Action	Type	Title	Detail	Linked to	Status	Executed
ACT-019439	Care coordination outreach Next-best-action	Michelle Medina: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-029951	Proposed	—
ACT-019440	Care coordination outreach Next-best-action	Ashley Garza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-029965	Proposed	—
ACT-019441	Care coordination outreach Next-best-action	Carlos Austin: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-029976	Proposed	—
ACT-019442	Care coordination outreach Next-best-action	Hiroshi Martinez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-029992	Proposed	—
ACT-019443	Care coordination outreach Next-best-action	Deborah Freeman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-029997	Proposed	—
ACT-019444	Care coordination outreach Next-best-action	Tyler Gray: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-030062	Proposed	—
ACT-019445	Care coordination outreach Next-best-action	Ronald Richardson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-030114	Proposed	—
ACT-019446	Care coordination outreach Next-best-action	Bradley Robinson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-030116	Proposed	—
ACT-019447	Care coordination outreach Next-best-action	Cynthia Contreras: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-030178	Proposed	—
ACT-019448	Care coordination outreach Next-best-action	Noah James: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-030355	Proposed	—
ACT-019449	Care coordination outreach Next-best-action	Heather Williamson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-030508	Proposed	—
ACT-019450	Care coordination outreach Next-best-action	Gregory Mendez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-030510	Proposed	—
ACT-019451	Care coordination outreach Next-best-action	Kayla Knight: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-030527	Proposed	—
ACT-019452	Care coordination outreach Next-best-action	Alice Mejia: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-030620	Proposed	—
ACT-019453	Care coordination outreach Next-best-action	Juhn Sullivan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-030628	Proposed	—
ACT-019454	Care coordination outreach Next-best-action	Bobby Mason: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-030688	Proposed	—
ACT-019455	Care coordination outreach Next-best-action	Vicky Lynch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-030704	Proposed	—
ACT-019456	Care coordination outreach Next-best-action	Brittany Nunez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-030833	Proposed	—
ACT-019457	Care coordination outreach Next-best-action	Mary Weber: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-030895	Proposed	—
ACT-019458	Care coordination outreach Next-best-action	Christian Nguyen: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-030897	Proposed	—
ACT-019459	Care coordination outreach Next-best-action	Sharon Guzman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-030935	Proposed	—
ACT-019460	Care coordination outreach Next-best-action	Willie Cole: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-030960	Proposed	—
ACT-019461	Care coordination outreach Next-best-action	Kevin Powell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-030990	Proposed	—
ACT-019462	Care coordination outreach Next-best-action	Ana Jackson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-031010	Proposed	—
ACT-019463	Care coordination outreach Next-best-action	Olivia Hughes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-031026	Proposed	—
ACT-019464	Care coordination outreach Next-best-action	Ralph Pena: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-031031	Proposed	—
ACT-019465	Care coordination outreach Next-best-action	Steven Griffin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-031107	Proposed	—
ACT-019466	Care coordination outreach Next-best-action	Christine Harvey: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-031129	Proposed	—
ACT-019467	Care coordination outreach Next-best-action	Michael Evans: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-031146	Proposed	—
ACT-019468	Care coordination outreach Next-best-action	Luis Smith: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-031168	Proposed	—
ACT-019469	Care coordination outreach Next-best-action	Kathryn Lawson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-031304	Proposed	—
ACT-019470	Care coordination outreach Next-best-action	Lauren Gutierrez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-031367	Proposed	—
ACT-019471	Care coordination outreach Next-best-action	Bradley Armstrong: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-031500	Proposed	—
ACT-019472	Care coordination outreach Next-best-action	Amber Riley: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-031730	Proposed	—
ACT-019473	Care coordination outreach Next-best-action	Grace Burton: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-031731	Proposed	—
ACT-019474	Care coordination outreach Next-best-action	Chris Baker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-031847	Proposed	—
ACT-019475	Care coordination outreach Next-best-action	Lori Fowler: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-031867	Proposed	—
ACT-019476	Care coordination outreach Next-best-action	Philip Willis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-031881	Proposed	—
ACT-019477	Care coordination outreach Next-best-action	Mariana Reynolds: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-031919	Proposed	—
ACT-019478	Care coordination outreach Next-best-action	Patrick Lawrence: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-032004	Proposed	—
ACT-019479	Care coordination outreach Next-best-action	Patrick Spencer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-032086	Proposed	—
ACT-019480	Care coordination outreach Next-best-action	Kelly Tucker: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-032154	Proposed	—
ACT-019481	Care coordination outreach Next-best-action	Adam Young: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-032301	Proposed	—
ACT-019482	Care coordination outreach Next-best-action	Arjun Cruz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-032315	Proposed	—
ACT-019483	Care coordination outreach Next-best-action	Yuki Ortega: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-032330	Proposed	—
ACT-019484	Care coordination outreach Next-best-action	Denise Davis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-032429	Proposed	—
ACT-019485	Care coordination outreach Next-best-action	Wayne Castillo: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-032533	Proposed	—
ACT-019486	Care coordination outreach Next-best-action	Barbara Burton: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-032552	Proposed	—
ACT-019487	Care coordination outreach Next-best-action	Mateo Jackson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-032686	Proposed	—
ACT-019488	Care coordination outreach Next-best-action	Mary Mason: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-032725	Proposed	—

26,640 rows, page 121 of 533Previous 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.