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-021089 | New member onboarding Next-best-action | Valentina Bishop: enrolled 2026-10-10, no activity yet |
| Proposed | — | ||
| ACT-021090 | New member onboarding Next-best-action | Doris Ryan: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021091 | New member onboarding Next-best-action | Fatima Vargas: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021092 | New member onboarding Next-best-action | Ethan Hernandez: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021093 | New member onboarding Next-best-action | Wayne Kelly: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021094 | New member onboarding Next-best-action | Roger Fields: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021095 | New member onboarding Next-best-action | Wong Maason: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021096 | New member onboarding Next-best-action | Sue Lane: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021097 | New member onboarding Next-best-action | Diego Larson: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021098 | New member onboarding Next-best-action | Janice Brery: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021099 | New member onboarding Next-best-action | Chritsina James: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021100 | New member onboarding Next-best-action | James Lopez: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021101 | New member onboarding Next-best-action | James Perez: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021102 | New member onboarding Next-best-action | Ethan Ramirez: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021103 | New member onboarding Next-best-action | Arjun Estrada: enrolled 2026-09-22, no activity yet |
| Proposed | — | ||
| ACT-021104 | New member onboarding Next-best-action | Pamela Lawrence: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-021105 | New member onboarding Next-best-action | Alan Walker: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021106 | New member onboarding Next-best-action | Arjun Harris: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021107 | New member onboarding Next-best-action | Joshua Shaw: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021108 | New member onboarding Next-best-action | Albert Jenkins: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021109 | New member onboarding Next-best-action | Jonathan Arnold: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021110 | New member onboarding Next-best-action | Kyle Hill: enrolled 2026-09-23, no activity yet |
| Proposed | — | ||
| ACT-021111 | New member onboarding Next-best-action | Bryan Coleman: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021112 | New member onboarding Next-best-action | Evelyn Hunter: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021113 | New member onboarding Next-best-action | Mariana Clark: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021114 | New member onboarding Next-best-action | Denise Adams: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021115 | New member onboarding Next-best-action | Patrick Evaans: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021116 | New member onboarding Next-best-action | Brandon Payne: enrolled 2026-09-13, no activity yet |
| Proposed | — | ||
| ACT-021117 | New member onboarding Next-best-action | Ahmed Bailey: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021118 | New member onboarding Next-best-action | Benjamin Mills: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-021119 | New member onboarding Next-best-action | Tim Watkins: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021120 | New member onboarding Next-best-action | Megan Shaw: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021121 | New member onboarding Next-best-action | Christian Singh: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021122 | New member onboarding Next-best-action | Joyce Boyd: enrolled 2026-09-20, no activity yet |
| Proposed | — | ||
| ACT-021123 | New member onboarding Next-best-action | Daniel Ellis: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021124 | New member onboarding Next-best-action | Elizabeth Andrews: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021125 | New member onboarding Next-best-action | Mariana Luna: enrolled 2026-09-19, no activity yet |
| Proposed | — | ||
| ACT-021126 | New member onboarding Next-best-action | Greg Sanders: enrolled 2026-10-18, no activity yet |
| Proposed | — | ||
| ACT-021127 | New member onboarding Next-best-action | Joe Perry: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021128 | New member onboarding Next-best-action | Sam Larson: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021129 | New member onboarding Next-best-action | Dot Gonzales: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021130 | New member onboarding Next-best-action | Gloria Gardner: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021131 | New member onboarding Next-best-action | Theresa Porter: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021132 | New member onboarding Next-best-action | Kayla Rojas: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021133 | New member onboarding Next-best-action | Anthony Miller: enrolled 2026-10-15, no activity yet |
| Proposed | — | ||
| ACT-021134 | New member onboarding Next-best-action | Jon Alvarado: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021135 | New member onboarding Next-best-action | Walter Andrews: enrolled 2026-09-25, no activity yet |
| Proposed | — | ||
| ACT-021136 | New member onboarding Next-best-action | Pamela Ortiz: enrolled 2026-09-27, no activity yet |
| Proposed | — | ||
| ACT-021137 | New member onboarding Next-best-action | Gloria Campbell: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021138 | New member onboarding Next-best-action | Sam Duncan: 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.