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-019839 | New member onboarding Next-best-action | Henry Payne: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-019840 | New member onboarding Next-best-action | Marilyn Baker: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019841 | New member onboarding Next-best-action | Lauren Vasquez: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-019842 | New member onboarding Next-best-action | Omar Li: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-019843 | New member onboarding Next-best-action | Charlotte Larson: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-019844 | New member onboarding Next-best-action | Katherine Hudson: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-019845 | New member onboarding Next-best-action | Kathryn Robinson: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-019846 | New member onboarding Next-best-action | Yuki Harris: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-019847 | New member onboarding Next-best-action | Vicotria Morales: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-019848 | New member onboarding Next-best-action | Charles Fernandez: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019849 | New member onboarding Next-best-action | Virginia Jordan: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-019850 | New member onboarding Next-best-action | Willie Espinoza: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-019851 | New member onboarding Next-best-action | Christina Carr: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-019852 | New member onboarding Next-best-action | Lucia Reyes: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-019853 | New member onboarding Next-best-action | Aaron Santos: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-019854 | New member onboarding Next-best-action | Patrick Henderson: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019855 | New member onboarding Next-best-action | Janet Owens: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-019856 | New member onboarding Next-best-action | Janet Roberts: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019857 | New member onboarding Next-best-action | Juan Thompson: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-019858 | New member onboarding Next-best-action | Bryan Ferguson: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-019859 | New member onboarding Next-best-action | Amber Coleman: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-019860 | New member onboarding Next-best-action | Ryan Black: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019861 | New member onboarding Next-best-action | Zachary Reyes: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019862 | New member onboarding Next-best-action | Brittany Richardson: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-019863 | New member onboarding Next-best-action | Theresa Reyes: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019864 | New member onboarding Next-best-action | Cynthia Harper: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-019865 | New member onboarding Next-best-action | Debra Coleman: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019866 | New member onboarding Next-best-action | Shirley Maldonado: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-019867 | New member onboarding Next-best-action | Lisa Hayes: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019868 | New member onboarding Next-best-action | Amy Hawkins: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019869 | New member onboarding Next-best-action | Amber Vazquez: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-019870 | New member onboarding Next-best-action | Catherine Jensen: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019871 | New member onboarding Next-best-action | Lori Hansen: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019872 | New member onboarding Next-best-action | Luis Perry: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019873 | New member onboarding Next-best-action | Shirley Peters: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-019874 | New member onboarding Next-best-action | Donna Scott: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019875 | New member onboarding Next-best-action | Ann Rodriguez: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019876 | New member onboarding Next-best-action | Sophia Cooper: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-019877 | New member onboarding Next-best-action | Janet Bishop: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-019878 | New member onboarding Next-best-action | Adma Webb: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-019879 | New member onboarding Next-best-action | Kevin Le: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019880 | New member onboarding Next-best-action | Debra Duncan: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-019881 | New member onboarding Next-best-action | Grace Stephens: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-019882 | New member onboarding Next-best-action | Madison Nguyen: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019883 | New member onboarding Next-best-action | Theresa Foser: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-019884 | New member onboarding Next-best-action | Carlos Greene: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019885 | New member onboarding Next-best-action | Harold Lna: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-019886 | New member onboarding Next-best-action | Maria Wells: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019887 | New member onboarding Next-best-action | Scott Santos: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-019888 | New member onboarding Next-best-action | Roy Mendez: enrolled 2026-09-05, 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.