Operate, actions
Actions
Downstream actions derived from the resolved identities. Proposed actions wait for an operator; suppressed actions wait for a steward decision.
Eligibility engine
1,339
Eligibility conflict resolved
1,339 proposed
Claims processor
9,112
Orphan claim re-pointed
9,112 executed
Outreach
7,319
Outreach address corrected, Outreach suppressed pending steward
2,993 proposed4,326 held
Next-best-action
3,896
Care coordination outreach, New member onboarding
3,896 proposed
Member services
4,974
Duplicate member record retired
4,974 executed
Actions
26,640 derived from the last resolution run
New member onboarding, Next-best-action, 2,081 proposed
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-020136 | New member onboarding Next-best-action | Jacob Patel: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020137 | New member onboarding Next-best-action | Kathleen Santiago: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020138 | New member onboarding Next-best-action | Scott Lopez: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020139 | New member onboarding Next-best-action | Donald Ortega: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020140 | New member onboarding Next-best-action | Logaan Miller: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020141 | New member onboarding Next-best-action | Jacqueline Mejia: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020142 | New member onboarding Next-best-action | Judith Carter: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020143 | New member onboarding Next-best-action | Mariana Marquez: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020144 | New member onboarding Next-best-action | Hiroshi Warren: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020145 | New member onboarding Next-best-action | Eric Santos: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020146 | New member onboarding Next-best-action | Fatima Carroll: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020147 | New member onboarding Next-best-action | Jacob Rojas: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020148 | New member onboarding Next-best-action | Andrea Day: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020149 | New member onboarding Next-best-action | Billy Hayes: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020150 | New member onboarding Next-best-action | Ahmed Stephens: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020151 | New member onboarding Next-best-action | Hery Wright: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020152 | New member onboarding Next-best-action | Jesse Alexander: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020153 | New member onboarding Next-best-action | Joe Medina: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020154 | New member onboarding Next-best-action | Wane Washington: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020155 | New member onboarding Next-best-action | Priya Adams: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020156 | New member onboarding Next-best-action | Christopher Salazar: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020157 | New member onboarding Next-best-action | Medison Henry: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020158 | New member onboarding Next-best-action | Jeffrey Hill: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020159 | New member onboarding Next-best-action | Jeffrey Scott: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020160 | New member onboarding Next-best-action | Victoria Morales: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020161 | New member onboarding Next-best-action | Debra White: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020162 | New member onboarding Next-best-action | Samuel Walker: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020163 | New member onboarding Next-best-action | Ashley Edwards: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020164 | New member onboarding Next-best-action | Keelly Williamson: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020165 | New member onboarding Next-best-action | Henry Yang: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020166 | New member onboarding Next-best-action | Russell Dunn: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020167 | New member onboarding Next-best-action | Jose Flores: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020168 | New member onboarding Next-best-action | Tyler Perez: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020169 | New member onboarding Next-best-action | Betty Larson: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020170 | New member onboarding Next-best-action | David Schultz: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020171 | New member onboarding Next-best-action | Patricia Greeen: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020172 | New member onboarding Next-best-action | Bradley Murphy: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020173 | New member onboarding Next-best-action | Kelly Gordon: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020174 | New member onboarding Next-best-action | Zachary Young: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020175 | New member onboarding Next-best-action | Debra Baileey: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020176 | New member onboarding Next-best-action | Christine Hughes: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020177 | New member onboarding Next-best-action | Charlotte Ausstin: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020178 | New member onboarding Next-best-action | Roger Castillo: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020179 | New member onboarding Next-best-action | Wayne Martinez: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020180 | New member onboarding Next-best-action | Nathan Pena: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020181 | New member onboarding Next-best-action | Abigali Shaw: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020182 | New member onboarding Next-best-action | Gloria Larson: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020183 | New member onboarding Next-best-action | Terry Gonzales: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020184 | New member onboarding Next-best-action | Priya Hughes: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020185 | New member onboarding Next-best-action | Megan Johnston: enrolled 2026-10-05, no activity yet |
| Proposed | — |
Derivation rules
Evaluated after every gold rebuild
- 1Eligibility conflict resolvedThe records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
- 2Orphan claim re-pointedA 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.
- 3Outreach address correctedThe most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
- 4Outreach suppressed pending stewardThe record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
- 5Care coordination outreachThree or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
- 6New member onboardingA single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
- 7Duplicate member record retiredTwo or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.