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-020489 | New member onboarding Next-best-action | Wayne Sullivan: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020490 | New member onboarding Next-best-action | Bobby Gray: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020491 | New member onboarding Next-best-action | Sam Martin: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020492 | New member onboarding Next-best-action | Daid Hawkins: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020493 | New member onboarding Next-best-action | Luis Hoffman: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020494 | New member onboarding Next-best-action | Michael Walkr: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020495 | New member onboarding Next-best-action | Marcus Edwards: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020496 | New member onboarding Next-best-action | Susan Lewis: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020497 | New member onboarding Next-best-action | Willie Alvarado: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020498 | New member onboarding Next-best-action | Wei Ramirez: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020499 | New member onboarding Next-best-action | Jacqueline Elliott: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020500 | New member onboarding Next-best-action | Carol Thompson: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020501 | New member onboarding Next-best-action | Walter Gardner: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020502 | New member onboarding Next-best-action | Janike Butler: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020503 | New member onboarding Next-best-action | Christine Hudson: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020504 | New member onboarding Next-best-action | Thomas Taylor: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020505 | New member onboarding Next-best-action | Judy Kennedy: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020506 | New member onboarding Next-best-action | Gabrel Delgado: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020507 | New member onboarding Next-best-action | Keith Johnston: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020508 | New member onboarding Next-best-action | Natlaie Moore: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020509 | New member onboarding Next-best-action | Jack Vazquez: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020510 | New member onboarding Next-best-action | Kayla Kelly: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020511 | New member onboarding Next-best-action | Mateo Robinson: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020512 | New member onboarding Next-best-action | Diego Murphy: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020513 | New member onboarding Next-best-action | Priya McDonald: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020514 | New member onboarding Next-best-action | Lucia Reid: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020515 | New member onboarding Next-best-action | Gabriel Estrada: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020516 | New member onboarding Next-best-action | Carol Arnold: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020517 | New member onboarding Next-best-action | Arjun Hernandez: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020518 | New member onboarding Next-best-action | Michelle Fowler: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020519 | New member onboarding Next-best-action | Mari Wilson: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020520 | New member onboarding Next-best-action | Gary Castro: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020521 | New member onboarding Next-best-action | Vincent McDonald: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020522 | New member onboarding Next-best-action | Mason Garett: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020523 | New member onboarding Next-best-action | Scutt Lawrence: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020524 | New member onboarding Next-best-action | Terry Wong: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020525 | New member onboarding Next-best-action | Alan Dixon: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020526 | New member onboarding Next-best-action | Richard Stevens: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020527 | New member onboarding Next-best-action | Aaron Cox: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020528 | New member onboarding Next-best-action | Sophia Wright: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020529 | New member onboarding Next-best-action | Bobby Sandoval: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020530 | New member onboarding Next-best-action | Barbara Maquez: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020531 | New member onboarding Next-best-action | Nicholas Cunningham: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020532 | New member onboarding Next-best-action | Valentina Adams: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020533 | New member onboarding Next-best-action | John Weaver: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020534 | New member onboarding Next-best-action | Kevin Howard: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020535 | New member onboarding Next-best-action | Lara Cooper: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020536 | New member onboarding Next-best-action | John Lopez: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020537 | New member onboarding Next-best-action | Austin Owens: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020538 | New member onboarding Next-best-action | George Ellis: enrolled 2026-10-18, 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.