Action	Type	Title	Detail	Linked to	Status	Executed
ACT-019139	Care coordination outreach Next-best-action	Ronald Padilla: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021175	Proposed	—
ACT-019140	Care coordination outreach Next-best-action	Rebecca Robinson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021205	Proposed	—
ACT-019141	Care coordination outreach Next-best-action	Timothy Howell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021210	Proposed	—
ACT-019142	Care coordination outreach Next-best-action	Eugene Soto: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021235	Proposed	—
ACT-019143	Care coordination outreach Next-best-action	Jacob Vasquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021300	Proposed	—
ACT-019144	Care coordination outreach Next-best-action	Susan Perez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021307	Proposed	—
ACT-019145	Care coordination outreach Next-best-action	Albert Marquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021350	Proposed	—
ACT-019146	Care coordination outreach Next-best-action	Victoria Weber: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021358	Proposed	—
ACT-019147	Care coordination outreach Next-best-action	Isabella Dominguez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-021374	Proposed	—
ACT-019148	Care coordination outreach Next-best-action	Dennis Ray: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-021384	Proposed	—
ACT-019149	Care coordination outreach Next-best-action	Walter Black: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021423	Proposed	—
ACT-019150	Care coordination outreach Next-best-action	Maria Myers: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021440	Proposed	—
ACT-019151	Care coordination outreach Next-best-action	Kathryn Day: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021464	Proposed	—
ACT-019152	Care coordination outreach Next-best-action	Aisha Rojas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021466	Proposed	—
ACT-019153	Care coordination outreach Next-best-action	Gloria Le: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-021473	Proposed	—
ACT-019154	Care coordination outreach Next-best-action	Fatima Espinoza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021476	Proposed	—
ACT-019155	Care coordination outreach Next-best-action	Emma Sanders: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-021491	Proposed	—
ACT-019156	Care coordination outreach Next-best-action	Bobby Stephens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021500	Proposed	—
ACT-019157	Care coordination outreach Next-best-action	Judy Rivera: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-021595	Proposed	—
ACT-019158	Care coordination outreach Next-best-action	Rebecca Jacobs: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021607	Proposed	—
ACT-019159	Care coordination outreach Next-best-action	Marilyn Meyer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021650	Proposed	—
ACT-019160	Care coordination outreach Next-best-action	Dennis Dunn: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021682	Proposed	—
ACT-019161	Care coordination outreach Next-best-action	Diana Stephens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021695	Proposed	—
ACT-019162	Care coordination outreach Next-best-action	Teresa Bishop: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021715	Proposed	—
ACT-019163	Care coordination outreach Next-best-action	Grace Ross: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021800	Proposed	—
ACT-019164	Care coordination outreach Next-best-action	Jack Garza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021847	Proposed	—
ACT-019165	Care coordination outreach Next-best-action	Shirley Hunter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021914	Proposed	—
ACT-019166	Care coordination outreach Next-best-action	Benjamin Hunt: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-021931	Proposed	—
ACT-019167	Care coordination outreach Next-best-action	Ethan Williamson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-021932	Proposed	—
ACT-019168	Care coordination outreach Next-best-action	Joseph Scott: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-021986	Proposed	—
ACT-019169	Care coordination outreach Next-best-action	Pamela Lucas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022043	Proposed	—
ACT-019170	Care coordination outreach Next-best-action	Gregory Kelley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022047	Proposed	—
ACT-019171	Care coordination outreach Next-best-action	Kelly Jensen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022052	Proposed	—
ACT-019172	Care coordination outreach Next-best-action	Julie Garrett: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022053	Proposed	—
ACT-019173	Care coordination outreach Next-best-action	Douglas Pierce: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-022078	Proposed	—
ACT-019174	Care coordination outreach Next-best-action	Alexander Marquez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022090	Proposed	—
ACT-019175	Care coordination outreach Next-best-action	Sandra Brown: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022095	Proposed	—
ACT-019176	Care coordination outreach Next-best-action	Alexis Reynolds: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022108	Proposed	—
ACT-019177	Care coordination outreach Next-best-action	Evelyn Wilson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022146	Proposed	—
ACT-019178	Care coordination outreach Next-best-action	Wei Fuller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022180	Proposed	—
ACT-019179	Care coordination outreach Next-best-action	Evelyn Brooks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022201	Proposed	—
ACT-019180	Care coordination outreach Next-best-action	Judy Wells: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022239	Proposed	—
ACT-019181	Care coordination outreach Next-best-action	Joshua Park: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022251	Proposed	—
ACT-019182	Care coordination outreach Next-best-action	Maria Stewart: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-022261	Proposed	—
ACT-019183	Care coordination outreach Next-best-action	Doris Bradley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022268	Proposed	—
ACT-019184	Care coordination outreach Next-best-action	Kimberly Robinson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022303	Proposed	—
ACT-019185	Care coordination outreach Next-best-action	Tyler Taylor: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-022322	Proposed	—
ACT-019186	Care coordination outreach Next-best-action	Madison McCoy: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022389	Proposed	—
ACT-019187	Care coordination outreach Next-best-action	Jerry Montgomery: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022402	Proposed	—
ACT-019188	Care coordination outreach Next-best-action	Eugene Riley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-022408	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.