Action	Type	Title	Detail	Linked to	Status	Executed
ACT-000651	Eligibility conflict resolved Eligibility engine	Jordan Stone: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed MEDICARE-ADV-B, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-015197	Proposed	—
ACT-000652	Eligibility conflict resolved Eligibility engine	Betty Hart: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed CORE-HMO, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-015201	Proposed	—
ACT-000653	Eligibility conflict resolved Eligibility engine	Heather Lynch: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CHOICE-PLUS-PPO, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-015209	Proposed	—
ACT-000654	Eligibility conflict resolved Eligibility engine	Lawrence Flores: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed MEDICARE-ADV-A, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-015236	Proposed	—
ACT-000655	Eligibility conflict resolved Eligibility engine	Stephanie Hamilton: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed OPTIONS-PPO, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-015265	Proposed	—
ACT-000656	Eligibility conflict resolved Eligibility engine	Billy Ramirez: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed OPTIONS-PPO, CORE-HMO Rule survivorship: ENR plan wins	MBR-015271	Proposed	—
ACT-000657	Eligibility conflict resolved Eligibility engine	Mason Sanchez: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed SELECT-EPO, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-015286	Proposed	—
ACT-000658	Eligibility conflict resolved Eligibility engine	Yuki Porter: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed CORE-HMO, SELECT-EPO Rule survivorship: ENR plan wins	MBR-015291	Proposed	—
ACT-000659	Eligibility conflict resolved Eligibility engine	Vincent Le: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed MEDICARE-ADV-B, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-015298	Proposed	—
ACT-000660	Eligibility conflict resolved Eligibility engine	Michael Hanson: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed OPTIONS-PPO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-015366	Proposed	—
ACT-000661	Eligibility conflict resolved Eligibility engine	Patricia Kennedy: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed CHOICE-PLUS-PPO, CORE-HMO Rule survivorship: ENR plan wins	MBR-015368	Proposed	—
ACT-000662	Eligibility conflict resolved Eligibility engine	Danielle Henry: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed MEDICARE-ADV-A, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-015401	Proposed	—
ACT-000663	Eligibility conflict resolved Eligibility engine	Debra Bryant: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed MEDICARE-ADV-A, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-015416	Proposed	—
ACT-000664	Eligibility conflict resolved Eligibility engine	Beverly Carlson: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed NAVIGATE-HMO, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-015435	Proposed	—
ACT-000665	Eligibility conflict resolved Eligibility engine	Virginia Guerrero: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed CORE-HMO, SELECT-EPO Rule survivorship: ENR plan wins	MBR-015443	Proposed	—
ACT-000666	Eligibility conflict resolved Eligibility engine	Carl Campbell: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed SELECT-EPO, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-015484	Proposed	—
ACT-000667	Eligibility conflict resolved Eligibility engine	Lori Wright: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CHOICE-PLUS-PPO, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-015489	Proposed	—
ACT-000668	Eligibility conflict resolved Eligibility engine	Roger Carroll: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed CORE-HMO, SELECT-EPO Rule survivorship: ENR plan wins	MBR-015528	Proposed	—
ACT-000669	Eligibility conflict resolved Eligibility engine	Isabella Rose: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed NAVIGATE-HMO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-015552	Proposed	—
ACT-000670	Eligibility conflict resolved Eligibility engine	Melissa Hudson: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed NAVIGATE-HMO, CORE-HMO Rule survivorship: ENR plan wins	MBR-015560	Proposed	—
ACT-000671	Eligibility conflict resolved Eligibility engine	Brittany Hill: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed MEDICARE-ADV-A, CORE-HMO Rule survivorship: ENR plan wins	MBR-015562	Proposed	—
ACT-000672	Eligibility conflict resolved Eligibility engine	Camila Price: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed CORE-HMO, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-015566	Proposed	—
ACT-000673	Eligibility conflict resolved Eligibility engine	Joyce Vega: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed MEDICARE-ADV-B, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-015601	Proposed	—
ACT-000674	Eligibility conflict resolved Eligibility engine	Laura Ellis: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed NAVIGATE-HMO, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-015707	Proposed	—
ACT-000675	Eligibility conflict resolved Eligibility engine	Hiroshi Schultz: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed MEDICARE-ADV-B, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-015745	Proposed	—
ACT-000676	Eligibility conflict resolved Eligibility engine	Alice Perkins: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed NAVIGATE-HMO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-015753	Proposed	—
ACT-000677	Eligibility conflict resolved Eligibility engine	Arthur Hunt: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed MEDICARE-ADV-A, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-015808	Proposed	—
ACT-000678	Eligibility conflict resolved Eligibility engine	Priya Pena: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed NAVIGATE-HMO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-015812	Proposed	—
ACT-000679	Eligibility conflict resolved Eligibility engine	Judy Knight: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed MEDICARE-ADV-A, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-015845	Proposed	—
ACT-000680	Eligibility conflict resolved Eligibility engine	Rachel Fowler: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed CORE-HMO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-015846	Proposed	—
ACT-000681	Eligibility conflict resolved Eligibility engine	Sharon Stone: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed CHOICE-PLUS-PPO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-015888	Proposed	—
ACT-000682	Eligibility conflict resolved Eligibility engine	Fatima Vasquez: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed SELECT-EPO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-015909	Proposed	—
ACT-000683	Eligibility conflict resolved Eligibility engine	Ahmed Fisher: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed MEDICARE-ADV-B, CORE-HMO Rule survivorship: ENR plan wins	MBR-015926	Proposed	—
ACT-000684	Eligibility conflict resolved Eligibility engine	Bryan Mills: 2 plan codes across sources → canonical NAVIGATE-HMO	Canonical plan NAVIGATE-HMO Observed CORE-HMO, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-015967	Proposed	—
ACT-000685	Eligibility conflict resolved Eligibility engine	Bradley Jones: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed OPTIONS-PPO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-015973	Proposed	—
ACT-000686	Eligibility conflict resolved Eligibility engine	Alan Gilbert: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed NAVIGATE-HMO, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-016019	Proposed	—
ACT-000687	Eligibility conflict resolved Eligibility engine	Dorothy Bennett: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed MEDICARE-ADV-A, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-016052	Proposed	—
ACT-000688	Eligibility conflict resolved Eligibility engine	Arthur Cooper: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed CHOICE-PLUS-PPO, CORE-HMO Rule survivorship: ENR plan wins	MBR-016060	Proposed	—
ACT-000689	Eligibility conflict resolved Eligibility engine	Russell Spencer: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed OPTIONS-PPO, CORE-HMO Rule survivorship: ENR plan wins	MBR-016070	Proposed	—
ACT-000690	Eligibility conflict resolved Eligibility engine	Jesse Contreras: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed MEDICARE-ADV-B, SELECT-EPO Rule survivorship: ENR plan wins	MBR-016149	Proposed	—
ACT-000691	Eligibility conflict resolved Eligibility engine	Mason Brown: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed MEDICARE-ADV-A, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-016155	Proposed	—
ACT-000692	Eligibility conflict resolved Eligibility engine	Joyce Wells: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed MEDICARE-ADV-A, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-016177	Proposed	—
ACT-000693	Eligibility conflict resolved Eligibility engine	Donna Jenkins: 2 plan codes across sources → canonical SELECT-EPO	Canonical plan SELECT-EPO Observed MEDICARE-ADV-A, SELECT-EPO Rule survivorship: ENR plan wins	MBR-016212	Proposed	—
ACT-000694	Eligibility conflict resolved Eligibility engine	Lawrence Chapman: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed NAVIGATE-HMO, OPTIONS-PPO Rule survivorship: ENR plan wins	MBR-016274	Proposed	—
ACT-000695	Eligibility conflict resolved Eligibility engine	Nicholas Cunningham: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed CORE-HMO, MEDICARE-ADV-A Rule survivorship: ENR plan wins	MBR-016306	Proposed	—
ACT-000696	Eligibility conflict resolved Eligibility engine	Billy Hansen: 2 plan codes across sources → canonical OPTIONS-PPO	Canonical plan OPTIONS-PPO Observed OPTIONS-PPO, MEDICARE-ADV-B Rule survivorship: ENR plan wins	MBR-016342	Proposed	—
ACT-000697	Eligibility conflict resolved Eligibility engine	Marc Stephens: 2 plan codes across sources → canonical MEDICARE-ADV-B	Canonical plan MEDICARE-ADV-B Observed MEDICARE-ADV-B, CORE-HMO Rule survivorship: ENR plan wins	MBR-016475	Proposed	—
ACT-000698	Eligibility conflict resolved Eligibility engine	Kayla Harris: 2 plan codes across sources → canonical MEDICARE-ADV-A	Canonical plan MEDICARE-ADV-A Observed MEDICARE-ADV-A, NAVIGATE-HMO Rule survivorship: ENR plan wins	MBR-016510	Proposed	—
ACT-000699	Eligibility conflict resolved Eligibility engine	Tyler Yang: 2 plan codes across sources → canonical CORE-HMO	Canonical plan CORE-HMO Observed NAVIGATE-HMO, CORE-HMO Rule survivorship: ENR plan wins	MBR-016515	Proposed	—
ACT-000700	Eligibility conflict resolved Eligibility engine	Alexander Wells: 2 plan codes across sources → canonical CHOICE-PLUS-PPO	Canonical plan CHOICE-PLUS-PPO Observed MEDICARE-ADV-B, CHOICE-PLUS-PPO Rule survivorship: ENR plan wins	MBR-016523	Proposed	—

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Derivation rules

Evaluated after every gold rebuild

1
Eligibility conflict resolved
The records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
2
Orphan claim re-pointed
A 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.
3
Outreach address corrected
The most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
4
Outreach suppressed pending steward
The record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
5
Care coordination outreach
Three or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
6
New member onboarding
A single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
7
Duplicate member record retired
Two or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.