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-020639 | New member onboarding Next-best-action | Christina Flores: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020640 | New member onboarding Next-best-action | Beverly Payne: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020641 | New member onboarding Next-best-action | Bradley Bennett: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020642 | New member onboarding Next-best-action | Larry Morgan: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020643 | New member onboarding Next-best-action | James Maldondo: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020644 | New member onboarding Next-best-action | Arjun James: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020645 | New member onboarding Next-best-action | Tyler Holmes: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020646 | New member onboarding Next-best-action | Christopher Hicks: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020647 | New member onboarding Next-best-action | Lauren Tran: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020648 | New member onboarding Next-best-action | Jim Simpson: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020649 | New member onboarding Next-best-action | Jason Foster: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020650 | New member onboarding Next-best-action | Jackie Carr: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020651 | New member onboarding Next-best-action | Roger McDonald: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020652 | New member onboarding Next-best-action | Patricia Carpenter: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020653 | New member onboarding Next-best-action | Judy Perkins: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020654 | New member onboarding Next-best-action | Ahmed Salazar: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020655 | New member onboarding Next-best-action | Valentina Jordan: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020656 | New member onboarding Next-best-action | Ethan Chen: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020657 | New member onboarding Next-best-action | Denise Bowman: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020658 | New member onboarding Next-best-action | David Woods: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020659 | New member onboarding Next-best-action | Donna Cruz: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020660 | New member onboarding Next-best-action | Billy Torres: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020661 | New member onboarding Next-best-action | Bradley McDonald: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020662 | New member onboarding Next-best-action | Brian Phillips: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020663 | New member onboarding Next-best-action | Michael Munoz: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020664 | New member onboarding Next-best-action | Abigail Murray: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020665 | New member onboarding Next-best-action | Mason Ward: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020666 | New member onboarding Next-best-action | Edward Phillips: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020667 | New member onboarding Next-best-action | Nicole Webb: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020668 | New member onboarding Next-best-action | Kathryn Scott: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020669 | New member onboarding Next-best-action | Sue Harris: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020670 | New member onboarding Next-best-action | Betty Patterson: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020671 | New member onboarding Next-best-action | Emma Delgado: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020672 | New member onboarding Next-best-action | Melissa Gilbert: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020673 | New member onboarding Next-best-action | Larry Ortiz: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020674 | New member onboarding Next-best-action | Karen Fields: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020675 | New member onboarding Next-best-action | Natalie Carr: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020676 | New member onboarding Next-best-action | Judy Alvarez: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020677 | New member onboarding Next-best-action | Timothy Jackson: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020678 | New member onboarding Next-best-action | Teresa Richardson: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020679 | New member onboarding Next-best-action | Sarah Flores: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020680 | New member onboarding Next-best-action | Bradley Burns: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020681 | New member onboarding Next-best-action | Emma Cooper: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020682 | New member onboarding Next-best-action | Bryan Guzman: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020683 | New member onboarding Next-best-action | Stephen Turner: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020684 | New member onboarding Next-best-action | Dylan Alvarez: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020685 | New member onboarding Next-best-action | Christina Wallace: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020686 | New member onboarding Next-best-action | Janet Miller: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020687 | New member onboarding Next-best-action | Jose Russsell: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020688 | New member onboarding Next-best-action | Sandra Sims: enrolled 2026-09-12, 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.