Action	Type	Title	Detail	Linked to	Status	Executed
ACT-019239	Care coordination outreach Next-best-action	Bryan Ferguson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023502	Proposed	—
ACT-019240	Care coordination outreach Next-best-action	Madison Guzman: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-023513	Proposed	—
ACT-019241	Care coordination outreach Next-best-action	Bruce Reynolds: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023552	Proposed	—
ACT-019242	Care coordination outreach Next-best-action	Lucia Washington: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023555	Proposed	—
ACT-019243	Care coordination outreach Next-best-action	Nathan Sanchez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023560	Proposed	—
ACT-019244	Care coordination outreach Next-best-action	Brittany Kim: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-023566	Proposed	—
ACT-019245	Care coordination outreach Next-best-action	Joe Olson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023637	Proposed	—
ACT-019246	Care coordination outreach Next-best-action	David Henry: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-023674	Proposed	—
ACT-019247	Care coordination outreach Next-best-action	Kevin Andrews: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023694	Proposed	—
ACT-019248	Care coordination outreach Next-best-action	Zachary Greene: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023741	Proposed	—
ACT-019249	Care coordination outreach Next-best-action	Andrea Ortiz: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-023759	Proposed	—
ACT-019250	Care coordination outreach Next-best-action	Kathryn Collins: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023813	Proposed	—
ACT-019251	Care coordination outreach Next-best-action	Gary Matthews: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023884	Proposed	—
ACT-019252	Care coordination outreach Next-best-action	Julia Dean: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023940	Proposed	—
ACT-019253	Care coordination outreach Next-best-action	Ann Gonzalez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-023972	Proposed	—
ACT-019254	Care coordination outreach Next-best-action	Joyce Griffin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-023997	Proposed	—
ACT-019255	Care coordination outreach Next-best-action	Karen Roberts: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024032	Proposed	—
ACT-019256	Care coordination outreach Next-best-action	Samantha Obrien: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024042	Proposed	—
ACT-019257	Care coordination outreach Next-best-action	Judith Simpson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024063	Proposed	—
ACT-019258	Care coordination outreach Next-best-action	Brittany Nichols: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024096	Proposed	—
ACT-019259	Care coordination outreach Next-best-action	Edward Henry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024101	Proposed	—
ACT-019260	Care coordination outreach Next-best-action	Bobby Carroll: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024104	Proposed	—
ACT-019261	Care coordination outreach Next-best-action	Julie Singh: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024136	Proposed	—
ACT-019262	Care coordination outreach Next-best-action	Karen Wong: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024188	Proposed	—
ACT-019263	Care coordination outreach Next-best-action	Jesse Fields: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024212	Proposed	—
ACT-019264	Care coordination outreach Next-best-action	Bryan Simmons: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024248	Proposed	—
ACT-019265	Care coordination outreach Next-best-action	Russell Stewart: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024260	Proposed	—
ACT-019266	Care coordination outreach Next-best-action	Joseph King: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024267	Proposed	—
ACT-019267	Care coordination outreach Next-best-action	Aisha Larson: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-024306	Proposed	—
ACT-019268	Care coordination outreach Next-best-action	James Burke: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024328	Proposed	—
ACT-019269	Care coordination outreach Next-best-action	Virginia Fernandez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024348	Proposed	—
ACT-019270	Care coordination outreach Next-best-action	Julie Fields: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024360	Proposed	—
ACT-019271	Care coordination outreach Next-best-action	Megan Mejia: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024441	Proposed	—
ACT-019272	Care coordination outreach Next-best-action	Camila Kennedy: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024486	Proposed	—
ACT-019273	Care coordination outreach Next-best-action	Alexander Smith: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024489	Proposed	—
ACT-019274	Care coordination outreach Next-best-action	Priya Reynolds: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024501	Proposed	—
ACT-019275	Care coordination outreach Next-best-action	Frances Hansen: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024524	Proposed	—
ACT-019276	Care coordination outreach Next-best-action	Jeremy Palmer: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024543	Proposed	—
ACT-019277	Care coordination outreach Next-best-action	Andrea Carroll: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024646	Proposed	—
ACT-019278	Care coordination outreach Next-best-action	Kevin Lewis: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-024802	Proposed	—
ACT-019279	Care coordination outreach Next-best-action	Ryan Hunter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024937	Proposed	—
ACT-019280	Care coordination outreach Next-best-action	Rebecca Adams: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-024952	Proposed	—
ACT-019281	Care coordination outreach Next-best-action	Christine Olson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025012	Proposed	—
ACT-019282	Care coordination outreach Next-best-action	Anthony Harris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025039	Proposed	—
ACT-019283	Care coordination outreach Next-best-action	Alexis Price: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-025040	Proposed	—
ACT-019284	Care coordination outreach Next-best-action	Victoria Salazar: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025057	Proposed	—
ACT-019285	Care coordination outreach Next-best-action	Kelly Herrera: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025064	Proposed	—
ACT-019286	Care coordination outreach Next-best-action	James Owens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025069	Proposed	—
ACT-019287	Care coordination outreach Next-best-action	Matthew Long: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025094	Proposed	—
ACT-019288	Care coordination outreach Next-best-action	Kevin Garcia: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-025113	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.