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
New member onboarding, Next-best-action, 2,081 proposed
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-020286 | New member onboarding Next-best-action | Marcus Nichols: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020287 | New member onboarding Next-best-action | Emily Kelly: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020288 | New member onboarding Next-best-action | Howell Michael: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020289 | New member onboarding Next-best-action | Hiroshi Herrera: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020290 | New member onboarding Next-best-action | Madison Obrien: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020291 | New member onboarding Next-best-action | Bradley Murphy: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020292 | New member onboarding Next-best-action | Carolyn Hernandez: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020293 | New member onboarding Next-best-action | Jennifer Fernandez: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020294 | New member onboarding Next-best-action | Harold Herrerra: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020295 | New member onboarding Next-best-action | Yuki Fernandez: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020296 | New member onboarding Next-best-action | Roger Moreno: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020297 | New member onboarding Next-best-action | Valentina Powell: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020298 | New member onboarding Next-best-action | Kelly Edwards: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020299 | New member onboarding Next-best-action | Chuck Cooper: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020300 | New member onboarding Next-best-action | Vincent Chapman: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020301 | New member onboarding Next-best-action | Ema Thomas: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020302 | New member onboarding Next-best-action | Virgginia Welch: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020303 | New member onboarding Next-best-action | Thomas Hawkins: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020304 | New member onboarding Next-best-action | Camila Hamilton: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020305 | New member onboarding Next-best-action | Ethan Wood: enrolled 2026-09-12, no activity yet |
| Proposed | — | ||
| ACT-020306 | New member onboarding Next-best-action | Charlotte Gray: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020307 | New member onboarding Next-best-action | Pteer Carroll: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020308 | New member onboarding Next-best-action | Sandra Lawson: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020309 | New member onboarding Next-best-action | Kye Young: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020310 | New member onboarding Next-best-action | Ronald Taylor: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020311 | New member onboarding Next-best-action | Marrilyn Wells: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020312 | New member onboarding Next-best-action | Maldonado John: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020313 | New member onboarding Next-best-action | Susan Johnson: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020314 | New member onboarding Next-best-action | Amy Park: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020315 | New member onboarding Next-best-action | Don Kim: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020316 | New member onboarding Next-best-action | Brenda Arnold: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020317 | New member onboarding Next-best-action | Diego Bowman: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020318 | New member onboarding Next-best-action | Sandra Murray: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020319 | New member onboarding Next-best-action | Banks William: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020320 | New member onboarding Next-best-action | James Watkins: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020321 | New member onboarding Next-best-action | Charlotte Fowler: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-020322 | New member onboarding Next-best-action | Noah Bailey: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020323 | New member onboarding Next-best-action | Sharon Day: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020324 | New member onboarding Next-best-action | Sarah Bowman: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020325 | New member onboarding Next-best-action | David Boyd: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020326 | New member onboarding Next-best-action | Karen Ryan: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020327 | New member onboarding Next-best-action | Patricia Murray: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020328 | New member onboarding Next-best-action | Tomas Wells: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020329 | New member onboarding Next-best-action | Mateo Ray: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020330 | New member onboarding Next-best-action | Judith Brown: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020331 | New member onboarding Next-best-action | Michael Gardner: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020332 | New member onboarding Next-best-action | Sam Padilla: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020333 | New member onboarding Next-best-action | Sandra Jimenez: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020334 | New member onboarding Next-best-action | George Berry: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020335 | New member onboarding Next-best-action | Maria Bradley: enrolled 2026-09-05, 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.