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
New member onboarding, Next-best-action, 2,081 proposed
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-020186 | New member onboarding Next-best-action | Tony Moreno: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020187 | New member onboarding Next-best-action | Timothy Fields: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020188 | New member onboarding Next-best-action | Isabella Adams: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020189 | New member onboarding Next-best-action | Helen Graham: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020190 | New member onboarding Next-best-action | Alice Henry: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020191 | New member onboarding Next-best-action | Randy Roberts: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020192 | New member onboarding Next-best-action | Luis Jimenez: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020193 | New member onboarding Next-best-action | Diana Barnes: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020194 | New member onboarding Next-best-action | Elizabeth Ford: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020195 | New member onboarding Next-best-action | Kevin Franklin: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020196 | New member onboarding Next-best-action | Santiago Yang: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020197 | New member onboarding Next-best-action | Gregory Meyer: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020198 | New member onboarding Next-best-action | Albert Meyer: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020199 | New member onboarding Next-best-action | Ethan Johnson: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020200 | New member onboarding Next-best-action | Alexis Pena: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020201 | New member onboarding Next-best-action | Mrk Silvva: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020202 | New member onboarding Next-best-action | Sandra Franklin: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020203 | New member onboarding Next-best-action | Angela Walsh: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020204 | New member onboarding Next-best-action | Randy Myers: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020205 | New member onboarding Next-best-action | Paul Castillo: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020206 | New member onboarding Next-best-action | Lauren Anderson: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020207 | New member onboarding Next-best-action | Andrea Thomas: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020208 | New member onboarding Next-best-action | Carol Gordon: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020209 | New member onboarding Next-best-action | Janice Ellis: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020210 | New member onboarding Next-best-action | Roegr Ferguson: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020211 | New member onboarding Next-best-action | Randy Washington: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020212 | New member onboarding Next-best-action | Nancy Castor: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020213 | New member onboarding Next-best-action | Bradley Mason: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020214 | New member onboarding Next-best-action | Bobby Bowman: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020215 | New member onboarding Next-best-action | Stephanie Lawrence: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020216 | New member onboarding Next-best-action | Juan Gonzalez: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020217 | New member onboarding Next-best-action | Bobby Martin: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020218 | New member onboarding Next-best-action | Jacob Hamilton: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020219 | New member onboarding Next-best-action | Terry Bell: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020220 | New member onboarding Next-best-action | Bradley Rice: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020221 | New member onboarding Next-best-action | Hannah Kelley: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020222 | New member onboarding Next-best-action | Lisa Price: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020223 | New member onboarding Next-best-action | Jeffrey Morrison: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020224 | New member onboarding Next-best-action | Anna Romero: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020225 | New member onboarding Next-best-action | Nancy Johnston: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020226 | New member onboarding Next-best-action | Adam Carr: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020227 | New member onboarding Next-best-action | Alan Gibson: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020228 | New member onboarding Next-best-action | Nicholas Wilson: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020229 | New member onboarding Next-best-action | Virginia Weber: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020230 | New member onboarding Next-best-action | Benjamin Taylor: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020231 | New member onboarding Next-best-action | Cynthia Delgado: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020232 | New member onboarding Next-best-action | Mark Espinoza: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020233 | New member onboarding Next-best-action | Sofia Henderson: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020234 | New member onboarding Next-best-action | Shirley Clark: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020235 | New member onboarding Next-best-action | Jeremy Gibson: enrolled 2026-10-16, 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.