Action	Type	Title	Detail	Linked to	Status	Executed
ACT-019039	Care coordination outreach Next-best-action	Sofia Wallace: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-019011	Proposed	—
ACT-019040	Care coordination outreach Next-best-action	Alexander Thompson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019013	Proposed	—
ACT-019041	Care coordination outreach Next-best-action	Evelyn Nguyen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019061	Proposed	—
ACT-019042	Care coordination outreach Next-best-action	Carolyn King: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019086	Proposed	—
ACT-019043	Care coordination outreach Next-best-action	Gloria Gilbert: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019087	Proposed	—
ACT-019044	Care coordination outreach Next-best-action	Kathryn Holmes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019097	Proposed	—
ACT-019045	Care coordination outreach Next-best-action	Sharon Welch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019156	Proposed	—
ACT-019046	Care coordination outreach Next-best-action	Scott Bryant: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019178	Proposed	—
ACT-019047	Care coordination outreach Next-best-action	Noah Cooper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019191	Proposed	—
ACT-019048	Care coordination outreach Next-best-action	Mei Vega: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019204	Proposed	—
ACT-019049	Care coordination outreach Next-best-action	Juan Carpenter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019209	Proposed	—
ACT-019050	Care coordination outreach Next-best-action	Juan Williams: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019216	Proposed	—
ACT-019051	Care coordination outreach Next-best-action	Catherine Simpson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019272	Proposed	—
ACT-019052	Care coordination outreach Next-best-action	Lucia Holmes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019290	Proposed	—
ACT-019053	Care coordination outreach Next-best-action	John Burke: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019321	Proposed	—
ACT-019054	Care coordination outreach Next-best-action	Kelly Ellis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019341	Proposed	—
ACT-019055	Care coordination outreach Next-best-action	Joe Matthews: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019349	Proposed	—
ACT-019056	Care coordination outreach Next-best-action	Christina Castro: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019379	Proposed	—
ACT-019057	Care coordination outreach Next-best-action	Maria Palmer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019408	Proposed	—
ACT-019058	Care coordination outreach Next-best-action	Margaret Chavez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-019454	Proposed	—
ACT-019059	Care coordination outreach Next-best-action	Evelyn Hawkins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019493	Proposed	—
ACT-019060	Care coordination outreach Next-best-action	Heather Porter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019502	Proposed	—
ACT-019061	Care coordination outreach Next-best-action	Thomas Matthews: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019511	Proposed	—
ACT-019062	Care coordination outreach Next-best-action	Christina Harrison: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019566	Proposed	—
ACT-019063	Care coordination outreach Next-best-action	Peter Hart: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019595	Proposed	—
ACT-019064	Care coordination outreach Next-best-action	Teresa Dixon: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019635	Proposed	—
ACT-019065	Care coordination outreach Next-best-action	Wei Garza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019651	Proposed	—
ACT-019066	Care coordination outreach Next-best-action	Philip Olson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019656	Proposed	—
ACT-019067	Care coordination outreach Next-best-action	Randy Dixon: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-019683	Proposed	—
ACT-019068	Care coordination outreach Next-best-action	Samantha Morris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019686	Proposed	—
ACT-019069	Care coordination outreach Next-best-action	Keith Thompson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019688	Proposed	—
ACT-019070	Care coordination outreach Next-best-action	Arthur Torres: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019719	Proposed	—
ACT-019071	Care coordination outreach Next-best-action	Amy Butler: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-019760	Proposed	—
ACT-019072	Care coordination outreach Next-best-action	Joyce Williams: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-019769	Proposed	—
ACT-019073	Care coordination outreach Next-best-action	Luis Cruz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019787	Proposed	—
ACT-019074	Care coordination outreach Next-best-action	Debra Cox: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019798	Proposed	—
ACT-019075	Care coordination outreach Next-best-action	Frank Padilla: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-019806	Proposed	—
ACT-019076	Care coordination outreach Next-best-action	Priya Chen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019814	Proposed	—
ACT-019077	Care coordination outreach Next-best-action	Paul Bryant: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019832	Proposed	—
ACT-019078	Care coordination outreach Next-best-action	Andrew Hicks: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-019842	Proposed	—
ACT-019079	Care coordination outreach Next-best-action	Mateo Chapman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019847	Proposed	—
ACT-019080	Care coordination outreach Next-best-action	Amy Castro: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019862	Proposed	—
ACT-019081	Care coordination outreach Next-best-action	Hiroshi Ortega: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-019889	Proposed	—
ACT-019082	Care coordination outreach Next-best-action	Jessica Gordon: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019892	Proposed	—
ACT-019083	Care coordination outreach Next-best-action	Diego Johnston: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019899	Proposed	—
ACT-019084	Care coordination outreach Next-best-action	Denise King: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019913	Proposed	—
ACT-019085	Care coordination outreach Next-best-action	Douglas Edwards: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-019941	Proposed	—
ACT-019086	Care coordination outreach Next-best-action	Jessica Wang: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-019973	Proposed	—
ACT-019087	Care coordination outreach Next-best-action	Anthony Rios: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-020010	Proposed	—
ACT-019088	Care coordination outreach Next-best-action	Mariana Gardner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020022	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.