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-020039 | New member onboarding Next-best-action | Andrea Lopez: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020040 | New member onboarding Next-best-action | Stephen Le: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020041 | New member onboarding Next-best-action | Brenda Willis: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020042 | New member onboarding Next-best-action | Matthew Richardson: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020043 | New member onboarding Next-best-action | Mattthew Robinson: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020044 | New member onboarding Next-best-action | Christina Allen: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020045 | New member onboarding Next-best-action | Joan Gray: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020046 | New member onboarding Next-best-action | Kelly Little: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020047 | New member onboarding Next-best-action | Susan Prry: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020048 | New member onboarding Next-best-action | Danielle Estada: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020049 | New member onboarding Next-best-action | Frances Morales: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020050 | New member onboarding Next-best-action | Matthew Owens: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020051 | New member onboarding Next-best-action | Joshua Perry: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020052 | New member onboarding Next-best-action | Sophia Nguen: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020053 | New member onboarding Next-best-action | Mason Bryant: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020054 | New member onboarding Next-best-action | Edward Long: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020055 | New member onboarding Next-best-action | William Howell: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020056 | New member onboarding Next-best-action | Scott Silva: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020057 | New member onboarding Next-best-action | James Ellis: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020058 | New member onboarding Next-best-action | Betty Sims: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020059 | New member onboarding Next-best-action | Joran Robinson: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020060 | New member onboarding Next-best-action | Jordan Obrien: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020061 | New member onboarding Next-best-action | Stephen Reyes: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020062 | New member onboarding Next-best-action | Elizabeth Cook: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020063 | New member onboarding Next-best-action | Kevin Murphy: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020064 | New member onboarding Next-best-action | Helen Green: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020065 | New member onboarding Next-best-action | Jonathan King: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020066 | New member onboarding Next-best-action | Maria Crawford: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020067 | New member onboarding Next-best-action | Vincent Valdez: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020068 | New member onboarding Next-best-action | Omar George: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020069 | New member onboarding Next-best-action | Adam Alexander: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020070 | New member onboarding Next-best-action | Jose Shaw: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020071 | New member onboarding Next-best-action | Bobby Watson: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020072 | New member onboarding Next-best-action | Thomas Hicks: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020073 | New member onboarding Next-best-action | Alexander Aguilar: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020074 | New member onboarding Next-best-action | Ruth Alvarez: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020075 | New member onboarding Next-best-action | Teresa Jacobs: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020076 | New member onboarding Next-best-action | Lawrence Hansen: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020077 | New member onboarding Next-best-action | Kelly Richardson: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020078 | New member onboarding Next-best-action | Steven Cooper: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020079 | New member onboarding Next-best-action | Noah Lee: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020080 | New member onboarding Next-best-action | Camila Garrett: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020081 | New member onboarding Next-best-action | Mariana Hoffman: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020082 | New member onboarding Next-best-action | Bradley Adams: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020083 | New member onboarding Next-best-action | Brittany Fernandez: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020084 | New member onboarding Next-best-action | Michael Rivera: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020085 | New member onboarding Next-best-action | Angela Johnston: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020086 | New member onboarding Next-best-action | Barbara Adams: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020087 | New member onboarding Next-best-action | Bruce Richardson: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020088 | New member onboarding Next-best-action | Albert Burton: enrolled 2026-10-09, 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.