Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018321	Care coordination outreach Next-best-action	Heather Rice: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006828	Proposed	—
ACT-018322	Care coordination outreach Next-best-action	Frank Richards: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006845	Proposed	—
ACT-018323	Care coordination outreach Next-best-action	Rebecca Carlson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006846	Proposed	—
ACT-018324	Care coordination outreach Next-best-action	Gary Ryan: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-006881	Proposed	—
ACT-018325	Care coordination outreach Next-best-action	Isabella Gordon: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006894	Proposed	—
ACT-018326	Care coordination outreach Next-best-action	Kayla Henry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006895	Proposed	—
ACT-018327	Care coordination outreach Next-best-action	Jerry Dunn: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006905	Proposed	—
ACT-018328	Care coordination outreach Next-best-action	Karen Powell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006911	Proposed	—
ACT-018329	Care coordination outreach Next-best-action	Brandon Wagner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006925	Proposed	—
ACT-018330	Care coordination outreach Next-best-action	Aisha Simmons: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-006954	Proposed	—
ACT-018331	Care coordination outreach Next-best-action	Janet Ryan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006990	Proposed	—
ACT-018332	Care coordination outreach Next-best-action	Abigail Hicks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-006998	Proposed	—
ACT-018333	Care coordination outreach Next-best-action	Bobby Cooper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007009	Proposed	—
ACT-018334	Care coordination outreach Next-best-action	Sandra Reed: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007012	Proposed	—
ACT-018335	Care coordination outreach Next-best-action	Mariana Gordon: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007032	Proposed	—
ACT-018336	Care coordination outreach Next-best-action	William Hamilton: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007035	Proposed	—
ACT-018337	Care coordination outreach Next-best-action	Teresa Richards: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007048	Proposed	—
ACT-018338	Care coordination outreach Next-best-action	Ethan Estrada: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007062	Proposed	—
ACT-018339	Care coordination outreach Next-best-action	Eugene Cruz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007064	Proposed	—
ACT-018340	Care coordination outreach Next-best-action	Bradley Hall: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007071	Proposed	—
ACT-018341	Care coordination outreach Next-best-action	Omar Bryant: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007087	Proposed	—
ACT-018342	Care coordination outreach Next-best-action	Billy Wong: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007089	Proposed	—
ACT-018343	Care coordination outreach Next-best-action	Lori Austin: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007093	Proposed	—
ACT-018344	Care coordination outreach Next-best-action	Priya McDonald: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007102	Proposed	—
ACT-018345	Care coordination outreach Next-best-action	Lawrence Ray: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007107	Proposed	—
ACT-018346	Care coordination outreach Next-best-action	Donna Stephens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007193	Proposed	—
ACT-018347	Care coordination outreach Next-best-action	Mark Cole: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007195	Proposed	—
ACT-018348	Care coordination outreach Next-best-action	Randy Luna: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007205	Proposed	—
ACT-018349	Care coordination outreach Next-best-action	Santiago Moore: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007220	Proposed	—
ACT-018350	Care coordination outreach Next-best-action	Jennifer Hansen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007225	Proposed	—
ACT-018351	Care coordination outreach Next-best-action	Abigail Johnston: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007234	Proposed	—
ACT-018352	Care coordination outreach Next-best-action	Jose Williamson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007273	Proposed	—
ACT-018353	Care coordination outreach Next-best-action	Andrea King: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007281	Proposed	—
ACT-018354	Care coordination outreach Next-best-action	Austin Bell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007302	Proposed	—
ACT-018355	Care coordination outreach Next-best-action	Dorothy Padilla: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007320	Proposed	—
ACT-018356	Care coordination outreach Next-best-action	Barbara Oliver: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007321	Proposed	—
ACT-018357	Care coordination outreach Next-best-action	Doris Mendez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007330	Proposed	—
ACT-018358	Care coordination outreach Next-best-action	Theresa Cruz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007332	Proposed	—
ACT-018359	Care coordination outreach Next-best-action	Debra Garza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007343	Proposed	—
ACT-018360	Care coordination outreach Next-best-action	Sharon Miller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007349	Proposed	—
ACT-018361	Care coordination outreach Next-best-action	Richard Simmons: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007413	Proposed	—
ACT-018362	Care coordination outreach Next-best-action	Margaret Dean: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007417	Proposed	—
ACT-018363	Care coordination outreach Next-best-action	Elijah Harper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007433	Proposed	—
ACT-018364	Care coordination outreach Next-best-action	Jeffrey Allen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007471	Proposed	—
ACT-018365	Care coordination outreach Next-best-action	Nathan Shaw: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007486	Proposed	—
ACT-018366	Care coordination outreach Next-best-action	Maria Cooper: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007490	Proposed	—
ACT-018367	Care coordination outreach Next-best-action	Adam Bailey: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007492	Proposed	—
ACT-018368	Care coordination outreach Next-best-action	Maria Armstrong: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007493	Proposed	—
ACT-018369	Care coordination outreach Next-best-action	Jordan Wood: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007507	Proposed	—
ACT-018370	Care coordination outreach Next-best-action	Jacob Coleman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007509	Proposed	—

1,815 rows, page 12 of 37Previous Next

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.