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
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-019689 | New member onboarding Next-best-action | Mateo Cruz: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019690 | New member onboarding Next-best-action | Barbara Kennedy: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019691 | New member onboarding Next-best-action | Lawrence Li: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019692 | New member onboarding Next-best-action | Philip Harvey: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019693 | New member onboarding Next-best-action | Samuel Bailey: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019694 | New member onboarding Next-best-action | Doris Jackson: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019695 | New member onboarding Next-best-action | Debra Weaver: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019696 | New member onboarding Next-best-action | Danielle Banks: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-019697 | New member onboarding Next-best-action | Anna Scott: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-019698 | New member onboarding Next-best-action | Alexis Burke: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019699 | New member onboarding Next-best-action | Daniel Hansen: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-019700 | New member onboarding Next-best-action | Priya Harvey: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019701 | New member onboarding Next-best-action | Zachay Palmer: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-019702 | New member onboarding Next-best-action | Sean Howell: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-019703 | New member onboarding Next-best-action | Kyle Vega: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019704 | New member onboarding Next-best-action | Diana Lane: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019705 | New member onboarding Next-best-action | Rebecca Tucker: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-019706 | New member onboarding Next-best-action | Sean Fields: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019707 | New member onboarding Next-best-action | Samuel Walker: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-019708 | New member onboarding Next-best-action | David Burns: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019709 | New member onboarding Next-best-action | Linda Berry: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019710 | New member onboarding Next-best-action | David Perry: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019711 | New member onboarding Next-best-action | Diane Aguilar: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-019712 | New member onboarding Next-best-action | Stephen Rose: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019713 | New member onboarding Next-best-action | Amber Weaver: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-019714 | New member onboarding Next-best-action | Michelle Valdez: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019715 | New member onboarding Next-best-action | Russell Holmes: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-019716 | New member onboarding Next-best-action | Jeesse Hart: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019717 | New member onboarding Next-best-action | Wei Robinson: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-019718 | New member onboarding Next-best-action | Tyler Bryant: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019719 | New member onboarding Next-best-action | Grace Peterson: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019720 | New member onboarding Next-best-action | Noah Harper: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019721 | New member onboarding Next-best-action | Billy Salazar: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019722 | New member onboarding Next-best-action | Ruth Burns: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019723 | New member onboarding Next-best-action | Donna Soto: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-019724 | New member onboarding Next-best-action | Shirley Simpson: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019725 | New member onboarding Next-best-action | Nicole Spencer: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-019726 | New member onboarding Next-best-action | Adam Knight: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019727 | New member onboarding Next-best-action | Russell Murray: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-019728 | New member onboarding Next-best-action | Sean Guzman: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019729 | New member onboarding Next-best-action | Jeffrey Pena: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019730 | New member onboarding Next-best-action | Camila Beell: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-019731 | New member onboarding Next-best-action | Omar Fields: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019732 | New member onboarding Next-best-action | Virginia Cooper: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019733 | New member onboarding Next-best-action | Camila Hayes: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019734 | New member onboarding Next-best-action | Alexis Howell: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-019735 | New member onboarding Next-best-action | Stephanie Reed: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019736 | New member onboarding Next-best-action | Priya Burke: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-019737 | New member onboarding Next-best-action | Omar Daniels: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-019738 | New member onboarding Next-best-action | Anna Gordon: enrolled 2026-09-12, 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.