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-020839 | New member onboarding Next-best-action | Roger Morgan: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020840 | New member onboarding Next-best-action | Kayla Medina: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020841 | New member onboarding Next-best-action | Rachel Knight: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020842 | New member onboarding Next-best-action | Abigail Rivera: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020843 | New member onboarding Next-best-action | Griffin Doris: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020844 | New member onboarding Next-best-action | Noah Brooks: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020845 | New member onboarding Next-best-action | Jordan Le: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020846 | New member onboarding Next-best-action | Janice Kim: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020847 | New member onboarding Next-best-action | Hiroshi Henderson: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020848 | New member onboarding Next-best-action | Grace Yang: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020849 | New member onboarding Next-best-action | Ethan Wright: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020850 | New member onboarding Next-best-action | Emma Nunez: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020851 | New member onboarding Next-best-action | Frank Burns: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020852 | New member onboarding Next-best-action | Marcus Kleley: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020853 | New member onboarding Next-best-action | Charlotte Chapman: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020854 | New member onboarding Next-best-action | Patterson Sharon: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020855 | New member onboarding Next-best-action | Maggei Lopz: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020856 | New member onboarding Next-best-action | Thomas Harvey: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020857 | New member onboarding Next-best-action | Maria Foster: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020858 | New member onboarding Next-best-action | Timothy Watkins: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020859 | New member onboarding Next-best-action | Harold Ryan: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020860 | New member onboarding Next-best-action | Nicholas Sanders: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020861 | New member onboarding Next-best-action | Terry Mendez: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020862 | New member onboarding Next-best-action | Virginia Walace: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020863 | New member onboarding Next-best-action | Sean Daniels: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020864 | New member onboarding Next-best-action | Michael Lynch: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020865 | New member onboarding Next-best-action | Aisha Stone: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020866 | New member onboarding Next-best-action | Jerry Jacobs: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020867 | New member onboarding Next-best-action | George Anderson: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020868 | New member onboarding Next-best-action | Prriya Jenkins: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020869 | New member onboarding Next-best-action | Kathy Bowman: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020870 | New member onboarding Next-best-action | Lawrence Burns: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020871 | New member onboarding Next-best-action | Alan Mendez: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020872 | New member onboarding Next-best-action | Timothy Johnston: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020873 | New member onboarding Next-best-action | Elijah Weaver: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020874 | New member onboarding Next-best-action | Sharon Little: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020875 | New member onboarding Next-best-action | Keith Adams: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020876 | New member onboarding Next-best-action | Virginia Scott: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020877 | New member onboarding Next-best-action | Hannah Pierce: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020878 | New member onboarding Next-best-action | Richard Stevens: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020879 | New member onboarding Next-best-action | Janet Rios: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020880 | New member onboarding Next-best-action | James Yang: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020881 | New member onboarding Next-best-action | Elizabeth Dunn: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020882 | New member onboarding Next-best-action | Wei Kelley: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020883 | New member onboarding Next-best-action | Madison Bowman: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020884 | New member onboarding Next-best-action | Lisa Oliver: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020885 | New member onboarding Next-best-action | Charles Delgado: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020886 | New member onboarding Next-best-action | Anna Grant: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020887 | New member onboarding Next-best-action | Jessica Rodriguez: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020888 | New member onboarding Next-best-action | Paul Peterson: enrolled 2026-09-13, 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.