Action	Type	Title	Detail	Linked to	Status	Executed
ACT-019089	Care coordination outreach Next-best-action	Megan Richardson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-020039	Proposed	—
ACT-019090	Care coordination outreach Next-best-action	Nicole Le: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020070	Proposed	—
ACT-019091	Care coordination outreach Next-best-action	Elijah Owens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020082	Proposed	—
ACT-019092	Care coordination outreach Next-best-action	Beverly Padilla: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020108	Proposed	—
ACT-019093	Care coordination outreach Next-best-action	Wayne Harper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020205	Proposed	—
ACT-019094	Care coordination outreach Next-best-action	David Ryan: 6 claims, no attributed provider	Claims 6 Recommendation assign PCP and schedule care-coordination call	MBR-020233	Proposed	—
ACT-019095	Care coordination outreach Next-best-action	Eric Watson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020258	Proposed	—
ACT-019096	Care coordination outreach Next-best-action	Doris Dunn: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020260	Proposed	—
ACT-019097	Care coordination outreach Next-best-action	Ethan Wood: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-020270	Proposed	—
ACT-019098	Care coordination outreach Next-best-action	Marilyn George: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020279	Proposed	—
ACT-019099	Care coordination outreach Next-best-action	Robert Nichols: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020281	Proposed	—
ACT-019100	Care coordination outreach Next-best-action	Rachel Richardson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020287	Proposed	—
ACT-019101	Care coordination outreach Next-best-action	David Mason: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020313	Proposed	—
ACT-019102	Care coordination outreach Next-best-action	Scott Clark: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020317	Proposed	—
ACT-019103	Care coordination outreach Next-best-action	Patrick Le: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020318	Proposed	—
ACT-019104	Care coordination outreach Next-best-action	Noah Ortiz: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-020343	Proposed	—
ACT-019105	Care coordination outreach Next-best-action	Rebecca Hamilton: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020349	Proposed	—
ACT-019106	Care coordination outreach Next-best-action	Joyce Carlson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020352	Proposed	—
ACT-019107	Care coordination outreach Next-best-action	Ralph Sullivan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020367	Proposed	—
ACT-019108	Care coordination outreach Next-best-action	Frank Weber: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020373	Proposed	—
ACT-019109	Care coordination outreach Next-best-action	Stephen Lawson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020384	Proposed	—
ACT-019110	Care coordination outreach Next-best-action	Steven Brooks: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-020386	Proposed	—
ACT-019111	Care coordination outreach Next-best-action	Gerald Jordan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020402	Proposed	—
ACT-019112	Care coordination outreach Next-best-action	Marcus Lewis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020429	Proposed	—
ACT-019113	Care coordination outreach Next-best-action	Judy Powell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020439	Proposed	—
ACT-019114	Care coordination outreach Next-best-action	Carlos Wood: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020446	Proposed	—
ACT-019115	Care coordination outreach Next-best-action	Jacob Grant: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020476	Proposed	—
ACT-019116	Care coordination outreach Next-best-action	Sara Reyes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020483	Proposed	—
ACT-019117	Care coordination outreach Next-best-action	Virginia Ross: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020520	Proposed	—
ACT-019118	Care coordination outreach Next-best-action	Dylan Bowman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020558	Proposed	—
ACT-019119	Care coordination outreach Next-best-action	Jacob Holmes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020574	Proposed	—
ACT-019120	Care coordination outreach Next-best-action	Amanda McDonald: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-020672	Proposed	—
ACT-019121	Care coordination outreach Next-best-action	Roy Watson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-020720	Proposed	—
ACT-019122	Care coordination outreach Next-best-action	Brenda Nelson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020771	Proposed	—
ACT-019123	Care coordination outreach Next-best-action	Dylan Stewart: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020815	Proposed	—
ACT-019124	Care coordination outreach Next-best-action	Roger Powell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020831	Proposed	—
ACT-019125	Care coordination outreach Next-best-action	Sofia Arnold: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020867	Proposed	—
ACT-019126	Care coordination outreach Next-best-action	Emily Silva: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-020896	Proposed	—
ACT-019127	Care coordination outreach Next-best-action	Anthony Elliott: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-020909	Proposed	—
ACT-019128	Care coordination outreach Next-best-action	Heather Soto: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020945	Proposed	—
ACT-019129	Care coordination outreach Next-best-action	Dylan Gomez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020947	Proposed	—
ACT-019130	Care coordination outreach Next-best-action	Ana Gilbert: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-020948	Proposed	—
ACT-019131	Care coordination outreach Next-best-action	Alice Duncan: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-020958	Proposed	—
ACT-019132	Care coordination outreach Next-best-action	Julie Evans: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020970	Proposed	—
ACT-019133	Care coordination outreach Next-best-action	Andrea King: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020984	Proposed	—
ACT-019134	Care coordination outreach Next-best-action	Ana Robinson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-020998	Proposed	—
ACT-019135	Care coordination outreach Next-best-action	Sophia Martinez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021022	Proposed	—
ACT-019136	Care coordination outreach Next-best-action	Sara Wagner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021052	Proposed	—
ACT-019137	Care coordination outreach Next-best-action	Bobby Miller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021075	Proposed	—
ACT-019138	Care coordination outreach Next-best-action	Cheryl Bishop: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-021131	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.