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-019939 | New member onboarding Next-best-action | Ruth Foler: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-019940 | New member onboarding Next-best-action | Daniel Diaz: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-019941 | New member onboarding Next-best-action | Evelyn Silva: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019942 | New member onboarding Next-best-action | Sndra Burtun: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-019943 | New member onboarding Next-best-action | Sophia Herrera: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019944 | New member onboarding Next-best-action | Alexis Bradley: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-019945 | New member onboarding Next-best-action | Frank Lynch: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019946 | New member onboarding Next-best-action | Laura Fox: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019947 | New member onboarding Next-best-action | Paul Carlson: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-019948 | New member onboarding Next-best-action | Eric Garcia: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019949 | New member onboarding Next-best-action | Emily Mejia: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-019950 | New member onboarding Next-best-action | Brittany Oliver: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-019951 | New member onboarding Next-best-action | Roy Rojas: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-019952 | New member onboarding Next-best-action | Wei Cruz: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019953 | New member onboarding Next-best-action | Debra Dixon: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019954 | New member onboarding Next-best-action | Helen Grant: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-019955 | New member onboarding Next-best-action | Ryan Herrera: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019956 | New member onboarding Next-best-action | Luis Herrera: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019957 | New member onboarding Next-best-action | Sandra Jackson: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019958 | New member onboarding Next-best-action | Diane Obrien: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-019959 | New member onboarding Next-best-action | Billy Chen: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-019960 | New member onboarding Next-best-action | Keyla Coleman: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-019961 | New member onboarding Next-best-action | Victoria Dean: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-019962 | New member onboarding Next-best-action | Nancy Rivera: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019963 | New member onboarding Next-best-action | Deborah Washington: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019964 | New member onboarding Next-best-action | Christian Carroll: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-019965 | New member onboarding Next-best-action | Thomas Ramirez: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-019966 | New member onboarding Next-best-action | Matthew Aguilar: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-019967 | New member onboarding Next-best-action | Sean Luna: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019968 | New member onboarding Next-best-action | Judy Bryant: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019969 | New member onboarding Next-best-action | Debra Olson: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-019970 | New member onboarding Next-best-action | Alan Richards: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-019971 | New member onboarding Next-best-action | Lori Carr: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019972 | New member onboarding Next-best-action | Sharon Black: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-019973 | New member onboarding Next-best-action | Cheryl Rodriguez: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-019974 | New member onboarding Next-best-action | George Porter: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019975 | New member onboarding Next-best-action | Logan Morris: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-019976 | New member onboarding Next-best-action | Joesph Simmons: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019977 | New member onboarding Next-best-action | Kathleen Gutierrez: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019978 | New member onboarding Next-best-action | Zachary Hernandez: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-019979 | New member onboarding Next-best-action | Brian Jones: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019980 | New member onboarding Next-best-action | Grace Ryan: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019981 | New member onboarding Next-best-action | Daniel Simpson: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-019982 | New member onboarding Next-best-action | Jeremy Romero: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-019983 | New member onboarding Next-best-action | Ruth Knight: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-019984 | New member onboarding Next-best-action | Gabriel Long: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019985 | New member onboarding Next-best-action | Kayla Peters: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-019986 | New member onboarding Next-best-action | Judy Young: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-019987 | New member onboarding Next-best-action | Barbara Augilar: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-019988 | New member onboarding Next-best-action | Marcus Estrada: enrolled 2026-09-26, 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.