member record retired
4,974 executed
Actions
26,640 derived from the last resolution run
New member onboarding, Next-best-action, 2,081 proposed
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-020086 | New member onboarding Next-best-action | Barbara Adams: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020087 | New member onboarding Next-best-action | Bruce Richardson: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020088 | New member onboarding Next-best-action | Albert Burton: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020089 | New member onboarding Next-best-action | Hiroshi Sandoval: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020090 | New member onboarding Next-best-action | Emily Gibson: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020091 | New member onboarding Next-best-action | Arthur Ryan: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020092 | New member onboarding Next-best-action | Carol Nguyen: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020093 | New member onboarding Next-best-action | Tyler Cooper: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020094 | New member onboarding Next-best-action | Amber Morris: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020095 | New member onboarding Next-best-action | Susan Ramos: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020096 | New member onboarding Next-best-action | Catherine Woods: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020097 | New member onboarding Next-best-action | George Howell: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020098 | New member onboarding Next-best-action | Carol Thompson: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020099 | New member onboarding Next-best-action | Kayla Lewis: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020100 | New member onboarding Next-best-action | Noah Estrada: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020101 | New member onboarding Next-best-action | Lauren Peters: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020102 | New member onboarding Next-best-action | Sharon Brooks: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020103 | New member onboarding Next-best-action | Amber Russell: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020104 | New member onboarding Next-best-action | Adam Anderson: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020105 | New member onboarding Next-best-action | Alan Shaw: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020106 | New member onboarding Next-best-action | Sean Jordan: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020107 | New member onboarding Next-best-action | Thoas Sanders: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020108 | New member onboarding Next-best-action | Melissa Deelgado: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020109 | New member onboarding Next-best-action | Billy Chapman: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020110 | New member onboarding Next-best-action | Edward Ross: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020111 | New member onboarding Next-best-action | Joe Evans: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020112 | New member onboarding Next-best-action | Douglas Matthews: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020113 | New member onboarding Next-best-action | Ronald Moreno: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020114 | New member onboarding Next-best-action | Kathryn Edwards: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020115 | New member onboarding Next-best-action | Sarrah Obrien: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020116 | New member onboarding Next-best-action | Sandra Dean: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020117 | New member onboarding Next-best-action | Adam Webb: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020118 | New member onboarding Next-best-action | Sofia Gilbert: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020119 | New member onboarding Next-best-action | Jacqueline Salazar: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020120 | New member onboarding Next-best-action | Ray Grant: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020121 | New member onboarding Next-best-action | George Chavez: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020122 | New member onboarding Next-best-action | Omar Reid: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020123 | New member onboarding Next-best-action | Debra Henry: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020124 | New member onboarding Next-best-action | Mary Simmons: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020125 | New member onboarding Next-best-action | Danielle Gray: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020126 | New member onboarding Next-best-action | Christopher Patterson: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020127 | New member onboarding Next-best-action | Larry Vazquez: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020128 | New member onboarding Next-best-action | Lauren Hanon: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020129 | New member onboarding Next-best-action | Juan Rodriguez: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020130 | New member onboarding Next-best-action | Justin West: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020131 | New member onboarding Next-best-action | Juan Cooper: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020132 | New member onboarding Next-best-action | Carol Chapman: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020133 | New member onboarding Next-best-action | Alan Payne: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020134 | New member onboarding Next-best-action | Keith White: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020135 | New member onboarding Next-best-action | Roger Contreras: enrolled 2026-09-28, no activity yet |
| Proposed | — |
Derivation rules
Evaluated after every gold rebuild
- 1Eligibility conflict resolvedThe records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
- 2Orphan claim re-pointedA 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.
- 3Outreach address correctedThe most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
- 4Outreach suppressed pending stewardThe record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
- 5Care coordination outreachThree or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
- 6New member onboardingA single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
- 7Duplicate member record retiredTwo or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.