Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018889	Care coordination outreach Next-best-action	Stephen Watkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016003	Proposed	—
ACT-018890	Care coordination outreach Next-best-action	Douglas Smith: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016075	Proposed	—
ACT-018891	Care coordination outreach Next-best-action	Kenneth Martinez: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-016078	Proposed	—
ACT-018892	Care coordination outreach Next-best-action	Omar Stone: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016087	Proposed	—
ACT-018893	Care coordination outreach Next-best-action	Cynthia Fuller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016091	Proposed	—
ACT-018894	Care coordination outreach Next-best-action	Donna Morris: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-016107	Proposed	—
ACT-018895	Care coordination outreach Next-best-action	Katherine Williamson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016128	Proposed	—
ACT-018896	Care coordination outreach Next-best-action	Santiago Thompson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-016150	Proposed	—
ACT-018897	Care coordination outreach Next-best-action	Jdy Wells: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016154	Proposed	—
ACT-018898	Care coordination outreach Next-best-action	Karen Wagner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016170	Proposed	—
ACT-018899	Care coordination outreach Next-best-action	Kimberly Miller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016176	Proposed	—
ACT-018900	Care coordination outreach Next-best-action	Donna Jenkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016212	Proposed	—
ACT-018901	Care coordination outreach Next-best-action	Amber Greene: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-016235	Proposed	—
ACT-018902	Care coordination outreach Next-best-action	Dylan Rivera: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016240	Proposed	—
ACT-018903	Care coordination outreach Next-best-action	Lawrence Chapman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016274	Proposed	—
ACT-018904	Care coordination outreach Next-best-action	Dennis Harris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016293	Proposed	—
ACT-018905	Care coordination outreach Next-best-action	Joyce Reid: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016301	Proposed	—
ACT-018906	Care coordination outreach Next-best-action	Amanda Hill: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016312	Proposed	—
ACT-018907	Care coordination outreach Next-best-action	Jacqueline Webb: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-016322	Proposed	—
ACT-018908	Care coordination outreach Next-best-action	Nicholas Perkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016323	Proposed	—
ACT-018909	Care coordination outreach Next-best-action	Steve Guerrero: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016329	Proposed	—
ACT-018910	Care coordination outreach Next-best-action	Helen Washington: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016330	Proposed	—
ACT-018911	Care coordination outreach Next-best-action	Grace Hawkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016353	Proposed	—
ACT-018912	Care coordination outreach Next-best-action	Shirley Lopez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016386	Proposed	—
ACT-018913	Care coordination outreach Next-best-action	Theresa Henry: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-016456	Proposed	—
ACT-018914	Care coordination outreach Next-best-action	Luis Dominguez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-016468	Proposed	—
ACT-018915	Care coordination outreach Next-best-action	Natalie Ferguson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-016504	Proposed	—
ACT-018916	Care coordination outreach Next-best-action	Joe Green: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016577	Proposed	—
ACT-018917	Care coordination outreach Next-best-action	Bryan Grant: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016604	Proposed	—
ACT-018918	Care coordination outreach Next-best-action	Judith Castillo: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016647	Proposed	—
ACT-018919	Care coordination outreach Next-best-action	Julia Alexander: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-016681	Proposed	—
ACT-018920	Care coordination outreach Next-best-action	Karen Welch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016682	Proposed	—
ACT-018921	Care coordination outreach Next-best-action	Brittany Banks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016720	Proposed	—
ACT-018922	Care coordination outreach Next-best-action	Helen Ellis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016740	Proposed	—
ACT-018923	Care coordination outreach Next-best-action	Carlos Lawrence: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016751	Proposed	—
ACT-018924	Care coordination outreach Next-best-action	Janice Kelley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016765	Proposed	—
ACT-018925	Care coordination outreach Next-best-action	Jack Marshall: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-016796	Proposed	—
ACT-018926	Care coordination outreach Next-best-action	Juan Murphy: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016812	Proposed	—
ACT-018927	Care coordination outreach Next-best-action	Ann Hudson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016813	Proposed	—
ACT-018928	Care coordination outreach Next-best-action	Michelle Jensen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016856	Proposed	—
ACT-018929	Care coordination outreach Next-best-action	Lisa Foster: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-016880	Proposed	—
ACT-018930	Care coordination outreach Next-best-action	Dennis Brown: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-016906	Proposed	—
ACT-018931	Care coordination outreach Next-best-action	Keith Brooks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016921	Proposed	—
ACT-018932	Care coordination outreach Next-best-action	Sean Alvarado: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016927	Proposed	—
ACT-018933	Care coordination outreach Next-best-action	Jackie Watson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016930	Proposed	—
ACT-018934	Care coordination outreach Next-best-action	Bradley Carroll: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016939	Proposed	—
ACT-018935	Care coordination outreach Next-best-action	Brandon Armstrong: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-016950	Proposed	—
ACT-018936	Care coordination outreach Next-best-action	Sofia Andrews: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-016983	Proposed	—
ACT-018937	Care coordination outreach Next-best-action	Sean Reynolds: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017009	Proposed	—
ACT-018938	Care coordination outreach Next-best-action	Ruth White: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017050	Proposed	—

26,640 rows, page 110 of 533Previous Next

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.