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
New member onboarding, Next-best-action, 2,081 proposed
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-020236 | New member onboarding Next-best-action | Vincent Lawson: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020237 | New member onboarding Next-best-action | Ashley Daniels: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020238 | New member onboarding Next-best-action | Jyoce Reid: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| 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 | — |
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.