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-020539 | New member onboarding Next-best-action | Marcus Nelson: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020540 | New member onboarding Next-best-action | Keenneth Watkins: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020541 | New member onboarding Next-best-action | George Bishop: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020542 | New member onboarding Next-best-action | Albert Phillips: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020543 | New member onboarding Next-best-action | Melissa Vega: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020544 | New member onboarding Next-best-action | Ethan Gilbert: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020545 | New member onboarding Next-best-action | Nicholas Russell: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020546 | New member onboarding Next-best-action | Charles Hart: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020547 | New member onboarding Next-best-action | Kathleen Laen: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020548 | New member onboarding Next-best-action | Juan Rios: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020549 | New member onboarding Next-best-action | Margaret Russell: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020550 | New member onboarding Next-best-action | Jeffrey Lucas: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020551 | New member onboarding Next-best-action | Valentina Gordon: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020552 | New member onboarding Next-best-action | Elijah Freeman: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020553 | New member onboarding Next-best-action | Joan Jacobs: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020554 | New member onboarding Next-best-action | Jack Robinson: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020555 | New member onboarding Next-best-action | Kelly Hunt: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020556 | New member onboarding Next-best-action | Stephanie Mitchell: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020557 | New member onboarding Next-best-action | Bradley Bailey: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020558 | New member onboarding Next-best-action | Willie Wells: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020559 | New member onboarding Next-best-action | Carolyn Tucker: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020560 | New member onboarding Next-best-action | Heather Ford: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020561 | New member onboarding Next-best-action | Debra Watkins: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020562 | New member onboarding Next-best-action | Matt Jones: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020563 | New member onboarding Next-best-action | Rebecca Graham: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020564 | New member onboarding Next-best-action | Mari Lane: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020565 | New member onboarding Next-best-action | Shirley Fox: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020566 | New member onboarding Next-best-action | Zachary Alvarez: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020567 | New member onboarding Next-best-action | Alice Banks: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020568 | New member onboarding Next-best-action | Wayne Hansen: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020569 | New member onboarding Next-best-action | Michelle Day: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020570 | New member onboarding Next-best-action | Rachel Long: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020571 | New member onboarding Next-best-action | Jerry Jensen: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020572 | New member onboarding Next-best-action | Sandra Burke: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020573 | New member onboarding Next-best-action | Ronald King: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020574 | New member onboarding Next-best-action | Gordon Natalie: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020575 | New member onboarding Next-best-action | Carl Wilson: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020576 | New member onboarding Next-best-action | Mason Diaaz: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020577 | New member onboarding Next-best-action | Carlos Riivera: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020578 | New member onboarding Next-best-action | Amy Kim: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020579 | New member onboarding Next-best-action | Jennifer Matthews: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020580 | New member onboarding Next-best-action | Joyyce Snyder: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020581 | New member onboarding Next-best-action | Justin Gray: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020582 | New member onboarding Next-best-action | John Green: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020583 | New member onboarding Next-best-action | Kelly Harvey: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020584 | New member onboarding Next-best-action | Aisha Roberts: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020585 | New member onboarding Next-best-action | Daniels Douglas: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020586 | New member onboarding Next-best-action | Masn Wang: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020587 | New member onboarding Next-best-action | Santiago Riso: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020588 | New member onboarding Next-best-action | Logan Gardner: enrolled 2026-09-08, 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.