Action	Type	Title	Detail	Linked to	Status	Executed
ACT-019339	Care coordination outreach Next-best-action	Aisha Long: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026565	Proposed	—
ACT-019340	Care coordination outreach Next-best-action	Alexis Gonzalez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026576	Proposed	—
ACT-019341	Care coordination outreach Next-best-action	Ahmed Vega: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026655	Proposed	—
ACT-019342	Care coordination outreach Next-best-action	Abigail Lawrence: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026744	Proposed	—
ACT-019343	Care coordination outreach Next-best-action	Noah Burton: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026770	Proposed	—
ACT-019344	Care coordination outreach Next-best-action	Carol Davis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026802	Proposed	—
ACT-019345	Care coordination outreach Next-best-action	Joan Medina: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026812	Proposed	—
ACT-019346	Care coordination outreach Next-best-action	Noah West: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026836	Proposed	—
ACT-019347	Care coordination outreach Next-best-action	Joseph Contreras: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026915	Proposed	—
ACT-019348	Care coordination outreach Next-best-action	Noah Welch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026939	Proposed	—
ACT-019349	Care coordination outreach Next-best-action	Joshua Payne: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-026952	Proposed	—
ACT-019350	Care coordination outreach Next-best-action	Natalie Chavez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026955	Proposed	—
ACT-019351	Care coordination outreach Next-best-action	Thomas Welch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-026980	Proposed	—
ACT-019352	Care coordination outreach Next-best-action	Willie Chavez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027005	Proposed	—
ACT-019353	Care coordination outreach Next-best-action	Emily Martin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027030	Proposed	—
ACT-019354	Care coordination outreach Next-best-action	Bruce Vega: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027039	Proposed	—
ACT-019355	Care coordination outreach Next-best-action	Madison Lawson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027050	Proposed	—
ACT-019356	Care coordination outreach Next-best-action	Doris Rogers: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027057	Proposed	—
ACT-019357	Care coordination outreach Next-best-action	Camila Jensen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027078	Proposed	—
ACT-019358	Care coordination outreach Next-best-action	Thomas Kelly: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027083	Proposed	—
ACT-019359	Care coordination outreach Next-best-action	Susan Vazquez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027115	Proposed	—
ACT-019360	Care coordination outreach Next-best-action	Kyle Rogers: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027165	Proposed	—
ACT-019361	Care coordination outreach Next-best-action	Ralph Mejia: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027172	Proposed	—
ACT-019362	Care coordination outreach Next-best-action	Jacqueline Mendoza: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027188	Proposed	—
ACT-019363	Care coordination outreach Next-best-action	Cheryl Bryant: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027193	Proposed	—
ACT-019364	Care coordination outreach Next-best-action	Wayne Roberts: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027235	Proposed	—
ACT-019365	Care coordination outreach Next-best-action	Arjun Larson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027261	Proposed	—
ACT-019366	Care coordination outreach Next-best-action	Brian Roberts: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027269	Proposed	—
ACT-019367	Care coordination outreach Next-best-action	Rebecca Payne: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027275	Proposed	—
ACT-019368	Care coordination outreach Next-best-action	Shirley Hunt: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027339	Proposed	—
ACT-019369	Care coordination outreach Next-best-action	Bradley Rice: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027357	Proposed	—
ACT-019370	Care coordination outreach Next-best-action	Beverly Clark: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027358	Proposed	—
ACT-019371	Care coordination outreach Next-best-action	Patricia Wood: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027385	Proposed	—
ACT-019372	Care coordination outreach Next-best-action	Angela George: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027401	Proposed	—
ACT-019373	Care coordination outreach Next-best-action	Isabella McDonald: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027404	Proposed	—
ACT-019374	Care coordination outreach Next-best-action	Margaret Obrien: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027484	Proposed	—
ACT-019375	Care coordination outreach Next-best-action	Brittany Romero: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027504	Proposed	—
ACT-019376	Care coordination outreach Next-best-action	Mariana Parker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027522	Proposed	—
ACT-019377	Care coordination outreach Next-best-action	Nathan Powell: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027531	Proposed	—
ACT-019378	Care coordination outreach Next-best-action	Jessica Sanchez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027572	Proposed	—
ACT-019379	Care coordination outreach Next-best-action	Frances George: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027591	Proposed	—
ACT-019380	Care coordination outreach Next-best-action	Michelle Nelson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027654	Proposed	—
ACT-019381	Care coordination outreach Next-best-action	Joseph Wheeler: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027694	Proposed	—
ACT-019382	Care coordination outreach Next-best-action	Rachel Davis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027730	Proposed	—
ACT-019383	Care coordination outreach Next-best-action	Omar Boyd: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027759	Proposed	—
ACT-019384	Care coordination outreach Next-best-action	Rebecca Kennedy: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-027769	Proposed	—
ACT-019385	Care coordination outreach Next-best-action	Peter Smith: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-027791	Proposed	—
ACT-019386	Care coordination outreach Next-best-action	Joseph Henderson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027796	Proposed	—
ACT-019387	Care coordination outreach Next-best-action	Albert Lynch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027805	Proposed	—
ACT-019388	Care coordination outreach Next-best-action	Elijah Torres: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-027806	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.