Action	Type	Title	Detail	Linked to	Status	Executed
ACT-019489	Care coordination outreach Next-best-action	Katherine Ross: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-032764	Proposed	—
ACT-019490	Care coordination outreach Next-best-action	Gabriel Burns: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-032912	Proposed	—
ACT-019491	Care coordination outreach Next-best-action	Eric Gonzales: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-033016	Proposed	—
ACT-019492	Care coordination outreach Next-best-action	Amanda Li: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-033044	Proposed	—
ACT-019493	Care coordination outreach Next-best-action	Charles Gonzalez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-033075	Proposed	—
ACT-019494	Care coordination outreach Next-best-action	George Jensen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-033090	Proposed	—
ACT-019495	Care coordination outreach Next-best-action	Diana Mills: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-033154	Proposed	—
ACT-019496	Care coordination outreach Next-best-action	Andrew Fernandez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-033159	Proposed	—
ACT-019497	Care coordination outreach Next-best-action	Teresa Lawrence: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-033234	Proposed	—
ACT-019498	Care coordination outreach Next-best-action	Grace Alexander: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-033354	Proposed	—
ACT-019499	Care coordination outreach Next-best-action	Linda Obrien: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-033382	Proposed	—
ACT-019500	Care coordination outreach Next-best-action	Heather Lopez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-033403	Proposed	—
ACT-019501	Care coordination outreach Next-best-action	Diane Mendez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-033405	Proposed	—
ACT-019502	Care coordination outreach Next-best-action	Nicole Evans: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-033414	Proposed	—
ACT-019503	Care coordination outreach Next-best-action	Priya Williams: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-033534	Proposed	—
ACT-019504	Care coordination outreach Next-best-action	Ahmed Jordan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-033579	Proposed	—
ACT-019505	Care coordination outreach Next-best-action	Jack Fowler: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-033680	Proposed	—
ACT-019506	Care coordination outreach Next-best-action	Angela Nelson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-033759	Proposed	—
ACT-019507	Care coordination outreach Next-best-action	Bradley Lane: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-033864	Proposed	—
ACT-019508	Care coordination outreach Next-best-action	Robert Perkins: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-033903	Proposed	—
ACT-019509	Care coordination outreach Next-best-action	Dennis Hunt: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-033966	Proposed	—
ACT-019510	Care coordination outreach Next-best-action	Teresa Sims: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034183	Proposed	—
ACT-019511	Care coordination outreach Next-best-action	Doris Armstrong: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034207	Proposed	—
ACT-019512	Care coordination outreach Next-best-action	Sara Andrews: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034288	Proposed	—
ACT-019513	Care coordination outreach Next-best-action	Linda Reid: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034318	Proposed	—
ACT-019514	Care coordination outreach Next-best-action	Richard Washington: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-034353	Proposed	—
ACT-019515	Care coordination outreach Next-best-action	Betsy Perez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034384	Proposed	—
ACT-019516	Care coordination outreach Next-best-action	Shirley Rojas: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034425	Proposed	—
ACT-019517	Care coordination outreach Next-best-action	Mark Arnold: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034505	Proposed	—
ACT-019518	Care coordination outreach Next-best-action	Ashley Pena: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034525	Proposed	—
ACT-019519	Care coordination outreach Next-best-action	Daniel Holmes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034588	Proposed	—
ACT-019520	Care coordination outreach Next-best-action	James Ortiz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034607	Proposed	—
ACT-019521	Care coordination outreach Next-best-action	Rebecca Austin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034784	Proposed	—
ACT-019522	Care coordination outreach Next-best-action	Ralph Bell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034841	Proposed	—
ACT-019523	Care coordination outreach Next-best-action	Aaron Knight: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034939	Proposed	—
ACT-019524	Care coordination outreach Next-best-action	Janet Harris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-034963	Proposed	—
ACT-019525	Care coordination outreach Next-best-action	Diane Lewis: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-034970	Proposed	—
ACT-019526	Care coordination outreach Next-best-action	Juan Williams: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035022	Proposed	—
ACT-019527	Care coordination outreach Next-best-action	Sara Welch: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035026	Proposed	—
ACT-019528	Care coordination outreach Next-best-action	Priya Griffin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035036	Proposed	—
ACT-019529	Care coordination outreach Next-best-action	Liz Robinson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035134	Proposed	—
ACT-019530	Care coordination outreach Next-best-action	Carlos Young: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035139	Proposed	—
ACT-019531	Care coordination outreach Next-best-action	Noah Torres: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035408	Proposed	—
ACT-019532	Care coordination outreach Next-best-action	Katherine Bryant: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035448	Proposed	—
ACT-019533	Care coordination outreach Next-best-action	Mary Flores: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035459	Proposed	—
ACT-019534	Care coordination outreach Next-best-action	Bradley Santiago: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035531	Proposed	—
ACT-019535	Care coordination outreach Next-best-action	Victoria Franklin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035547	Proposed	—
ACT-019536	Care coordination outreach Next-best-action	Vincent Hayes: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035758	Proposed	—
ACT-019537	Care coordination outreach Next-best-action	Andrea Carlson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-035946	Proposed	—
ACT-019538	Care coordination outreach Next-best-action	Barbara Garza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-036006	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.