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-020989 | New member onboarding Next-best-action | Matthew Martinez: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-020990 | New member onboarding Next-best-action | James Herrera: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020991 | New member onboarding Next-best-action | Alice Medina: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-020992 | New member onboarding Next-best-action | Ethan Maldonado: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-020993 | New member onboarding Next-best-action | Kayla Alvarado: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-020994 | New member onboarding Next-best-action | Roy Stewart: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-020995 | New member onboarding Next-best-action | Maria Jimenez: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-020996 | New member onboarding Next-best-action | Roger Gardner: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-020997 | New member onboarding Next-best-action | Barb Lynch: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-020998 | New member onboarding Next-best-action | Brandon Phillips: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-020999 | New member onboarding Next-best-action | Judy Russell: enrolled 2026-09-08, no activity yet |
| Proposed | — | ||
| ACT-021000 | New member onboarding Next-best-action | David Larson: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021001 | New member onboarding Next-best-action | Daniel Shaw: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021002 | New member onboarding Next-best-action | Pamela Sandoval: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021003 | New member onboarding Next-best-action | Alexis Espinoza: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021004 | New member onboarding Next-best-action | Ethan Guzman: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021005 | New member onboarding Next-best-action | Marilyn Hart: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021006 | New member onboarding Next-best-action | Fatima Boyd: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021007 | New member onboarding Next-best-action | Christopher Jacobs: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021008 | New member onboarding Next-best-action | Brandon Moralles: enrolled 2026-10-11, no activity yet |
| Proposed | — | ||
| ACT-021009 | New member onboarding Next-best-action | Juan Williams: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021010 | New member onboarding Next-best-action | Brittany Robertson: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021011 | New member onboarding Next-best-action | Carr Merilyn: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021012 | New member onboarding Next-best-action | Beverly Maldonado: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021013 | New member onboarding Next-best-action | Alan Campbell: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021014 | New member onboarding Next-best-action | Padilla Carol: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021015 | New member onboarding Next-best-action | Justin Burton: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021016 | New member onboarding Next-best-action | Jonathan Richardson: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021017 | New member onboarding Next-best-action | Bryan Lee: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021018 | New member onboarding Next-best-action | Luis Snydre: enrolled 2026-10-17, no activity yet |
| Proposed | — | ||
| ACT-021019 | New member onboarding Next-best-action | Austin Jordan: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021020 | New member onboarding Next-best-action | Megan Andrews: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021021 | New member onboarding Next-best-action | Terry Nguyen: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021022 | New member onboarding Next-best-action | Raymond Padilla: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021023 | New member onboarding Next-best-action | Brenda Diaz: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021024 | New member onboarding Next-best-action | Margaret Obrien: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021025 | New member onboarding Next-best-action | Scott Patel: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021026 | New member onboarding Next-best-action | Bruce Guzman: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021027 | New member onboarding Next-best-action | Benjamin Chen: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021028 | New member onboarding Next-best-action | John Estrada: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021029 | New member onboarding Next-best-action | Bradley Henry: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021030 | New member onboarding Next-best-action | Sandra Vega: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021031 | New member onboarding Next-best-action | Sofia Boyd: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021032 | New member onboarding Next-best-action | Joseph Payne: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021033 | New member onboarding Next-best-action | Maria Lynch: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021034 | New member onboarding Next-best-action | Alexxander Fisher: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021035 | New member onboarding Next-best-action | Bradley Hart: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021036 | New member onboarding Next-best-action | Teresa Cole: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021037 | New member onboarding Next-best-action | Scott Powell: enrolled 2026-09-30, no activity yet |
| Proposed | — | ||
| ACT-021038 | New member onboarding Next-best-action | Paul Bennett: enrolled 2026-09-15, 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.