Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018989	Care coordination outreach Next-best-action	Dennis Lopez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018091	Proposed	—
ACT-018990	Care coordination outreach Next-best-action	Sophia Pierce: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018120	Proposed	—
ACT-018991	Care coordination outreach Next-best-action	Zachary Shaw: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018131	Proposed	—
ACT-018992	Care coordination outreach Next-best-action	Joan Maldonado: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018192	Proposed	—
ACT-018993	Care coordination outreach Next-best-action	Maria Salazar: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018195	Proposed	—
ACT-018994	Care coordination outreach Next-best-action	Mari Park: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018206	Proposed	—
ACT-018995	Care coordination outreach Next-best-action	Elijah Allen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018217	Proposed	—
ACT-018996	Care coordination outreach Next-best-action	Raymond Castillo: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018223	Proposed	—
ACT-018997	Care coordination outreach Next-best-action	Raymnd Duncan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018235	Proposed	—
ACT-018998	Care coordination outreach Next-best-action	Ethan Robertson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018236	Proposed	—
ACT-018999	Care coordination outreach Next-best-action	Juan Banks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018241	Proposed	—
ACT-019000	Care coordination outreach Next-best-action	Ahmed Cooper: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018264	Proposed	—
ACT-019001	Care coordination outreach Next-best-action	Sara Gordon: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018284	Proposed	—
ACT-019002	Care coordination outreach Next-best-action	Zachary Allen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018288	Proposed	—
ACT-019003	Care coordination outreach Next-best-action	Amber McDonald: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018319	Proposed	—
ACT-019004	Care coordination outreach Next-best-action	David Yang: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018330	Proposed	—
ACT-019005	Care coordination outreach Next-best-action	Jeffrey Carlson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018380	Proposed	—
ACT-019006	Care coordination outreach Next-best-action	Victoria Hawkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018388	Proposed	—
ACT-019007	Care coordination outreach Next-best-action	Marcus Johnston: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018401	Proposed	—
ACT-019008	Care coordination outreach Next-best-action	Wayne Howard: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018406	Proposed	—
ACT-019009	Care coordination outreach Next-best-action	Diana Dixon: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018415	Proposed	—
ACT-019010	Care coordination outreach Next-best-action	Stephen Weber: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018455	Proposed	—
ACT-019011	Care coordination outreach Next-best-action	Keith Hicks: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018493	Proposed	—
ACT-019012	Care coordination outreach Next-best-action	Katherine Walker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018498	Proposed	—
ACT-019013	Care coordination outreach Next-best-action	David Coleman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018534	Proposed	—
ACT-019014	Care coordination outreach Next-best-action	Isabella Hart: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018536	Proposed	—
ACT-019015	Care coordination outreach Next-best-action	Carol Fowler: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018557	Proposed	—
ACT-019016	Care coordination outreach Next-best-action	Victoria Hunt: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018632	Proposed	—
ACT-019017	Care coordination outreach Next-best-action	Maria Singh: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018695	Proposed	—
ACT-019018	Care coordination outreach Next-best-action	Adam Garrett: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018727	Proposed	—
ACT-019019	Care coordination outreach Next-best-action	Jeremy Garrett: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018729	Proposed	—
ACT-019020	Care coordination outreach Next-best-action	Ralph Price: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018735	Proposed	—
ACT-019021	Care coordination outreach Next-best-action	Andrew Little: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018752	Proposed	—
ACT-019022	Care coordination outreach Next-best-action	Mariana Nguyen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018754	Proposed	—
ACT-019023	Care coordination outreach Next-best-action	Peter Patterson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018758	Proposed	—
ACT-019024	Care coordination outreach Next-best-action	Kimberly Bell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018763	Proposed	—
ACT-019025	Care coordination outreach Next-best-action	Priya Welch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018793	Proposed	—
ACT-019026	Care coordination outreach Next-best-action	Judy Robinson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018838	Proposed	—
ACT-019027	Care coordination outreach Next-best-action	Andrea Anderson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018844	Proposed	—
ACT-019028	Care coordination outreach Next-best-action	Diego Ramirez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018861	Proposed	—
ACT-019029	Care coordination outreach Next-best-action	Logan Davis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018885	Proposed	—
ACT-019030	Care coordination outreach Next-best-action	Karen Thomas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018889	Proposed	—
ACT-019031	Care coordination outreach Next-best-action	Stephen Gibson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018936	Proposed	—
ACT-019032	Care coordination outreach Next-best-action	Ana Fuller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018940	Proposed	—
ACT-019033	Care coordination outreach Next-best-action	Judy Williams: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018945	Proposed	—
ACT-019034	Care coordination outreach Next-best-action	Ryan Mendez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018960	Proposed	—
ACT-019035	Care coordination outreach Next-best-action	Nancy Delgado: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018973	Proposed	—
ACT-019036	Care coordination outreach Next-best-action	Judy Watkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018988	Proposed	—
ACT-019037	Care coordination outreach Next-best-action	Alice Austin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-018994	Proposed	—
ACT-019038	Care coordination outreach Next-best-action	Lori Campbell: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-018997	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.