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-020939 | New member onboarding Next-best-action | Anna Moore: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020940 | New member onboarding Next-best-action | Justin Crawford: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020941 | New member onboarding Next-best-action | Michelle Bell: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020942 | New member onboarding Next-best-action | Eric Clark: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020943 | New member onboarding Next-best-action | Patricia Lane: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020944 | New member onboarding Next-best-action | Donna Walker: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020945 | New member onboarding Next-best-action | Ronald Ortiz: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-020946 | New member onboarding Next-best-action | Catherine Greene: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-020947 | New member onboarding Next-best-action | Walter Estrada: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020948 | New member onboarding Next-best-action | Henry Johnston: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020949 | New member onboarding Next-best-action | Ryan Thompson: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-020950 | New member onboarding Next-best-action | Joyce Vazquez: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020951 | New member onboarding Next-best-action | Amber Andrews: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020952 | New member onboarding Next-best-action | Rebecca Foster: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-020953 | New member onboarding Next-best-action | Betty Rodriguez: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-020954 | New member onboarding Next-best-action | Isabella Lynch: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020955 | New member onboarding Next-best-action | Deborah Carroll: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020956 | New member onboarding Next-best-action | Harold Medina: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-020957 | New member onboarding Next-best-action | Kenneth Hunter: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020958 | New member onboarding Next-best-action | Cheryl Guerrero: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-020959 | New member onboarding Next-best-action | Wei Burton: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020960 | New member onboarding Next-best-action | Christine Johnson: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020961 | New member onboarding Next-best-action | Sharoon Walker: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020962 | New member onboarding Next-best-action | Jordan Lucas: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-020963 | New member onboarding Next-best-action | Teresa Adams: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020964 | New member onboarding Next-best-action | Ethan Palmer: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020965 | New member onboarding Next-best-action | Wei Brrooks: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-020966 | New member onboarding Next-best-action | Ashley Burke: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-020967 | New member onboarding Next-best-action | Ruth Miller: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020968 | New member onboarding Next-best-action | Patricia Bennet: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-020969 | New member onboarding Next-best-action | Patrick McCoy: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020970 | New member onboarding Next-best-action | Willie Rogers: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020971 | New member onboarding Next-best-action | Fatima Butler: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-020972 | New member onboarding Next-best-action | Nancy Eans: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020973 | New member onboarding Next-best-action | Melissa Schmidt: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020974 | New member onboarding Next-best-action | Kenneth Kim: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020975 | New member onboarding Next-best-action | Gerald Taylor: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020976 | New member onboarding Next-best-action | Ruth Harrison: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020977 | New member onboarding Next-best-action | Theresa Tran: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020978 | New member onboarding Next-best-action | Kathleen Nguyen: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020979 | New member onboarding Next-best-action | Diana Ruiz: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-020980 | New member onboarding Next-best-action | Marilyn Scott: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-020981 | New member onboarding Next-best-action | Richard Taylor: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020982 | New member onboarding Next-best-action | Santiago Robertson: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-020983 | New member onboarding Next-best-action | Richard Wang: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-020984 | New member onboarding Next-best-action | Elijah Wilson: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-020985 | New member onboarding Next-best-action | Michelle Austin: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-020986 | New member onboarding Next-best-action | Mei Price: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-020987 | New member onboarding Next-best-action | Amber Luna: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-020988 | New member onboarding Next-best-action | Betty Jimennez: enrolled 2026-09-28, 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.