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-020439 | New member onboarding Next-best-action | Gary Ramos: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020440 | New member onboarding Next-best-action | Barbara Richards: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020441 | New member onboarding Next-best-action | Michelle Turner: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020442 | New member onboarding Next-best-action | Willie Chen: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020443 | New member onboarding Next-best-action | Barbara Watson: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020444 | New member onboarding Next-best-action | Willie Rojas: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020445 | New member onboarding Next-best-action | Willie Castillo: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020446 | New member onboarding Next-best-action | Lucia Chapman: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020447 | New member onboarding Next-best-action | Ana Williams: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020448 | New member onboarding Next-best-action | Ashley Gardner: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020449 | New member onboarding Next-best-action | Ford Priya: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020450 | New member onboarding Next-best-action | James Foser: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020451 | New member onboarding Next-best-action | Luis Gonzales: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020452 | New member onboarding Next-best-action | Donald Estrada: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020453 | New member onboarding Next-best-action | Betty Luna: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020454 | New member onboarding Next-best-action | Aaron Willis: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020455 | New member onboarding Next-best-action | Maria Ortiz: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020456 | New member onboarding Next-best-action | Philip Sanders: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020457 | New member onboarding Next-best-action | Jason Reyes: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020458 | New member onboarding Next-best-action | Ahmed Mitchell: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020459 | New member onboarding Next-best-action | David Pierce: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020460 | New member onboarding Next-best-action | Nathan Howell: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020461 | New member onboarding Next-best-action | Joe Rivera: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020462 | New member onboarding Next-best-action | Camila Hayes: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020463 | New member onboarding Next-best-action | Laura Cox: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020464 | New member onboarding Next-best-action | Daniel Wallace: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020465 | New member onboarding Next-best-action | Michael Perez: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020466 | New member onboarding Next-best-action | Phiip Hart: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020467 | New member onboarding Next-best-action | Alexander Garrett: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020468 | New member onboarding Next-best-action | Christopher Lopez: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020469 | New member onboarding Next-best-action | Fatima Alexander: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020470 | New member onboarding Next-best-action | Samuel Armstrong: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020471 | New member onboarding Next-best-action | Mari Ortiz: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020472 | New member onboarding Next-best-action | Kyle Grant: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020473 | New member onboarding Next-best-action | Kayla Garrett: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020474 | New member onboarding Next-best-action | Heather Reid: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020475 | New member onboarding Next-best-action | James Wood: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020476 | New member onboarding Next-best-action | Danielle Harris: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020477 | New member onboarding Next-best-action | Sean Coleman: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020478 | New member onboarding Next-best-action | Theresa Webb: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020479 | New member onboarding Next-best-action | Paul Freeman: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020480 | New member onboarding Next-best-action | Amy Mendez: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020481 | New member onboarding Next-best-action | Joshua Cunningham: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020482 | New member onboarding Next-best-action | Kevin Edwards: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020483 | New member onboarding Next-best-action | Beverly Keelley: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020484 | New member onboarding Next-best-action | Shirley Hamilton: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020485 | New member onboarding Next-best-action | Ashley Lawson: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020486 | New member onboarding Next-best-action | Jack Guerrero: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020487 | New member onboarding Next-best-action | Marilyn Austin: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020488 | New member onboarding Next-best-action | Diane Thompson: enrolled 2026-09-25, 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.