Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018371	Care coordination outreach Next-best-action	Laura Berry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007522	Proposed	—
ACT-018372	Care coordination outreach Next-best-action	Wayne Weaver: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007528	Proposed	—
ACT-018373	Care coordination outreach Next-best-action	Joseph Mitchell: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007534	Proposed	—
ACT-018374	Care coordination outreach Next-best-action	Betty Vega: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007544	Proposed	—
ACT-018375	Care coordination outreach Next-best-action	Steven Turner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007554	Proposed	—
ACT-018376	Care coordination outreach Next-best-action	Kimberly Wood: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007572	Proposed	—
ACT-018377	Care coordination outreach Next-best-action	Brenda Butler: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007584	Proposed	—
ACT-018378	Care coordination outreach Next-best-action	Alexis Price: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007642	Proposed	—
ACT-018379	Care coordination outreach Next-best-action	Judy Burns: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-007661	Proposed	—
ACT-018380	Care coordination outreach Next-best-action	Russell Weaver: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007664	Proposed	—
ACT-018381	Care coordination outreach Next-best-action	Eric Davis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007668	Proposed	—
ACT-018382	Care coordination outreach Next-best-action	Mateo Diaz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007680	Proposed	—
ACT-018383	Care coordination outreach Next-best-action	Lori Porter: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007682	Proposed	—
ACT-018384	Care coordination outreach Next-best-action	Abigail Aguilar: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007690	Proposed	—
ACT-018385	Care coordination outreach Next-best-action	Anthony Martin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007695	Proposed	—
ACT-018386	Care coordination outreach Next-best-action	Tyler Ramirez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007713	Proposed	—
ACT-018387	Care coordination outreach Next-best-action	Mariana Clark: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007734	Proposed	—
ACT-018388	Care coordination outreach Next-best-action	George Foster: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007737	Proposed	—
ACT-018389	Care coordination outreach Next-best-action	Tyler Meyer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007743	Proposed	—
ACT-018390	Care coordination outreach Next-best-action	Brittany Arnold: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007757	Proposed	—
ACT-018391	Care coordination outreach Next-best-action	Juan Murray: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007760	Proposed	—
ACT-018392	Care coordination outreach Next-best-action	William Estrada: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007788	Proposed	—
ACT-018393	Care coordination outreach Next-best-action	Victoria Ross: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007791	Proposed	—
ACT-018394	Care coordination outreach Next-best-action	Terry Burns: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007793	Proposed	—
ACT-018395	Care coordination outreach Next-best-action	Christine Wagner: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007869	Proposed	—
ACT-018396	Care coordination outreach Next-best-action	Roy Brooks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007885	Proposed	—
ACT-018397	Care coordination outreach Next-best-action	Jesse Alvarez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-007888	Proposed	—
ACT-018398	Care coordination outreach Next-best-action	Alice Price: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007903	Proposed	—
ACT-018399	Care coordination outreach Next-best-action	Christopher Duncan: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-007926	Proposed	—
ACT-018400	Care coordination outreach Next-best-action	Emily Greene: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007928	Proposed	—
ACT-018401	Care coordination outreach Next-best-action	Alexander Robertson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007934	Proposed	—
ACT-018402	Care coordination outreach Next-best-action	Kathy Morgan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007940	Proposed	—
ACT-018403	Care coordination outreach Next-best-action	Matthew Hanson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007945	Proposed	—
ACT-018404	Care coordination outreach Next-best-action	Debra Hoffman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007954	Proposed	—
ACT-018405	Care coordination outreach Next-best-action	Philip Valdez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-007991	Proposed	—
ACT-018406	Care coordination outreach Next-best-action	Stephanie Ward: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008000	Proposed	—
ACT-018407	Care coordination outreach Next-best-action	Jason Watson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008031	Proposed	—
ACT-018408	Care coordination outreach Next-best-action	Santiago Miller: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008038	Proposed	—
ACT-018409	Care coordination outreach Next-best-action	Janice Jordan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008058	Proposed	—
ACT-018410	Care coordination outreach Next-best-action	Sharon Hanson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008070	Proposed	—
ACT-018411	Care coordination outreach Next-best-action	Jessica Schmidt: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008071	Proposed	—
ACT-018412	Care coordination outreach Next-best-action	Jonathan Hunt: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008072	Proposed	—
ACT-018413	Care coordination outreach Next-best-action	Joe Weaver: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008077	Proposed	—
ACT-018414	Care coordination outreach Next-best-action	Samantha Nunez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008099	Proposed	—
ACT-018415	Care coordination outreach Next-best-action	Marilyn Hill: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008115	Proposed	—
ACT-018416	Care coordination outreach Next-best-action	Catherine Myers: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008124	Proposed	—
ACT-018417	Care coordination outreach Next-best-action	Mason Santos: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008132	Proposed	—
ACT-018418	Care coordination outreach Next-best-action	Helen Johnson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008140	Proposed	—
ACT-018419	Care coordination outreach Next-best-action	Karen Padilla: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008173	Proposed	—
ACT-018420	Care coordination outreach Next-best-action	Santiago Rios: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008174	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.