Action	Type	Title	Detail	Linked to	Status	Executed
ACT-018421	Care coordination outreach Next-best-action	Megan Kim: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008181	Proposed	—
ACT-018422	Care coordination outreach Next-best-action	Donna Moore: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008226	Proposed	—
ACT-018423	Care coordination outreach Next-best-action	Terry Edwards: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008227	Proposed	—
ACT-018424	Care coordination outreach Next-best-action	James Banks: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008230	Proposed	—
ACT-018425	Care coordination outreach Next-best-action	Henry Espinoza: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008239	Proposed	—
ACT-018426	Care coordination outreach Next-best-action	Andrew Dean: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008245	Proposed	—
ACT-018427	Care coordination outreach Next-best-action	Karen Montgomery: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008254	Proposed	—
ACT-018428	Care coordination outreach Next-best-action	Joshua Armstrong: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008264	Proposed	—
ACT-018429	Care coordination outreach Next-best-action	Madison Franklin: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008281	Proposed	—
ACT-018430	Care coordination outreach Next-best-action	Jonathan Vega: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008292	Proposed	—
ACT-018431	Care coordination outreach Next-best-action	Elijah Jensen: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008307	Proposed	—
ACT-018432	Care coordination outreach Next-best-action	Natalie Elliott: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008367	Proposed	—
ACT-018433	Care coordination outreach Next-best-action	Donald Simpson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008385	Proposed	—
ACT-018434	Care coordination outreach Next-best-action	Maria Hoffman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008398	Proposed	—
ACT-018435	Care coordination outreach Next-best-action	Amber Reed: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008405	Proposed	—
ACT-018436	Care coordination outreach Next-best-action	Vincent Delgado: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008442	Proposed	—
ACT-018437	Care coordination outreach Next-best-action	Catherine Hart: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-008446	Proposed	—
ACT-018438	Care coordination outreach Next-best-action	Nancy Vazquez: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008493	Proposed	—
ACT-018439	Care coordination outreach Next-best-action	Carlos Campbell: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008494	Proposed	—
ACT-018440	Care coordination outreach Next-best-action	Ruth Owens: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008515	Proposed	—
ACT-018441	Care coordination outreach Next-best-action	Keith Ortiz: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008520	Proposed	—
ACT-018442	Care coordination outreach Next-best-action	Ann Ferguson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008555	Proposed	—
ACT-018443	Care coordination outreach Next-best-action	Brandon Bennett: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008565	Proposed	—
ACT-018444	Care coordination outreach Next-best-action	Zachary Carlson: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008576	Proposed	—
ACT-018445	Care coordination outreach Next-best-action	Patrick Sanders: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008595	Proposed	—
ACT-018446	Care coordination outreach Next-best-action	Christian Henry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008611	Proposed	—
ACT-018447	Care coordination outreach Next-best-action	Susan Matthews: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008623	Proposed	—
ACT-018448	Care coordination outreach Next-best-action	Douglas Banks: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008629	Proposed	—
ACT-018449	Care coordination outreach Next-best-action	Adam Henry: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008669	Proposed	—
ACT-018450	Care coordination outreach Next-best-action	Hiroshi Lewis: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008672	Proposed	—
ACT-018451	Care coordination outreach Next-best-action	Donna Hoffman: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008677	Proposed	—
ACT-018452	Care coordination outreach Next-best-action	Amy Morris: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008683	Proposed	—
ACT-018453	Care coordination outreach Next-best-action	Arthur Little: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008687	Proposed	—
ACT-018454	Care coordination outreach Next-best-action	Kimberly Jordan: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008692	Proposed	—
ACT-018455	Care coordination outreach Next-best-action	Patrick Patel: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008695	Proposed	—
ACT-018456	Care coordination outreach Next-best-action	Alan Sanchez: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008705	Proposed	—
ACT-018457	Care coordination outreach Next-best-action	George Reynolds: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008731	Proposed	—
ACT-018458	Care coordination outreach Next-best-action	Anthony Weaver: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008744	Proposed	—
ACT-018459	Care coordination outreach Next-best-action	Ralph Lewis: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008751	Proposed	—
ACT-018460	Care coordination outreach Next-best-action	Mason Hamilton: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008769	Proposed	—
ACT-018461	Care coordination outreach Next-best-action	Christian Meyer: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008776	Proposed	—
ACT-018462	Care coordination outreach Next-best-action	Arjun White: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008780	Proposed	—
ACT-018463	Care coordination outreach Next-best-action	Kathryn Carlson: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008784	Proposed	—
ACT-018464	Care coordination outreach Next-best-action	Mary Torres: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008793	Proposed	—
ACT-018465	Care coordination outreach Next-best-action	Frank Armstrong: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008805	Proposed	—
ACT-018466	Care coordination outreach Next-best-action	Joan Edwards: 5 claims, no attributed provider	Claims 5 Recommendation assign PCP and schedule care-coordination call	MBR-008807	Proposed	—
ACT-018467	Care coordination outreach Next-best-action	Alice Porter: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008822	Proposed	—
ACT-018468	Care coordination outreach Next-best-action	Alice Singh: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008825	Proposed	—
ACT-018469	Care coordination outreach Next-best-action	Rachel Coleman: 4 claims, no attributed provider	Claims 4 Recommendation assign PCP and schedule care-coordination call	MBR-008858	Proposed	—
ACT-018470	Care coordination outreach Next-best-action	Jeffrey Green: 3 claims, no attributed provider	Claims 3 Recommendation assign PCP and schedule care-coordination call	MBR-008864	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.