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-020239 | New member onboarding Next-best-action | Christian Ford: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020240 | New member onboarding Next-best-action | Luis Ruiz: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020241 | New member onboarding Next-best-action | Kenneth Munoz: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020242 | New member onboarding Next-best-action | Nathan Yang: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020243 | New member onboarding Next-best-action | Thomas Mtathews: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020244 | New member onboarding Next-best-action | Mariana Henderson: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020245 | New member onboarding Next-best-action | Jason Rogers: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020246 | New member onboarding Next-best-action | Robert Ramirez: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020247 | New member onboarding Next-best-action | Frank Ramos: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020248 | New member onboarding Next-best-action | Carolyn Bryant: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020249 | New member onboarding Next-best-action | Scott Lewis: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020250 | New member onboarding Next-best-action | Julia Herrera: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020251 | New member onboarding Next-best-action | Matthew Bell: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020252 | New member onboarding Next-best-action | Stephen Young: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020253 | New member onboarding Next-best-action | Susan Hansen: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020254 | New member onboarding Next-best-action | Juan Thomas: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020255 | New member onboarding Next-best-action | Edward Henry: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020256 | New member onboarding Next-best-action | Martha Shaw: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020257 | New member onboarding Next-best-action | Kenneth Kelly: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020258 | New member onboarding Next-best-action | Cynthia Ellis: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020259 | New member onboarding Next-best-action | Diane Anderson: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020260 | New member onboarding Next-best-action | Ruth Hall: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020261 | New member onboarding Next-best-action | Anthony Henderson: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020262 | New member onboarding Next-best-action | Kevin Lee: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020263 | New member onboarding Next-best-action | Bryan West: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020264 | New member onboarding Next-best-action | Naathan Simmons: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020265 | New member onboarding Next-best-action | Sofia McCoy: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020266 | New member onboarding Next-best-action | Debra Nguyen: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020267 | New member onboarding Next-best-action | Aisha Johnston: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020268 | New member onboarding Next-best-action | Jerry Reed: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020269 | New member onboarding Next-best-action | Jose White: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020270 | New member onboarding Next-best-action | Nicole Mejia: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020271 | New member onboarding Next-best-action | Jerry Hughes: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020272 | New member onboarding Next-best-action | Logan Richardson: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020273 | New member onboarding Next-best-action | Andrew Ramirez: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020274 | New member onboarding Next-best-action | Noah Ford: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020275 | New member onboarding Next-best-action | Emma Rios: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020276 | New member onboarding Next-best-action | Santiago Gutierrez: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020277 | New member onboarding Next-best-action | Helen Jacobs: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020278 | New member onboarding Next-best-action | Mariana Roberts: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020279 | New member onboarding Next-best-action | Gloria Hall: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020280 | New member onboarding Next-best-action | Aaron Vargas: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020281 | New member onboarding Next-best-action | Hannah Gilbert: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020282 | New member onboarding Next-best-action | Lori Kelly: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020283 | New member onboarding Next-best-action | Adam Sanduval: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020284 | New member onboarding Next-best-action | Melissa Willis: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020285 | New member onboarding Next-best-action | Doris Delgado: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020286 | New member onboarding Next-best-action | Marcus Nichols: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020287 | New member onboarding Next-best-action | Emily Kelly: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020288 | New member onboarding Next-best-action | Howell Michael: enrolled 2026-09-19, 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.