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-020389 | New member onboarding Next-best-action | Sean Wright: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020390 | New member onboarding Next-best-action | Helen Mason: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020391 | New member onboarding Next-best-action | Helen Lucas: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020392 | New member onboarding Next-best-action | Ryan Oliver: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020393 | New member onboarding Next-best-action | Joseph Greene: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020394 | New member onboarding Next-best-action | Henry Clark: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020395 | New member onboarding Next-best-action | Jack Nunez: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020396 | New member onboarding Next-best-action | Terry Morales: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020397 | New member onboarding Next-best-action | Isabella Wong: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020398 | New member onboarding Next-best-action | Nathan Setwart: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020399 | New member onboarding Next-best-action | Christian Lopez: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020400 | New member onboarding Next-best-action | Nicholas Jacobs: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020401 | New member onboarding Next-best-action | Meria Fowler: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020402 | New member onboarding Next-best-action | Bobby Ward: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020403 | New member onboarding Next-best-action | Gabriel Ford: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020404 | New member onboarding Next-best-action | James Wagner: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020405 | New member onboarding Next-best-action | Frank Watkins: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020406 | New member onboarding Next-best-action | Samuel Menedz: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020407 | New member onboarding Next-best-action | Betty Baker: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020408 | New member onboarding Next-best-action | Bryn Kelly: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020409 | New member onboarding Next-best-action | Richard Vega: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020410 | New member onboarding Next-best-action | Mary Walsh: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020411 | New member onboarding Next-best-action | Joshua Kennedy: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020412 | New member onboarding Next-best-action | Stephanie Mitchell: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020413 | New member onboarding Next-best-action | Doris Thomas: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020414 | New member onboarding Next-best-action | Mari Wood: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020415 | New member onboarding Next-best-action | Camila Davis: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020416 | New member onboarding Next-best-action | Joyce Ferguson: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020417 | New member onboarding Next-best-action | Yuki Burns: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020418 | New member onboarding Next-best-action | Eward Mejia: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020419 | New member onboarding Next-best-action | Wei Bryant: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020420 | New member onboarding Next-best-action | Aaorn Burke: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020421 | New member onboarding Next-best-action | Kathy Perry: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020422 | New member onboarding Next-best-action | John Luna: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020423 | New member onboarding Next-best-action | Rachel Russell: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020424 | New member onboarding Next-best-action | Douglas Roberts: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020425 | New member onboarding Next-best-action | Tyler Perkins: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020426 | New member onboarding Next-best-action | Kevin Wang: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020427 | New member onboarding Next-best-action | Emily Johnston: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020428 | New member onboarding Next-best-action | Nicole Richardson: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020429 | New member onboarding Next-best-action | Rachel Aguilar: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020430 | New member onboarding Next-best-action | Adam Santos: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020431 | New member onboarding Next-best-action | Billy Simpson: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020432 | New member onboarding Next-best-action | Diego Burke: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020433 | New member onboarding Next-best-action | Nathan Ross: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020434 | New member onboarding Next-best-action | Barbara Mendoza: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020435 | New member onboarding Next-best-action | Lori Griffin: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020436 | New member onboarding Next-best-action | Deborah Marquez: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020437 | New member onboarding Next-best-action | Christina Dunn: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020438 | New member onboarding Next-best-action | Philip Garrtet: 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.