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-020889 | New member onboarding Next-best-action | Diane Soto: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020890 | New member onboarding Next-best-action | Ethan Hanson: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020891 | New member onboarding Next-best-action | Gabriel Bowman: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020892 | New member onboarding Next-best-action | Carol Freeman: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020893 | New member onboarding Next-best-action | Lucia Walace: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020894 | New member onboarding Next-best-action | Sharon Patterson: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020895 | New member onboarding Next-best-action | Saan Kelley: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020896 | New member onboarding Next-best-action | Terry Gray: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020897 | New member onboarding Next-best-action | Lawrencce Mendez: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020898 | New member onboarding Next-best-action | Denise Hamilton: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020899 | New member onboarding Next-best-action | Ethan Simmoons: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020900 | New member onboarding Next-best-action | Christian Duncan: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020901 | New member onboarding Next-best-action | Russell Lawrence: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020902 | New member onboarding Next-best-action | Donna Delgado: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020903 | New member onboarding Next-best-action | Doris Fox: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020904 | New member onboarding Next-best-action | Jacqueline Cole: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-020905 | New member onboarding Next-best-action | Pamela Tran: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020906 | New member onboarding Next-best-action | Jef Montgomery: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020907 | New member onboarding Next-best-action | Isabella Guzman: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020908 | New member onboarding Next-best-action | Kathleen Marquez: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-020909 | New member onboarding Next-best-action | Kyle Butler: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-020910 | New member onboarding Next-best-action | Martha Stone: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020911 | New member onboarding Next-best-action | Diana Fowler: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020912 | New member onboarding Next-best-action | Sara Gibson: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-020913 | New member onboarding Next-best-action | Gabriel Howard: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020914 | New member onboarding Next-best-action | Pamela Gonzales: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020915 | New member onboarding Next-best-action | Roy Flores: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-020916 | New member onboarding Next-best-action | Brrittany Roberrtson: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-020917 | New member onboarding Next-best-action | Howell Bobby: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-020918 | New member onboarding Next-best-action | Christina Castillo: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-020919 | New member onboarding Next-best-action | Keith Pierce: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-020920 | New member onboarding Next-best-action | Arjun Dean: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020921 | New member onboarding Next-best-action | Henry Walker: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-020922 | New member onboarding Next-best-action | Eugene Contreras: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020923 | New member onboarding Next-best-action | Grace Freeman: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020924 | New member onboarding Next-best-action | Lucia Fowler: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020925 | New member onboarding Next-best-action | Judy Garza: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020926 | New member onboarding Next-best-action | Chris Weaver: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020927 | New member onboarding Next-best-action | Ralph Bowman: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-020928 | New member onboarding Next-best-action | Gregory Haarvey: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020929 | New member onboarding Next-best-action | Terry Tran: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020930 | New member onboarding Next-best-action | Megan Gibson: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020931 | New member onboarding Next-best-action | Stephanie Cooper: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020932 | New member onboarding Next-best-action | Amber Lawrence: enrolled 2026-10-02, no activity yet |
| Proposed | — | ||
| ACT-020933 | New member onboarding Next-best-action | Paul Jones: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-020934 | New member onboarding Next-best-action | Amber Owens: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020935 | New member onboarding Next-best-action | Fatima Yang: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020936 | New member onboarding Next-best-action | Barbara Griffin: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020937 | New member onboarding Next-best-action | Tim Ellis: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020938 | New member onboarding Next-best-action | Karen Brown: enrolled 2026-10-16, 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.