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-019989 | New member onboarding Next-best-action | Nicole Payne: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-019990 | New member onboarding Next-best-action | Bruce Hill: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-019991 | New member onboarding Next-best-action | Judith Rojas: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-019992 | New member onboarding Next-best-action | Amber Woud: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-019993 | New member onboarding Next-best-action | Janet Delgado: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-019994 | New member onboarding Next-best-action | Radny Hernandez: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-019995 | New member onboarding Next-best-action | Alan Murphy: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-019996 | New member onboarding Next-best-action | Joseph Washington: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-019997 | New member onboarding Next-best-action | Elizabeth Diaz: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-019998 | New member onboarding Next-best-action | Joan Carroll: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-019999 | New member onboarding Next-best-action | Charles Howard: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020000 | New member onboarding Next-best-action | Jesse Nuunez: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020001 | New member onboarding Next-best-action | Barbara Morrison: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020002 | New member onboarding Next-best-action | Ashley Lucas: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020003 | New member onboarding Next-best-action | Abigail Brooks: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020004 | New member onboarding Next-best-action | Gloria Banks: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020005 | New member onboarding Next-best-action | Martha Guerrero: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020006 | New member onboarding Next-best-action | Morrison Lucia: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020007 | New member onboarding Next-best-action | Sandra Ellis: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020008 | New member onboarding Next-best-action | Danielle Robertson: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020009 | New member onboarding Next-best-action | Jean Castro: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020010 | New member onboarding Next-best-action | Diane Stephens: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020011 | New member onboarding Next-best-action | Raymond Marshall: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020012 | New member onboarding Next-best-action | Melissa Gutierrez: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020013 | New member onboarding Next-best-action | Zachary Crawford: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020014 | New member onboarding Next-best-action | Amy Parker: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020015 | New member onboarding Next-best-action | Alexis Hunter: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020016 | New member onboarding Next-best-action | Juan Weaver: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020017 | New member onboarding Next-best-action | Maria Wang: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020018 | New member onboarding Next-best-action | Lucia Reyes: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020019 | New member onboarding Next-best-action | Anna Knight: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020020 | New member onboarding Next-best-action | Rachel Morrison: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020021 | New member onboarding Next-best-action | Kalya Harrison: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020022 | New member onboarding Next-best-action | Amanda Russell: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020023 | New member onboarding Next-best-action | Grace Day: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020024 | New member onboarding Next-best-action | Samuel Santiago: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020025 | New member onboarding Next-best-action | Aisha Auilar: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020026 | New member onboarding Next-best-action | Brandon Walker: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020027 | New member onboarding Next-best-action | Ana Watkins: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020028 | New member onboarding Next-best-action | Priya King: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020029 | New member onboarding Next-best-action | Walter Harvey: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020030 | New member onboarding Next-best-action | Wayne Payne: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020031 | New member onboarding Next-best-action | Debar Henry: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020032 | New member onboarding Next-best-action | Melissa Fields: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020033 | New member onboarding Next-best-action | Brandon Tucker: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020034 | New member onboarding Next-best-action | Joan Chen: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020035 | New member onboarding Next-best-action | Jessica Wood: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020036 | New member onboarding Next-best-action | Denise Reed: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020037 | New member onboarding Next-best-action | Jennifer Carr: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020038 | New member onboarding Next-best-action | Robert Carpenter: enrolled 2026-09-13, 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.