Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018939	Care coordination outreach Next-best-action	Victoria Herrera: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017068	Proposed	—
ACT-018940	Care coordination outreach Next-best-action	Logan Salazar: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017096	Proposed	—
ACT-018941	Care coordination outreach Next-best-action	Ralph Cole: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017110	Proposed	—
ACT-018942	Care coordination outreach Next-best-action	Alexis Hunt: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017115	Proposed	—
ACT-018943	Care coordination outreach Next-best-action	Hiroshi Montgomery: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017120	Proposed	—
ACT-018944	Care coordination outreach Next-best-action	Diana Thomas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017133	Proposed	—
ACT-018945	Care coordination outreach Next-best-action	Logan Jacobs: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017146	Proposed	—
ACT-018946	Care coordination outreach Next-best-action	Joe Peters: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017152	Proposed	—
ACT-018947	Care coordination outreach Next-best-action	Evelyn Fisher: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017187	Proposed	—
ACT-018948	Care coordination outreach Next-best-action	Luis Butler: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017198	Proposed	—
ACT-018949	Care coordination outreach Next-best-action	Ruth Harper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017245	Proposed	—
ACT-018950	Care coordination outreach Next-best-action	Brandon Gilbert: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017273	Proposed	—
ACT-018951	Care coordination outreach Next-best-action	Karen Stewart: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017304	Proposed	—
ACT-018952	Care coordination outreach Next-best-action	Judith Larson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017317	Proposed	—
ACT-018953	Care coordination outreach Next-best-action	Yuki Boyd: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017319	Proposed	—
ACT-018954	Care coordination outreach Next-best-action	Melissa Cruz: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017340	Proposed	—
ACT-018955	Care coordination outreach Next-best-action	Julia Castro: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017347	Proposed	—
ACT-018956	Care coordination outreach Next-best-action	Margaret Bryant: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017395	Proposed	—
ACT-018957	Care coordination outreach Next-best-action	Ashley Cox: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017400	Proposed	—
ACT-018958	Care coordination outreach Next-best-action	Billy Weaver: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017422	Proposed	—
ACT-018959	Care coordination outreach Next-best-action	Alexis Parker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017429	Proposed	—
ACT-018960	Care coordination outreach Next-best-action	Shirley Simpson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017444	Proposed	—
ACT-018961	Care coordination outreach Next-best-action	Sharon Mendoza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017506	Proposed	—
ACT-018962	Care coordination outreach Next-best-action	Terry Russell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017538	Proposed	—
ACT-018963	Care coordination outreach Next-best-action	Sarah Sanchez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017544	Proposed	—
ACT-018964	Care coordination outreach Next-best-action	Keith Hernandez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017550	Proposed	—
ACT-018965	Care coordination outreach Next-best-action	Angela Garrett: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017557	Proposed	—
ACT-018966	Care coordination outreach Next-best-action	Cheryl Simmons: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017566	Proposed	—
ACT-018967	Care coordination outreach Next-best-action	Christian Ferguson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017571	Proposed	—
ACT-018968	Care coordination outreach Next-best-action	Hannah Mendoza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017574	Proposed	—
ACT-018969	Care coordination outreach Next-best-action	Catherine Smith: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017579	Proposed	—
ACT-018970	Care coordination outreach Next-best-action	Kathryn Chapman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017598	Proposed	—
ACT-018971	Care coordination outreach Next-best-action	Bryan Ray: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017619	Proposed	—
ACT-018972	Care coordination outreach Next-best-action	Angela Espinoza: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017663	Proposed	—
ACT-018973	Care coordination outreach Next-best-action	Mateo Perez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017686	Proposed	—
ACT-018974	Care coordination outreach Next-best-action	Isabella Torres: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017706	Proposed	—
ACT-018975	Care coordination outreach Next-best-action	Frank Roberts: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017735	Proposed	—
ACT-018976	Care coordination outreach Next-best-action	Kathleen Brown: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017740	Proposed	—
ACT-018977	Care coordination outreach Next-best-action	Judith Gilbert: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017753	Proposed	—
ACT-018978	Care coordination outreach Next-best-action	Doris Yang: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-017819	Proposed	—
ACT-018979	Care coordination outreach Next-best-action	Lucia Lynch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017911	Proposed	—
ACT-018980	Care coordination outreach Next-best-action	Megan Brown: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017912	Proposed	—
ACT-018981	Care coordination outreach Next-best-action	Jerry Vasquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017913	Proposed	—
ACT-018982	Care coordination outreach Next-best-action	Luis Vega: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017929	Proposed	—
ACT-018983	Care coordination outreach Next-best-action	Gloria Brooks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017971	Proposed	—
ACT-018984	Care coordination outreach Next-best-action	Emily Sanders: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-017977	Proposed	—
ACT-018985	Care coordination outreach Next-best-action	Peter Wong: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018003	Proposed	—
ACT-018986	Care coordination outreach Next-best-action	Carlos Scott: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018012	Proposed	—
ACT-018987	Care coordination outreach Next-best-action	Ashley Park: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018046	Proposed	—
ACT-018988	Care coordination outreach Next-best-action	Cheryl Chavez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018078	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.